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Create an Executive Summary of Leadership, Operations Management, and the Impact of Fraud

Competency
Analyze leadership challenges in healthcare.
Instructions
Healthcare leadership is often tasked with some of the most difficult challenges when it comes to leading. As a leader in D'Wellington Healthcare Group (DWHCG), which is a health plan, you are asked to assess and develop a strategic SWOT analysis that will help lead the organization into a company that will be able to compete on a national basis in the next 3-5 years.
 
For this assignment, you will focus on an in-depth path of leadership, operations management, and the impact of fraud and abuse in healthcare; then create an executive summary.
NOTE - APA formatting and proper grammar, punctuation, and form are required. APA help is available from this link - APA.
1. Explain what particular type of leadership style is needed to begin a robust leadership that contributes to growing the healthcare organization.
    * Describe what leadership is.
    * Discuss some leadership styles used in healthcare.
    * Compare and contrast leadership styles in healthcare.
2. Design and create the role of your Operations Manager, so that person can be empowered to be more effective in that role.
    * Decisions support systems.
    * Communication availability and use.
    * Technology availability and use.
3. Put a system in place to limit the likelihood of being able to commit fraud.
    * Focus on efficiency using decision support system resources.
    * Describe technology software that could add value to an anti-fraud system.
    * Explain the compliance and regulatory rulings regarding healthcare fraud.

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Prevailing wisdom reinforces the fact that working in U.S. health care administration in the 21st Century requires knowledge of the various aspects of health laws as they apply to dealing with medical professionals. Further, because U.S. health care administrators must potentially interact with many levels of professionals beyond the medical profession, it is prudent that they be aware of any federal, state, and local laws that may be applicable to their organizations. Thus, their conduct is also subject to the letter of the law. They must evaluate the quality of their professional interactions and be mindful of the implications and ramifications of their decisions.

Nearly 65 million surgical operations were performed in 2015 in the U.S. resulting in an estimated 200,000 deaths from complications or other post-operative issues (Ghaferi, Myers, Sutcliffe, & Pronovost, 2016). Ongoing innovation in healthcare can improve patient outcomes. According to the Harvard Business Review article, The Next Wave of Hospital Innovation to Make Patients Safer, over the past several decades, there have been three distinct waves of surgical improvement: technical advancements, standardizing procedures, and high reliability organizing.

Assume the role of a top health administrator at We Care Hospital. You are interested in propelling the hospital to the next level by applying for the Malcolm Baldrige National Quality Award. However, you want to ensure surgical outcomes for patient morbidity and mortality rates. You begin by researching the Surgical Care Improvement Project (SCIP) aimed to improve adherence to quality protocols. You need to ensure the hospital policy is consistent with the law and that the hospital is correctly reporting Sentinel Events to the Joint Commission, a hospital regulatory agency.

Note: You may create and / or make all necessary assumptions needed for the completion of this assignment.

Write a three to four (3-4) page paper in which you:

Analyze how standardizing procedures and documenting steps can improve outcomes when performing a complex procedure. Review the peer-reviewed journal article, The Next Wave of Hospital Innovation to Make Patients Safer. Articulate your position as the top administrator concerned about the importance of professional conduct and negligence in SCIP quality guidelines.
High Reliability Organizing emphasizes the varying actions that can affect patient safety given that standardized systems ignore the fact that each patient is different. Ascertain the major ramifications when the health care team “fails to rescue” the patient. Identify what hospital policies should be in place and identify previous case laws.
Analyze the four (4) elements required of a plaintiff to prove medical negligence.
Discuss the overarching duties of the health care governing board in mitigating the effects of medical non-compliance as they apply to the rules of practice set forth in the We Care Hospital governing board’s manifesto.
Use at least five (5) quality academic resources in this assignment. Note: Wikipedia and similar websites do not quality as academic resources.
Your assignment must follow these formatting requirements:

Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions. 
Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.
The specific course learning outcomes associated with this assignment are:  

Describe the sources of law in America, the relative legal procedure, and the related court system.
Examine the various applications of the law within the health care system.
Describe how advances in medicine have advanced quality in today’s health care system.
Analyze how such various applications of the law affect decisions in the development and operation of a health care organization.

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After reviewing the attached PowerPoint and the website listed below write a paper indicating what you would include in your organization’s HANDBOOK FOR EMPLOYEES.

Briefly describe what laws you feel are most important for the employees to know and follow.

Why are they important?

https://resources.workable.com/employee-handbook-policies

https://www.naccho.org/uploads/downloadable-resources/Programs/Public-Health-Infrastructure/DST-Workforce-1-5.pdf

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This assignment asks you to demonstrate your leadership in the field of healthcare by taking a stand on an issue of importance to you. Leaders are known as persuasive and effective communicators. Try your hand at effective and persuasive writing by preparing and sending a letter to your state or federal representative or senator.
Choose a single policy from one of these three policy categories:
1. Access to Health Care 2. Healthcare Workforce 3. Environmental Health
The Public Health Action, or PHACT, the campaign gives you the tools you need to talk to members of Congress about the importance of health issues. Review this resource before writing your letter.
http://www.apha.org/policies-and-advocacy/advocacy-for-public-health/phact- campaign?utm_medium=email&utm_source=phact&utm_campaign=phact2016useyourvoice&utm_conte nt=phactpage
Focus on a discrete issue within your assigned policy category
2. Make a list of the points you want to include before you start writing
3. Write concisely and with a purpose
4. Get your ideas across by using specific and powerful words – a valuable skill
5. Be clear about what you want your elected official to do

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Write a Paper on Business Ethics, Business Intelligence, Operational Performance, and Market Trends

Competency
Analyze operational decisions of healthcare organizations and the impact on business performance outcomes.
Instructions
New changes in healthcare are causing rising concerns with how healthcare organizations may be performing. With that being stated, you will focus on the following areas as to explain and evaluate operational performance and market trends in this 21st-century healthcare dynamics.
Create a 2-4 page detailed research paper that provides at least 1-3 or more examples or explanations that will address the following healthcare issues:
1. Examine the importance of business ethics vs. social responsibility.
    * Ex. Developing codes of conduct that is adverse to corporate social responsibility.
2. Compare and Contrast the use of data analytics in a data-driven society without the use of a proper IT software program to collect business intelligence.
    * Ex. Some providers are not using current and more applicable software programs to analyze their data; instead, they are relying on memory and checking hard copies folders to analyze patient outcomes.
3. Explain the gap in making decisions and the validity of healthcare trends on performance without the correct data.
    * Ex. Lack of using EMR or EHR may cause gaps in decision-making and accuracy of collecting appropriate data, which may subsequently impact performances and trends.
NOTE - APA formatting and proper grammar, punctuation, and form are required. APA help is available from this link - APA.

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The purpose of this assignment is to familiarize students with health reform strategies adopted by states. Students will select a state health policy reform innovation and describe the rationale, how it was adopted (e.g., federal waivers, passage by state legislature), the funding structure, and (to the extent statistical data are available) its impact.

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Select a cardiovascular or respiratory disease process (hypertension, heart failure, dyslipidemia, ischemic heart disease, asthma, COPD, or pneumonia) and discuss how the patient's lifestyle and environment impacts the disease process

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Assignment Content

Imagine you are the office manager at a small doctor’s office. As the office manager, you are in charge of educating new employees.



Write a 700- to 1,050-word reference guide describing electronic data interchange (EDI).



Your reference guide should:

Define EDI.
Explain how using EDI facilitates electronic transactions.
Explain how HIPAA has changed how health care information is transmitted in EDI.
Describe the relationship between Electronic Health Records, reimbursement, HIPAA, and EDI transactions.


Cite a minimum of two outside sources according to APA guidelines. For additional information on how to properly cite your sources, access the Reference and Citation Generator in the Center for Writing Excellence.



Format your assignment according to APA guidelines.



Submit your assignment.

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Assignment Content

Research two to three electronic health care resources. These could be websites, mobile applications, or multimedia resources used by health care consumers for their medical needs.



Based on your research, write a 350- to 700-word summary in which you:

Describe the websites, applications, or multimedia resources.
Describe how health care providers use these resources to enhance their products and services.
Explain the implications of using these resources in the health care industry. What are the implications for the consumer?


Cite any outside sources according to APA guidelines. For additional information on how to properly cite your sources, access the Reference and Citation Generator in the Center for Writing Excellence.



Submit your assignment.

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Please discuss how two different patients may have completely different responses to the same medication, same dosage, same route of delivery. Please give a specific drug as an example and explain how it could possibly effect the different patients. 

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This week you learned about the 4 types of biological macromolecules: lipids, carbohydrates, proteins and nucleic acids. In a nutshell, a macromolecule is a very large molecule consisting of many smaller structural units linked together (like how a train is made up multiple cars linked together). All biological macromolecules are made up of a small number of elements: carbon, hydrogen, oxygen, nitrogen, phosphorus and sulfur. All cells and their organelles are made up of these four macromolecules and each type has its own specific properties and functions.

In your main post, in order to help you remember the different types of macromolecules and their general structure and function, I would like you to create 2 different types of analogies for each type of macromolecule (for a total of 8 analogies).

Create an analogy for the structure of the macromolecule (i.e. compare what the macromolecule physically looks like to something you can relate to - please see the picture below showing the structures of all 4 types of macromolecules). For example: proteins remind me of Christmas lights. The primary structure is when you pull the cord straight, and each light is an amino acid. The secondary structure is the zig-zagged shape the strand naturally takes. The tertiary structure forms when the holidays are over and you take your lights down and put them away. Let's be honest shall we...none of us wind the lights back up in an orderly fashion, you just jumble it up and throw it in the box (it'll be a problem for future you...). Finally, the quaternary structure is when that strand gets tangled up with the 10 other strands that you threw into the same box (or maybe you even threw in some ornaments or other decorations, and you swear that this year, you'll put everything away properly...right...☺). Or nucleic acids are like a spiral staircase, where each rung is like a pair of joined nucleotides. Please note that you should have a total of 4 structural analogies - one for each type of macromolecule (carbohydrates, nucleic acids, proteins, lipids - you do NOT need to make multiple structural analogies if there is more than one variant of that particular macromolecule [i.e., you can make a structural analogy for just triglycerides or phospholipids or free fatty acids or cholesterol; you don't need to do all 4]).

Create an analogy for the function of the macromolecule. For example: Macromolecules are like a family. The proteins are like the mother because she regulates the chores the kids have to do (i.e. like enzymes or regulatory proteins). Lipids are like the children because they have lots of energy (fats provide the highest concentration of energy of all nutrients). Carbohydrates are like the father because he pays the bills and keeps everything in order (carbohydrates are the primary source of ATP - the cell's energy currency, and they are also an important structural component). Nucleic acids are like both the mother and the father because the children look like them (nucleic acids make up DNA and RNA - the hereditary material).

In your responses, first discuss whether or not your classmate's analogies helped you to better visualize the macromolecules. Which was your favorite? Secondly, pick one of the 4 macromolecules and do some research and provide some additional interesting information about that macromolecule (outside of what you learned from your weekly reading). For example, are there any unique uses for any of these macromolecules (or are there any everyday products that contain this macromolecule that you were surprised by)? Is there some cool scientific research being done that uses one of these macromolecules? Etc. 

As your responses will require outside research, please be sure to include a full reference list and in-text citations (in APA format) in this week's responses. Please also note that your references do NOT count towards the minimum word count.

Be creative in your analogies! You can make them all the same theme or 8 completely different analogies. 

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1. The most common type of Dementia is ranked the 5th leading cause of death among which age group in 2009 and in 2016?
   
   2. What healthy people 2020 topic(s) might this fall under?
   
   3. Discuss the perceived burden of this cause of death on society?
   
   4. What screening guidelines are applicable to this cause of death?
   
   5. Describe the educational interventions that would be used for Health Promotion: Prevention of Disease.