Recent orders

MHM505 Introduction to Quality Assurance Module 2 SLP

Module 2 – SLP

UTILIZATION MANAGEMENT

The Session Long Project for this course is to evaluate and critique a health care facility you are familiar with and compare it to the general principles and standards for quality assurance presented in this course.

In the earlier modules you identified a health care facility for the subject of the SLP and presented a description of the facility and its quality assurance program. You also critiqued the facility’s Continuous Quality Improvement program.

In this module you will discuss and critique the subject facility’s Utilization Management program. The remaining modules for the Session Long Project the remaining tasks are as follows:

SLP Assignment Expectations

For this module you are to complete the following tasks and to submit a 4- to 5-page paper. (This does not include the title or reference pages):

  • Describe and discuss the facility’s Utilization Management program.
  • Compare and critique the subject facility’s Utilization Management program to that of a model facility and whether the facility adheres to the recognized standard for utilization management, including utilization review and whether this review leads to improvement in the quality of care.
  • Identify areas for improvement in the facility’s Utilization management program, if any, and any recommendations you think should be implemented to improve the quality of patient care.

MHM505 Introduction to Quality Assurance Case 2

Module 2 – Case

UTILIZATION MANAGEMENT

Assignment Overview

Please view the following video:

Utilization Review Committee – Resource Management Operations:
https://www.youtube.com/watch?v=6vpUB6HCnrM

The value of utilization management and review has been debated among the leaders in health care since its inception. For this module’s case assignment, you are going to engage in the review of a utilization management plan for a health care organization.

Assignment Expectations

Search the Internet for a hospital or other health care organization’s utilization management plan. Once you have found one, prepare a 4- to 6-page paper. (This does not include the title or reference page) in which you address the following:

  • Identify the organization you researched and include the URL for the page of the utilization management plan that you examined.
  • Provide an overview of the organizations utilization management plan- specifically, discuss each of the elements of the plan and describe how each of the elements contributes to health care quality.
  • Identify two weaknesses of the organizations utilization management plan and describe “why” you consider them to be weaknesses. Postulate ways in which the weaknesses can be overcome.

Course Materials and Bibliography

COURSE MATERIALS/BIBLIOGRAPHY Module 1 Required Reading Beaumont, R. (2001). Types of Health Information Systems. Retrieved from: http://www.floppybunny.org/robin/web/virtualclassroom/chap12/s2/systems1.pdf Cortes, P. (2011). Hospital Information Systems: A Study of Electronic Patient Records JISTEM Journal of Information Systems Technology Management 8 (1). Fichman, R. (2011). The role of information systems in healthcare: Current research and future trends. Information Systems Research, 22 (3): 419–428. Retrieved from the Trident University Library. VIDEO: Improving the Usability of Health Information Systems. Retrieved from: https://www.youtube.com/watch?v=edJYle4pu5I Module 2 Required Reading Boonstra, A. (2014). Implementing electronic health records in hospitals: A systematic literature review. BMC Health Services Research, 14(370). Retrieved from: http://bmchealthservres.biomedcentral.com/articles/10.1186/1472-6963-14-370 El-Sappagha, S. (2013). A distributed clinical decision support system architecture. Journal of King Saud University Computer and Information Sciences, 26 (1) 69–78. Retrieved from: http://www.sciencedirect.com/science/article/pii/S1319157813000116 http://ac.els-cdn.com/S1319157813000116/1-s2.0-S1319157813000116-main.pdf?_tid=98d2de72-211b-11e7-ba6f-00000aacb362&acdnat=1492178987_5088972c0ecd15626af862e154407989 Takhti, H. (2016). Impact of hospital information systems on patient care: Nurses’ perceptions. Canadian Journal of Nursing Informatics, 6(4). Retrieved from: http://cjni.net/journal/?p=1796 VIDEO: Design and Impact of Health Information Systems. Retrieved from: http://www.youtube.com/watch?v=vQY3NziSZ2w Module 3 Required Reading Hung, S., Chen, C. & Wang, K. (2016). Critical success factors for the implementation of integrated healthcare information systems projects: An organizational fit perspective. Communication of the Association for Information Systems, 34 (39). Retrieved from: http://aisel.aisnet.org/cgi/viewcontent.cgi?article=3762&context=cais Ngafeeson, M. (2014). Healthcare information systems opportunities and challenges. In Mehdi Khosrow-Pour (Ed.), Encyclopedia of information science and technology, third edition (pps. 258-267). IGI Global. Retrieved from: http://commons.nmu.edu/cgi/viewcontent.cgi?article=1012&context=facwork_bookchapters Shahmoradi, L. (2016). Integration of health information systems to promote health. Iran Journal of Public Health. 45(8): 1096–1097. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5139973/ VIDEO: Healthcare Information Systems with Renee Pratt. Retrieved from: http://www.youtube.com/watch?v=thSwxHsHWig Module 4 Required Reading Ayatollahi, H. (2016). Confirmation of expectations and satisfaction with hospital information systems: A nursing perspective. Health Information Research, 22(4) 326–332. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5116545/ Karimia, F. (2014). Clinical information systems end user satisfaction: The expectations and needs congruencies effects. Journal of Biomedical Informatics, 53:342–354. Retrieved from: http://www.sciencedirect.com/science/article/pii/S1532046414002731 Kushniruk,, A. (2010). Increasing the safety of healthcare information systems through improved procurement: Toward a framework for selection of safe. Healthcare Quarterly, 13:53-58. Retrieved from: http://www.longwoods.com/content/21967 VIDEO: Health Information Management at Houston Healthcare. Retrieved from: https://www.youtube.com/watch?v=PCAmNh-PgFQ