Discussion 6: Analytics Application Search the peer-reviewed literature and find one article describing one application of analytics in healthcare. Review the article for your classmates. What are the key points of the article? How was analytics applied? What are the lessons learned? Summary articles discussing the potential of analytics in health will not be accepted. I am looking for articles focusing on a single example of analytics applied to health. 300 Words minimum. at least 3 references
Q1:Aaliyah is responsible for monitoring the cycle of an insurance claim for her employer, a large physician practice. The cycle begins at the practice when CMS-1500 claims are generated using medical management software prior to submission to the clearinghouse with which the practice contracts. Their clearinghouse processes nonstandard data elements into standard data elements because the practice submits claims electronically. Recently, Aaliyah has noticed that a significant number of claims have been rejected by the clearinghouse that the practice uses. Having been asked to contact the clearinghouse in an effort to determine the root cause of the rejections so that corrective action can be implemented at the practice, Aaliyah embarks on that important task. Dakota was recently hired by Aaliyah on a temporary basis to fill in for the regular health insurance specialist who is on family medical leave. Dakota is credentialed and a graduate of a local medical coding and billing program (where Dakota learned how to complete claims, according to their resume), and previous work experience at a third-party administrator organization made it appear that Dakota had the appropriate background for the temporary position. Aaliyah and Dakota met to discuss the volume of rejections from the clearinghouse related to recently submitted claims from the practice. Aaliyah explained the importance of accurate claims completion at the practice for submission to the clearinghouse so that the claims could be submitted in a timely manner to third-party payers. A summary list of the types of claims rejections received by the practice was shared with Dakota, who responded by saying that the completion of claims “from scratch” was not actually part of the job. At the third-party administrator organization, claims were automatically uploaded to the computer, and claim scrubber software was used to review medical claims for coding and billing accuracy before submission to the third-party payer. When errors were identified, Dakota submitted reports to appropriate health care provider offices so that corrections could be made and claims were made ready for submission to the payer. Those error reports were automatically generated, and Dakota just had to be sure the correct report was submitted to the correct physician practice. Aaliyah immediately developed an understanding about the recent influx of claims rejections from the third-party administrator, and they worked together to develop a plan to ensure that future claims submitted would be accurate. Q2:Aaliyah is responsible for monitoring the cycle of an insurance claim for her employer, a large physician practice. The cycle begins at the practice when CMS-1500 claims are generated using medical management software prior to submission to the clearinghouse with which the practice contracts. Their clearinghouse processes nonstandard data elements into standard data elements because the practice submits claims electronically. Recently, Aaliyah has noticed that a significant number of claims have been rejected by the clearinghouse that the practice uses. Having been asked to contact the clearinghouse in an effort to determine the root cause of the rejections so that corrective action can be implemented at the practice, Aaliyah embarks on that important task. Dakota was recently hired by Aaliyah on a temporary basis to fill in for the regular health insurance specialist who is on family medical leave. Dakota is credentialed and a graduate of a local medical coding and billing program (where Dakota learned how to complete claims, according to their resume), and previous work experience at a third-party administrator organization made it appear that Dakota had the appropriate background for the temporary position. Aaliyah and Dakota met to discuss the volume of rejections from the clearinghouse related to recently submitted claims from the practice. Aaliyah explained the importance of accurate claims completion at the practice for submission to the clearinghouse so that the claims could be submitted in a timely manner to third-party payers. A summary list of the types of claims rejections received by the practice was shared with Dakota, who responded by saying that the completion of claims “from scratch” was not actually part of the job. At the third-party administrator organization, claims were automatically uploaded to the computer, and claim scrubber software was used to review medical claims for coding and billing accuracy before submission to the third-party payer. When errors were identified, Dakota submitted reports to appropriate health care provider offices so that corrections could be made and claims were made ready for submission to the payer. Those error reports were automatically generated, and Dakota just had to be sure the correct report was submitted to the correct physician practice. Aaliyah immediately developed an understanding about the recent influx of claims rejections from the third-party administrator, and they worked together to develop a plan to ensure that future claims submitted would be accurate
Develop a document with potential avenues an organization can take to create a more value-based world. Specific Assignment Details Review the Deloitte "VBC Transformation for Providers" article Write a 5-7 page APA paper, excluding Cover and Reference pages, that includes the following: How an organization can reach the tipping point, including tipping point calculation and which indicator is more precise. The difference between attributed lives and patient service revenue (increasing attributed lives and network utilization). The two (2) items needed to increase the percentage of revenue in VBC. Document should utilize at least 5 peer-reviewed references from within the past 3 years.
HEALTHCARE FINANCE Thriving in Healthcare Financial Management takes the ability to be flexible and agile with the changing times. In this assessment, we will look deeper into financial risk assessment and templates available to help leaders with decision-making. Using one of the standardized decision-making financial risk tools, fill out how a leader would walk through a decision. Take a topic from one of the above readings. Also, consider what Healthcare Financial Management Association’s (HFMA) Chair Mary Mirabelli says about thriving in the healthcare financial management industry:
Week 7 Discussion Week 7 Discussion - Training In 150–200 words, assume you are an HR Director for an SME using international assignments and explain which components you would prioritize in outsourced pre-departure training and how you would evaluate the effectiveness of that training. Ground your response in a realistic organizational or professional context and explain why those priorities matter. Cite Textbook Support your discussion with one textbook concept related to training or expatriate preparation, cited according to SWS. For formatting help, reference the SWS formatting Quick Guide
Task summary: This discussion identifies a local, evidence-supported community mental health resource for individuals with severe mental illness, describing eligibility criteria, support services offered to patients and families, and research evidence demonstrating the effectiveness of these interventions. 300 words, APA style. Full order description:???? MAIN DETAILS: It's for a Psychiatric Mental Health Nurse Practitioner program. The discussion is supposed to be with references no more than 10 years ago, at least 2-3 of them .Find one resource or agency in your community for patients with severe mental illness and use it to answer the following:??What is the criteria for entering this program or agency???What support services do they offer to patients with severe mental illness and their families???What evidence supports that these interventions are helpful or significant for patient outcomes? ASSIGNMENT REQUIREMENTS: Before finalizing your work, you should:??be sure to read the assignment description carefully (as displayed above);??consult the grading rubric (located in Course Resources, Grading Rubrics submodule) to make sure you have included everything necessary; and??utilize spelling and grammar checks to minimize errors. ???? ATTACHED:-details-rubric
Your Business Portfolio Throughout your journey in the program, you will build a professional business portfolio to share with future employers. You will add one core assignment to the business portfolio in each course within the program. These assignments will demonstrate your strategic thinking in each area, and they will also reflect your growth and development. Overview For this assignment, imagine again that you work for the global company you chose in your first assignment. You are in charge of improving the training and development of employees who are selected for international assignments. Instructions Please review the information posted in the Instructor Insights for resources to assist you. Develop a 3–4 page (plus the cover page and reference page) outline of pre-departure training with a thorough description and explanation of the training programs that you suggest for improving expatriate performance. Your assignment must address the following: Describe the specific training needs of new expatriate employees. Describe each component of pre-departure training and how it will address the needs of the new expatriate employees Provide a detailed overview of the training with rationale for each area of emphasis. Explain how the training will improve the expatriate experience for the new assignment. Integrate at least three supporting resources, one from the textbook and the others from the Strayer University Library databases. This course requires the use of Strayer Writing Standards (SWS). The library is your home for SWS assistance, including citations and formatting. Please refer to the Library site for all support. Check with your professor for any additional instructions. Help Resources Check out the Week 8 Assignment Template Download Week 8 Assignment Template[DOCX]. Check out the Week 8 Assignment Help Video PlaylistLinks to an external site. [Video]. Check out the Week 8 Assignment Sample Paper Download Week 8 Assignment Sample Paper[PDF]. Check out the BUS325 Library Guide. Check out the SWS - Citation Generator Tools. Check out the Assignment Planner – Online Time Management ToolLinks to an external site.. The specific course learning outcome associated with this assignment is: Recommend training programs to improve performance throughout a multinational corporation comprised of a diverse workforce. Week 8 Assignment Training Week 8 Assignment Training Criteria Ratings Pts Describe the specific training needs of new expatriate employees using specific examples. 30 to >27 pts Exemplary Described the specific training needs of new expatriate employees using specific examples. 27 to >24 pts Competent Described the specific training needs of new expatriate employees but did not use specific examples. 24 to >18 pts Satisfactory Listed the specific training needs of new expatriate employees. 18 pts Needs Improvement Provided general training ideas but did not address the specific needs of new expatriate employees. 18 to >0 pts Unacceptable Did not describe the specific training needs of new expatriate employees. / 30 pts Describe each component of pre-departure training and how it will address the needs of the new expatriate employees. 30 to >27 pts Exemplary Described each component of pre-departure training and how it will address the needs of the new expatriate employees 27 to >24 pts Competent Described each component of pre-departure training but not how it will address the needs of the new expatriate employees 24 to >18 pts Satisfactory Identified all components of pre-departure training but did not describe each component 18 pts Needs Improvement Listed some pre-departure components but did not provide a complete list and did not describe any of the components. 18 to >0 pts Unacceptable Did not describe each component of pre-departure training and how it will address the needs of the new expatriate employees / 30 pts Provide a detailed overview of the training with rationale for each area of emphasis. 37.5 to >33.75 pts Exemplary Provided a detailed overview of the training with rationale for each area of emphasis. 33.75 to >30 pts Competent Provided a detailed overview of the training but did not provide rationale for each area of emphasis. 30 to >22.5 pts Satisfactory Provided a general overview of the training with no rationale for any area of emphasis. 22.5 pts Needs Improvement Attempted to provide an overview of the training but the overview was incomplete and lacked detail. Student did not address the areas of emphasis. 22.5 to >0 pts Unacceptable Did not provide a detailed overview of the training with rationale for each area of emphasis. / 37.5 pts Explain how the training will improve the expatriate experience for the new assignment. 30 to >27 pts Exemplary Explained how the training will improve the expatriate experience for the new assignment. 27 to >24 pts Competent Explained how the training will improve the expatriate experience but did not connect it to the new assignment. 24 to >18 pts Satisfactory Provided a list of the benefits of the new training program for expatriates, but did not explain how it will improve the expatriate experience for the new assignment. 18 pts Needs Improvement Attempted to explain how the training program will improve the expatriate experience but the response was incomplete, lacked any detail, and did not address how the training will improve the expatriate experience. 18 to >0 pts Unacceptable Did not explain how the training will improve the expatriate experience for the new assignment. / 30 pts Utilize three quality sources. Sources are credible, relevant, appropriate, and cited correctly. 15 to >13.5 pts Exemplary Utilized three quality sources that are credible, relevant, appropriate, and are cited correctly. 13.5 to >12 pts Competent Utilized three quality sources that are credible, relevant, and appropriate but have 1 error in the citations. 12 to >9 pts Satisfactory Utilized three quality sources that are credible, relevant, and appropriate but have 2 errors in the citations. 9 pts Needs Improvement Utilized fewer than three sources, or sources are not credible, relevant, or appropriate. More than 2 errors in the citations. 9 to >0 pts Unacceptable Did not utilize or did not cite resources used in the assignment. / 15 pts Clarity, writing mechanics, and SWS formatting requirements 7.5 to >6.75 pts Exemplary 0–2 errors present. 6.75 to >6 pts Competent 3–4 errors present. 6 to >4.5 pts Satisfactory 5–6 errors present. 4.5 pts Needs Improvement 7–8 errors present. 4.5 to >0 pts Unacceptable More than eight errors present. / 7.5 pts Total Points: 0
Week 8 Discussion Week 8 Discussion - Talent In 150–200 words, explain one key reason why global talent management practices are more complex than national talent management practices and propose one strategy to support effective and locally responsive global talent management. Anchor your response in a real organization, workforce situation, or academic example that influenced your thinking. Cite Textbook Include one textbook idea related to global talent management, cited using SWS standards. For formatting help, reference the SWS formatting Quick GuideLinks to an external site. Peer Response Respond to at least one peer by introducing an additional challenge or expanding on their proposed strategy. Ethical and Responsible GenAI Use Using Co-pilot as a Learning Tool (Optional): GenAI tools may support early-stage thinking but may not generate discussion content. Sample prompt: Outline factors that make global talent management more complex than national talent management without giving examples. NOTE: Discussion posts and responses must be your own original work. GenAI responses from ChatGPT, CoPilot, Gemini, Claude, Bixby, Siri, and similar generative A.I. platforms may be returned and not be accepted for grading
After reading the section of Chapter 8 on parenting styles, reflect on your early childhood years. What style of parenting did your parents use? Did both parents use the same style or were they different? Explain your answers, using examples. How has their parenting style affected the person you have become? How has their style of parenting affected how you discipline (or plan to discipline) your own children? Your essay should address each of these topics in a 3-5 double-spaced paper. Your essay must be written in APA format, using appropriate spelling, grammar, punctuation, and paragraph organization. Papers will be graded according to the provided rubric. Any papers turned in late will receive a 10 point/day deduction for each day late. Please write in your own words and do not submit with a Turnitin plagiarism score greater than 20%. You can resubmit your paper as many times as you would like up until the due date, when it will be downloaded for grading. Please save a copy of your writing for your records.
Select a hospital-acquired condition (HAC) that is relevant to a healthcare context with which you are familiar. Create a two to three page report that includes the research-based explanation of the background of a problem associated with your chosen HAC, as well as develop appropriate research problem and purpose statements.
