HC 491 week 7 prepare for Final

While growing profits so it would make sense to

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while growing profits so it would make sense to improve the health of the  community as a measure of cutting costs but the revenue would also be lost  because of less acute care.  Therefore most HCOs try to seek a balance of the  two with minimal conflicts of interests.    Our text mentions that an HCO can adopt part but not all of a community health  mission to support the vehicle that community health needs (p. 286).  It is clear that the health care spectrum is leaning more towards adapting both a  “healthy community” and “excellence in patient care” with more emphasis than  before on community needs.  This is evident with hospitals now being penalized  by Medicare for excessive readmissions.  Also, the Affordable Care Act is  expanding Medicaid in many states meaning primary care access in the  community will be strongly emphasized.     
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Healthcare is a business and community health still does not provide the  reimbursement structure that hospitals are accustomed to.  HCOs with strong  programs of community health usually obtain less revenue in core departments  such as cardiovascular care and oncology (p. 283).  The reason an HCO faces  less revenue/reimbursement in community health strategies is because our  current health care system compensates providers on the basis of treatments  rather than the health achieved.  In addition, community-based healthcare  organizations are normally funded by federal grants with limited sources of  revenue.  Therefore, an HCO with a mission that supports their respective  community but also emphasizes excellence in care is ready to stand against the  major changes coming towards the health care system within the next couple of  years. 6. What is the relationship between the physician leaders of the service lines and the medical  staff organization and the chief medical officer (CMO)? Can the CMO represent the interests of  management and the physician organization art the same time? Support your answer. The relationship between the physician leaders of the service lines and the  medical staff organization and the chief medical officer are that they are all  part of the physician leadership group. They all work together in decision- making structure and process in attempts to improve outcomes of  hospitalization and medical care by quality and cost saving. Yes the CMO can  represent the interest management and the physician organization at the  same time, because they are working as a team to achieve the same goal  which would be quality and cost saving.  7.
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  • Spring '13
  • Buttelmann
  • Better, Malcolm Baldrige National Quality Award, HCO

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