Reference no: EM132517664

Assignment A

Hospital in Financial Difficulty

You are a hospital administrator and your hospital is in financial difficulty. You are about to address the medical staff, imploring them to help the hospital financially. In the old days, all you had to say was, in effect: "Admit as many patients as possible and keep them in the hospital as long as you can," but times have changed. For some methods of payment, you want physicians to admit more patients; for others, you don't. For some methods, you want patients to stay long, for others, you don't. What do you tell the medical staff regarding the following:

1. Medicare (DRG) patients;

2. Medicaid (per diem) patients;

3. HMO (per diem) patients; and

4. HMO (capitated) patients.

For each of these categories of patients, does it help or hurt the hospital for physicians to

1. admit more patients;

2. keep them in the hospital more days; and

3. order more diagnostic studies?

TASK: Prepare a 10 slide PowerPoint presentation (10 slides of content, cover/reference slide are extra) outlining the discussion topics that you will present to your medical director and medical staff regarding the above topics.

Assignment B

Legislative Changes

In Great Britain and Canada, 50% of physicians are generalists. In the United States, approximately one-third of physicians are generalists (general and family practitioners, general internists, and general pediatricians). Assume you are Chair of the Health Subcommittee of the US House of Representatives Ways and Means Committee. What legislation might you propose to increase the proportion of generalist physicians? Describe this legislation in the form of a 1-2 page double spaced congressional memorandum.