Reference no: EM132852026
-What is a PCMH? What is the main distinction between a PCMH and an ACO. How does a practice/facility become PCMH certified? How does PCMH certification impact the expected level of quality care that the practice/facility is expected to meet?
-What does reliability mean to you? In your experience, what healthcare process have you found to be reliable? What process have you found to be unreliable? Explain what is different about the reliable process versus the unreliable process.
-What are the core key principles of Utilization Management? Why are authorizations for services so very important to ensure payment for services? Discuss the pros and cons of utilization management and how it impacts facilities providing quality care to patients.
-Review the Case Study referenced in Chapter 9 of your textbook Introduction to Healthcare Quality Management by Patrice L. Spath (pp 231-232). Consider the failed improvement project when answering the following questions:
a. What process changes could be implemented to achieve 80-90 percent reliability in preventing and managing heel ulcerations?
b. What process changes could be implemented to reach 95 percent reliability in preventing and managing heel ulcerations?
c. If process changes are made to achieve 80 to 90 percent reliability, how would you measure the effectiveness of these changes?
d. If process changes are made to achieve 95 percent reliability, how would you measure the effectiveness of these changes?