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Healthcare Administration Unit 5 Individual Project

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Healthcare Info Systems Management (HCM 628 )

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American InterContinental University

Academic year: 2022/2023

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Quishaun Holmes

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The Impact of Comparative and Evidence-Based Research in Healthcare Profitability for Global Health and Societal Development

Quishaun D. Holmes American InterContinental University: HCM Instructor Dr. Tim White 06/13/

Introduction This paper is a mandatory writing assignment necessary for graduate higher order learning and application of healthcare delivery system knowledge and analytical practical research techniques acquired in the Healthcare Administration course at the American InterContinental University.

Herein is inscribed an instructional scenario provided for practical implementation of the course objectives, specifically the objectives as outlined in Unit 5 of the Healthcare Administration course which are to “(1) differentiate the primary goals of nonprofit health organizations and for- profit health organizations in the US and (2) differentiate the strengths and weaknesses associated with various types of healthcare delivery systems in the U. from patient, provider, administrator, and third-party payer perspectives” (American InterContinental University, [AIU], 2022).

The two previously listed differentiation tactics are analytical research techniques that will be used to explore and resolve the inquiries found in the two-part scenario simulator.

Two-Part Case Scenario

Part 1:

Despite the documented challenges that the U. health care system faces, it also enjoys a number of advantages over other systems around the world.

and surgical care and research.  Healthcare administration is the technical organization and operation of the healthcare facilities (hospitals, clinics, etc.) at all levels of care (primary, secondary, and tertiary) within private and public sectors.

medical practices from foreign nations and non-governmental organizations.  Has an active governmental agency known as the Liberian Ministry of Health focused on developing “health care providers and health managers” (Talbert-Sagle, 2021).

(Aruba, 2022).  Home of the competitive, affordable, and accredited American University School of Medicine.  Provides and represents major medical specialties

Administrator’s Comparisons

America vs. Liberia America vs. Aruba The administrator would compare the status and quality of healthcare management and administration between the two countries and would suggest that America owns and operates a more independent, up-to-date, efficient, and all-inclusive healthcare system than Liberia. Liberia is an underdeveloped

The United States proudly and factually boasts its quantity of tri-level healthcare facilities and medical supply products that are built, manufactured, and managed by individual and governmental American healthcare companies. This is competitively comparable to emergency and specialty care

country and relies on external assistance for its developing healthcare system.

in Aruba because there are consistent and readily available emergency and specialty healthcare facilities in America.

3 rd Party

Third-party Payer’s Perspective America Liberia Aruba Strengths  Health care is provided by the government, employers, and individual programs that accepts major private and public health insurance plans for “the elderly, low- income and their children, disabled, and veterans” (AIU, 2022).

 Many individuals utilize their medical

Strengths  In recent healthcare economic developments there has begun a multi- corporation consortium developed to enhance the quality and quantity of healthcare services and products in Liberia. Third-payer parties have manifested through the formation of this group collective which includes

Strengths  Third-party payers would perceive that the external funding in the form of “international health insurance” in Aruba’s healthcare sector is applicably available and adequately substantial to cover healthcare costs for “Aruban residents, expats, and digital nomads” (Expat Financial, 2022).  Third-party payers

Third-party Payer’s Comparisons America vs. Liberia America vs. Aruba In comparison to Liberia’s healthcare system, the American healthcare system has provided critical financial healthcare aid to the Liberian healthcare system through the formation of the USAID organization. USAID stands for the U Agency for International Development and it has provided lengthy and impactful investments to Liberia’s healthcare system that increased the quality and affordability of healthcare services in Liberia. Comparatively, the U. is applying and deploying its finances and professionals to Liberia to stimulate the growth and development of Liberia’s healthcare system.

The available healthcare organizations and providers in Aruba do not accept many insurance plans, making healthcare affordability expensive, creating limitations to out-of-pocket payments, and requiring new and more third-party payers to get involved. The United States has firmly established its Department of Health and Human Services with the subunit of Centers for Medicare and Medicaid Services which provides financial healthcare assistance and full coverage services to citizens.

Part 2:

Identify a nonprofit health care organization and a for-profit health care organization of your choosing (not an organization mentioned in part 1). Answer the following:

Overview Summarization

The overview summary explores, reviews, and documents the qualitative and quantitative provisional data of nonprofit and for-profit healthcare organizations in the United States

healthcare system that provides services and services a determined identifiable clientele-basis, and incorporates provider groups.

Organizations Types of Services Clientele Served Provider Groups Nonprofit: Johns Hopkins Medicine

In-patient hospital services
Outpatient clinical services
Employment
Telemedicine
After-Hours Virtual Care
Home Care
Billing, Insurance, and Financial Assistance services.
Research: Clinical Trials

Johns Hopkins Hospital and ancillary healthcare systems were built upon the mission to serve the underserved and impoverished persons in the local parameters of the first establishment. Since then, the Johns Hopkins Health Systems Corporation has sprung its pledge to serve men, women, and children of all ages, races, creeds, and philosophies from neonatal to end- of-life stages. This includes Hopkins’

The first and foremost provider group that is in leading operation at Johns Hopkins Medicine for “routine check-up, treatment for minor illness or more comprehensive specialty care” is called the Johns Hopkins Community Physicians group (Johns Hopkins Medicine, 2022). This group provides primary, secondary, and tertiary levels of care.

org/ Maryland called Princes Georges County.

provider groups. Doctor’s Community Hospital partners with external providers to help “maintain or improve the healthcare quality of lives” (Luminis Health, 2021).

Section 1: Analytical Perspectives on Strengths

Stakeholders’ Comparison and Contrast Analytical Perspectives on Strengths

Strengths Patient Provider Administrator Third-party Payer Nonprofit: Johns Hopkins Medicine

MyChart electronic communication channels directly connected to primary care providers and specialists. Patients are able

Possesses an omnichannel inter-industrial employment complex with competitive pay and “extensive benefits and opportunities for

Constantly demanding more certified administrative professionals for employment at the main Johns Hopkins Hospitals and its

The Johns Hopkins Hospital and the Johns Hopkins Health System are the major components that welcomes the partial and full

to receive care in multiple different methods that best meet their interests and health needs. Healthcare at Hopkins is customizable by the patients. Patients are the center and controllers of their health. Potential patients would rely upon the reported testimonies of previously treated patients as a strength of

personal and professional growth” (Johns Hopkins Medicine, 2021). Upper mobility to progress from medical student, intern, fellow, and licensed medical doctor through the Johns Hopkins University and Johns Hopkins Hospital. The Johns Hopkins University, Hospital, and Health Systems Corporation allows providers

medical subsidiaries. Owns and operates the latest and the most state-of-the art office supplies and technologies. The growing economic opportunities are strengths of the corporation because it increases the healthcare GDP per capita.

healthcare medical insurance coverage plans from most major healthcare insurance companies. Third-party payers perceive the strengths of the Johns Hopkins Hospital as the inclusive and extensive network of acceptable governmental and non- governmental healthcare insurance

Doctor’s Community Hospital

patients that are served by the Doctor’s Community Hospital are members of the middle and upper economic classes who spend out-of- pocket payments on the services provided at a locale and specialty-based competitive value. Notice of the Privacy Policy and Patient Rights is a strength and garnishment of

Doctor’s Community Hospital in the perspective of providers are identified as the shared core values that providers have in their own personalities with those of the organization. Doctor’s Community Hospital values “respect, inclusion, service, and excellence” (Luminis Health, 2022).

and management structure and function of the organization that would be perceived as a strength in the eyes of administrators. At Doctor’s Community Hospital there are experienced leaders in office at the executive team, board member, and legal counsel levels. A three- tiered leadership management structure is administrative

payers would perceive the strength of Doctor’s Community Hospital as the provided Financial Assistance Program which avails funds to patients who receive services from physicians employed by Luminis Health Doctors Community Medical Center (Johns Hopkins Medicine, 2022). There is an online giving

trust from patients.

and a perceived strength.

platform and partnership application.

Section 2: Analytical Perspectives on Weaknesses

Weaknesses Patient Provider Administrator Third-party Payer Nonprofit: Johns Hopkins Medicine

Although Johns Hopkins Hospital is registered as a 501(c)(3) nonprofit organization, it has a track record of charging high fees to patients (i., poor patients) for donor supported services, especially in emergency

Providers may experience conflict with the organization when certain costs are reduced and when providers decide to use alternative treatments against using the organization’s proprietary standard treatments.

Administrators would become consumed by the concern of increased workload caused by the onset of the internal requirements involving administrative tasks in the Johns Hopkins Medicine’s Innovation 2023 Strategic Plan.

With the changes being made in the provider to third-party payer system, there may be the discontinuation of some former contractual relationships which would cause the difficulty on patients to change their healthcare

with fewer care options are forced to pay expensive prices for care to the Doctor’s Community Hospital and fee for service to the servicing physician who offered the services.

expansion for inclusion of new medical doctors, as they may notice the ratio of each specialty department to only one provider. The realized opportunities for employment may be perceived as a weakness.

remain committed to the mission of their position which is to coordinate affordable and value-added healthcare services to the clientele population while the Hospital may reduce, or limit services based upon administrative cost reduction strategies.

treatment services at once, the Doctor’s Community Hospital would increase the bill to the patient’s insurance company which would automatically raise the copayment and fee-for-service amounts owed to the hospital and individual providers.

Suggestions

Nonprofit Organization: Johns Hopkins Medicine For-profit Organization: Doctors Community Hospital Providing at least two suggestions for Johns Hopkins Medicine to minimize its weaknesses. My first suggestion to Johns Hopkins Medicine is to develop housing communities for relocating residents in areas where the hospital is expanding and causing plighted gentrification. My second suggestion is for Johns Hopkins Medicine to become more philanthropic and apply diligent efforts to invest in local Baltimore City schools where STEM programs are present or absent and begin to train and incentivize the underserved and impoverished student populations for professional administrative and medical occupations at Johns Hopkins.

Providing at least two suggestions for Doctors Community Hospital to minimize its weaknesses. Suggestion 1: Strive to define the meaning or the cancer affected body systems that are noted as Other or Ill-Defined in the hospital’s Cancer Annual Report (Doctors Community Hospital, 2018). Link to PDF: file:///home/chronos/u- e662ae421f393a00e319465ecbf70d0cd4e46c 73/MyFiles/Downloads/cancer_annual_report 2018 Suggestion 2: Utilize evidence-based management and practices that express and support the idea of equity in the growth of the organization and improvements in the healthcare quality of patients.

References

American InterContinental University. (2022). Unit 5: For Profit and Not for Profit Organizations. Syllabus. American InterContinental University Virtual Campus: HCM630- 2202C-01: studentlogin.aiuniv/UnifiedPortal/2/5#/class/264366/courseinformation

Hoetink, H. (2021, October 29). Aruba. Encyclopedia Britannica. britannica/place/Aruba

Aruba. (2022). Medical facilities in Aruba - Hospital, Pharmacy & Clinic. Aruba. aruba/us/organization/medical-facilities

Talbert-Slagle, K., Koomson, F., Candy, N., Donato, S., Whitney, J., Plyler, C., Allen, N., Mourgkos, G., Marsh, R. H., Kerr, L., Wong, R., Fallah, M., & Dahn, B. (2021). Health Management Workforce Capacity-Building in Liberia, Post-Ebola. Annals of global health , 87 (1), 100. doi/10.5334/aogh.

American InterContinental University. (2022). Unit 2: US Healthcare System Strengths. Intellipath: US Healthcare System Strengths. American InterContinental University Virtual Campus: HCM630-2202C-01: adapt.careered/RealiseitApp/Student.aspx?Token=JF45t1KMxYb %2fU5Dczq60%2f76yILfdRnVw1pWXqQtk%2f0hKiG5yNIEUt2hSax%2b5bKvdwsRae %2bBHwL6Fz1hq3V0DW00PN3GvvJSn%2blYs6ajgcOj0xhhKb3F%2b4y %2bksPFcLv5E3OlHfGdh9GZloq9cSk9%2f3lLh4WBgilstuT4vChbvDdTV

%2fZpcd1jUSWBZFzxM1HIQUafwnl8jw%2bG25i4YJpH6mM0gm3j7D5fu959U %2fJZwUmawohr2S0Ac0ZQlLQPNduBGUAKr71mlXp7HOAEXnMIPSiZE08xfH9Ts 21GkLJRZAMNTSRPUH2gRJTh9r1iao3nGPUi3OAnqSf %2b3kGpVxkYGav4C1imzH9Im8jSXVJrucJme9lPme9ptSc %2fXhS8AwOdWVebeptgUAsb%2b0XO9y8J90E9hG%2f %2fR8f86iN8LTQZcKQkG9TOwhki5y%2fwAPKOXIP%2bRdmpG9%2f9Kd %2fCXk2BunogykKeE%2f17MuxLgDEgJ3L7RpJNPDnQ21hQVCdcOjv %2fsmFyJ6743pE3xcI2KVD5pQp1O%2fvS9in %2bYDo68MY5LYfbVR5BCNBDbsjLFFIA264ENdWC2B3XvVWyEtFdDQq3%2b2Jv lQ%3d%3d

Expat Financial. (2022, May 3). Aruba Healthcare System and Medical Insurance Options for Expats. Expat Financial - Global Insurance for Expats. expatfinancial/healthcare-information-by-region/south-american-healthcare- system/aruba-healthcare-system/

Johns Hopkins Medicine. (2022, January 7). Specialty Areas: Johns Hopkins Community Physicians. HopkinsMedicine. hopkinsmedicine/community_physicians/specialty_areas/

Luminis Health. (2022). Mission, Vision and Values | Doctors Community Hospital. Doctors Community Medical Center. dchweb/about-us/mission-vision-and- values

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