After reading Chapter 1 through 4, you should be familiar with quality improvement initiatives including the National Committee for Quality Assurance (NCQA) HEDIS Measures. Health plans and physicians must ensure they are meeting standards set by the accreditation agencies, such as NCQA. As a physician practice manager for Dr. Jones, you have just conducted a mock survey of the patient chart data. The data shows that your physician practice is not meeting standards for two HEDIS measures.

Choose two HEDIS measures from the list below that must be implemented in a physician practice to improve patient outcomes.

You must describe the sources of data needed to conduct the two measures. What source would you use obtain the data? For example, if we were to look at patients receiving a beta blocker after discharge from the hospital, we would obtain data from pharmacy claims.

Using one of the quality improvement models (i.e., Lean, PDSA, or Six Sigma), explain how you would use the model to implement one of the chosen HEDIS measures.

Include information on how the quality initiatives chosen are linked to the rising costs of health care. Consider government mandates that have improved quality initiatives related to implementing the HEDIS measures or added to the burden of increased costs.

Scenario 1: A 38-year-old female patient with a history of corticosteroid use for her autoimmune disorder, presents to the office with a cc of hip pain following a slip and fall the previous week. Examination reveals edema and hematoma in the right lateral femoral region with pain with palpation and manipulation The doctor orders radiographic testing of the region and blood work. The blood work comes back with the following results: Chloride: 100 mEq/L Potassium: 4.6 mEq/L Sodium: 138 mEq/L Calcium: 7.2 mg/dl Magnesium: 1.9 mg/dl Phosphorus: 3.0 mg/dl Blood results also reported very low levels of Vitamin D. The radiograph reported decreased bone density in the imaged femur and ilium. There w no evidence of fracture. The doctor diagnosed this patient with a contusion of the gluteal region and osteopenia. Based on the information provided above in Scenario 1 – How does the prolonged use of corticosteroids impact the bone?

Topic is Telemedicine. explore the topic, illustrate your knowledge, and
provide your opinion (supported by appropriate references) on how the topic is affected.
Be prepared to discuss the following in your paper:
When was Telemedicine introduced to healthcare?
What are some of the barriers that Telemedicine has faced over the years?
What types of regulations are based on Telemedicine?
How has Telemedicine affected patient outcomes?
Other factors?

Add references to work.

You have recently hired a new employee who is skilled and experienced and has a Muslim background. He has requested he be granted time to conduct his prayer duty which is 5 times a day and a place to do it.

Current policy allows employees 2 fifteen minute breaks (one in the morning and one in the afternoon) and a 30-minute lunch period. Your company also recognizes Easter, Hanukkah, and Christmas as holidays. What should you do, given current practices and policies that will not precipitate problems with the remaining staff?

Is HIMSS’ EMRAM framework describing the progressive adoption of EHR systems helpful? In what ways is it helpful and in what ways is it not helpful or irrelevant?

Describe what the market forces and investment categories are telling us about true priorities for healthcare organizations and health professionals.

How does the sociotechnical system affecting HIS adoption apply to new technology adoption? What is the most important bubble on this construct and why?

What is an intangible knowledge asset? What are some examples of these in health care?

Have you experienced an unintended consequence of HIS and new technology adoption? What was this experience and how did it make you feel about your role and about the technology?

How does the adoption of new technologies use the HIS strategic planning lessons covered in Chapters 4 and 5?