This course has focused on the development of healthcare administrators who are poised to deal with not only current issues in the healthcare arena, but also to develop visionary leaders who can handle future issues in healthcare administration. This final paper requires a comparative analysis of multiple hospital or health systems in their applicability as it relates to various issues encountered by the healthcare administrator.
▫ Access the following website: WhyNotTheBest.org. This site was created and is maintained by The Commonwealth Fund, which is a private foundation focused on development of high performance health systems. It is a free resource for health care professionals interested in tracking performance on various measures of health care quality. It is used by organizations to compare their performance against peers and competitors on a range of benchmarks over various periods of time. The link for the site is: (http://www.whynotthebest.org/)
▫ Select a minimum of 3 hospitals (from the left menu box – “Compare Hospitals”) in your home state and at 3 hospitals in least 2-3 other states in order to make comparisons. It is recommended that your choice of the other 2-3 states be states that have similar characteristics (i.e. demographics or population) as your home state. Your selections are not required to be neighboring states.
▫ Once the list appears based on your selected state (under the matching hospitals menu), click on the arrow icon next to the hospital to add them to the box on the right (“add to report”). Do not leave this page until all of your hospitals and states have been selected. Your choices will not be saved. Look back to the left menu box and select your next state and hospitals until all of your choices have been selected.
▫ Once all selections have been made, click on “View Report”. You must click on the site terms of agreement in order to proceed. You will also need to give your report a name. Any name will suffice. Click on “View Report” again. You may get a popup menu that asks again for the agreement to the terms of use. Please read this information. It also illustrates how to cite your report. You will need this citation information for the reference page of your report.
▫ Your report will be displayed. Click on the “change category” link in order to produce reports on the following characteristics.
▬ Overall Recommended Care
▬ Mortality Rates
▬ Readmission Rates
▬ HIT Adoption
▫ It is recommended that you print the chart reports from each category. If you desire, you can create a free account to save your reports. However, if you do not create the account before you do the report, you will lose your report. It may be more feasible just to print out your reports.
▫ If you select hospitals that do not have enough to measure the four required characteristics, it is advised that you select other hospitals. The purpose of the assignment is to compare facilities.
▫ After reviewing the reports from each state, students will develop a comparative analysis paper. The paper will explore the four required areas of comparison; describe the findings, and present ideas for improving the data findings. The body of the paper should be between a minimum of 8 pages not to exceed 12 pages, typed and double-spaced in Times Roman font using APA standard. The page length requirement does not include the title page and reference pages.
Suggested format for the paper:

•  Title page
•  Introduction – This section of the paper should describe the states selected and rationale for their selection.
•  Comparative Analysis – This discussion should give a narrative of the results of the comparisons for each state based on the specified characteristics.
•  Reflections – Discuss your personal and professional reflections on the findings. (What do you think about the results? How might you explain any differences?) This discussion should be supported by references from the assigned readings and external sources.
•  Conclusions – Discuss how the selected hospitals might improve their scores on each of the characteristics. This discussion should be based on concepts and principles learned from the MHA 608 course.
•  Christian Worldview – This section of the paper should also address how your Christian worldview perspective impacts or frames your ideas and discussions related to the issues presented in the paper.
•  Reference page – APA format

 

Select at least five economic concepts covered in the first four weeks’ readings, and discuss the primary manner in which these concepts impact the world of health care economics. Some examples of selected concepts are health demand and supply, elasticity, resources, health measures, and costs.

Instructions

Write a 4–6-page paper in which you:

1. Assess the value of health care professionals and decision makers understanding the discipline of health economics.
2. Defend or critique the importance of considering the complex nature of health and health care when examining the economic principles related to health care delivery.
3. Analyze the primary potential benefits of learning about health economics related to government involvement in health care economics, financing, and delivery.
4. Analyze the main potential benefits of learning about health economics related to private sector government involvement in health care economics, financing, and delivery.
5. Use at least five current references. Three of these references must be from current peer-reviewed sources to support and substantiate your comments and perspectives. 

This course requires the use of Strayer Writing Standards. For assistance and information, please refer to the Strayer Writing Standards link in the left-hand menu of your course.

The specific course learning outcome associated with this assignment is:

• Assess the implications of health economics in relation to health care professionals, delivery, and government and private sector involvement

 

Decision Support Applications

Investigate clinical decision support applications and provide a summary of at least two of the applications that you find. Please provide facts about each of the applications and answer the following questions:

1. What does the application do?

2. How does the application help the user? Listed below are application examples. You are not limited to this selection: DxPlain®, QMR®, Prodigy®, Diagnosis Pro®, Iliad®, and Problem Knowledge Couplers®

Please do not duplicate your fellow classmates’ responses. If you use the same application, you must give new information about the application.

Discussion responses should be on topic, original, and contribute to the quality of the discussion by making frequent informed references to lesson material. Initial discussion responses should be around 200 words.

On two diferent paragraph Give your Opinion to  

Gabriela Berrios  

 

I have chosen IBM Micromedex and DxPlain as the clinical decision support applications.

IBM Micromedex:

What does it do?

1. It accelerates access to evidence. (IBM, 2018).
2. You can ask questions naturally; the way clinicians ask clinicians. (IBM, 2018).
3. It delivers quick clinical responses, supporting faster patient care. (IBM, 2018).
4. It has optional access from within the EHR. (IBM, 2018).

How does it help the user?

            IBM Micromedex can answer many drug information questions from specific content with in Micromedex, including quick answers for drug classes, dosing and administration, medication safety, mechanism of action, pharmacokinetics and drug interactions. (IBM, 2018).

DxPlain:

What does it do?

1. It collects clinical information and makes use of a modified form of Bayesian logic to derive clinical interpretations. (DxPlain, n.d.).
2. It accepts a set of clinical findings like symptoms, signs, and laboratory data to produce a ranked list of diagnoses which might explain the clinical manifestations. (DxPlain, n.d.).
3. It does not offer definitive medical consultation and should not be used as a substitute for physician diagnostic decision making. (DxPlain, n.d.).

How does it help the user?

1. It has over 2,400 diseases and over 5,000 clinical findings like symptoms, signs, epidemiologic data and laboratory, endoscopic and radiologic findings. (DxPlain, n.d.).
2. The average disease description includes 53 findings with a range from 10 to over 100. (DxPlain, n.d.).
3. It has a wide spread use for over 25 years, and it has grown and evolved over that time. (DxPlain, n.d.).
4. It provides justification for why each of these diseases might be considered, suggests what further clinical information would be useful to collect for each disease and lists what clinical manifestations would be unusual or atypical for each of the specific diseases. (DxPlain, n.d.).

References:

IBM Micromedex: Clinical knowledge with the power of Watson. (2018, August 24). Retrieved from https://www-01.ibm.com/common/ssi/cgi-bin/ssialias?htmlfid=56018856USEN&&cm_mmc=Search_Google-_-WatsonHealth_Watson%20Health_WW_US_clinicaldecisionsupportapplications_Exact_&cm_mmca1=000031BB&cm_mmca2=10007858

DXplain. (n.d.). Retrieved from http://www.mghlcs.org/projects/dxplain

and  Jonathan Paine 

 The two applications I have chosen are Dxplain and Quick Medical reference.  Dxplain is a clinical decision support system which, allows systems to be inputted and able to generate a diagnosis based on what was entered into the system. It was designed by the laboratory of computer science in Massachusetts general hospital in 1984.  Quick medical reference was developed to help physicians diagnose adult diseases.   It provides electronic access to more than 750 diseases representing most of the disorders seen by internists in daily practice as well a compendium of less common diseases.  Quick medical reference uses over 5,000 clinical finding to describe diseases features.

Thomson, R. (n.d.). Retrieved from http://www.openclinical.org/aisp_qmr.html

Thomson, R. (n.d.). Retrieved from http://www.openclinical.org/dm_dxplain.html

for a total of two pages 

 Many people get all or most of their news from social media. For this project, we are going to be analyzing the content of several social media sites from major news sources, paying particular attention to social media standards, practices, and regulation.

Where do you get your news? Start by going to one major news site’s FACEBOOK page (CNN, MSNBC, FOX, etc.) Try another different news site’s TWITTER feed, and third choose another social media site such as Reddit, Pinterest, or another (preferably one you use, if there is one).

Analyze the sites in a 3-4 page total paper. In your analysis, be sure to include the following:

• General introduction to your thoughts on the social media you studied
• Several social media practices you observed (e.g., what gets the most interaction?)
• Examples of regulation of social media and discussion of such regulation (Is it good, bad, or indifferent? How could circumstances change the situation?)
• Analysis of ethical concerns (e.g., can you see examples of bias?)
• What is the culture of each site – how do users seem to respond to questionable items? (Is racism or open mocking ignored or pursued?)
• Conclusion of your findings