W1: Trends in Healthcare that Signify Change is Possible

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Prompt: McLaughlin et al.(2022) identify six major trends that provide hope that a significant change in healthcare is possible. Select one of those trends and explain why and how the trend you selected will have an impact on positive change in the United States Healthcare System.  Furthermore, discuss the major factors leading to increased interest in the use of operations management tools and techniques in the healthcare sector.

I have attached chapter 1 for week 1

CHP1 page 6, is only for week 1. I think 300 words should be fine. All discussions are due every Wednesday with references

First please finish this week 1 as soon as possible before Wednesday 03 April 2024. 

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Week 2 Discussion

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Chapter 3 Case Study

Evidence-Based Medicine and Accountable Care Organization Performance:
Lower Back Pain

Sally Campion, the manager of Vincent Valley Health’s (VVH) accountable care organization (ACO), has just completed a cost analysis of its members with lower back pain. Based on comparative data, she felt her ACO’s costs were too high—especially for surgical services. However, this analysis project was one of her first that directly confronted practice variation. She was aware that many physicians on her medical staff had different clinical judgements about the most appropriate treatments for back pain. As a result, she formed a team to do deeper analysis of her data and to examine all treatment options before she would begin a project to deliver the most cost-effective, high-quality care.

Her team consisted of Dr. Ira Moscone, chief medical officer; Dr. Robert Munsey, chief of family medicine; Phyllis Colson, nursing director for surgery; and Sameer Inanpudi, director of business intelligence.

Issues she felt needed research included the following:

• What are well-accepted guidelines for treating lower back pain from nationally respected sources such as the Cochrane Institute, or peer-reviewed articles in Pub Med?
• What alternatives are available for pain management outside of medications (e.g., alternative and functional medicine)?
• Could “shared decision making” play a role in any new therapeutic approaches?
• Would a value purchasing system be helpful to maintain or increase VVH revenue?

What would you recommend as an evidence-based approach to improving lower back-pain care at VVH?

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Week 3 Discussion

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Prompt: Watch the following video titled Capítulo 3 Project Management at Arnold Palmer Hospital.  Who should be included as members of the project team, key stakeholders, and project sponsors for the Arnold Palmer Hospital project? Support your choices. Additionally, identify two risks that may occur in a hospital project of this size and explain how to potentially mitigate those risks.

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W4: Decision Making

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Chapter 8 Case Study

Tasker Foothills Primary Care

Analytics and the Use of Advanced IT

Vincent Valley Hospital and Health System has created an Innovation Center under the leadership of Dr. Robert Munsey, who is chief of Family Practice. One of the center’s first major projects is to create a new approach to delivering primary care. A team was formed, which included Dr. Cynthia Andreson, medical leader of Tasker Foothills primary care clinic; Sameer Inanpudi, director of business intelligence; and Jim Hanson, special projects manager. The charter for the project states that the new primary care model should consider utilizing leading-edge technologies (big data, cognitive computing, data visualization, text mining, wearable technology, mobile computing, Internet of Things, etc.).

A data set was available from the federal Bureau of Labor Statistics that showed household time use in the Tasker Hill area. A sample of this data is included as Work and Leisure Time Survey.xls

The current primary care process can be seen as a series of steps that are initiated as an acute episode (e.g., athletic injury) or chronic disease management (e.g., follow-up visit to manage high blood pressure). The steps in the process include:

1. Patient calls clinic to make appointment.
2. Patient drives to clinic, parks, and walks to clinic waiting area.
3. Patient checks in at desk (name, conditions, insurance changes).
4. Patient completes current medications and history form.
5. Patient enters exam room.
6. Nurse collects data (blood pressure, weight, etc.) and current issues and history.
7. Physician enters and conducts examination.
8. Physician completes treatment plan, advises patient, orders drugs as needed, and completes documentation in electronic health record.
9. Patient is provided with printed visit summary and plan and exits.

Concerns about this current process include the following:

• Much of patient time is spent in non-value-added activities.
• There is no direct system for follow-up between clinic visits.
• There is no system to collect useful clinical data between visits.
• There is no accessible opportunity for patients to monitor their own progress toward meeting clinical goals.

The team first examined the data and then created a new system for delivering primary care to patients with chronic conditions. They scheduled a meeting with Dr. Munsey to present their proposal.

 What were the new process and systems used?

 What were the advantages and risks?