How would you, as the clinical data specialist for the hmo

Assignment Help Science

Reference no: EM133333409

Questions: The senior management team of Efficient Network HMO is evaluating the year-end data related to emergency room (ER) expenses. One physician group within the network had ER expenses that were three times the rate of any other group within the network. Senior management has studied group operations and theorizes that three factors are influencing the high rate of expense. The group does not utilize triage nurses, does not have after-hours urgent care services, and has limited office hours from 8:30 to 11:30 a.m. and 1:30 to 5:00 p.m. An answering service, not staffed by nurses, relays calls during the remainder of the hours.

The physician group is willing to work on the problem but is asking for detailed, comparative information from the HMO's senior management team before it implements any changes. How would you, as the clinical data specialist for the HMO, answer the following questions?

1. What information would be useful to the senior management of the HMO and the physician practice in evaluating the ER expenses?

2. What data sources would you use to obtain data?

3. How could the reports be structured to provide meaningful information?

Your responses must be in complete, well-written sentences.

Reference no: EM133333409

Questions Cloud

What is the argument used by the author : What is the argument used by the author when he says that there is a need for alternative definitions of masculinity and femininity?

Describe the community of haiti describe natural disaster : Describe the community of Haiti Describe the natural disaster (earthquake) in Haiti. Explain the aspects of the disaster that emergency managers need

What it means to be disabled : State your personal understanding of what it means to be "disabled." Include an example.

What is authentic leadership : What is Leadership? What are the different styles of leadership? What is authentic leadership? What is ethically responsible leadership?

How would you, as the clinical data specialist for the hmo : What information would be useful to the senior management of the HMO and the physician practice in evaluating the ER expenses? What data sources would you use

How is competitive advantage improved by benchmarking : How is competitive advantage improved by benchmarking? Explain your answer.

Find a legal case where an ethical decision was made : Find a legal case where an ethical decision was made. Address the following based on your chosen chase: Explain the importance of ethical decision-making

What ways did porter contribute to generic strategies : In what ways did Porter contribute to generic strategies? How has it helped leaders explore their strategic options?

What if the true cost was reflected in our products : What if the true cost was reflected in our products - would it change our buying habits? Explain (use examples) Should we make this a requirement?

User Account

All Pages