Should Medicare Continue Its Policy of Penalties for HAC Discussion

Should Medicare Continue Its Policy of Penalties for HAC Discussion ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON Should Medicare Continue Its Policy of Penalties for HAC Discussion I’m working on a Nursing question and need guidance to help me study. Should Medicare Continue Its Policy of Penalties for HAC Discussion Instructions: Read all materials: What is SWOT – Leadership SWOT Analysis(Documents attatched) Read and complete the SWOT Assignment(Assignment attatched) swot_analysis_ppt.pdf swot_analysis.pdf swot_assignment.pdf 4/21/2009 Chapter 10 Strategic Planning and Organizing Patient Care Copyright © 2010 by Delmar Cengage Learning. ALL RIGHTS RESERVED Organizational Purpose, Mission, Philosophy, Values • Mission statement: ƒ A formal expression of the purpose or reason for existence of the organization. • Philosophy: ƒ A value statement of the principles and beliefs that direct the organization’s behavior. • Values: ƒ May be formally stated and explicit, or may be implicit and part of the organizational culture. 2 Strategic Planning • A strategic plan is the sum total or outcome of the processes by which an organization engages in environmental analysis, goal formulation, and strategy development with the purpose off organizational i ti l growth th and d renewal. l • Provides unified vision and goals for the organization. • Helps ensure that the needed resources are available to carry out initiatives. 3 1 4/21/2009 Steps in Strategic Planning Process • Perform environmental assessment. • Conduct stakeholder analysis. • Review literature for evidence-based best practices. • Determine congruence with organizational mission. • Identify planning goals and objectives. • Estimate resources required for the plan. 4 Steps in Strategic Planning Process • • • • Prioritize according to available resources. Identify timelines and responsibilities. Develop marketing plan. Write and communicate business plan/strategic plan. • Evaluation. 5 Environmental Assessment • A situational assessment requiring a broad view of the organization’s current environment. • An external assessment: ƒ Is broadly based and attempts to view trends and future issues and needs that could impact the organization. • An internal assessment: ƒ Seeks to inventory the organization’s assets and liabilities. 6 2 4/21/2009 SWOT Analysis • Tool for conducting environmental assessments • Identifies both strengths and weaknesses in the internal environment and opportunities and threats in the external environment. Stands for: ƒ ƒ ƒ ƒ S –Strengths W –Weaknesses O – Opportunities T – Threats 7 Community and Stakeholder Assessment • A stakeholder is any person, group, or organization that has a vested interest in the program or project under review. • A systematic consideration of all potential stakeholders to ensure that the needs of each of these stakeholders are incorporated in the planning phase. • When stakeholders are not involved in the project planning, they do not get a sense of ownership. 8 Other Methods of Assessment • Surveys/questionnaires: ƒ Used when large numbers of stakeholders and general idea of the options are available • Focus groups/interviews: ƒ F Focus groups: small ll groups off individuals i di id l with ith a common characteristic who meet in a group and respond to questions about a topic. ƒ Time-consuming and expensive to conduct. ƒ Work best when the topic is broad and the options are not as clear. 9 3 4/21/2009 Other Methods of Assessment Advisory board: ƒ Benefits large projects. ƒ Board members come from various constituencies affected by project. ƒ Has no formal authority, but reviews plan and makes recommendations. 10 Other Methods of Assessment Review of literature on similar programs ƒ Should be completed prior to strategic planning or beginning any new project or program ƒ Allows project team to identify similar programs, their structures and organization, potential problems and pitfalls, and successes ƒ Should Medicare Continue Its Policy of Penalties for HAC Discussion Ongoing process 11 Other Methods of Assessment Advisory board: ƒ Benefits large projects. ƒ Board members come from various constituencies affected by project. ƒ Has no formal authority, but reviews plan and makes recommendations. 12 4 4/21/2009 Other Methods of Assessment • Best practices: ƒ Identify best practices or evidence-based innovations that have been adopted with success by other organizations. ƒ Nurses N planning l i to t develop d l a new program need to carefully examine the existing evidence and practices prior to beginning the planning. 13 Other Assessments • Planning goals and objectives: ƒ Prioritize according to strategic importance, resources required, and time and effort involved. ƒ Set timeline. • Develop a marketing plan: ƒ Communicate the plan, the goals, and objectives. ƒ Design, implement, train, and evaluate the new program. ƒ Assures that all stakeholders have the needed information. 14 Organizational Structure • Organizations are structured or organized to facilitate the execution of their mission, strategic plans, reporting lines, and communication within the organization. • Functions F ti on a continuum ti with ith levels l l off authority. 15 5 4/21/2009 Types of Organizational Structures • Communicated by the use of an organizational chart. • Types: ƒ Matrix. Matrix ƒ Flat versus tall. ƒ Decentralized versus centralized. 16 Other Characteristics to Use as a Framework • • • • • • • Division of labor. Roles and responsibilities. Reporting relationships. B i ffor di Basis division i i off labor. l b Functional division of labor. Geographic area. Product or service. 17 Factors Influencing Organizational Structures • Environmental changes: ƒ New programs, services, or product lines. ƒ Change in leadership. • Technology. Technology • Socio-cultural environment. • Size: ƒ The larger an organization, the more complex the structures needed. 18 6 4/21/2009 Factors Influencing Organizational Structures • Repetitiveness of tasks: ƒ If there is a great deal of differentiation among tasks, more levels of management are usually needed. • Trends in organizations: ƒ There is a need for leadership that promotes sound ethical values and quality assurance. ƒ Transformational nurse leaders are needed to assist nurses to strive for quality outcomes and personal mastery. Copyright © 2010 by Delmar Cengage Learning. ALL RIGHTS RESERVED 19 7 What is a SWOT A SWOT is basically a strategic analysis of some scenario in which a decision is needed. The acronym SWOT stands for Strengths, Weaknesses, Opportunities and Threats. What we want to do is develop a listing of all the factors in a situation that fit in the Strengths category, the Weaknesses category, the Opportunities category and finally the Threats category. Read the following excerpt and place all of the factors you can find in the proper category. Example: Executive Summary This business plan has been developed to present NovOculi, Inc. to prospective investors and to assist in raising equity capital needed to begin production and to continue research and development of its patented products. The Company NovOculi, Inc. is a start-up company that has designed and plans to develop and market ophthalmological surgical tools and techniques. During the past two years, NovOculi’s principals have had extensive experience with refractive correction techniques (both laser and non-laser based). Building on this experience, the principals have developed and begun testing a unique method of incisionless refractive correction dubbed NICS (Non-Invasive Corneal Sculpting). Current refractive techniques, including LASIK, PRK, and Intacs, all require destruction of at least a portion of the protective epithelial layer overlying the cornea of the eye and are accompanied by complications resulting from this loss of protection. The principals have developed a method involving iontophoresis, an ionic dye and a wavelength-specific laser to accomplish effective refraction without the troublesome destruction of epithelium. Using NICS, NovOculi plans to take advantage of the opportunities for market development and penetration in the field of laser refraction in which demand is nearly doubling each year.Should Medicare Continue Its Policy of Penalties for HAC Discussion Based on the detailed financial projections prepared by the company’s management, it is estimated that equity investment is required to begin the company’s operations successfully. Funds will be used to produce, test and market NICS, as well as provide initial working capital for the first two years. Market Potential A massive potential market base exists for the laser refractive surgery industry. It is estimated that approximately 54% of the U.S. population (~162 million) has refractive errors, approximately 90% of which are eligible for correction using current techniques or those on the near horizon (Federal Air Surgeon’s Medical Bulletin). In contrast, only 900,000 Americans have had LASIK (the most popular laser correction technique) as of two years ago. This represents only 0.6% of the total current market, leaving the other 99.4% untapped. (“Bye-Bye Glasses,” EyeCare Business Online). Furthermore, the demand for laser refractive surgery is approximately doubling annually (“Bye-Bye Glasses,” EyeCare Business Online,). The company has contacted nine of the leading ophthalmological medical institutions in the U.S. Seven of the nine have expressed interest in participating in collaborative research and, given encouraging research results, performing NICS commercially once it is available. Institutions expressing interest include: John Hopkins, Harvard, Stanford, Oregon Health Sciences, Duke University, and the University of California at San Francisco. NovOculi’s principals have also conducted a preliminary market survey at a local grocery market in the Durham, NC area. Fifty consumers with refractive errors were randomly selected outside of a local grocery market and asked the questions in the survey. A copy of the survey and a summary of its findings may be found in the Market Survey topic. Technology The principals have developed and patented a revolutionary technique, NICS, and two novel devices which are used to accomplish incisionless refractive correction. The patented technique involves driving an ionic dye from its patented polymeric vehicle into the cornea of the patient using the patented iontophoretic device (a device that creates a charge which then repels or attracts other charges). Once the ionic dye has been effectively driven into the cornea and away from sensitive structures, a laser tuned to the wavelength of the dye is then used to target the dyed cornea and alter its shape, much as is done with current laser refraction protocols. After the procedure is completed, the iontophoretic device is reapplied, this time with opposite polarity, and the dye is drawn from the cornea due to the attraction of opposite charges. Through the use of the patented device and technique, the ophthalmologist performing the procedure will be able to avoid the most troublesome and complication-ridden aspect of current laser refraction surgery: the corneal incision. Over 90% of all complications of current laser refraction surgery are related to difficulties associated with the incision and the subsequent healing process, virtually all of which could be avoided with NovOculi’s technology. Strategy The key element in NovOculi’s strategy is to market its technology to both those performing the procedure as well as to those on which the procedure will be performed. Should Medicare Continue Its Policy of Penalties for HAC Discussion Once research data and publicity have been generated, the sales force will step in to encourage the initial investment in the laser and equipment required for the procedure, creating a “demand push.” After this investment has been made, a “demand pull” will be generated for the components required for institutions to perform the procedure through marketing directly to patients. The sales team will begin with six seasoned sales personnel and swell to forty-four members by Year 5. The sales team will work closely with laser manufacturers in order to promote the technology to patients and surgeons. Ophthalmologist training for the NICS procedure will be available at six sites throughout the U.S.: San Francisco, Boston, Atlanta, Philadelphia, Kansas City, and Durham, NC. Each site will have in-depth training sessions led by a prominent ophthalmic surgeon. Those performing the procedure will be able to charge a premium for providing patients with access to this superior technology. NovOculi will extract approximately half of the nearly $1,000 premium through licensing fees associated with its patented procedure and sales of the individual components. Regulatory Issues As with its predecessor, LASIK, the company’s product will not need to wait for FDA approval prior to widespread use. LASIK had been performed on almost 900,000 patients without approval by the FDA as of two years ago (Current Trends in Refractive Eye Surgery, 128th Annual Meeting of APHA). This was made possible due to the fact that the “FDA does not approve procedures, only the equipment used in them” (“Eye centers set their sights on LASIK surgery growth,” Houston Business Journal, July 16) and the components of the procedure have already been approved by the FDA for medical use. NovOculi will not need to obtain approval to market their patented technique and devices due to the fact that the FDA has approved similar devices for medical use in the following arenas: 1) The 440 nm laser has been approved for dermatologic uses. 2) Iontophoretic devices has been approved for drug delivery on the epidermis. 3) Polymeric contact lenses have been approved and are commonly used as an external aid for refractive correction, and 4) The targeting dye, tartrazine, is the most ubiquitous food coloring additive on the market to date. Major Milestones The following are key milestones for the startup period: ? ? ? ? ? Completion of strategic business plan nine months before starting date. Research grants applied for by seven months before starting date. All patents, domestic and foreign, applied for by six months before starting date. Start-up capital raised by starting date. All other first-year milestones are currently on schedule in accordance to the business plan. Competitive Advantage NovOculi is uniquely positioned to take advantage of this market opportunity due to its protected, proprietary positions. Three patents have been filed in the U.S.: one for protecting the reversible iontophoretic device, the second protecting the technique involved in NICS, and the third protecting the unique vehicle for the ionic dye. Should Medicare Continue Its Policy of Penalties for HAC Discussion The principals, to date, have spent ample time on development and research of the current products which will satisfy the market demand for a safer, less complicated laser refraction correction technique. Financial Summary Based on detailed financial projections, if the company receives its funding, it will operate profitably by Year 4 with a hefty net profit. The following chart summarizes the projected financial information. Assignment: Now you try it!! Develop your own SWOT for the following: HCA was founded in 1968, in Nashville, Tennessee by Dr. Thomas F. Frist, Sr., Jack C. Massey and Dr. Thomas F. Frist, Jr.. Frist Sr. is the father of former U.S. Senate majority leader Bill Frist. Milton Johnson is the CEO of HCA. The first hospital that HCA owned was Park View Hospital, near downtown Nashville.[3] The small group of founders worked out of a small house not far from Park View for the first few years of operation.[4] In 1969, HCA conducted its first Initial Public Offering (IPO) on the New York Stock Exchange (NYSE).[3] As HCA grew, the small house that served as office space for the company no longer provided enough space. In 1972, the company built a new office to house corporate operations behind Centennial Park in Nashville.[5] Parkview Hospital circa 1968 Growth & merger During the 1970s and 1980s the corporation went through a tremendous growth period acquiring hundreds of hospitals across the United States which numbered 255 owned and 208 which HCA managed. In 1988, the hospital operator was acquired for $5.3 billion in a management buyout led by Chairman Thomas F. Frist, Jr.[6] and completed a successful initial public offering in the 1990s. In 1993 HCA merged with Louisville-based Columbia Hospital Corporation to form Columbia/HCA. In April 1998, Birmingham, Alabama-based HealthSouth Corporation announced it was acquiring the majority of HCA’s surgical division. Fraud & investigation In 1997, the company was part of a fraud investigation initiated by a number of governmental departments in the United States. Later that year, Rick Scott resigned as Chairman. He later became the 45th and current Governor of Florida. The case was settled in 2002 at a reported cost of $2 billion to HCA. This made it the largest fraud settlement in US history. On March 19, 1997, investigators from the FBI, the Internal Revenue Service and the Department of Health and Human Services served search warrants at Columbia/HCA facilities in El Paso and on dozens of doctors with suspected ties to the company.[7] Following the raids, the Columbia/HCA board of directors forced Rick Scott to resign as chairman and CEO.[8] He was paid a settlement of $9.88 million and left with 10 million shares of stock worth over $350 million, mostly from his initial investment.[9][10] In 1999, Columbia/HCA changed its name back to HCA, Inc. HCA also admitted fraudulently billing Medicare and other health programs by inflating the seriousness of diagnoses and to giving doctors partnerships in company hospitals as a kickback for the doctors referring patients to HCA.Should Medicare Continue Its Policy of Penalties for HAC Discussion They filed false cost reports, fraudulently billing Medicare for home health care workers, and paid kickbacks in the sale of home health agencies and to doctors to refer patients. In addition, they gave doctors “loans” never intended to be repaid, free rent, free office furniture, and free drugs from hospital pharmacies.[11][12] After Scott stepped down, Frist Jr. returned as chairman and CEO. He called on longtime friend and colleague Jack O. Bovender, Jr. to help him turn the company around. Frist and Bovender, who became CEO in 2001, pulled off what Fortune magazine called a remarkable corporate rescue.[13] In settlements reached in 2000 and 2002, Columbia/HCA pleaded guilty to 14 felonies. They admitted systematically overcharging the government by claiming marketing costs as reimbursable, striking illegal deals with home care agencies, and filing false data about use of hospital space. Corporate office in 1972 In late 2002, HCA agreed to pay the U.S. government $631 million, plus interest, and pay $17.5 million to state Medicaid agencies, in addition to $250 million paid up to that point to resolve outstanding Medicare expense claims.[14] In all, civil lawsuits cost HCA more than $2 billion to settle, by far the largest fraud settlement in US history.[15] The name subsequently reverted to “Hospital Corporation of America.” HCA abandoned the use of its name in its home market and instead promotes its Nashville hospitals under the TriStar brand. On July 1, 2005, Senator Frist sold all of his HCA shares two weeks before disappointing earnings sent the stock on a 9-point plunge. Frist claimed that he sold his shares to avoid the appearance of a conflict of interest if he ran for president. Other executives sold their stock at the same time. Shareholders sued HCA, alleging that the company made false claims about its profits to drive up the price, which then fell when the company reported disappointing financial results. Eleven of HCA’s senior officers were sued for accounting fraud and insider trading. [16] HCA settled the lawsuit in August 2007, agreeing to pay $20 million to the shareholders.[17] Recent history In 2006, Kohlberg Kravis Roberts and Bain Capital, together with Merrill Lynch and the Frist family (which had founded the company) completed a $31.6 billion acquisition of the hospital company, making the company privately held again 17 years after it had first been taken private in a management buyout. At the time of its announcement, the HCA buyout was the first of several to set new records for the largest, ec … Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

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