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Operations Management In Healthcare Strategy And Practice 1st Edition Corinne M. Karuppan , Nancy E. Dunlap,Michael R. Waldrum - Solutions
2. What are the benefits and barriers to implementing ICD-10 coding? Do you think it helps improve healthcare delivery? Explain your answer.
1. How would you match patients across organizations through an HIE since you cannot use SSNs and each organization has a different way to identify individuals?
13. How do healthcare analytics improve patient care at the individual level, group or disease level, and population level? Give examples.
12. Why is it important to engage physicians in the design and implementation of EHRs?
11. Whom does HIPAA protect? How?
10. Why is interoperability important in building an HIE?
9. Why do EHR implementations fail? Give specific examples as to why failure occurs.
8. Why is IT governance important to oversee EHR activities? What are the three components of data quality?
7. What is telemedicine? Give three examples of situations in which telemedicine can improve care.
6. What is a clinical DSS and how does it benefit patients?
5. Why is it important to have providers enter orders for patients through an EHR?
4. Name three barriers to adopting an EHR and give an example of each.
3. Name three benefits of adopting an EHR.
2. What is an EHR?
1. What is the connection between health IT and flexibility?
4. Develop other flexibility measures that could be added to the dashboard (Figure 13.8).
3. Discuss the pros and cons of specialty versus multispecialty clinics.
2. Sometimes, medical innovations are not necessarily better than the old devices/treatments they are intended to replace. Can you provide some examples?
1. Are surgeons today required to be more or less flexible?
13. What are the four health IT domains for which lists of best available standards have been compiled? Briefly describe each one.14. List and describe the five strategies for technology flexibility.15. Give three examples of standardized flexibility.16. List and describe the four strategies for
12. What is interoperability? Why is it important?
11. List and describe the five strategies for workforce flexibility.
10. Is reengineering or evolutionary change better aligned with process flexibility?
9. Distinguish between revolutionary and evolutionary changes.
8. Describe the step-by-step procedure used to handle exceptions.
7. List and describe the organizational characteristics that foster innovation flexibility.
6. What is the difference between technological and administrative innovations?
5. List and describe the four strategies for volume flexibility.
4. In Figure 13.2, why is organization X more volume flexible than organization Y?
3. List and describe the three strategies for mix flexibility.
2. What are the four elements of each flexibility dimension?
1. What are the types of strategic flexibility?
5. Connect flexibility to all other competitive priorities
4. Explain the flexibility pyramid
3. Identify the interventions necessary to boost each type of flexibility
2. Map each dimension along four elements
1. List all the dimensions of flexibility and explain their interrelatedness
2. Find the Harvard Business Review posting, “The Big Ideas: How to Solve the Cost Crisis in Healthcare.” Read the article, but pay special attention to the section on myths in cost accounting. What are the myths and why are they important to dispel?
1. Search the Internet for time-driven activity-based costing and healthcare. What did you find? Describe an institution that used TDABC and process redesign to increase value.
3. As the orthopedic manager, you are reviewing the past 2 years of data from the costaccounting system. You know that you worked hard to improve the services but note that the volumes are lower in 2015, and this concerns you.a. Explain what happened to reimbursements between 2014 and 2015. What
2. You are concerned and want to get in front of this prior to the directors’ meeting.You know that historically the labor expense runs at about 32% of net revenue and supplies run at 20%. Considering that the volumes of service are not significantly different you surmise that these inputs must
1. As the cardiology director, you have enjoyed the position you hold in the organization. Everyone knows that your area “always makes money.” This perception was generated by the cost-accounting reports generated and distributed by finance.You knew that your area has had stable volumes and
14. What is cost avoidance? Give examples of systems/processes that have been used for cost avoidance.
13. If a service has a negative contribution margin, what are the actions that you could take to improve the financial performance of the organization?
12. How do you calculate a breakeven point?
11. What is a contribution margin?
10. How do they differ?
9. What are the common elements between ABC and TDABC?
8. What is a cost-to-charge ratio?
7. Describe output costs. When doing so, give examples for cost that would be captured as an expense and for costs that would not be captured.
6. What are process costs?
5. Describe different types of input costs. Give examples for each.
4. What is the cost of a process?
3. List the different capitation payment methods.
2. What is fee-for-service? How can it lead to increased costs?
1. What is the difference among price, expense, and cost?
5. Evaluate services that promote financial success
4. Describe how costs are measured
3. Explain the various categories of costs
2. Describe the different payment models for healthcare services
1. List the factors that increase healthcare costs in the United States
3. There are too many drug shortages in the United States. What are the primary causes?You may want to do a literature review to answer that question. Reading the following article will be a good starting point.DeBenedette, V. (2014, August 10). Drug shortages continue; hospitals cope. Drug Topics:
2. Identify three medical inventory software packages and their special features.Summarize any reviews that might be available on the software. Which software would you recommend and why?
1. Based on the following article, what challenges does the hospital supply chain face?Explain.Sutton, K. (2014, October 9). 5 challenges for the hospital supply chain. Healthcare Finance. Retrieved from http://www.healthcarefinancenews.com/blog/5-challengeshospital-supply-chain
10. An inventory ordering system must be set up for Ointment CX-30 based on the following data (assume the normal distribution):a. What safety stock would you recommend if a stockout risk of 10% is considered acceptable?b. What safety stock would you recommend if a stockout risk of 5% is considered
9. An inventory ordering system must be set up for Bandage BX-62 based on the following data (assume the normal distribution):a. What safety stock would you recommend if a stockout risk of 8% is considered acceptable?b. What safety stock would you recommend if a stockout risk of 4% is considered
8. An inventory ordering system must be set up for Bandage T-150 based on the following data (assume the normal distribution):a. What safety stock would you recommend if a stockout risk of 5% is considered acceptable?b. What safety stock would you recommend if a stockout risk of 3% is considered
7. At BPH, the mean lead time demand for Gauze AX-7 was 70 boxes (normally distributed). The standard deviation of demand during lead time was 5. The manager of hospital supplies wants to maintain a 90% service level.a. What safety stock level would you recommend?b. What should the reorder point be?
6. BPH’s consumption of a certain detergent is 1,000 gallons per year. Four-gallon cases can be purchased at the following prices:Holding cost per case per year is 40% of the item’s cost, and the cost of placing an order is $30. What is the optimal order quantity (round to the nearest integer
5. BPH’s supplier of surgical sterile gloves offers the following quantity discounts:BPH uses 11,000 pairs annually. The cost of placing an order is $30, and the holding cost per box per year is 20% of the item’s cost. What is the optimal order quantity (round to the nearest integer if needed)
4. The annual demand for a particular drug is 1,800 tablets. The purchase price of a tablet is $20. The holding cost per unit per year is 25% of the item’s price, and the cost of placing an order is $30. The pharmacist orders the drug in quantities of 200.Demand is known and constant.a. Determine
3. The annual demand for vascular kits is 1,600. The holding cost is $300 per kit per year, and the cost of placing an order is estimated at $50. The purchase price per unit is $1,000. Assume that demand is known and constant.a. Determine the optimal order quantity of vascular kits.b. Determine the
2. The inventory manager wishes to use a two-bin inventory system for C items. Which ones of the following items are C items? Use the ABC approach to find out.
1. One of BPH’s pharmacists wants to establish different levels of inventory control for the following items. Help her classify those items into A, B, and C items.
18. How does SCM support the quality, delivery, and flexibility competitive priorities?
17. List five criteria used to select suppliers.
16. What is meant by “service level?”
15. What is the difference between just-in-time and just-in-case inventories?
14. What is the reorder point?
13. Is the EOQ the same as the optimal order quantity when quantity discounts are offered?
12. Which assumption of the basic EOQ model is relaxed when quantity discounts are applied? What is the impact on the computation of total cost?
11. What are the assumptions of the basic EOQ model?
10. Describe holding costs and ordering costs.
9. Why is the average inventory equal to Q/2 in the basic EOQ model?
8. What is the purpose of the basic EOQ model?
7. What are the three steps of ABC analysis?
6. What are the two important decisions in inventory management?
5. What are the various types of inventory?
4. To deliver optimal value to the patient, what should SCM strategies emphasize?
3. What is SCM? List some of the activities involved in SCM.
2. What is a GPO?
1. What is a supply chain?
7. Discuss the criteria used for supplier selection
6. Determine when to order
5. Determine how much to order
4. Classify inventory systems
3. Understand the nature and importance of inventories
2. Explain the strategic importance of SCM
1. Describe the domain of SCM
3. Read the following article:Boyle, J., Wallis, M., Jessup, M., Crilly, J., Lind, J., Miller. P., & Fitzgerald, G.(2008). Regression forecasting of patient admission data (pp. 3819–3822). Thirtieth Annual International IEEE EMBS Conference, Vancouver, Canada, August 20–24.Describe the
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