MMHA 6900 Walden University Healthcare Quality Management Discussion
Variations in Quality of Medical PracticeVariations, too much or too little in health care, are an indication of poor quality in medical practice and often raise questions about the quality and efficiency of the use and allocations of resources, and they have important implications for health care and health policy.In this Discussion, you will conduct an evaluation of the variation of issues affecting Medicare reimbursements to determine warranted or unwarranted variations. You will provide an analysis of those variation issues that may affect reimbursements and recommend ways to overcome the issue(s).To prepare:Read/review the Dartmouth Atlas Data document, containing key statistics per state, and the Learning Resources related to variations in quality in medical practices.In an attempt to figure out why there is a tremendous difference between Medicare reimbursements between states, data were pulled from the top and the bottom of the list that include the following information adjusted for price, age, sex, and race. The 90th percentile group is at or above $10,578, and the 10th percentile group is at or below $7,497.Using the Excel spreadsheet (Dartmouth Atlas) and other Resources for the week, post your analysis of the variation issues that may affect diverse Medicare reimbursements and why. Recommend strategies for overcoming the issues.Note: Local governmental differences are not a valid reason.Support your response by identifying and explaining key points and/or examples presented in the Learning Resources.After reviewing quality improvement needs of a community and recommendations for addressing those needs and providing strategies to meet those needs, this week, you will evaluate variation issues that affect Medicare reimbursements and recommend strategies for overcoming them.Variations, too much or too little in health care, are an indication of poor quality in medical practice and often raise questions about the quality and efficiency of the use and allocations of resources, and they have important implications for health care and health policy.In week 3 Discussion post, you are asked to conduct an evaluation of the variation of issues affecting Medicare reimbursements to determine warranted or unwarranted variations.You are required to analyze those variation issues that may affectreimbursements and recommend strategies for addressing the issues.UseWeek 3 Dartmouth Atlas Document.xlsx (see attached). Your post must containkey statistics per state, and the Learning Resources related to variations in quality in medical practices in your analysis and evaluations. Resources:Nash, D. B., Joshi, M. S., & Ransom, E. R., & Ransom, S. B., (Eds.). (2019). The healthcare quality book: Vision, strategy, and tools (4th ed.). Chicago, IL: Health Administration Press.Chapter 3, “Variation in Medical Practice and Implications for Quality” (pp. 75-95)Burton, D. A. (2013). Driving out waste: A framework to enhance value in clinical care. Healthcare Financial Management, 67(6), 94–99.Moore, K. D., Eyestone, K., & Coddington, D. C. (2013). The healthcare cost curve can be bent. Healthcare Financial Management, 67(3), 78–84.Sabbatini, A. K., Nallamothu, B. K., & Kocher, K. E. (2014). Reducing variation in hospital admissions from the emergency department for low-mortality conditions may produce savings. Health Affairs, 33(9), 1655–1663.Trbovich, P. (2014). Five ways to incorporate systems thinking into healthcare organizations. Biomedical Instrumentation & Technology, 48(Suppl. 2), 31–4, 36.Tsai, T. C., Joynt, K. E., Orav, E. J., Gawande, A. A., & Jha, A. K. (2013). Variation in surgical-readmission rates and quality of hospital care. New England Journal of Medicine, 369(12), 1134–1142.Guterman, S. (2013). Leaving fee-for-service behind: Moving toward pay-for-performance. Retrieved from http://www.newsu.org/course_files/SRIpdfResources/Stuart_Guterman_Pay-for-Performance.pdfGuterman, S., & The Commonwealth Fund. (2013). Leaving Fee-for-Service Behind: Moving Toward Pay-for-Performance. Retrieved from http://www.newsu.org/course_files/SRIpdfResources/Stuart_Guterman_Pay-for-Performance.pdfAgency for Healthcare Research and Quality. (n.d.). Consumer assessment of healthcare providers and systems. Retrieved from https://cahps.ahrq.gov/Hospital Consumer Assessment of Healthcare Providers and Systems. (2021). HCAHPS fact sheet. https://hcahpsonline.org/en/facts/ Porter, M. E., & Lee, T. H. (2013). The strategy that will fix health care. Harvard Business Review. U. S. Department of Health and Human Services. (n.d.). Hospital compare. Retrieved from http://www.medicare.gov/hospitalcompare/search.html