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MHA 618 Entire Course

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MHA 618 Week 1 DQ 1 Value and Consumer Preference
MHA 618 Week 1 DQ 2 The Importance of Economics for Health
Care Leaders
MHA 618 Week 2 DQ 1 Finance, Risk, and Cost
MHA 618 Week 2 DQ 2 Overinsured, Underinsured, and Uninsured
MHA 618 Week 2 Assignment Feasibility Study Topic and Area of
Interest
MHA 618 Week 3 DQ 1 Demand Theory and Its Application
MHA 618 Week 3 DQ 2 Appreciating Supply and Demand Analysis
MHA 618 Week 4 DQ 1 Economic Analyses and Interventions
MHA 618 Week 4 DQ 2 Pricing and Transparency
MHA 618 Week 4 Assignment Concept Paper Submission
MHA 618 Week 5 DQ 1 Inseparability of Markets and Regulations
MHA 618 Week 5 DQ 2 Applying Game Theory to Strategy
MHA 618 Week 6 DQ 1 Consumer Incentives
MHA 618 Week 6 DQ 2 Opportunism in Healthcare
MHA 618 Week 6 Final Paper
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MHA 618 Week 1 DQ 1 Value and Consumer Preference

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Value and Consumer Preference. Prior to engaging in this discussion,
read Chapters 1 and 2 in the text and review any relevant Instructor
Guidance. It is suggested that you also review the recommended
articles to glean any helpful information. The idea that value depends
on consumers preferences is often considered radical. In your initial
post, analyze the economic theories that are germane to the provision
of health services, and comment on how one or two specific model(s)
might explain the framework or context of patient/consumer
preference with regard to the health care services they have
experienced. Compare and contrast economic challenges and
incentives within health cares organizational models that might
influence patient preference. How would value (both in quality and
impact of care) differ where you have increase in access and decrease
in reimbursement rates set by most insurance companies?
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MHA 618 Week 1 DQ 2 The Importance of Economics for


Health Care Leaders

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The Importance of Economics for Health Care Leaders. Prior to
engaging in this discussion, be sure to review the Chapters 1 and 2 in
the text as well as any relevant Instructor Guidance. It is suggested
that you also review the recommended articles to glean any helpful
information. In the present paradigm, it has become evident that
operational leaders and strategic leaders in health care must be able to
appraise how economics impacts health care in the United States.
Furthermore, it is critical successful leaders to possess an
understanding of the variables and nuances that shape how supply and
demand in this heavily regulated industry so they may observe trends
and opportunities that lead to a functional organizational system.
Imagine that you are a manager running a unit in a rehabilitation
center. Up to this point, your primary population of payers has been
elderly patients who come into the center for physical therapy.
Recently, there has been a demographic shift in the community. A
large number of your primary population has moved out of the area or
died, which has caused a shift in your revenues. You have been tasked
by your director to illustrate the cost and revenue numbers relative to
insurance payouts to ensure that your cost does not exceed your
revenue. Drawing on your current professional expertise and
understanding drawn from the required resources for this week, create
an initial post in which you communicate how the potential payer mix
relates economically to changing demographics in your given
community. What potential solutions would you suggest to your
director that might overcome the demographic shift? Analyze
economic theories that are germane to your provision of services and
identify one theory that might apply to this specific situation
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MHA 618 Week 2 Assignment Feasibility Study Topic and
Area of Interest

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Feasibility Study Topic and Area of Interest. A detailed feasibility
study is an essential element in the process of diligently assessing
any health services business venture. According to data released by
the Bureau of Labor Statistics, the health care industry is currently
one of the fastest growing fields in the United States, and it is
projected that the field will grow by 22 percent by 2018. This is
compared to an 11 percent average growth rate for all other industries
(United States Department of Labor, 2012). Whether you are
considering medical service lines, an expansion of your current
operation, or any other type of health care business venture, a
feasibility study is an essential planning tool for any future health care
leader.
In this assignment, you will be taking the first step toward the
completion of your final assignment by settling on the topic for your
feasibility study. Please read the Leff, et al (2005) article, Hospital at
Home: Feasibility and Outcomes of a Program to Provide Hospital-
Level Care at Home for Acutely Ill Older Patients. Reflect on the
procedures and content found in the article to aid you in choosing and
shaping a topic for your feasibility study. The topic you select should
be of interest and meaningful to you and your career, and it must be
related to health care delivery.
Create a document that includes the following:
Title: Proposed title for the feasibility study
Topic: Topic of the feasibility study
Description: A brief description (250-500 words) of how the proposal
will impact the quality, availability, accessibility, and affordability of
care
List of Resources: A list of five scholarly sources that you plan to use
as you complete your feasibility study.
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MHA 618 Week 2 DQ 1 Finance, Risk, and Cost

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Finance, Risk, and Cost. Prior to engaging in this discussion, read
Chapters 3 and 4 from the text review any relevant Instructor
Guidance. It is suggested that you review the recommended resources
to glean any helpful information. You are an associate director in a
300-bed hospital located in an urban area. For the purposes of your
presentation, the location will be the closest city to your current
residence (this may be your city of residence). A sum of money is
available for investment in the facility. You have been tasked by the
hospital CEO to present a possible investment scenario in which you
renovate your existing facility, expand the current facility, or
clinically integrate your electronic health records (EHRs). There is
only enough money to fund one of the potential projects. Your
primary sources of data and information may or may not be reliable.
Please see the Finance, Risk, and Cost document for the data
needed to create your presentation.
In this discussion, you will be create a five-minute presentation using
PowerPoint and Jing, Screencast-o-matic, or an alternative program
with audio, wherein you propose one of the potential projects and
defend its viability as the best option at the present time. Your
PowerPoint presentation slides must include the following
information:
A basic design of the projected service/project (i.e., the option you are
promoting)
An analysis of the role of public policy in terms of your provision of
health care services and provide justification of your choice
An explanation of the relevance of the current financial data in terms
of the projected outcome of the project
A compare and contrast discussion of the economic challenges and
incentives related to your project
Once you have created your PowerPoint presentation, use Jing,
Screencast-o-matic, or an alternative program with audio, to create a
screencast of your presentation with voiceover. Include a title for your
presentation in the description box when you publish your screencast.
The hospital CEO has limited your presentation time to three to five
minutes, so you will need to incorporate as many characteristics of an
effective speaker as you can within this timeframe. These
characteristics may include but are not limited to storytelling, facts
only, pace, and volume. Since there is no video of the presenter (just
the
presentation itself), you will not have the benefit of body language, so
be sure to create a convincing screencast. Do not read your slides;
rather, elaborate on your bullet points and/or financial maps within
the slides.
Copy and paste the URL to your screencast into your discussion
board response section and attach your PowerPoint (.ppt) file to the
post prior to submitting it. Your presentation must utilize at least two
scholarly sources, in addition to your textbook, that are cited in APA
format as outlined in the Ashford Writing Center. All sources used
within the presentation must be cited properly on the slides and
included on required reference slide, which will be the last slide of the
PowerPoint presentation. Due to the time limit of your presentation,
you are not required to speak or read through the reference slide.
However, you must include your reference list within the discussion
post along with the URL for your screencast and submit your
PowerPoint presentation by attaching the PowerPoint (.ppt) file to
your initial discussion post.
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MHA 618 Week 2 DQ 2 Overinsured, Underinsured, and


Uninsured

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Overinsured, Underinsured, and Uninsured. Prior to engaging in this
discussion, be sure to read Chapters 4 and 5 from the textbook and
review the information included in the Patient Protection and
Affordable Care Act detailed summary, the information provided on
the U.S. Department of Health and Human Services website, and any
relevant Instructor Guidance.
Presently, the United States is a fragmented system that offers a
misdistribution of haves and have nots which impact the cost of
delivering health care. The United States is currently a nation of
overinsured, underinsured, and uninsured people. In light of the
passage of the Affordable Care Act (ACA), how do you see these
issues being corrected so that a majority of the population has access
to quality health care? In an initial post of 250-300 words,
communicate the relevant aspects of the ACA that will impact these
issues. Analyze and describe how the role of public policy will affect
changes in this distribution. Evaluate and explain some of the social-
cultural issues that might present potential problems as this plays out
across the country. What implications associated with the ACA might
lead to a paradigm shift in the ways in which we view access to health
care?
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MHA 618 Week 3 DQ 1 Demand Theory and Its


Application

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Demand Theory and Its Application. Prior to engaging in this
discussion, please read Chapters 6 and 9 in the text and review any
relevant Instructor Guidance. It is suggested that you review the
recommended articles to glean any helpful information. In this
discussion, you will be taking on the role of an associate director of a
hospital who is considering the proposed opening of an urgent care
clinic about 20 miles from your main campus. You have been charged
with gathering demographic information that might affect the demand
for the clinic and creating a presentation that will be delivered to the
hospital
CEO. Consider what data might be relevant and why. What would
you want to show the CEO to prove that this project would be feasible
for the organization? As with the Finance, Risk, and Cost
discussion in Week Two, you will be creating a five-minute
presentation using PowerPoint and Jing, Screencast-o-matic, or an
alternative program with audio, to present your findings on the
feasibility of this project to your CEO.
Todays health care landscape is placing importance on the
economics of health care. Reflecting on the exercises you have
completed thus far and incorporating information from the text,
analyze how demand theory applies to public policy and the
economics of health services. What elements, responsive to the
specific health care service demands of your given population, would
you want to present as you develop a microeconomic model based on
this proposed opening of an urgent care clinic?
Your PowerPoint presentation slides must include the following
information:
Your basic microeconomic model of the projected service/project
An analysis of the role that public policy plays in terms of your
provision of health care services
A justification of your model
The relevance of the current financial data in terms of the projected
outcome of the project
A compare and contrast discussion of the economic challenges and
incentives related to your project
Once you have created your PowerPoint presentation, use Jing,
Screencast-o-matic, or an alternative program with audio, to create a
screencast of your presentation with voiceover. Include a title for your
presentation in the description box when you publish your screencast.
The hospital CEO has limited your presentation time to three to five
minutes, so you will need to incorporate as many characteristics of an
effective speaker as you can within this timeframe.
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MHA 618 Week 3 DQ 2 Appreciating Supply and Demand


Analysis

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Appreciating Supply and Demand Analysis. Prior to engaging in this
discussion, please review Chapters 6 and 9, read Chapter 10 in the
text, and review any relevant Instructor Guidance. It is suggested that
you review a few of the recommended articles to glean any helpful
information. Supply and demand analysis aids health care leaders in
ascertaining the effects of changes in policy on service lines that
impact a communitys health (e.g., whether to expand existing
services or perhaps close services). Identify and evaluate publicly
available tools that provide data and assist in formulating the basic
shapes of demand and supply curves. Communicate and elaborate on
the relevance of these economic indicators in terms of pricing.
Evaluate and comment on the social-cultural implications of value-
based care.
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MHA 618 Week 4 Assignment Concept Paper Submission

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Concept Paper Submission. The primary purpose of the Concept
Paper is to obtain instructor feedback to ensure that you are on track
with the completion of your feasibility study. The complete
instructions for the feasibility study can be found in Week Six of the
online course.
The Concept Paper is a draft version of your Final Paper with the
initial list of relevant scholarly sources. In this draft, be certain to
include and (at least) briefly address the content of the headings listed
in the Final Paper instructions for Week Six.
You must include a preliminary Strengths, Weaknesses,
Opportunities, and Threats SWOT analysis for your chosen project.
For further assistance, please view the Feasibility Study Template
video and view the online article Community Assessment, both of
which include specific information on elements of the SWOT analysis
required for your final paper.
Remember, your concept paper is a draft, NOT the final product.
Submit your Concept Paper with the required headings to your
instructor by the end of this week. Be sure to review the article,
Assessing the Feasibility, Performance of Geriatric Clinics, for
further information as you complete your assignment. Be certain to
include your list of references with your draft.
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MHA 618 Week 4 DQ 1 Economic Analyses and


Interventions

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Economic Analyses and Interventions. Prior to engaging in this
discussion, please read Chapters 13 and 14 in the text and review any
relevant Instructor Guidance. It is suggested that you review the
recommended articles to glean any helpful information. Analyze and
comment on economic analyses of health administrative innovations
that are germane to the provision of health services. How have these
innovations become more important in health care delivery within the
context of the Affordable Care Act? Develop a list of similarities and
differences between cost benefit analysis and cost effectiveness
analysis as they pertain to specific health care service demands.
Compare and contrast economic challenges and incentives as they
relate specifically to cost benefit and cost effectiveness analyses.
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MHA 618 Week 4 DQ 2 Pricing and Transparency

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Pricing and Transparency. Prior to engaging in this discussion, please
read Chapter 11 in your text and review any relevant Instructor
Guidance. It is suggested that you review the recommended articles to
glean any helpful information. Analyze the role of the paradigm shift
under the Affordable Care Act and discuss how transparency will play
a greater role in pricing of health care. In your opinion, will
consumers begin to demand increasing transparency in pricing?
Provide at least one peer-reviewed reference outside of your textbook
to support your position. Do you believe accrediting commissions
(e.g., the Joint Commission) will demand greater transparency in
pricing? How will these demands be weighted as compared to
individual consumers demands? Again, be sure to cite research that
supports your statements.
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MHA 618 Week 5 DQ 1 Inseparability of Markets and


Regulations

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Economic Analyses and Interventions. Prior to engaging in this
discussion, please read Chapters 13 and 14 in the text and review any
relevant Instructor Guidance. It is suggested that you review the
recommended articles to glean any helpful information. Analyze and
comment on economic analyses of health administrative innovations
that are germane to the provision of health services. How have these
innovations become more important in health care delivery within the
context of the Affordable Care Act? Develop a list of similarities and
differences between cost benefit analysis and cost effectiveness
analysis as they pertain to specific health care service demands.
Compare and contrast economic challenges and incentives as they
relate specifically to cost benefit and cost effectiveness analyses.
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MHA 618 Week 5 DQ 2 Applying Game Theory to


Strategy

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Applying Game Theory to Strategy. Prior to engaging in this
discussion, please read Chapter 16 in the text and review any relevant
Instructor Guidance. It is suggested that you review the recommended
articles to glean any helpful information. Imagine that you own a
pharmacy in your area. One of your competitors launches a We will
not be undersold campaign, which promises consumers 150 % of any
difference between its prices and the advertised prices of other
pharmacies. Evaluate the social issues in your community as well as
the economic culture that is influencing this type of pricing
competition. Develop and describe a microeconomic model that is
responsive to the service demands of your market. Based on your
conclusions, how would you react to this situation and with what
business strategy would you approach this? How might you apply
game theory to the creation of your strategy?
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MHA 618 Week 6 DQ 1 Consumer Incentives

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Consumer Incentives. Prior to engaging in this discussion, please read
Chapter 12 in the text and review any relevant Instructor Guidance. It
is suggested that you review the recommended articles to glean any
helpful information. Imagine that you run a nursing home facility in
your area. Analyze and comment on the role public policy has in the
economic aspect of running this type of health services center.
Compare and contrast the economic challenges and incentives this
type of health care model presents. What are some of the ways in
which you could inform or signal potential consumers that your
nursing home is of high quality? Evaluate the social-cultural issues
that influence the consumers of this type of health service. Which of
your proposed methods are most apt to be reliable signals that
significantly communicate to consumers so they are able to make
more informed decisions?
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MHA 618 Week 6 DQ 2 Opportunism in Healthcare

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Opportunism in Healthcare. Prior to engaging in this discussion,
please read Chapter 12 in the text, read the Rice (1997) and the Korda
and Eldridge (2011) articles, and review any relevant Instructor
Guidance. It is suggested that you also take a moment to review a few
of the recommended articles to glean any potential helpful
information. Opportunism in health care is especially perceptible in
the health insurance markets. Consider the area in which you live,
specifically your state and local communities. Evaluate the social-
cultural issues that are influencing adverse selection in insurance
markets. Propose some strategies for reducing adverse selection in
health insurance within these markets. Develop a microeconomic
model that is responsive to your local service demands. Communicate
how these issues are relevant to the economics of the greater U.S.
health care system. What are the future implications with the
Affordable Care Act?
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MHA 618 Week 6 Final Paper

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Building on the work you completed in Weeks Two and Four, you
will complete a feasibility study based on a pre- approved health care
project of your choice. Using the feasibility study outlined in the
Daniels and Dickson (1990) article as a model, and including a
minimum of six other relevant resources and readings, create a 12-
to15-page feasibility study that includes the following headings and
supporting information:
Evaluating Feasibility
The concept of a feasibility study is central to viability, the worth to
the effort ratio, and return on investment (ROI). What needs to be
taken into consideration to create a feasibility study (e.g., human
resources, community needs, technological advances, federal and
state regulatory issues)? Within this section, you will research and
design an economical health care service that is responsive to a given
market. This research stems from understanding your target
population and present need in health services. Furthermore, as you
have seen from the Daniels and Dickson (1990) article, you must
appraise your human resources, capital investment, and how your
effort will yield a return on investment from your facilities
perspective as well as the intangible greater good of providing
healthcare to a community.
Strategic Effect
Analyze the role of public policy with regard to your project. What
policies and processes should be in place to create an effective
program? How will you measure the effectiveness of your program
and your provision of health care services? Develop a microeconomic
model that is responsive to the specific health care service demands of
your target population. For example, the current trend of the medical
home model, which allows for the coordination of care, allows for
better communication among service providers as well as
convenience for patients. Is the population a market priority? How
does your program serve a need for your target population?
Market Analysis
Within this section you will identify the population demographics,
who your competitors are, and whether or not a real need for the
services you are proposing exists in the community. As you examine
the demographic and population needs using Census data and other
reliable sources, you must also consider what competitors, if any,
exist in the present climate. This requires an evaluation of the present
socioeconomic and cultural trends influencing how people make
decisions in health care. In addition, in this analysis you will need to
compare and contrast economic challenges and incentives among
health cares organization models. This comparison requires an
understanding of past challenges and incentives that other
organizations have implemented.
Financial Analysis
This section includes the revenue, expenses, and net income.
Compare and contrast economic challenges and incentives by finding
and describing multiple sources of public and private funding (e.g.,
grants, donations, awards, special projects) for this project. Include a
reference list for your funding sources that is formatted in APA as
outlined in the Ashford Writing Center. Next, identify the funding
constraints for each source. Include limitations of monies awarded,
timing issues, fitting the needs of the funding sources, difficulties of
connecting with private funders, etc. Finally, specify the internal
ramifications of moving forward using SWOT analysis. What are the
fixed and variable costs associated with your project? What are the
annual maintenance and operation costs? Elaborate on how you
arrived at your sensitivity analysis conclusions.

Operations Performance
This section examines the incremental effect of how your proposed
service will impact all aspects of health services. This portion of the
study explores how the statistical data you have researched affects the
proposed service in terms of efficiency and value. This can be
difficult to measure initially. However, through incremental and
ongoing evaluation of operations, you can begin to see what
constitutes the best performance in this instance and how it serves the
target population. In this section, you will further illustrate the
incentives and challenges faced by a health organization and
communicate the relevance of economics within the U.S. health care
system as it pertains to your proposed services.
Inpatient
If your proposed study has an inpatient component, this section will
elaborate on volume of patients, types of payers, and how utilization
rates impact your proposed study. In addition, you will further explain
how your inpatient service will add value for patients and improve
the financial viability of the institution. This section will require you
to use both qualitative and quantitative data to justify the plan.
Hospitals operate in terms of how many beds are occupied relative to
how many are empty. Most CEOs want to see that a unit is running at
near full capacity and that volume is increasing year to year. Analyze
how your proposal will meet these demands by explaining the data
you have collected and predicting potential financial outcomes.
Finally, evaluate and explain how value-based care will impact your
ability to maintain margins within this ly proposed service.
Outpatient
If your proposed study has an outpatient component, examine how
admissions, revenue, and workflow of staff will improve the
efficiency of your proposed service. Analyze how your outpatient
service will add value for patients and improve the financial viability
of the institution. Justify your plan with appropriate data. As stated in
the inpatient section, the content here applies much the same way.
However, the caveat for outpatient services lies in the ambulatory
setting. This aspect should be most interesting under conditions
created by the Affordable Care Act. The paradigm shift will be
toward more preventative, primary, and outpatient care settings to
reduce the numbers of patients being admitted to hospitals. Please
explain how your proposal takes these conditions into consideration.
In this section, you will further compare and contrast economic
challenges and incentives among health cares organization models in
an outpatient setting. You will also further augment your design in an
economic framework that is responsive to your market.
Outlook
This section examines future implications of your proposed services
and how they will impact the future health outcomes of the
community and financial health of the services being provided.
Analyze economic theories that are germane to the provision of your
proposed health services. What adjustments might you need to make
in terms of what the unintended consequences may be? For
example, Baylor Hospital in Houston proposed and spent 250 million
to create a brand hospital that currently stands empty because it was
built during the U.S. economic downturn, the loan was no longer able
to finance the construction, and the initial examination of its necessity
did not play out as expected. Provide conclusions and implications of
how your feasibility study fits within the larger context of the system
of services currently being provided. How do they work with one
another within the larger health care system? Finally, evaluate how
your study will respond to market and design models that impact the
community based on current regulatory and market needs.
Finally, evaluate how your study will respond to market and design
models that impact the community based on current regulatory and
market needs.
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