Health and Medical Administration Commons^™

Implications Of Upcoding On Medicare, Katrina Cremeans, Samantha Marcum, Carli Followay, Jessica Oldaker, Alberto Coustasse

Management Faculty Research

The complexity of and amount of funds involved in Medicare has led to a significant increase in the incidence of Medicare fraud. A type of Medicare fraud, upcoding, has contributed to excessive and unnecessary health care spending. Upcoding has been an illegal strategy that some providers have used to increase their Medicare reimbursement for certain conditions. This is accomplished by coding a provided service as a more expensive service than what was actually performed. With the proliferation of upcoding, there has been an astonishing $12.5 billion in fraudulent Medicare charges since 2007. The fraudulent strategy of upcoding to increase Medicare …

The Use Of Big Data By Managed Care Organizations, Bojing Wang, Xiaoying Liu, Alberto Coustasse

Management Faculty Research

Big data have become available in all kinds of healthcare organizations. The application of big data analytics in Managed Care Organizations (MCOs) has the potential to improve health care, lower costs, save lives, and help to make better-informed decisions. The study illustrated the implication of big data in MCOs. Big data can help MCOs reduce patients’ relevance, analyze specific diseases such as asthma and diabetes. Big data also could help MCOs to reduce cost after collecting data and determined the specific patients’ situation. The implication of big data has benefited MCOs in reducing costs, improving the quality of healthcare care. …

03-05-2019 Hsc Committee Agenda, Hsc Committee

HSC Committee (A subcommittee of the UNM Board of Regents)

No abstract provided.

March 2019, Swosu Bulldog Wellness Committee

SWOSU BULLDOG WELLNESS

The Bulldog Wellness Committee has 1 standing desk available to be loaned out for a 4 month trial basis. The desk has a two-tiered design with separate keyboard/mouse deck and a spring-assisted lift mechanism that allows for easy access when either sitting or standing. Contact Christina Darras at (580) 774-3159 or email [email protected] to reserve your desk today.

Implementasi Green Hospital Di Rsud R. Syamsudin, Sh Dengan Kriteria Kerangka Kinerja Ekselen Malcolm Baldrige, Haniah Alatas, Dumilah Ayuningtyas

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

The existence of green hospital is very necessary to overcome climate change which can cause disruption to human health and the environment, because hospitals are one of the contributors to pollution. RSUD R. Syamsudin, SH became a member of the Global Green and Healthy Hospital and is committed to implementing ten agendas, namely leadership, chemicals, waste, energy, water, transportation, food, pharmacy, buildings, and purchasing. Aim of this study is to analyze the implementation of green hospital with the Malcolm Baldrige Criteria Framework for Excellence Performance. Malcolm Baldrige Criteria evaluates based on seven criteria which isleadership, strategy, customer, measurement, analysis, and …

Srategi Bauran Pemasaran Pelayanan Kesehatan Rsd Kol. Abundjani Bangko Di Era Jaminan Kesehatan Nasional (Jkn), Arismen Arismen, Wahyu Sulistiadi, Amal Chalik Sjaaf

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

The policy developed by the government in the form of a National Health Insurance (JKN) program whose funding is managed by the BPJS, must be supported by all health service facilities both government and private. RSD Kol. Abundjani Bangko is a regional hospital belonging to the Merangin District Government that has collaborated with BPJS to serve BPJS participants in the health services sector in 2014. In the course of the increase there have been an increase in the number of BPJS participants who have been referred and treated to RSD Kol. Abundjani Bangko. The increase in patient visits on the …

Srategi Pemasaran Rsud Prof. Dr. H.M. Chatib Quzwain Sarolangun Jambi Tahun 2018, Ahmad Bajri, Wahyu Sulistiadi

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Undang-Undang No.36/2009 Pasal 34 Ayat 2 states that the community has the right to obtain health protection from the state. In order to regulate comprehensive health protection for the community, the government requires all hospitals, both government and private hospitals to take part in the National Health Insurance / JKN Program. In this regard, the General Hospital of Prof. Dr. H.M. Chatib Quzwain is a class C regional hospital that has only been operating since 2008, so there are still many shortcomings and limitations, especially in the field of services and supporting facilities. Knowing this, efforts have been made to …

Penerapan Metode Abc Indeks Kritis Dalam Pengelolaan Persediaan Obat Di Instalasi Farmasi Rumah Sakit Xyz Pekanbaru, Riau Tahun 2018, Monika Noviera Susanto, Vetty Yulianty Permanasari

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

The process of making the XYZ Hospital formulary by the Therapy Pharmacy Team (TFT) has not considered the critical level of a medicine for patients. The failure to carry out the assessment has caused an unplanned purchase of the medicine that needed immediately and affecting patient safety. The ABC method can identify drugs that must always be available and worth a large investment. There is no cost control of drug supplies at XYZ Hospital because data on the value of investment in drugs have not been analyzed. This study uses a qualitative research design by applying the ABC index critical …

Strategi Peningkatan Mutu Dan Keselamatan Pasien Di Rumah Sakit Umum Daerah Kepulauan Seribu Tahun 2019 – 2023, Agus Ariyanto Haryoso, Dumilah Ayuningtyas

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Quality of service and patient savety now adays has become the main demand of hospital customer, even now, become one of evaluation point in hospital accreditation. Nevertheless, quality and patient savety in Kepulauan Seribu Public Hospital (RSUD Kepulauan Seribu) has not been accredited yet. RSUD Kepulauan Seribu plans to increase quality and patient savety so that can go through accreditation. This thesis aims to arrange strategies of Quality improvement and Patient Savety in Years 2019- 2023. The study in this thesis is qualitative. The study digs informations from informans to obtain internal and external factors hich used to arrange strategies. …

Analisa Pengelolaan Kebutuhan Logistik Farmasi Pada Instalasi Farmasi Rs Mbsd Periode Juli 2017- Juni 2018analisa Pengelolaan Kebutuhan Logistik Farmasi Pada Instalasi Farmasi Rs Mbsd Periode Juli 2017- Juni 2018analisa Pengelolaan Kebutuhan Logistik Farmasi Pada Instalasi Farmasi Rs Mbsd Periode Juli 2017- Juni 2018, Suherman Suherman, Atik Nurwahyuni

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

There is still a vacuum in the availability of medicines on a monthly basis, raising questions about how to manage pharmaceutical logistics in MBSD Hospital Pharmacy Installation. The purpose of this research is to find out how the logistics management system of drug supplies and various problems that occur at each stage of implementation in the MBSD Hospital Pharmacy Installation. This research uses descriptive and analytical methods that are quantitative and qualitative by conducting in-depth interviews, document review, and calculation of ABC drug classifications to then calculate the Economic Order Quantity value and Re Order Point time on drugs classified …

Kajian Kebutuhan Pengembangan Rumah Sakit Pemerintah Daerah Kelas B Di Provinsi Sulawesi Utara, Puput Oktamianti

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

The existence of regulations regarding regional referrals established by the central government, encourages the North Sulawesi regional government to provide regional referral hospitals that have service capabilities as class B hospitals. For the development of North Sulawesi Provincial Hospital in the future, basic information on services, facilities, facilities and infrastructure, as well as market coverage that depends on system governance, HR capabilities, physical buildings and equipment and resources. The purpose of this study is to examine the service needs of North Sulawesi Provincial Hospital which includes demographic studies, socio-economic studies, studies of morbidity and mortality, study of policies and regulations, …

What's Happening: February 25, 2019, Maine Medical Center

What's Happening

No abstract provided.

Factors Associated With Outpatient Follow-Up After A Pediatric Inpatient Stay At A Community Hospital, Shuchi Jani, Joshua Fogel, Clare Kelly

Publications and Research

Background and objectives: Pediatric settings often use a patient-centered medical home model in caring for patients in the outpatient setting and for attempting to connect inpatient care with outpatient followup. This medical home model has proven to be beneficial in many aspects of patient care, but there needs to be a good transition between inpatient and outpatient services. Our goal in this study is to determine the association of particular variables with adherence to outpatient follow-up after a general inpatient stay, in the pediatric population.

Methods: In a retrospective sample of 221 patients, we study the association of variables such …

03-05-2019 Hsc Committee Meeting Notice, Hsc Committee

HSC Committee (A subcommittee of the UNM Board of Regents)

No abstract provided.

Organizational Wellness Programs As Internal Social Marketing: A Literature Review Of Feasible Approaches, Faith Bontrager Rn, Bsn, Kimball P. Marshall Ph.D.

Atlantic Marketing Association Proceedings

No abstract provided.

What's Happening: February 18, 2019, Maine Medical Center

What's Happening

No abstract provided.

What's Happening: February 11, 2019, Maine Medical Center

What's Happening

No abstract provided.

Using Ai And Nlp To Alleviate Physician Burnout, Aaron Martin

Books, Presentations, Posters, Etc.

Artificial Intelligence (AI) is widely recognized as a powerful tool with potential for many healthcare applications. One application gaining interest is using AI to help solve physician burnout – the state of disillusionment among doctors tired of repetitive data entry tasks, as well as administrative duties, and excessive time spent combing through patient data. In this session, one of healthcare’s top innovators will examine how the power of AI, when merged with natural language processing (NLP), can alleviate many physician burnout woes.

Aaron Martin, a former executive leader and innovator at Amazon before he moved to healthcare, will take a …

Does Work-Induced Fatigue Accumulate Across Three Compressed 12 Hour Shifts In Hospital Nurses And Aides?, Brennan J. Thompson

Kinesiology and Health Science Faculty Publications

Fatigue-related impairments in the nursing workforce contribute to a multitude of health, safety, and economic consequences at the individual, organizational and societal levels. Long and compressed work schedules are commonly worked in the healthcare industry, but more research is needed to understand the cumulative effects of multiple work shifts on physiology-based performance outcomes in nurses. The purpose of this study was to compare the effects of a single nursing work shift versus three compressed (one every 24 hours) 12 hour shifts on performance-based fatigue in nurses and aides. Twenty-six fulltime hospital working nurses and aides (age = 36.1 ± 13.3 …

2019 Revised Hsc Committee Executive Calendar, Hsc Committee

HSC Committee (A subcommittee of the UNM Board of Regents)

No abstract provided.