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Pages:
2 pages/β‰ˆ550 words
Sources:
2 Sources
Style:
APA
Subject:
Health, Medicine, Nursing
Type:
Coursework
Language:
English (U.S.)
Document:
MS Word
Date:
Total cost:
$ 10.37
Topic:

Comparing Health Care Models and Lean Six Sigma Infographic

Coursework Instructions:

Overview
In this assignment, you consider a scenario in which you are asked to compare U.S. government and private sector health care financing models as well as create an infographic depicting the application of Lean Six Sigma principles to reduce cost and improve patient health outcomes.
Scenario
Imagine that you are tasked with providing a comparison of government and private sector health care models for senior executives at a health care organization. You decided to create a table that compares the differences between both financing models in terms of cost, access, reimbursement, and quality.
You also want to impress upon the senior executives the importance of providing efficient and effective health care, so you will create an infographic designed to introduce them to the application of Lean Six Sigma principles to streamline operations and improve health outcomes. Some examples that you may consider include medical errors, patient wait times, supply chain management, or billing errors.
Preparation
The optional resources below will aid you in completing this two-part assignment.
Part 1: Comparing Health Care Models
In Part 1 of this assignment, you will compare the cost, access, reimbursement, and quality of government and private sector models. Choose one government and one private sector model from the list below and begin your research.
Government
Medicare.
Medicaid.
Veteran's Administration.
Private Sector
Employer Provided Insurance.
HMO.
PPO.
One of the characteristics that you will consider - quality - should be assessed using the Centers for Medicare and Medicaid Services (CMS) Quality measures. Optional resources to aid your assessment can be found at:
National Impact Assessment of the Centers for Medicare & Medicaid Services (CMS) Quality Measures ReportsLinks to an external site..
Quality Measures: How They Are Developed, Used & MaintainedLinks to an external site.
HEDIS Measures and Technical ResourcesLinks to an external site..
Part 2: Lean Six Sigma Infographic
Choose a health care function to evaluate for efficiency and effectiveness of delivery. You will apply Lean Six Sigma principles by using the DMAIC methodology to present how errors and waste can be reduced in the infographic. Examples might include but are not limited to, areas such as medical errors, patient wait times, supply chain management, or billing errors.
Useful Tools and Resources (Optional)
To create your infographic, you can use whatever graphics tool you prefer. One such tool, CanvaLinks to an external site. offers templates that may speed the process.
Examples and information on how to create effective infographics can be found on the Internet in places like Business Illustrator: What Makes a Good InfographicLinks to an external site..
Six Sigma - How DMAIC Helps Hospitals Improve Patient CareLinks to an external site..
Six Sigma ManiaLinks to an external site. - Provides an example of Six Sigma in health care and an accompanying infographic example.
Instructions
Consider the scenario and complete both parts of this assignment using the Week 8 Assignment Template [DOCX] Download Week 8 Assignment Template [DOCX]for comparison of the government and private sector health care financing models. Complete the template using your own words and add three references below the template to support your work. Remember that the deliverables are designed to inform on high-level concepts only. You will submit two separate files for the assignments: a Word file and a pdf file that you download from Canva.
Part 1: Comparing Health Care Models
Compare U.S. government and private sector financing models in the table and include a minimum of four sentences for each criterion:
Cost - What the patient pays: premiums, copays, and deductibles.
Patient Access - Who is eligible for the plan?
Provider Reimbursement - How does the plan reimburse the provider? What are the payment models?
Quality - Apply CMS Quality measures and HEDIS measures.
Provide a brief economic analysis of which model promises the highest quality from the patient perspective. Support your assertion with data or examples.
Part 2: Lean Six Sigma Infographic
Create an infographic (using the DMAIC approach - Define, Measure, Analyze, Improve, Control) depicting how Lean Six Sigma would be used to reduce waste and errors in health care for an operation of your choosing. Examples include medical errors, patient wait times, supply chain management, or billing errors. The following resources for DMAIC should be used for selecting your Lean Six Sigma tools and to review how Lean Six Sigma can be used by hospitals to improve patient care

Coursework Sample Content Preview:

Week 8 Assignment
Name
Affiliation
Course
Professor
Due Date
Part 1: Compare US Government and private sector approaches
SEQ Table \* ARABIC 1: Government and Private Healthcare Comparison Summary

Medicare

HMOs

Cost

Medicare is financed through general revenues, the tax revenues from payrolls, and the premium fees from the beneficiaries (Cubanski, Neuman & Freed, 2019). As of 2021, the total funding need for the program was US$ 888 billion. Of those, 337.4 billion were spent on Part A services, 435.6 billion were spent on part B services, and 114.8 billion were directed towards providing part D services.

HMOs are mainly funded through premiums and fees. The average single coverage costs of HMO in the Affordable Care Act (marketplace) varies from US$ 390 to US$ 930 based on age. Other factors that influence the cost include location, the plan, smoking status, and dependents on the plan.

Patient Access

Medicare plan is accessed by individual wo are aged above 65 years, some of the people with disabilities, and citizens suffering from end-stage renal disease. To this end, Medicare covers inpatients services, hospice care, skilled nursing facility care (Part A), outpatient care and preventive care (Par B), and prescriptive drugs (Part D).

HMOs are available to individual based on the extent to which they are eligible for the care. The coverage varies based on the plan chosen by the employer or the individual.

Provider Reimbursement

Medicare determines the rates at which the providers should be reimbursed for the services that they provide. To this end, Medicare covers all Part A and Part B related expenses, and several drugs in Part D.

The HMOs reimburses the providers...
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