INSTRUCTIONS
Assume the role in the scenario below:
Scenario: You are a new graduate working as an executive assistant for the chief operations officer (COO) of a health care alliance partnership. This organization operates across multiple countries and is considering entering into risk-based contracting. You have been assigned to research and recommend best practices for management of a disease, which can be applied across countries.
- Use the disease state or health issue you identified in the previous assessment or choose another one (for example, hip replacement) as the basis for this assessment.
- Identify two countries with superior performance indicators for managing the disease or health issue.
Write a 4–5-page report for your organization. Use tables or charts as needed to succinctly convey information. Organize your report as follows:
PERFORMANCE INDICATORS
- Appraise current performance indicators and outcome measures for delivery, quality, affordability, and accessibility.
- Compare key performance indicators for management of a disease among countries. (A chart or table could be created for this information.
- Costs: Compare the disease or diagnosis cost information for each country against the Center for Medicaid and Medicare (CMS) case rate for the disease or diagnosiS
- BEST PRACTICES
- Recommend best practices for disease management that can be applied across countries.
- Explain how best practices were selected.
- Which country is superior in each category?
ORGANIZATIONAL IMPLICATIONS
- Evaluate the implications of implementing recommended best practices for the organization for delivery, quality, affordability, and accessibility. Consider:
- Cost.
- Revenue.
- Markets.
- CONSUMER IMPLICATIONS
- Evaluate the implications of implementing recommended best practices for consumers for delivery, quality, affordability, and accessibility.
- PROVIDER MANAGEMENT
- Identify the challenges for managing providers within a fee-for-services versus a risk-based contracting plan.
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