Simulation / ACA

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Part 1: Simulation for Performance Improvement

As you have examined this week, simulation as an analytic tool can assist healthcare administration leaders execute important improvement initiatives. Simulations can be used to determine the impact of hospital outbreaks, shortages in staff, potential disaster events, or even financial challenges that might impact healthcare delivery for a health services organization. As a current or future healthcare administration leader, the ability to use simulation as an analytic technique will help you execute sound decision making to tackle healthcare administration challenges.

For this Discussion, review the resources , and consider those issues that might most affect healthcare administration practice. Consider how those issues might be addressed through the process of using simulation as an analytic technique, and reflect on how you might apply the process of simulation to address these issues.

Explain in 2 or 3 paragraphs of how simulation might be used to improve performance in your health services organization or one with which you are familiar. Be specific, and provide examples.

Part 2: Assignment: Simulation in Health Care

Sometimes, challenges or issues in healthcare delivery are not prescriptive in nature and cannot be solved using pure optimization. Simulation provides healthcare administration leaders and decision makers a method to evaluate problems using probabilistic components. For example, a primary care queueing problem might logically follow a Poisson process and be modeled using simulation techniques.

For this Assignment, review the resources, and examine the different simulation techniques highlighted. Reflect on how these simulation techniques might apply to specific challenges or issues for healthcare delivery. Then, complete the assigned problems for the Assignment.

The Assignment: (3–5 pages)

  • Complete Problem 40 on page 876 of your course text.

Note: You will be using Excel and @Risk for this Assignment.

Albright, S. C., & Winston, W. L. (2015). Business analytics: Data analysis and decision making (5th ed.). Stamford, CT: Cengage Learning.

  • Chapter 15, “Introduction to Simulation Modeling” (pp. 812–879)X

Required Media

Palisade [PalisadeCorp]. (2014a, January 29). Introduction to Monte Carlo simulation and risk analysis using @RISK and RISKOptimzer [Video file]. Retrieved from https://www.youtube.com/watch?v=KgAHLRxjBsA&feature=youtu.be

Part 3 The Affordable Care Act

QUESTION a:The Affordable Care Act: Variability by State

The costs of implementing provisions called for under the PPACA, and the benefits from the legislation, vary from one state to another. The degree to which your health care organization must adhere to guidelines of the ACA may affect the extent of the type of health care services offered, the types of patients served by your facility, and how health care costs are maintained. As a current or future health care executive, you must consider how to balance operations of your health care organization within the context of the ACA and in providing high-quality, low-cost health care.

Review the resources. Search for the cost of implementing the ACA for a health care organization in your state. Reflect on the benefits of implementing the ACA for a health care organization in your state. How might your health care organization, or one with which you are familiar, be affected by ACA mandates?

Describe in 2 or 3 paragraphs the costs of implementing ACA provisions in your state. Then, explain the benefits of the ACA in your state. Explain how the costs and benefits of the ACA may impact you as a current or future health care executive and your health care organization or one with which you are familiar. Be specific and provide examples.

QUESTION b: Population Health and the Affordable Care Act

Earlier in this course you examined how health care organizations are beginning to look at value-based care, which often encompasses care across the continuum of health care services. You also considered how this was associated with new payment methodologies. Care across the continuum links to population health, which describes the outcomes of the health of the population, and to new payment methods through the ACA.

As a health care executive for a hospital, you have been responsible for caring for the patient in your hospital bed. In the last couple of years, your role has likely expanded to include determining how to keep patients from being re-hospitalized. With the implementation of the ACA, your role is expanding further to encompass population health.

Review the resources and reflect on your role as a health care executive in implementing ACA provisions related to population health strategies. Reflect on the considerations you should keep in mind to fully comply with and enact population health strategies in light of ACA legislation.

Explain in 2 or 3 paragraphs how you as a hospital chief executive officer (CEO) might create a population health strategy based on ACA foci. Be specific and provide examples.

Required Readings

DiMichele, T. (2016). Obamacare facts: Facts on the Affordable Care Act. Retrieved from http://obamacarefacts.com/obamacare-facts/

Hardcastle, L. E., Record, K. L., Jacobson, P. D., & Gostin, L. O. (2011). Improving the population’s health: The Affordable Care Act and the importance of integration. Retrieved from http://scholarship.law.georgetown.edu/cgi/viewcontent.cgi?article=1032&context=ois_papers

Huelskoetter, T. (2015). 2014 census data confirm dramatic impact of the Affordable Care Act. Retrieved from https://www.americanprogress.org/issues/healthcare/news/2015/09/16/121094/2014-census-data-confirm-dramatic-impact-of-the-affordable-care-act/

Kliff, S. (2013). The cost of Obamacare varies wildly by state. Retrieved from https://www.washingtonpost.com/news/wonk/wp/2013/10/13/the-cost-of-obamacare-varies-wildly-by-state/

Robert Wood Johnson Foundation. (2015). Reform by the numbers. Retrieved from http://www.rwjf.org/en/library/features/reform-by-the-numbers.html

Shaw, F. E., Asomugha, C. N., Conway, P. H., & Rein, A. S. (2014). The patient protection and Affordable Care Act: Opportunities for prevention and public health. The Lancet, 384(9937), 75–82.

Stoto, M. A. (2013). Population health in the Affordable Care Act era. Retrieved from https://www.academyhealth.org/files/AH2013pophealth.pdf

Urban, J. (2013, September 23). How the Affordable Care Act (ACA) varies by state [Blog post]. Retrieved from http://www.zanebenefits.com/blog/bid/317011/How-the-Affordable-Care-Act-ACA-Varies-by-State

U.S. Department of Health and Human Services. (2015a). The Affordable Care Act is working. Retrieved from http://www.hhs.gov/healthcare/facts-and-features/fact-sheets/aca-is-working/index.html

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