Health Care Outcomes in Arizona Discussion

Health Care Outcomes in Arizona Discussion ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON Health Care Outcomes in Arizona Discussion I’m working on a health & medical report and need a sample draft to help me study. CCSULB HCA 416 Health Care Outcomes in Arizona Discussion You are assigned with the state of Arizona 2008, which is compared to the national of 2008 data. Below is all the data you need on the “Arizona 2008 Term” excel sheet. It also has the national data. The ‘sample term paper’ is a sample of how the paper should look like and the requirements it needs. The ‘previous student sample’ paper is a document from a past student with a different state. The ‘term project ” document is the rubric. Lab 3 helps you start the report and I just did until 2b because I’m not good with formals. I need someone who is good with excel and access. There are formulas that need to do in order to write the paper. Health Care Outcomes in Arizona Discussion attachment_1 attachment_2 attachment_3 attachment_4 attachment_5 opasdklzxcvbnmqwertyuiopasdfghjklz xcvbqwertyuiopasdfghjklzxcvbnmqwe rtyuiopasdfghvbnrtyuiopasdfghjklzxcv bnmqwertyuiopasdfghjklzxcvbnmqwe rtyuiopasdfghjklzxcvbnmqwertyuiopa Term Paper sdfghjklzxcvbnmqwertyuiopasdfghjklz Comparison of Health Care Outcomes in <> for the <> to xcvbnmqwertyuiopasdfghjklzxcvbnmq corresponding National Statistics wertyuiopasdfghjklzxcvbnmqwertyuio pasdfghjklzxcvbnmqwertyuiopasdfghj klzxcvbnmqwertyuiopasdfghjklzxcvbn mqwertyuiopasdfghjklzxcvbnmqwerty uiopasdfghjklzxertyuiopasdfghjklzxcv bnmrtyuiopascvbnmqwertyuiopasdfg hjklzxcvbnmqwerghjklzxcvbnmqwert yuiopasdfghjklzxcvbnmqwertyuiopasd fghjklzxcvbnmqwertyuiopasdfghjklzxc HCA 416: Management & Information System Prof. Sandhya Shimoga Semester Year Name: <<>> Student ID: << >> Table of Contents Page 2 I. INTRODUCTION In this report, we analyze and compare the hospital’s data in (your state) to the national average and provide recommendations on how to improve the hospital outcomes. <> <> <> Page 3 II. Comparison of State Average Statistics to National Averages 1. AVERAGE LENGTH OF STAY Year State 2008 Your state 2008 National Discharges XXX,XXX X,XXX,XXX Cost $XX,XXX,XXX,XXX $XX,XXX,XXX,XXX Days X,XXX,XXX X,XXX,XXX,XXX ALOS % Difference X.XX X.XX XX.XX% Average length of stay is defined as the average number of days patients stay in hospitals. <> Page 4 2. COST PER DISCHARGE Year State 2008 Your state 2008 National Discharges XXX,XXX X,XXX,XXX Cost $XX,XXX,XXX,XXX $XX,XXX,XXX,XXX Days X,XXX,XXX X,XXX,XXX,XXX Cost per Discharge XX,XXX XX,XXX . Cost per discharge is defined as xxxx. <> Page 5 % Difference XX.XX% 3. COST PER DAY Year State 2008 Your state 2008 National Discharges XXX,XXX X,XXX,XXX Cost $XX,XXX,XXX,XXX $XX,XXX,XXX,XXX Days X,XXX,XXX X,XXX,XXX,XXX Cost per Day X,XXX X,XXX % Difference Your state Cost per day is defined as xxxx. <> Page 6 XX.XX% III ANALYSIS OF TOP 5 DRGs BY DISCHARGE 1. TOP FIVE DRGs BY DISCHARGE FOR THE STATE by DISCHARGE (i.e. DRGs with largest DISCHARGES) Year State Code Discharges X,XXX,XXX Days X,XXX,XXX Diagnosis Related Group and name Your State LEGEND: SHOW THE DRGs descriptions The top 5 DRGs by total discharges for the state are xxxxxx. << DESCRIBE IN WORDS THE ABOVE CHART.>> Page 7 2. TOP FIVE DRGs BY DISCHARGEs at the National Level (i.e. DRGs with largest DISCHARGES) Year State Code Discharges X,XXX,XXX Days X,XXX,XXX Diagnosis Related Group and name The top 5 DRGs by total discharges nationally are xxxxxx. << YOU ALSO NEED TO COMPARE AND CONTRAST WHETHER THERE ARE ANY COMMON DRGs BY DISCHARGE IN TOP 5 DRGs FOR YOUR STATE AND NATIONAL LEVELS. EXPLAIN. LOOK AT THE DRG CATEGORIES AS WELL AS THEIR PERCENT DISTRIBUTIONS. >> Page 8 IV TOP FIVE DRGs BY ALOS 1. TOP FIVE DRGs BY ALOS FOR THE STATE (i.e. DRGs with largest ALOS) Year State Code Days Discharges ALOS X,XXX,XXX X,XXX,XXX Diagnosis Related Group and name Change the heading to “Top 5 DRGs by ALOS” DRG Labels The top 5 DRGs by ALOS for the state are xxxxxx. <> Page 9 2. TOP FIVE DRGs BY ALOS NATIONAL (i.e. DRGs with largest ALOS) Year State Code Discharges Days ALOS X,XXX,XXX X,XXX,XXX Diagnosis Related Group and name NATIONAL [Grab your reader’s attention with a great quote from the document or use this space to emphasize a key point. To place this text box anywhere on the page, just drag it.] The top 5 DRGs by ALOS for national are xxxxxx. << YOU ALSO NEED TO COMPARE AND CONTRAST WHETHER THERE ARE ANY COMMON DRGs IN TOP 5 DRGS BY ALOS FOR YOUR STATE AND NATIONAL LEVELS. EXPLAIN. LOOK AT THE DRG CATEGORIES AS WELL AS THEIR PERCENT DISTRIBUTIONS. >> Page 10 V. CONCLUSION <> VI. REFERENCES <> Page 11 TERM PROJECT Sandhya Shimoga, Ph.D. HCA 416 Term Project • Check the state and year assigned to you on the assignment sheet posted on BeachBoard • Goal is to compare how your state in doing compared to national averages in terms of several healthcare statistics such as ALOS, Costs etc. • You will also look at top 5 DRGs for your state and compare them to national level top DRGs • All of the above are done for the Year that you are assigned • Download data • Follow the Sample Template 2 Term Project-Tables • Number formats • All numbers greater than 999.99 must have the one thousand comma separators • All percentages must be decimal formatted to the 100th • Currency formats • All cost results must have the currency sign • Must be formatted to include cents • Data analysis outputs • Must be formatted to the include the correct, modified headings. That is, they must not have headings such as “sumOfALOS” • Tables should have borders • Follow the sample template for tables and the data to be included in them 3 Term Project-Graphs • Do not use strange colors that are unreadable • Labels and Headings • • • • • Graph must have a heading and bars or section should be labeled Vertical and horizontal axes must be labeled with the units. i.e. “Days” If the graph is a pie chart, must include the legend If the graph is a bar chart, must label each bar with the measure. All bar or pie sections must have the value label • Make sure value label and chart color are contrasting and labels are readable (e.g.: black letters on dark red/maroon background are not very readable) 4 Term Project-Introduction • Include the state and the year you are evaluating. • Include the tools you used to complete the report (Access and/or Excel) • Explain the purpose of the report • Describe your role – e.g.: HR manager, Policy Analyst or Financial Analyst • Explain from your role’s perspective, how you would use the information and the analysis from this report. 5 Term Project-Analysis • Compare your state with national measures for the SAME YEAR • ALOS, Cost/Year, Cist/Discharge • Compare the differences in % distribution of each of the above between state and National • Compare DRGs and ALOS for your state with National measures for the same year • Compare the top 5 DRGs by total discharges (select 5 largest discharges for state and National) • Compare the top 5 DRGs by ALOS (select 5 largest ALOS for state and National) • Discuss the potential reasons for these differences • It is NOT ENOUGH to just provide tables and graphs, YOU MUST EXPLAIN IN WORDS the tables and graphs as well as your ANALYSIS • Make sure to provide some literature references for your reasoning. For example, if you are in FL and ALOS are really high, it may be because of the older population. Provide references for this. 6 Term Project-Analysis: Step-by-Step • You have the option of using Access or Excel or both for analysis • Analysis will be done in Lab #3 • In lab #3 you will do the following: • Clean the data • Delete all the data EXCEPT data corresponding to your assigned state and national data for the year • Delete any row that has ANY empty cell for any of the discharges, days or cost. That means if any of these three are empty, you delete the WHOLE row • Once data are cleaned, compute the following: • totals for days, discharges and costs for both national and state levels • Compute average length of stay (ALOS) = days/discharges per row • Then compute average of ALOS • Compute cost/day per row • Then compute average cost/day CCSULB HCA 416 Health Care Outcomes in Arizona Discussion • Compute cost/discharge • Then compute average cost/discharge • Then you use the above computations to create the graphs/charts as per template • You will also use the above to compute percent difference between state and national for each of the following: ALOS, Cost/Day and Cost/Discharge. • % Difference = (National – State)/ National • You will use the cleaned data to further do the following: • Select 5 largest DRGs by Discharges for state and national levels • Create corresponding charts • Select 5 largest DRGs by ALOS for state and national levels • Create corresponding charts 7 Term Project-Conclusion • What did you discover about healthcare delivery & costs in your state and how do they compare to national measures? • In your role, what do you intend to do with this information? • What programs/services do you think your state might need? • What programs/services do you think you could recommend for change? • What additional research do you need to do to complete your decision making process? • Do you suggest using any performance measurement or quality improvement processes and what are those? 8 Grading Rubric Grading Rubric • Data accuracy (30 points) • Data format (15 points) • Graphs (15 points ) • Analysis (15 points) • Language and grammar (15 points) • Structure (10 points) • TOTAL = 100 points Any delay in term project submission will result in 5 percentage points per day GOOD LUCK Lab #3: Creating your tables for your term paper and understanding how to go about interpreting results: 1. Download the term paper data. 2. Clean up the spreadsheet: a. Keep only the data for your state and year and the national data for the same year. b. Delete all rows with empty cells in days, discharges and cost fields. c. Create ALOS, cost per discharge, cost per day fields (or you can do it in Access). d. Save the cleaned Excel file. 3. Import your cleaned spreadsheet into MS Access. If you do not have MS Access, skip the following steps and use Excel to do the calculations for the term paper. Submit your excel file with calculations for each table as per template to Lab #3. You do NOT need to submit charts for Lab #3. Do it for your paper. IF USING ACCESS, PROCEED WITH THE FOLLOWING: 4. Create queries to create the first 3 tables in your term paper template (excluding the % difference field, which you do by hand on in excel). Note that you will need queries to aggregate data at State and National levels. 5. Copy the query output to a spreadsheet to create charts (or you can do it in Access). 6. Save your Access database and submit to dropbox folder Lab #3. Running Head: COMPARISON OF HEALTHCARE OUTCOMES Term Paper Comparison of Health Care Outcomes in Hawaii for the 2008 to Corresponding National Statistics HCA 416: Management & Information System Professor: Dr. Sandhya Shimoga Spring 2019 Name: Kennedy Nguyen Student ID: 015688073 1 COMPARISON OF HEALTHCARE OUTCOMES 2 Table of Contents I. INTRODUCTION …………………………………………………………………………………………………………………………… 3 II. COMPARISON OF HAWAII AVERAGE STATISTICS TO NATIONAL AVERAGES . 4 1. Average Length of Stay ………………………………………………………………………………………….. 4 2. Cost per Discharge …………………………………………………………………………………………………. 5 3. Cost per Day …………………………………………………………………………………………………………. 7 III. ANALYSIS OF TOP 5 DRGS BY DISCHARGE ……………………………………………………………… 8 1. Top Five DRGs by Discharge for Hawaii …………………………………………………………………. 8 2. Top Five DRGs by Discharge at National Level………………………………………………………. 10 IV. ANALYSIS OF TOP 5 DRGS BY ALOS …………………………………………………………………………….. 12 1. Top Five DRGs by ALOS for Hawaii …………………………………………………………………….. 12 2. Top Five DRGs by ALOS at National Level …………………………………………………………… 15 V. CONCLUSION ……………………………………………………………………………………………………………………………. 17 VI. CCSULB HCA 416 Health Care Outcomes in Arizona Discussion REFERENCES ………………………………………………………………………………………………………………………….. 19 COMPARISON OF HEALTHCARE OUTCOMES 3 I. INTRODUCTION This report will analyze and compare the hospital’s data in Hawaii to the national average and provide recommendations on how to improve the hospital outcomes. All of the data in this report is taken and calculated by using Microsoft Excel and Microsoft Access. As a quality improvement (QI) analyst, my main purpose of conducting this report is to look at and understand how discharges and average length of stay (ALOS) in Hawaii in 2008 may affect their quality of care comparing to the national average indexes. Moreover, from the top 5 DRGs ranked by discharge and ALOS, we can learn more about other aspects of care as well as some diseases that are more likely to occur due to demographic and geographic issues. As a QI analyst, I can use that information to make decisions on how to implement certain methods to keep the cost as low as possible while providing the highest quality of care. According to the Census Bureau, in 2008, Hawaii’s population was approximately 1,229,000 people in which 85% was under age of 65 (Kaiser Family Foundation, 2019). According to Greg Moody and Sharon Silow-Carroll, health management associates, from the Common Wealth Fund, in 2009, among other states in the U.S., Hawaii was considered as having the healthiest population (Moody and Silow-Carroll, 2009). In terms of healthcare accessibility, Hawaii had “higher rates of insurance coverage than other states, mainly because of a 1974 employer mandate to provide insurance for employees” (Moody and Silow-Carroll, 2009, p. 4). Therefore, it is critical to conduct this report in order to understand the difference in different aspects relating to healthcare outcomes between Hawaii and the national average. COMPARISON OF HEALTHCARE OUTCOMES 4 II. COMPARISON OF HAWAII AVERAGE STATISTICS TO NATIONAL AVERAGES 1. Average Length of Stay Year State 2008 HI 2008 National Discharges Cost 122,233 39,443,048.36 $ Days ALOS 2,514,692,621.37 619,821.42 6.05 $ 942,313,224,634.84 181,258,949.4 5.36 % Difference 12.09% Average Length of Stay Hawaii vs. National in 2008 6.20 6.05 Days 6.00 5.80 5.60 5.36 5.40 5.20 5.00 HI National State Average length of stay (ALOS) is defined as the average number of days patients stay in hospital. LOS is an important measure for management, financing, and resource utilization (Freitas et al, 2012). As in 2008, Hawaii’s ALOS was around 6 days which was 1 day higher than the national average of 5.36 days. The difference may due to the fact that Hawaiian older population (60 years old and above) tend to grow faster than the younger one (Substance Abuse and Mental Health Services Administration, 2012). Therefore, the LOS for the elderly tends to be longer than younger adults. Moreover, for all working Hawaiians who are under 65, they are covered under the Prepaid Health Care Act of 1974, where it requires “all employers to provide COMPARISON OF HEALTHCARE OUTCOMES 5 health insurance to their employees who work 20 hours or more a week for four consecutive weeks” (Moody and Silow-Carroll, 2009, p. 4). Thus, patients who are covered under this act tend to spend more days in the hospital than their counterparts in other states. As a QI analyst, it is essential to note that LOS is an important measure to the hospital and organization’s success in achieving the primary goal of providing the highest quality of care while minimizing costs and other related factors. “Reducing LOS can release capacity in the system (including beds and staff time) and improve throughput, enabling the hospital to serve more patients” (HealthCatalyst, 2016, para. 6). In order to successfully reduce the LOS, administrators and managers should implement discharge planning at admission in which we can develop care plan and estimate date of discharge beforehand.CCSULB HCA 416 Health Care Outcomes in Arizona Discussion Moreover, we can discuss and explain to patients about the care plan as well as helping them to understand the discharge process so they can make decisions for themselves. By implementing correct methods, we can reduce the LOS while reaching the highest quality of care and keeping the lowest costs as much as possible. 2. Cost Per Discharge Year State 2008 HI 2008 National Discharges 122,233 39,443,048.36 Cost $ 2,514,692,621.37 Days Cost per Discharge 619,821.42 $ 28,623.07 $ 942,313,224,634.84 181,258,949.4 $ 33,921.49 % Difference 16.94% COMPARISON OF HEALTHCARE OUTCOMES 6 Average Cost per Discharge Hawaii vs. National in 2008 $36,000.00 $33,921.49 Cost $33,000.00 $30,000.00 $28,623.07 $27,000.00 $24,000.00 HI National State Cost per discharge is defined as the total cost divided by discharge. Hawaii in 2008 had a lower cost per discharge than the national average. For instance, Hawaii’s index was around $28,600 per discharge while the national average was roughly $34,000 per discharge. The difference may due to the fact that almost 90% of adult and nearly 95% of children was under health insurance coverage (Moody and Silow-Carroll, 2009). Moreover, health care cost and health insurance premiums in Hawaii were much lower than any other states and even the national average. For instance, “Hawaii is […] the lowest employer-sponsored health insurance premiums of any state ($3,831 for individuals in 2008), about 13 percent below the national average [and] Medicare costs per beneficiary are 31 percent below the national average” (Moody and Silow-Carroll, 2009, p. 4). Another demographics and ethnical/racial aspects that also contribute to the lower cost per discharge in Hawaii is that Hawaiians are considered as having very good health and having good accessibility to the gatekeepers as well as preventive care (Moody and Silow-Carroll, 2009). Therefore, they are less likely to spend their inpatient days in the hospitals which translate to lower cost per discharge. COMPARISON OF HEALTHCARE OUTCOMES 7 3. Cost Per Day Year State 2008 HI Discharges 122,233 2008 National 39,443,048.36 Cost $ 2,514,692,621.37 Days Cost per Day 619,821.42 $ 5,009.26 $ 942,313,224,634.84 181,258,949.4 $ 6,340.32 % Difference 23.46% Average Cost per Day Hawaii vs. National in 2008 $6,340.32 $6,500.00 $6,000.00 Cost $5,500.00 $5,000.00 $5,009.26 $4,500.00 $4,000.00 HI National State Average cost per day is calculated by dividing the total cost by the total days. In 2008, Hawaii had a lower average cost per day than the national average. For instance, Hawaii’s index was $5,009.26 per day whereas at national level, the average cost per day was $6,340.32. The main reason for this difference wa … Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

Read more
Enjoy affordable prices and lifetime discounts
Use a coupon FIRST15 and enjoy expert help with any task at the most affordable price.
Order Now Order in Chat

Start off on the right foot this semester. Get expert-written solutions at a 20% discount