Business Best-Practices for Success in Medicare's Value-Based Health-Care Program
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Business Best-Practices for Success in Medicare's Value-Based Health-Care Program

Business Best-Practices for Success in Medicare's Value-Based Health-Care Program


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About the Book

This book is a must read for health-care organization leaders. This research is of significance for the health-care organizations looking for a fresh approach to use resources appropriately to reduce waste, increase value of services, deliver the quality of health care the system as intended, and enable health care organization leaders to maintain their financially profitable status.
This study supports the need for evidence-based business strategies that facilitates success in participating organizations of Medicare's value-based program and a redefinition of financial sustainability in health care that emphasizes value.
Within the health-care industry, numerous quality improvement strategies exist to promote a more efficient and effective system. Despite such strategies, the health-care system is yet to experience sustained quality improvement.
Value-based health care is a pecuniary strategy established by the Center of Medicare and Medicaid Services to achieve sustained improvement, both in the delivery of care and in clinical outcomes.
Medicare provides clinical process measures as a guideline for organizations in delivering higher quality with a value-based strategy. This strategy situation may create difficulties for organizations in selecting the most suitable business strategies that maintain a quality-financial balance.
Leaders are left to guess at business strategies most optimal for success in the program, as well as for the organization's financial sustainability.
Sustained improvement in the health-care industry can be accelerated when leaders are knowledgeable on appropriate strategies important to increasing the value and quality of care, while reducing waste.
This exploratory qualitative study used the Malcolm Baldrige Criteria for Performance Excellence as a quality improvement tool for exploring the business strategies can promote clinical and financial success for organizations participating in Medicare's value-based program.


Key Search Words: access to care, accountability, accreditation, administrative costs, Affordable Care Act (ACA), Baldrige Quest for Excellence, benchmarking, best-care practices, business measures, business processes, business strategies, Caucasians, clinical practices, clinical quality, clinical-related measures, compliance, concepts of quality, costs, customer satisfaction, defensive medicine, delivery of care, economy, employee involvement, error-reporting, evaluation of processes, evidence-based practices, expenditures, fee for service, financial sustainability, Health care expenditures, health-care costs, health-care industry, health-care leaders, health-care organizations, health-care outcomes, health-care reform, health-care services, health-care spending, Healthcare Management, high-performance systems, hospital rating, innovation, insurance, investments, knowledge management, leadership, Lean Six Sigma, lessons learned, litigation, long-term growth, Malcolm Baldrige Criteria for Performance Excellence, Malcolm Baldrige National Quality Award, malpractice risk, management, measure of quality, medical industry, medical practice, Medicare, mismanagement of resources, patient-centric care, pay-for-performance, Performance Excellence, performance measures, performance outcomes, pricing failures, production costs, quality improvement, quality improvement strategies, quality measures, quality patient outcomes, quality strategic planning, regulatory compliance, reimbursements, self-assessment, self-evaluation, standardization, strategic planning, supply-chain management, Total Quality Management (TQM), training, utilization costs, value of care, value-based care initiative, value-based concept, value-based health care, value-based purchasing, workflow improvement
About the Author: Dr. Nicole B. Dhanraj received her Bachelor's Degree in Psychology from St Martin's University and her Master's in International Relations, graduating magna cum laude from Troy State University. She earned her doctorate with an emphasis in Organizational Management from Capella University. She is considered a subject matter expert on the technical, managerial, and operational aspects of healthcare.
Dr. Dhanraj began her career in radiology as a diagnostic imaging and CT technologist in the US Army, and her background also includes clinical work in interventional radiology and MRI.
Dr. Dhanraj is passionate about global radiology and seeks to strengthen the international radiology community through empowering others with her knowledge.
She is a recent recipient of the 2016 ASRT Foundation International Speaker Exchange Award in Canada and the 2016 ASRT Foundation Community Outreach Fellow for Cape Verde. She is a volunteer with RAD-AID, serves as an ambassador with the World Radiography Educational Trust Foundation (WRETF) and is an active member with the International Society of Radiographers and Radiological Technologists.
She co-authored the article, Zika Virus: Implications for Medical Imaging Professionals, published in the July/August 2016 issue of Radiologic Technology. She is dedicated to issues such poverty, entrepreneurship, environment, and women affairs and has presented at international conferences on topics related to these issues.
When she is not saving the world one x-ray at a time, she works as a researcher, an educator, and as the Director of Radiology at Guam Memorial Hospital, in Guam.


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Product Details
  • ISBN-13: 9780692985182
  • Publisher: Dbc Publishing
  • Publisher Imprint: Dbc Publishing
  • Height: 229 mm
  • No of Pages: 290
  • Spine Width: 15 mm
  • Width: 152 mm
  • ISBN-10: 0692985182
  • Publisher Date: 15 Nov 2017
  • Binding: Paperback
  • Language: English
  • Returnable: N
  • Weight: 440 gr


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Business Best-Practices for Success in Medicare's Value-Based Health-Care Program
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