Healthcare System Survey Data
Healthcare System’s Survey Data
This report uses the HCAHPS “(Hospital Consumer Assessment of Healthcare Providers and Systems)” scores (Medicare Gov, 2014 p1) to develop the strategic plan for the University of Alabama Hospital. The objective of analyzing the HCAHPS scores of the organization is to enhance an improvement for the hospital. The essence of the NCAHPS is to use the scores of the organization and compare them with hospitals that enroll for the Medicare. The results allow consumer to make objective and fair comparison about the hospital, and evaluate importance care received compared to the national or state standard.
Objective of this document is to use the HCAHPS scores of the University of Alabama Hospital to make the strategy plan and improve the entire organization. The outcomes of the document is to assist the hospital board to make a detailed strategic plan for the organization in order to incorporate quality improvement, care delivery model, share accountability, technology and financial stability. The document also presents the timeline to complete the proposal.
A. Analysis of the HCAHPS score of the University of Alabama Hospital
The study uses the HCAHPS scores of the “Inpatient Psychiatric Facility Quality Reporting Program Facility” (Medicare Gov, 2014 p1) to analyze the University of Alabama Hospital. The Appendix 1 provides the HCAHPS scores for the University of Alabama Hospital. “The inpatient Psychiatric facility program” (Medicare Gov, 2014 p1) allows consumer to compare the quality of the hospital with other hospitals dealing with inpatient psychiatric services. (Medicare Gov, 2014 p1) The paper uses the following variables to evaluate the quality of the facility of the hospital:
HBIPS 2, – “Hours of physical restraint use”
HBIPS 3-” Hours of seclusion use”
HBIPS 6 — “Post discharge continuing care plan” and HBIPS 7-“Post discharge continuing care plan transmitted to next level of care provider upon discharge.” (Medicare Gov, 2014 p1).
B1.Comparing University of Alabama Hospital Score to the State average and National average
The paper collects the HCAHPS scores of the University of Alabama Hospital between 01 October 2012 and 31 March 2013. Comparative analysis of the University of Alabama hospital to the national average and state average on the quality of facility for the Inpatient Psychiatric unit reveals that the University of Alabama hospital performs below national average and state average with reference to HBIPS-2. For example, the number of hours that the hospital use in the physical retrain of inpatient (HBIPS-2) is 1.75-hour, while the state average is 0.54 and the national average is 0.39.
Moreover, the total number of hours that the hospital holds all psychiatric inpatients in seclusion (HBIPS 3) is below the state average. The hospital scores 0.28-hour, while the state average hour is 0.11-hour. However, University of Alabama hospital performance on HBIPS-3 is better that national average that scores 0.35. The paper also evaluates the hospital based on the post continuing care plan after patients have been discharged (HBIPS 6) from the hospital. The results reveal that the hospital performs below the state average and national average. While the University of Alabama Hospital scored 28.56, the score for the state average is 80.22 and the national average is 73.52.
The University of Alabama Hospital scores zero for the “Post discharge continuing care plan transmitted to next level of care provider upon discharge.” (HBIPS 7) .” (Medicare Gov, 2014 p1). While the score for the state average is 73.98 and the score of the national level is 62.74.
2. Comparing University of Alabama Hospital Scores to Trinity Medical Center and St. Vincent’s East Care
The paper compares the score of the University of Alabama Hospital with the Trinity Medical Center in Alabama. The results reveal that the University of Alabama Hospital performs better than the Trinity Medical Center for the (HBIPS-2) because the Trinity Medical Center scores 3.85 hours on the number of hours that the hospital use in maintaining physical retrain of patient while the University of Alabama score 1.75-hour.
The total number of hours that the Trinity Medical Center holds all psychiatric inpatients in seclusion (HBIPS 3) is 0-hour, which is better than the University of Alabama Hospital score of 0.28-hour
Moreover, the Trinity Medical Center performs better than the University of Alabama Hospital on the post continuing care plan after patients have been discharged. (HBIPS 6) because the hospital scores 100 compared to the University of Alabama Hospital that scores 28.56.
On the other hand, St. Vincent’s East Care in Alabama performs better than the University Of Alabama Hospital in HBIPS-2 because its score is 0.03 hours compared to the University of Alabama that scores 1.75-hour. In HBIPS 3 (hour of seclusion), the St. Vincent’s East Care scores 0.2 hours compared to the University of Alabama that scores 0.28-hour. In HBIPS 6 (“Post discharge continuing care plan”), the St. Vincent’s East Care scores 88.64 while the University of Alabama that scores 28.56.
3. Comparing the survey response rates to the Sparks Regional Medical Center and Baptist Medical Center
The survey response of the University of Alabama is very good and above average because virtually all the survey results for the HBIPS 2, HBIPS 3, HBIPS 6 and HBIPS 7 have been recorded and displayed at the NCAHPS website. However, the response rate for the Baptist Medical Center in Alabama is poor because its response scores for the HBIPS 2, HBIPS 3 are not available. Although, the hospital records a response scores for HBIPS 6 because it score 94, overall, the University of Alabama Hospital response rate is better than the Baptist Medical Center response rates. Moreover, the University of Alabama Hospital response rate is better than the response rate of the Sparks Regional Medical Center because Sparks Regional Medical does not have the scores for the HBIPS 2, and HBIPS 3. Although, the hospital records a response scores for the HBIPS 6 because it score 100, overall, the University of Alabama Hospital response rates are better than the response rates of Sparks Regional Medical Center and Baptist Medical Center response rates.
4. University of Alabama Hospital Demographic of Patient population & Services
The demographic of the patient for the University of Alabama Hospital is presented in the table below:
Admissions
72,212
Inpatient surgeries
22,144
Outpatient visit
422,609
Emergency room visits
83,433
Births
1,146
Number of Beds
1,062
Moreover, the hospital delivers the following services:
Services Delivered by the University of Alabama Hospital
Inpatient
Birthing room
Burn care
Heart catheterization (diagnostic child)
Heart catheterization (diagnostic adult)
End-of-life services (Palliative care & Pain management )
Neonatal intensive care
Neonatal intermediate care
Infection isolation room
Heart surgery (adult)
Heart surgery (pediatric)
Heart catheterization (treatment adult)
Heart catheterization (treatment child)
Cancer services
Psychiatric care & Psychiatric emergency services
Outpatient
Certified trauma center
Dental services
Chemotherapy
Chiropractic services
Alzheimer center
Arthritis center
Bariatric and weight control services
Heart catheterization (diagnostic adult)
Breast cancer screening and mammograms
Heart catheterization (diagnostic child)
Genetic testing/counseling
Geriatric services
Fitness center
HIV-AIDS services
Home health services
Heart catheterization (treatment adult)
Heart catheterization (treatment child)
Kidney dialysis
Chemotherapy
Physical rehabilitation
Psychiatric services (Consultation, Child & adolescent services, Geriatric services and Outpatient care)
Sleep center
Urgent-care center
Women’s health center
Stop-smoking program
Sports medicine
Substance-abuse programs
Wound management services
Patient and Family Support Services
Chaplaincy
pastoral care services
Cancer services
Alzheimer center
Help with government services
Patient support groups
Patient representative ombusdman
Transportation for elderly Transportation for handicapped
Translation services
Diagnostic & Therapeutic and Community Imaging Outreach
Services
Ultrasound
CT scanner
Diagnostic radioisotope facility
Health fairs
MRI (Magnetic resonance imaging )
Multislice spiral CT
Health screenings
Single photon emission CT
5.Community ad Environmental that could Potentially influence HCAHPS Scores
5a. Culture is an important factor that can influence the HCAHPS. The United States is multicultural environment, and perception of each culture is different to western healthcare systems. Some people in the United States still believe in the traditional medicine than orthodox medicine. For example, the Chinese people still believes in Acupuncture medicine, while the African people still believes in herbal medicine. Thus, cultural background of the people in the community can affect the HCAHPS scores. Typically, some people have already held a strong belief about their traditional medicine which may make them bias to orthodox medicine and affecting the HCAHPS scores. For example, Alabama is composed of people from various cultures, and their responses to HCAHPS will be different which may affect the HCAHPS scores of the University of Alabama Hospital.
B .Educational factors can also influence the HCAHPS scores because a society with high number of literate people will believe in more orthodox medicine thereby response more positively to the HCAHPS survey than society with higher number of illiterate people.
c. Socioeconomic dynamics is also a strong factor that can influence the HCAHPS scores because high income earners, middle class and high class group of people will have more income to afford paying for hospital charge than lower income earners. Thus, society having larger percentages of high income will response positively to the HCAHPS survey.
6. Potential Short- and Long-term Financial Impact
The HCAHPS scores can affect both short-term and long-term financial goals of the hospital because the hospital derives part of its income from the Medicare program. The Medicare is a federal government program that delivers social and health insurance to older people aged above 65. Thus, the in income that the hospital will earn from the federal government on Medicare will depend on the number of Medicare patients seeking for the medical services from the University of Alabama Hospital. If the number of patients declines based on the HCAHPS scores the results will have short and long financial impact on the hospital because there will be a decline in both quarterly revenue and accumulated revenue at the end of the fiscal year. Moreover, the federal government will reduce the cumulated payment per year for the hospitals that do not meet the 2.0%.
6a. Potential Impact on Hospital Quality Outcomes
Potential impact of the hospital quality outcome is that the quality of health delivered by the hospital will be reduced because a decline in revenue will lead high worker’s turnover rate. Moreover, the hospital will not be able to retain highly skilled and experience staff. The impact will make the hospital to be short of health materials, which could consequently affect the future HCAHPS scores for the hospital.
Reference
Medicare Gov. (2014). Inpatient Psychiatric Facility Quality Reporting Program. Retrieved 19 October From http://www.medicare.gov/hospitalcompare/psych-measures.html#stateQQ
Appendices
Appendix 1: NCAHPS Scores for the University of Alabama Hospital
NCAHPS Scores for the University of Alabama Hospital
Start_Date
10/01/2012
End_Date
03/31/2013
State Average
National Average
HBIPS-2_Measure_Description
“Hours of physical-restraint use” (Medicare Gov, 2014 p1)
“Hours of physical-restraint use” (Medicare Gov, 2014 p1)
“Hours of physical-restraint use” (Medicare Gov. 2014 p1)
HBIPS-2_
Overall_ Rate _ Per_ 1000
1.75
0.54
0.39
HBIPS-2_Overall_Num
230992.31
HBIPS-2_Overall_Den
15732
216692
24426778
HBIPS-2_1-12_Rate_Per_1000
0.00
0.63
0.28
HBIPS-2_1-12_Num
0.00
81.83
HBIPS-2_1-12_Den
96
5,455
694887
HBIPS-2_13-17_Rate_Per_1000
8.70
1.8
0.26
HBIPS-2_13-17_Num
107798.6
HBIPS-2_13-17_Den
14470
17501590
HBIPS-2_18-64_Rate_Per_1000
0.35
0.48
1.01
HBIPS-2_18-64_Num
96.15
106935.02
HBIPS-2_18-64_Den
11452
110556
4415221
HBIPS-2_ 65_ Over_ Rate_ Per_1000
0.06
0.41
0.20
HBIPS-2_
65_Over_Num
1.97
113600.29
HBIPS-2_65_Over_Den
86201
24100261
HBIPS-3_Measure_Description
Hours of seclusion Use
Hours of seclusion Use
“Patients discharged on multiple antipsychotic medications” Medicare Gov. (2014)
“Patients discharged on multiple antipsychotic medications” Medicare Gov. (2014)
“Patients Discharged on Multiple Antipsychotic Medications” Medicare Gov. (2014)
HBIPS-4_Overall_Footnote
4
HBIPS-4_1-12_Footnote
4
HBIPS-4_13-17_Footnote
4
HBIPS-4_18-64_Footnote
4
HBIPS-4_65_Over_Footnote
4
HBIPS-5_Measure_Description
“Patients discharged on multiple antipsychotic medications with appropriate justification” Medicare Gov. (2014)
“Patients discharged on multiple antipsychotic medications with appropriate justification Medicare Gov. (2014)
“Patients Discharged on Multiple Antipsychotic Medications with Appropriate Justification” Medicare Gov. (2014)
HBIPS-5_Overall_Footnote
4
HBIPS-5_1-12_Footnote
4
HBIPS-5_13-17_Footnote
4
HBIPS-5_18-64_Footnote
4
HBIPS-5_65_Over_Footnote
4
HBIPS-6_Measure_Description
“Post-discharge continuing care plan created” (Medicare Gov, 2014)
“Patients Discharged from a Hospital-based Inpatient Psychiatric Setting with a Continuing Care Plan Created” (Medicare Gov, 2014)
“Patients Discharged from a Hospital-based Inpatient Psychiatric Setting with a Continuing Care Plan Created”
(Medicare Gov, 2014)
HBIPS-6_Overall_%_of_Total
26.56
80.22
73.52
HBIPS-6_Overall_Num
98
324983
HBIPS-6_Overall_Den
442049
HBIPS-6_1-12_Footnote
1
HBIPS-6_13-17_%_of_Total
26.14
81.55
85.69
HBIPS-6_13-17_Num
23
41981
HBIPS-6_13-17_Den
88
48990
HBIPS-6_18-64_%_of_Total
22.51
80.02
73.23
HBIPS-6_18-64_Num
43
204220
HBIPS-6_18-64_Den
278872
HBIPS-6_65_Over_%_of_Total
35.90
78.91
64.23
HBIPS-6_65_Over_Num
28
58562
HBIPS-6_65_Over_Den
78
91176
HBIPS-7_Measure_Description
“Post-discharge continuing care plan transmitted to the next level of care provider upon discharge” (Medicare Gov, 2014)
“Post Discharge Continuing Care Plan Transmitted to Next Level of Care Provider Upon Discharge” (Medicare Gov, 2014)
“Post Discharge Continuing Care Plan Transmitted to Next Level of Care Provider Upon Discharge” (Medicare Gov, 2014)
HBIPS-7_Overall_%_of_Total
0.00
73.98
62.74
HBIPS-7_Overall_Num
0
277244
HBIPS-7_Overall_Den
441868
HBIPS-7_13-17_Den
88
36269
HBIPS-7_18-64_%_of_Total
0.00
71.98
61.78
HBIPS-7_18-64_Num
0
2.918
172210
HBIPS-7_18-64_Den
278725
HBIPS-7_65_Over_%_of_Total
0.00
73.77
56.18
HBIPS-7_65_Over_Num
0
51205
HBIPS-7_65_Over_Den
Get Professional Assignment Help Cheaply
Are you busy and do not have time to handle your assignment? Are you scared that your paper will not make the grade? Do you have responsibilities that may hinder you from turning in your assignment on time? Are you tired and can barely handle your assignment? Are your grades inconsistent?
Whichever your reason is, it is valid! You can get professional academic help from our service at affordable rates. We have a team of professional academic writers who can handle all your assignments.
Why Choose Our Academic Writing Service?
- Plagiarism free papers
- Timely delivery
- Any deadline
- Skilled, Experienced Native English Writers
- Subject-relevant academic writer
- Adherence to paper instructions
- Ability to tackle bulk assignments
- Reasonable prices
- 24/7 Customer Support
- Get superb grades consistently
Online Academic Help With Different Subjects
Literature
Students barely have time to read. We got you! Have your literature essay or book review written without having the hassle of reading the book. You can get your literature paper custom-written for you by our literature specialists.
Finance
Do you struggle with finance? No need to torture yourself if finance is not your cup of tea. You can order your finance paper from our academic writing service and get 100% original work from competent finance experts.
Computer science
Computer science is a tough subject. Fortunately, our computer science experts are up to the match. No need to stress and have sleepless nights. Our academic writers will tackle all your computer science assignments and deliver them on time. Let us handle all your python, java, ruby, JavaScript, php , C+ assignments!
Psychology
While psychology may be an interesting subject, you may lack sufficient time to handle your assignments. Don’t despair; by using our academic writing service, you can be assured of perfect grades. Moreover, your grades will be consistent.
Engineering
Engineering is quite a demanding subject. Students face a lot of pressure and barely have enough time to do what they love to do. Our academic writing service got you covered! Our engineering specialists follow the paper instructions and ensure timely delivery of the paper.
Nursing
In the nursing course, you may have difficulties with literature reviews, annotated bibliographies, critical essays, and other assignments. Our nursing assignment writers will offer you professional nursing paper help at low prices.
Sociology
Truth be told, sociology papers can be quite exhausting. Our academic writing service relieves you of fatigue, pressure, and stress. You can relax and have peace of mind as our academic writers handle your sociology assignment.
Business
We take pride in having some of the best business writers in the industry. Our business writers have a lot of experience in the field. They are reliable, and you can be assured of a high-grade paper. They are able to handle business papers of any subject, length, deadline, and difficulty!
Statistics
We boast of having some of the most experienced statistics experts in the industry. Our statistics experts have diverse skills, expertise, and knowledge to handle any kind of assignment. They have access to all kinds of software to get your assignment done.
Law
Writing a law essay may prove to be an insurmountable obstacle, especially when you need to know the peculiarities of the legislative framework. Take advantage of our top-notch law specialists and get superb grades and 100% satisfaction.
What discipline/subjects do you deal in?
We have highlighted some of the most popular subjects we handle above. Those are just a tip of the iceberg. We deal in all academic disciplines since our writers are as diverse. They have been drawn from across all disciplines, and orders are assigned to those writers believed to be the best in the field. In a nutshell, there is no task we cannot handle; all you need to do is place your order with us. As long as your instructions are clear, just trust we shall deliver irrespective of the discipline.
Are your writers competent enough to handle my paper?
Our essay writers are graduates with bachelor's, masters, Ph.D., and doctorate degrees in various subjects. The minimum requirement to be an essay writer with our essay writing service is to have a college degree. All our academic writers have a minimum of two years of academic writing. We have a stringent recruitment process to ensure that we get only the most competent essay writers in the industry. We also ensure that the writers are handsomely compensated for their value. The majority of our writers are native English speakers. As such, the fluency of language and grammar is impeccable.
What if I don’t like the paper?
There is a very low likelihood that you won’t like the paper.
Reasons being:
- When assigning your order, we match the paper’s discipline with the writer’s field/specialization. Since all our writers are graduates, we match the paper’s subject with the field the writer studied. For instance, if it’s a nursing paper, only a nursing graduate and writer will handle it. Furthermore, all our writers have academic writing experience and top-notch research skills.
- We have a quality assurance that reviews the paper before it gets to you. As such, we ensure that you get a paper that meets the required standard and will most definitely make the grade.
In the event that you don’t like your paper:
- The writer will revise the paper up to your pleasing. You have unlimited revisions. You simply need to highlight what specifically you don’t like about the paper, and the writer will make the amendments. The paper will be revised until you are satisfied. Revisions are free of charge
- We will have a different writer write the paper from scratch.
- Last resort, if the above does not work, we will refund your money.
Will the professor find out I didn’t write the paper myself?
Not at all. All papers are written from scratch. There is no way your tutor or instructor will realize that you did not write the paper yourself. In fact, we recommend using our assignment help services for consistent results.
What if the paper is plagiarized?
We check all papers for plagiarism before we submit them. We use powerful plagiarism checking software such as SafeAssign, LopesWrite, and Turnitin. We also upload the plagiarism report so that you can review it. We understand that plagiarism is academic suicide. We would not take the risk of submitting plagiarized work and jeopardize your academic journey. Furthermore, we do not sell or use prewritten papers, and each paper is written from scratch.
When will I get my paper?
You determine when you get the paper by setting the deadline when placing the order. All papers are delivered within the deadline. We are well aware that we operate in a time-sensitive industry. As such, we have laid out strategies to ensure that the client receives the paper on time and they never miss the deadline. We understand that papers that are submitted late have some points deducted. We do not want you to miss any points due to late submission. We work on beating deadlines by huge margins in order to ensure that you have ample time to review the paper before you submit it.
Will anyone find out that I used your services?
We have a privacy and confidentiality policy that guides our work. We NEVER share any customer information with third parties. Noone will ever know that you used our assignment help services. It’s only between you and us. We are bound by our policies to protect the customer’s identity and information. All your information, such as your names, phone number, email, order information, and so on, are protected. We have robust security systems that ensure that your data is protected. Hacking our systems is close to impossible, and it has never happened.
How our Assignment Help Service Works
1. Place an order
You fill all the paper instructions in the order form. Make sure you include all the helpful materials so that our academic writers can deliver the perfect paper. It will also help to eliminate unnecessary revisions.
2. Pay for the order
Proceed to pay for the paper so that it can be assigned to one of our expert academic writers. The paper subject is matched with the writer’s area of specialization.
3. Track the progress
You communicate with the writer and know about the progress of the paper. The client can ask the writer for drafts of the paper. The client can upload extra material and include additional instructions from the lecturer. Receive a paper.
4. Download the paper
The paper is sent to your email and uploaded to your personal account. You also get a plagiarism report attached to your paper.
PLACE THIS ORDER OR A SIMILAR ORDER WITH US TODAY AND GET A PERFECT SCORE!!!
