What is the difference between the National Committee for Quality Assurance (NCQA) and the Utilization Review Accreditation Commission (URAC)?

Health plans participating in the Affordable Care Act must be accredited; what is the difference between the National Committee for Quality Assurance (NCQA) and the Utilization Review Accreditation Commission (URAC)? Why would a health plan select one over the other?

Anemia of chronic disease is a common occurrence in elderly patients. What is the pathophysiological mechanism behind this disease process?

  1. Anemia of chronic disease is a common occurrence in elderly patients. What is the pathophysiological mechanism behind this disease process?
  2. Virchow’s triad refers to states that can produce hypercoagulability. What are the three categories? Give an example for each and explain the pathophysiological changes seen.

Discuss the epidemiology of thalassemia and share evidence-based practice guidelines necessary for chronic management.

  1. Discuss the epidemiology of thalassemia and share evidence-based practice guidelines necessary for chronic management.
  2. Sickle-cell anemia has treatment parameters in the chronic state and acute exacerbation. The acute phase requires aggressive hydration and pain medication. What is the physiologic pattern for this problem?

Discuss the importance electronic health record (EHR) conceptual framework integration and achieving interoperability.

As the manager of the CTU Health Care information systems department, you realize the need for seamless integration among all operating systems of the departments within the health care organization (HCO). Discuss the importance electronic health record (EHR) conceptual framework integration and achieving interoperability.

Prepare a PowerPoint presentation for the stakeholders of the different departments that expresses the importance of the interoperability of all computing systems within the health care organization. In this presentation, you should address the ramifications of the lack of integration of the information systems among the departments.

Explain how the circadian rhythm is related to cortisol secretion from the adrenal cortex. What factors cause disturbances in this system?

  1. The hypothalamic-pituitary system is the main controlling factor for normal endocrine function. What are some of the common ways for this finely balanced system to become unstable?
  2. Explain how the circadian rhythm is related to cortisol secretion from the adrenal cortex. What factors cause disturbances in this system?

Determine how change management team will collect data during the exploration phase.

Read the details of the Larson Property Management Company case scenario on pages 114–115 of the textbook. The Chief Executive Officer, Mr. Larson, and the Chief Financial Officer, Ms. Johnson, would like to increase the efficiency and effectiveness of the HR functions, as well as reduce overall HR costs. Mr. Larson and Ms. Johnson would like you, the HR Director, to serve as the change agent of the project. In this assignment, you will develop a plan and analysis (planning and analysis phases of the Systems Development Life Cycle (SDLC)) of the current business based on the details of the scenario.

Instructions:

Write a two to three-page proposal, in which you:

Introduction and Plan

1. Detail the current situation for the company, focusing on the issues that the organization is currently facing from using a legacy HRIS. Explain your plan for moving forward to address these issues.

Needs Analysis

2. Based on the issues the organization is currently facing, identify the new system needs. Identify change team members who will help identify system need and specify their role and responsibilities.

Interview, Questionnaire, Observation, or Focus Group

3. Determine how additional data will be collected regarding system needs. Determine how change management team will collect data during the exploration phase. Specify if team members will use interviews, questionnaires, observations and/or focus groups to collect data from end users. Provide at least five essential questions that will be asked of end users via interview, questionnaire, observation, or focus group.

Conclusion

4. Explain two to three reasons why the company would benefit from adopting an HRIS. Focus on how the HRIS would address the current HR needs of the organization.

Based on your system recommendations from Part A, make a brief proposal request to a vendor (see vendors on page 110, Table 5.3) using the information from Table 5.2 as a guide.

1. Think about the improvements you would make to your current or previous organization’s Resource Information Systems (HRIS). Review the Systems Development Life Cycle (SDLC). Explain the system needs and provide a few details on what you would do during each phase of the SDLC.

Part B (Chapter 5)

2. Based on your system recommendations from Part A, make a brief proposal request to a vendor (see vendors on page 110, Table 5.3) using the information from Table 5.2 as a guide.