Scenario

Metropolitan Memorial is seeking to expand its service offerings into underserved rural communities. The Board of Directors has expressed concerns given the emergence of new payment models, low reimbursement from Medicare and Medicaid, and uncertainty in terms of provider incentives offered through the Affordable Care Act. The Board of Directors has requested an executive summary outlining the organization’s financial viability given the challenges facing health organizations, particularly those operating in rural communities.

Instructions

The CEO has asked you to prepare an executive summary to present to the Board of Trustees, discussing the following information:

  • Identify the different types of healthcare payment models that could be utilized by Metropolitan Memorial.  ** COULD FOCUS ON RURAL HOSPITALS** *AT LEAST 3 EXAMPLES
  • Research the Triple AIM and discuss ways the organization can achieve the goals of the Triple AIM (improving the experience of care, improving the health of populations, and reducing per capital costs of health care ). ****  Use the OFFICIAL WEBSITE OF THE ORGANIZATION THAT CAME UP WITH IT – https://www.ihi.org/improvement-areas/improvement-area-triple-aim-and-population-health — ** THERE ARE THREE TOPICS TO THE TRIPLE AIM SO 3 EXAMPLES FOR EACH = 9 TOTAL
  • Discuss possible ways the payer mix may impact hospital revenue. -**USE A SCHOLARLY WEBSITE, USE RESOURCES ATTACHED
  • Explain how value-based healthcare delivery could be utilized to save money. –***AT LEAST 3 EXAMPLES
  • Should be pages 3-pages but not exceed 5 pages.
  • APA 7th Edition 

*please look at attachment for notes on the proper layout for executive summary.

HSA5400_Deliverable3_Resources

List of additional resources that will help you to ease into your Deliverable #3:

How Do the 3 Healthcare Payment Models Work?

Current and Emerging Payment Models – AHA

Triple Aim and Population Health

The Triple Aim: Care, health, and cost

The Triple Aim Plus More

Payor Mix

Hospitals predict significant shifts in payer mix, revenue cycle operations post pandemic

Know How Payer Mix Affects Your Revenue – This is a blog – only for informational purposes – As a general rule, you don’t want to use this one as a resource; you can use blogs if they are from our governmental sources.

Value-Based Care: What It Is, and Why It’s Needed

Value-Based Care

Better health at lower costs: Why we need Value-Based Care now

Value-Based Payment As A Tool To Address Excess US Health Spending

Value-Based Care

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HSA5400 -Deliverable #3

What am I writing? An Executive Summary

How long should my document be? About 4 pages

Instructions:

· Identify the different types of healthcare payment models that could be utilized by Metropolitan Memorial.

· Research the Triple AIM and discuss ways the organization can achieve the goals of the Triple AIM (improving the experience of care, improving the health of populations, and reducing per capital costs of health care ).

· Discuss possible ways the payer mix may impact hospital revenue.

· Explain how value-based healthcare delivery could be utilized to save money.

Criteria #1 – Comprehensive identification of the different types of healthcare payment models that could be utilized by Metropolitan Memorial. Includes multiple examples or supporting details per topic.

Criteria #2: Clear and thorough explanation of the ways the organization can achieve Triple AIM of improving the experience of care, improving the health of populations, and reducing per capital costs of healthcare. Includes multiple examples or supporting details per topic. Use the OFFICIAL WEBSITE OF THE ORGANIZATION THAT CAME UP WITH IT – https://www.ihi.org/improvement-areas/improvement-area-triple-aim-and-population-health

Criteria #3 – Clear and thorough identification of the impact of the payer mix on the revenue. Includes multiple examples or supporting details.

Criteria #4- Comprehensive explanation of how value-based healthcare delivery can be utilized to save money. Includes multiple examples or supporting details.

Executive Summary Format:

Title Page

Introduction

Purpose

Problem(s)

Methods of analyzing the problem(s)

Results of analysis

Recommendations / Conclusion

Reference page

Preparing to Write an Executive Summary

It is important to keep in mind to whom you are writing your summary. Your audience may not be versed in the technical language of your profession and may only focus on specific business needs.

The executive summary should address these main points:

· Purpose

· What is the point of the document? Are you trying to influence management? Are you trying to make a change in a hospital? Make sure you have a purpose when writing the summary.

· Problem

· What issue needs addressing? Why is it an issue? Why are you where you are?

· Problem Analysis

· What can be changed or improved?

· Results of analysis

· What did you find while researching the issue? What methods did you use? How do you know your resources are valid, reliable, and credible?

· Recommendations

· What can you do to address this issue? How will you achieve your recommendations? How will this help? What action can be taken?

Writing the Executive Summary

Keep in mind that the executive summary is the first thing your reader is going to see and may be the only thing your reader will look through before making a decision about action or inaction. Be sure to use concise language and bullet points to present your ideas. Here is an example of a way to organize your summary:

· Define the problem, need, or goal

· Define the decision that needs to be made

· Define the expected outcome and provide the reasons why they should choose the option that you want

· Define the solution and how you reached the solution

· End with a call to action

Remember, your summary should grab the reader's attention. Lay out why this is so important and how it will benefit/impact them and/or the business. Be sure to use language that relates to them and avoid any technical jargon.

When writing an executive summary for assignment or deliverable submission, follow the APA guidelines found in the APA Guide .

Common Mistakes

An executive summary is NOT:

· An abstract

· An introduction

· A preface

· A random collection of highlights

An executive summary is a stand-alone document and should make sense without any other information. You will want to avoid these common mistakes when writing your summary:

· Do not get too lengthy or wordy – keep it to 3-5 pages

· Do not cut and paste information

· Avoid excessive subtitles and lists

· Do not get too technical

· Do not use passive or imprecise language