279Suranaree J. Sci. Technol. Vol. 19 No. 4; October - December 2012
LOG-LINEAR RISK RATE MODEL FOR HOSPITAL
SERVICES
Krieng Kitbumrungrat*
Received: August 10, 2012; Revised: January 02, 2013; Accepted: January 03, 2013
Abstract
This paper suggests that log-linear analysis can be used to predict the expected number of patients in hospital services. A log-linear risk rate model has been developed to analyze the time series of count data. In finding a risk rate model, parameters are estimated and goodness-of-fit is utilized to carefully extract the best model to fit the count data. The marginal effect is the basis function which can be used in the risk Rate analysis for flexibility. This study attempted to analyze the actual operations of a hospital and
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E-mail: Kriengstat@yahoo.com
* Corresponding author
Suranaree J. Sci. Technol. 19(4):279-286
Log-Linear Risk Rate Model for Hospital Services
280reasons.
The Admissions Department consists of 4 major areas: front desk, registration desk, waiting area, and financial consulting area
(within the Business Department). When a patient enters the admissions area, they are asked by the front desk clerk to provide his or her name and the reason for the visit. The clerk also clarifies if the patient was pre- registered for this service or not. If the answer is yes, the clerk gets the patient’s documentation ready for the the admissions representative.
Then the patient receives an assigned number and is asked to wait in the waiting area for the admissions representative to call the number.
The admissions representative determines if the patient has ever received services at the hospital and, if so, pulls up the patient’s data from Meditech and verifies the patient’s personal information. If the patient is visiting the hospital for the first time, an admissions clerk creates the patient’s profile in the hospital’s information database system.
Law and Kelton (2001) proposed
Phase 2: Decision and Engagement In the second phase, thought is required of inside limit and capacities of the hospital, neighbourhood responsibility for the issue, and probability of creating 'do-capable' arrangements. Phase 3: Environmental scan and identification of strategic issues This stage includes a point by point examination of the present circumstance. Firstly, suppliers (private, open and non-government hospitals), neighbourhood government, industry and other important hospitals to workshop the issue and main drivers, recognize a procedure or procedure to advance, characterize parts and obligations of organizations to advance critical thinking, and create more extensive correspondence technique.
The real-world business situation that I will be addressing by collecting and analyzing a set of data is that of a Hospital, specifically that of the hospital staff and the patient safety interaction. I have chosen this specific business as it is my hope to utilize this degree to become a director at a local hospital. In Hospital’s there are so many aspects that one needs to look at. These aspects can be broken down into individual pieces of data that can be analyzed and provide a clear outlook of change.
The data from these forms are then translated into the electronic format. Within this form there are 33 numbered fields. Fields 1- 13 are the patient’s personal informationand the insurance information fields. Fields 14- 20 are related to the patient’s medical situation (s) including dates of situations and any hospital, lab, occupational injuries, etc. Fields 21- 24 identifies the various codes for diagnostic, procedures, and services.
Since working in a fast pace environment, it is very easy to release information without true intent. As a new employee, it is very important to follow these set of instructions given: • When entering a patient 's room, remember to close the door behind. If the door is left open, people walking by the room could possibly over hear the conversation. This could lead to a potential violation of HIPAA.
The first objective evaluated the impact of PCMH on non-disabled Medi-Cal beneficiaries. The analysis shows that among clinics with less than 10% SPD membership, transformation to PCMH was associated with increased utilization of office visits and reduced use of emergency departments (ED). In particular, PCMH clinics (relative to non-PCMH clinics) reduced ED visits by an average 70 visits per thousand members per year (PTMPY) and avoidable ED visits by 20 visits PTMPY. No significant change in office visits or reduction in ER were found in clinics with SPD membership greater than 10% suggesting that the beneficial effects of PCMH model in safety net clinics can be muted by a sudden influx of heavy
Electronic Health Records and Patient Confidentiality Technology has become an essential part of our everyday life therefore, it makes sense that doctors and hospitals get rid of the old fashioned paper charting and use technology to access patient records. Electronic health records (EHR) provide quick access to information, as doctors no longer have to wait for other providers to fax previous records to them. The accessibility of Electronic Health Records assist medical providers to make quick medical care decisions, by accessing previous care provided to patients including treatment and diagnosis. Quick access to information through EHR enables health care providers to treat patients faster as there is no need for records to be mailed or
In its report on patient safety, The Joint Commission (2016) mandates that a minimum of two patient identifiers should be used when caring for patients, including but not limited to the administration of medication, collecting blood samples, performing medical treatments and procedures, etc. Patient names, birthdates, telephone number, assigned identification numbers, or other person-specific identifiers can be used to identify individuals for who care or treatment is to be provided. The rationale behind this policy is twofold: it identifies the person who the procedure or treatment is intended, and it matches the procedure, treatment, and/or service to a specific individual (The Joint Commission, 2016). Per The Joint Commission (2016), outcomes for the use of two patient identifiers will result in less patient errors during the course of diagnosis and treatment.
I was interested in the way Bradley and Taylor points out that the most important factor to be consider is health. The author is a professor of public health and served as a hospital administrator in various hospitals, this shows that they have credibility in providing analysis of the healthcare. This book was written in 2013 so that the data contained in this book are still relevant today. Haugen, David M., and Susan Musser.
However, the metric indicate that aspects such as consumer convenience and efficient handling of the patients have been noted. On the other hand, most of the employees are developing resistance towards the new system due to the high level of accountability required. The report therefore looks into the suitable decision that the hospital management should consider. What are the key decisions that have to be made at GGH?
Activity 1 highlights the types of staff access available within the hospital, including security access, technology restrictions and the different roles access can alter and how it can affect health information data, which is used for hospital funding, employment, resource budgeting, purchase of information systems and the differing types of treatment provided by the hospital. Hospital data attained from hospital health information systems can often present accuracy problems as errors with admission paperwork, coding information, medication and procedure documentation are often written inaccurately, staff are encouraged to actively minimise and reduce errors with appropriate maintenance, automatic error reporting and access restrictions to
The Mt. Pleasant State Hospital, located in Mt. Pleasant, Iowa. The hospital was opened on February 26, 1861 under its original name of Iowa Lunatic Asylum. It was constructed between the years of 1855 and 1865. The asylum when it opened, became the first asylum that was public in Iowa. Mt. Pleasant also housed alcoholics and drug addicts.
Kaiser Permanente has been equipped since 2007 with Health Connect; which is the largest private electronic health record implementation in the world. This is a highly sophisticated electronic program that integrates inpatient, outpatient, and clinic medical records with appointments, registration, pharmacy, and billing for all kaiser members. In addition, this electronic program includes an entire medical library with a whole set of care support tools which are accessible to doctors, nursing staff and patients (Kaiser Permanente, n.d.). At kaiser permanente; nurses are expected to print out “the after-visit summary” (AVS), which contain the doctor recommendations for each patient that we see.
It is given to patients randomly throughout the year, collected by those who receive training in giving the survey. Some questions that are asked are in the category of composite topics which include; nurse communication, doctor communication, responsiveness of hospital staff, pain management, questions about medications, discharge information, and cleanliness of the hospital. This is all done to show the patient the true quality of the hospital, and the general effect on the
Many private hospitals counters this by poaching the experienced physicians with high remuneration. The Private players also looking to various methods to reduce cost including economies of scale and scope so that more people can be treated with better facilities. 2.2 (g) Bed occupancy rate remains high for the last 5 years despite increase in number of beds. Also the growth of inpatient volumes in line with addition of beds are also increasing. Hence the excess capacity is in general small and Industry attractiveness is high
Based on this case the cost driver is to properly distribute the direct cost among the different divisions. Dr. Julian would like to control her departments costs by having them distributed fairly among the divisions without affecting the hospital’s reimbursement/revenue. Carroll University Hospital is currently using the standard costing unit, which is based on the cost of bed/day for inpatients. Currently the present cost accounting system that is being used at CUH takes the total direct cost of the departments, then allocates the indirect costs and distributes it among the departments evenly regardless of the actual resources being used in those departments, and without considering that there may be some patients in these divisions that may require more resources than others, this method does not seem to recognize the different activities,