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Panel: Doctoral Studies: You\u27re Not Alone
No full textIntroduction by Yolanda Lewis, MS DBA Candidate. Moderated by Steven Young, MCM DBA Candidate
Evaluation: The Bright, Illuminating Principle of Teaching and Learning
Get PDFA few years ago, the planet Pluto was downgraded to “dwarf planet” status. Pluto is a small body made up of rock and ice, located billions of miles from the sun (Nasa, 2012). In other words, it’s a cold and rocky place, of little significance, far from the center of the system. This sounds like a description of evaluation in the realm of teaching and learning—at least a description of how evaluation is often treated
Understanding Risk Factors in Opioid Addiction in Franklin County, Ohio
No full textThe opioid epidemic in the United States is responsible for thousands of overdoses annually. Recent data from the CDC (2017) deduces that there have been 115,186 opioid-related mortalities from 2010-2015 in the U.S., which is in the region of approximately 23,000 patients on an annual basis, equating to nearly 2,000 deaths per month and close to 64 deaths each day (Centers for Disease Control and Prevention). Many studies demonstrate the causes, longevity, death rates, along with treatment approaches. While all of the subtopics mentioned above are of significant value, the focus on prevention significantly lacks in comparison. Given the widespread issue, further research focusing on data analytics to identify key disposition factors is critical to affecting change by way of policy and prevention. It is essential for the overall population, along with upcoming generations, that the country is aware and providing education to young adults about the potential hazards associated with the crippling effects of opioid addiction. Addiction is a multifaceted diagnosis and requires appropriate analysis to determine why individuals become addicted and how addiction can be avoided in the future
The Impact of Precertification on a Large Multispecialty Physician Group: An Illustrative Case Study
No full textIn the United States, 34.2% of healthcare costs result from administrative spending (Himmelstein, Campbell, & Woolhandler, 2020). The costliest and most time-consuming of these administrative processes is precertification. Precertification is a health insurer requirement that providers obtain permission before providing planned medical procedures in order to be eligible for payment. The Council for Affordable Quality Healthcare (CAQH) tracks adoption of the Health Insurance Portability and Accountability (HIPAA) mandated transactions to measure the progress in reducing cost and burden associated with administrative processes. CAQH estimated that the healthcare industry spent $767 million in 2020 on obtaining precertification. The requirement to obtain precertification can affect the processes and workflows across an organization, including scheduling, access, patient care, information systems, coding, and billing.This illustrative case study examined the precertification process for a large multispecialty physician group to determine its challenges and impacts. The study gathered information through a review of claims denied for missing precertification and individual in-depth semi-structured interviews with leaders responsible for aspects of the precertification process. The research focused on identifying the necessary steps in the precertification and denial resolution process and the challenges posed by this administrative requirement. The research identified several challenges in the precertification process, most of which can be linked to one of three broad categories; lack of standardization, time required to obtain approval, and lack of recognition of provider specialty and place of service considerations. Recommendations for improving this process include proposals for the industry, insurance companies, and the physician organization
Keynote: Connection is the Key to Innovation
No full textDr. Kimberly Regis is the Vice President of Operations & Chief Nurse Executive at Nationwide Children\u27s Hospital. Using her experiences and many talents, she is a people developer through education, training, and coaching. Her vision is to equip every person to live their best life
Diabetic Caregiver Finance Education and Resulting Stress: A Quantitative Correlational Study
No full textType 1 diabetes is an autoimmune disorder requiring daily monitoring and care. A high percentage of Type 1 diabetics are diagnosed as children, resulting in the need for parents or other caregivers to provide the care needed. This study examined the education provided to those caregivers at the time of diagnosis or immediately following diagnosis that was related to the financing of care for the diabetic. It also examined the levels of financing-related stress reported by the caregivers. A survey of N=172 caregivers in the United States within the first two years post-diagnosis was taken. Hypothesis testing confirmed that the caregivers report financing of care as a significant contributor of stress. A correlation analysis on the education received at diagnosis and the reported stress levels was unable to reject the null hypothesis; therefore, it could not be concluded that financing education at diagnosis was related to financing stress in caregivers. One cause of this failure to show a correlation may be due to the high number of caregivers reporting that they received no financing education at diagnosis
Federal Work Study: A Program for Our Time
No full textWhile Pell-grants and other financial aid offers the payment of college, students of low-income have little to no assistance for cost-of-living expenses. Frequently, students go without supplies, technology, and internet connections; they even live without the security of food and shelter. Students of low-income face barriers that leave them struggling through their educational development and completion of the educational program which directly impacts their future. Understanding the hurdles low-income students must overcome creates an opportunity to expand the Federal Work Study (FWS) program that support students\u27 financial stability and develops their academic and social integration, while providing community colleges with the much-needed community connections, growing funding opportunities, and increasing graduation rates. Using correlational research design, the relationship between FWS spending and graduation rates of community colleges in Illinois are evaluated. The findings showed a statistically significant positive correlation between FWS spending and graduation rate. The study provides implications for community colleges implementing the FWS program and makes recommended changes to the program
A Research Study on the Impact of Hospital Quality on Hospital Inpatient Direct Cost
No full textRising healthcare costs are a major concern in the U.S. Consumers are concerned about having access to affordable healthcare highlighting the need of understanding healthcare cost. This quantitative study investigated the impact of quality factors and control metrics on adjusted inpatient hospital direct cost. This secondary study analyzed data extracted from the Vizient clinical database (CDB) for 500 hospitals. Factor analysis was used to combine highly correlated quality variables to reduce potential bias and improve validity of results. Hierarchical multiple regression was used to test first for significance of the control variables on adjusted hospital inpatient cost then for significance of quality factors when added to the regression equation. The issues factor was obtained through factor analysis and was the linear combination of length of stay (LOS), percent of ICU cases, percent of cases with one or more (any) complications, and percent of 30-day readmissions. The early-deaths factor was just the percent of early deaths variable. The block of quality factors added significantly to the explanation of inpatient hospital direct cost when added to the regression equation. The quality factor issues had a stronger relationship to hospital direct cost than the quality factor early-deaths. These results add to the knowledge about what drives inpatient hospital direct cost. Hospitals benefit from these results by better understanding the impact of quality on inpatient direct cost to help target quality improvement. It also benefits payors and hospitals in developing pay for performance programs. Having a clearer picture of quality impact on hospital direct cost should benefit policy makers in developing policy on hospital quality and cost
Weeding Ebooks at an Academic Library
No full textLibraries can improve their ebook collections by weeding them to remove outdated and irrelevant content. This paper reports on an ebook weeding project conducted by the Franklin University Library in Columbus, Ohio. It discusses the library’s reasons for weeding its ebooks, how the library weeded its demand driven acquisitions (“DDA”) pool, and the challenges the library encountered weeding ebooks. The library ultimately conducted a more limited weeding of its ebook collection than initially planned. This paper explains the reasons for this limited weeding project, the decisions the library made throughout the project and the method used to conduct the ebook weeding project