Electronic health record system

The BBNW company has developed its own electronic health record system which would instantly and costlessly provide information about BBNW-insured patients currently available in the system already in use at Asclepius Hospital. BBNW is now considering sh200 word minimum for each question. Please answer the following questions using economic terms and concepts as they relate to healthcare. If you cant answer all of them please answer the first 3. 1. The BBNW company has developed its own electronic health record system which would instantly and costlessly provide information about BBNW-insured patients currently available in the system already in use at Asclepius Hospital. BBNW is now considering shifting the form of payment for Asclepius Hospital from the current prospective diagnosis-related group system to a per-diem (daily) rate. How would such a change affect the hospital’s decision-making? Why is behavior affected by payment in this circumstance? Would the existence of the new electronic health record system affect your decision? If so how? 2. From the Asclepius Healthcare System’s state-of-the-art website: (1) “Asclepius is the only healthcare system in Freedonia listed at the top of every quality report” (2) “The Asclepius Heathcare System with hospitals in five of Freedonia’s most important cities is known everywhere as the largest nonprofit vertically-integrated staff model group practice hospital system in Freedonia.” How might the structure of the Asclepius Healthcare System contribute to its quality standings? 3. Freedonia has suffered from periodic epidemics of Economitis a highly-contagious childhood disease that can have debilitating effects in 1/1000 people who contract it. There is a vaccine that protects against most (but not all) cases of Economitis but the injection is painful for two days. The disease is also more common among people who ride bicycles (though no one knows why). The government of Freedonia is considering making the immunization free for all Freedonian families with incomes below the Freedonian household median income. Would this plan make economic sense? How would it affect immunization rates and patterns? The International Health Organization has proposed a program that would immunize almost everyone in the world against Economitis eliminating the disease completely. How would that affect the cost of Economitis in Freedonia? 4. An unusual characteristic of healthcare professional employment is that it offers more workplace flexibility than other jobs; the same professional (a nurse for example) may work for several different institutions and may vary his or her hours from week to week and from year to year. Suppose Freedonia institutes a universal free childcare program. What effect will this likely have on the wages paid to health care professionals? How will this outcome happen? How will this affect the healthcare system in Freedonia more generally? 5. The government of Freedonia is considering tightening the regulations on the use of nursing staff. Under the new regulations the minimum nurse staffing ratio in Freedonia would need to increase by 50%. Assume that increases in nursing staffing ratios of this magnitude have been shown to significantly improve the quality of patient care though at a cost of $200000 per QALY gained. What effect would this regulation have on nurses’ earnings healthcare costs and healthcare equity in Freedonia? Which groups in Freedonia would you expect to lobby for and against this legislation?

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