Entries by Daphne Hanson

Utilization Management of healthcare resources

Utilization Management The principal objective of utilization management is the reduction of practice variations by establishing parameters for cost-effective use of health care resources. There are four main techniques or tools used in utilization management: demand management, utilization review, case management, and disease management. Utilization management helps MCOs control costs and improve quality. Refer to […]

Obesity

Discuss specific information regarding Obesity (chronic physical disorder) as your targeted/assigned population group Search terms you might consider using: Overview of the disorder in (your assigned population group). The cause, set of causes, or manner of causation of a disease or condition in (your assigned population group). Impact of disorder as it relates to (your […]

Quantitative methods in nursing practice

Quantitative methods in nursing practice Discuss why the quantitative method is the best method based on your project questions and data. Choose three potential designs that you could use for your project. Based on the three potential designs, determine potential analyses methods and why? Clinical/PICOT Questions: Do elderly patients in long-term care (P) that have […]

Types of Managed-care Plans

One of the biggest challenges for new healthcare managers/directors to understand is the payer source of the revenue side of their budgets. Where does this money come from? How is the plan, no matter the type administered? Who is the “gatekeeper” of care for the beneficiary? What are the types of insurer programs- underneath the […]

Quantitative and qualitative research in nursing practice

A baccalaureate nurse understands, relates, and values the fundamental elements of research, process, and designs as a foundation for evidence-based practice (AACN, 2008; QSEN, 2018). Purpose: This assignment provides a learning activity for students to demonstrate understanding of quantitative and qualitative research, the purpose and importance of designs, and how research is critical for creating […]