Reflections on Course Concepts

Reflections on Course Concepts

1. Assignment Expectations:
   1. Address concept A and B in about 150 words each.
   2. You will be graded on how well you demonstrate knowledge and understanding of the concept, and critical thinking pertaining to the applicability of the concept to your professional practice. Points awarded will follow breakdown below.

2. The Assignment:Given the readings and assignments in the course, identify and discuss two concepts or lessons learned that you believe will be most applicable to your professional discipline.
3. Concept A (points 10/20):
   1. Identify /define (points 4/20): ……
   2. Your professional discipline: ……..
   3. How applicable (points 6/20): ……
4. Concept B (points 10/20):
   1. Identify /define (points 4/20): ……
   2. Your professional discipline: ……..
   3. How applicable (points 6/20): ……

****Please use these two concepts****

1. The impact of deductibles and co-payments on patients’ health-seeking behavior.
2. Understanding the major difference between the Medicare Advantage plan and the Medicaid managed care plan.

My professional discipline is Healthcare Quality.  My job title is Quality Reporting Specialist.  Below is   my job description.

The Quality Reporting Specialist works under the supervision of the System Director, Quality Outcomes. Coordinates the collection, and submission of quality measures from a variety of sources for external reporting agencies.  Responsible for ensuring that regulatory requirements and deadlines related to quality measures are met. The Quality Reporting Specialist (QRS) is responsible to be the subject matter expert (SME) for Meaningful Use (MU) Electronic Clinical Quality Measures (eCQMs) and work in coordination with internal departments to successfully submit eCQM results to CMS and/or other regulatory agencies and payers. The QRS will continually maintain knowledge of the current and proposed objectives, measures and criteria of the EHR Incentive Program (Meaningful Use) requirements related to eCQMs, and other required quality reporting programs. Also serves as the SME for RHS quality reporting vendor tools, inclusive of providing training and education to the Quality Team and managing access for RHS users. Specific roles and responsibilities are noted below. The Quality Reporting Specialist works collaboratively with corporate and health system team members to ensure that services and supports are delivered within a culture that strives for excellence, continuous improvement and reflects Riverside Health System’s Mission, Vision and Core Values.