HCA 610 Week 1 Discussion 1- Implications of Health Care Reform

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HCA 610 Week 1 Discussion 1- Implications of Health Care Reform

HCA 610 Week 1 Discussion 1- Implications of Health Care Reform

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HCA 610 Week 1 Discussion 1 – Discuss at least two implications of health care reform on the health care organization’s goals and strategic plan. How will processes and operations need to be adjusted to meet the requirements of health care reform legislation?

HCA 610 Week 1 Discussion 2 Latest-GCU

Evaluate the “Comprehensive Organizational Plan” presented by Oetjen and Rotarius. Is this model suitable for any type of health care organization? Discuss the implications of the model on the ability of health care managers to contain cost, preserve quality, and promote universal access.


For this assignment, you will be required to collaborate with classmates to develop a balanced scorecard. Your instructor will assign groups of 3 – 4 members.

Your group’s balanced scorecard should be prepared according to the guidelines found in the Rohm reading assigned in Module 6.

HCA 610 Week 1 Discussion 1- Implications of Health Care Reform

HCA 610 Week 1 Discussion 1- Implications of Health Care Reform

For examples of balanced scorecards, review the examples given in the Balanced Scorecard Institute reading assigned in Module 6 (http://www.balancedscorecard.org/Portals/0/PDF/BalancedPerformance_Article1.pdf).

This assignment uses a grading rubric that can be viewed at the assignment’s drop box. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

For this assignment, you are required to write a reflection and self-evaluation of your understanding of health care business analyses. Your assignment should include a discussion of the following:

  • 1) A summary of your understanding of health care business analyses: In your own words, why is it important? What does it entail?
  • 2) What was the most significant concept you learned during the course? How did the course assignments assist in your understanding of this concept?
  • 3) What questions do you still have about health care business analyses? Was there anything else you were expecting to learn that the course did not cover?
  • 4) How would you rate your overall understanding of health care business analyses? What steps do you plan on taking to increase your knowledge and understanding?
The Chinese government formally initiated the Healthcare Reform in March 2009. 
Furthermore, the government has pledged to invest an extra CNY 850 billion (USD 125 billion) over the next three years to achieve universal health care by 2020 [1]. 
The healthcare reform’s key elements are focused on reforming wide variety of medical insurance coverage, the national essential drug system, medical care and public health service system, fundamental public health service, and public hospital pilot reform [2]. 
The public hospital reform is one of the most important tasks in the new round of healthcare reform, and as we all know, the main reason is that county hospitals play leading role in the Rural Three-level Health Service Network, and their services cover more than 900 million people in China, accounting for 70% of the total population [3]. 
Significant increases in public investment, reorganization of the hospital administration structure, and correction of the commercialization trend are all part of public hospital reform [2].


In China’s rural areas, the health service system, known as the Rural Three-level Health Service Network, is made up of county and its subordinate health organizations, such as the government-run county hospital, township health center, and village clinic, with the county hospital serving as the system’s technical guidance and treatment center, township health center serving as the system’s hinge, and village clinic serving as the system’s base. 
They build tertiary health service framework to address the need for health services at the grassroots level. 
Among these, county hospitals serve as vital carriers for the government in providing basic medical and health services to county people as health service providers in the healthcare system.


General hospitals, Traditional Chinese Medicine hospitals, Integrated Chinese and Western Medicine hospitals, Traditional Ethnic Medicine hospitals, Specialized Hospitals, and Nursing Homes are among the several types of hospitals in China. 
In contrast, they are divided into three tiers based on the number of hospital beds: tertiary, secondary, and primary. 
Tertiary hospitals have more than 500 beds and specialize in treating complex diseases as well as offering technical assistance, medical teaching, and scientific research. 
Primary hospitals have 20–99 beds and provide common disease treatment and prevention, rehabilitation, and primary health care services. Secondary hospitals have 100–499 beds and provide complete medical services as well as education and scientific research. 
The study uses county general hospitals as its sample hospitals. 
The great majority of county hospitals are secondary care facilities.


As we all know, the People’s Republic of China’s administrative territory is divided into five levels: provincial (1st), prefectural (2nd), county (3rd), township (4th), and village (5th) (5th). 
Districts (under the jurisdiction of cities), County-level cities, Counties, and Autonomous counties are also included at the county level. 
According to the China Statistics Yearbook (CSY) and China Health Statistics Yearbook, there were 1875 counties (or county-level cities, autonomous counties) and 8951 county general hospitals in rural areas in 2015. (CHSY). 
Those counties covered all 31 provinces, autonomous areas, and municipalities (31 provinces) in mainland China, which are spread over developed eastern China (Eastern China), moderately developed central China (Central China), and undeveloped western China (Western China) (Western China).


Provinces are classified into three regions based on their geographical locations and socioeconomic level as measured by GDP per capita and average income when viewed from different perspectives. 
Beijing, Fujian, Guangdong, Hainan, Hebei, Jiangsu, Liaoning, Shandong, Shanghai, Tianjin, and Zhejiang are located in the eastern China region; Anhui, Heilongjiang, Henan, Hubei, Hunan, Jiangxi, Jilin, and Shanxi are located in the central China region; and Chongqing, Gansu, Guangxi, Guizhou, Inner Mongolia
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