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A MEDICAID ISSUE: DETERMINING CUTS IN SERVICES

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Essay / Research Paper Abstract

This 5-page paper discusses how a fictional clinic in San Antonio, TX might used the Informed Decision Toolbox to determine what services might be cut in the wake of a budget decrease. Bibliography lists 4 sources.

Page Count:

5 pages (~225 words per page)

File: AS43_MTtoolmedi.rtf

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Unformatted sample text from the term paper:

out at any time. This is especially the case when it comes to Medicaid patients. In the following scenario, such a county clinic in the San Antonio/Bexar County area has run into this situation. The department budget was recently cut by 15%, and the manager of this clinic is now faced with what clinical services need to be eliminated and/or introduced to best address the healthcare needs of the population. To help determine the answer to this dilemma, well refer to the informed decisions toolbox developed by Hsu et all (2006) for the University of California at Berkeley. The Informed Decision Toolbox contains six steps when it comes to making a well-informed decision (Hsu et al, 2006). The steps are 1) Framing the question behind the decision 2) Finding sources of information 3) Assessing the information accuracy 4) Assessing the applicability of information (i.e., evidence evaluation) 5) Assessing the actionability of information (i.e., if the information is appropriate and adequate for creating the plan) 6) Determining if the action The Informed Decision Toolbox is a huge help for any organization, as it forces organizational members to question themselves and to have a deeper understanding of what needs to be analyzed before taking a particular step. Such a tool ensures that the organization has examined all options, and the information feeding into those options, before deciding on a particular course of action. This type of activity improves an organizations accountability and helps with resource allocation. Its the contention that the first step, framing the question behind the decision, is likely the most important tool to use. The reason is not so much that this is the first "tool," as much as it helps us frame the exact question to which were trying to find an answer. The initial question ...

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