The OPEN BOOK case study consists of application type questions

The OPEN BOOK case study consists of application type questions including multiple choice questions that require mathematical calculations and discussion questions.

Refer to the formulas provided in the study slides and have them available when you are working on the case study. All of the formulas required for the calculation questions are provided in the slides along with examples.

Check your math using a calculator to avoid simple mathematical mistakes.

The points awarded for each question are based on question complexity. Calculation questions and discussion questions are weighted more heavily than multiple choice questions.

Wakeland Community Hospital is located in west Texas with no large cities in close proximity. Wakeland serves a large rural area and they need to expand services in order to support their community. The closest large city is 313 miles away. The primary payor sources are Medicare and Medicaid.

Through the Hospital Value-Based Purchasing (VBP) program, the Centers for Medicare and Medicaid (CMS) reward hospitals based on the quality of care provided to Medicare patients, not just the quantity of services provided.

The Hospital VBP Program encourages hospitals to improve the quality, efficiency, patient experience and safety of care that Medicare beneficiaries receive during acute care inpatient stays by:

• Eliminating or reducing adverse events (healthcare errors resulting in patient harm).

• Adopting evidence-based care standards and protocols in order to obtain the best outcomes for Medicare patients.

• Incentivizing hospitals to improve patient experience.

• Increasing the transparency of care quality for consumers, clinicians, and others.

• Recognizing hospitals that provide high-quality care at a lower cost to Medicare.

Wakeland operates on a very slim profit margin and needs to maximize reimbursement.