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Imagine that you are a resident of a city riddled with challenges.

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Imagine that you are a resident of a city riddled with challenges. Crime is on the rise, schools

are failing, and the population is among the poorest in the nation. Corruption is so rampant in

local government that the state has had to intercede, wresting away control from those who had

driven the city to the brink of economic ruin.

For Jeffrey Brenner, a doctor in Camden, New Jersey, this was no fictional case study—it was

his reality. When asked to join a committee to help reform the local police, he compiled

extensive data records culled from local hospitals, trying to identify concentrations of violent

crime victims. He identified “hot spots” of criminal activity based on the data and suggested

increased police activity for those neighborhoods, but the suggestion was rejected summarily.

Undeterred, and certain that the health data could still be put to good use, he began mapping

different “hot spots.” This time, he identified neighborhoods with significantly higher than

average healthcare costs, based in large part on the number of hospital and emergency room

visits. He found that a full third of the city’s medical costs could be attributed to 1% of the total

population, an underserved subset of the city with poor health insurance that lacked

preventative healthcare services.

To prepare for this Assignment, review Dr. Brenner’s story by reviewing the article “The hot

spotters: Can we lower medical costs by giving the neediest patients better care?”, as well as

the other related Learning Resources and consider your responses to the following prompts:

How do Brenner’s actions reflect the concepts and principles of patient advocacy and

culturally sensitive healthcare, as described in the readings?

Do you find Brenner’s actions ethical? Why or why not?

Imagine that you are a hospital administrator. How would you reconcile the outcomes of the

coalition and its impact on your hospital?

Perform a SWOT analysis on Brenner’s program, identifying at least three strengths, three

weaknesses, three opportunities, and three threats faced by the program.

Running head: HEALTHCARE COST 1 Healthcare costStudent’s NameInstitution 2 HEALTHCARE COSTHealthcare costBrenner’s actionsIn the article, “The hot spotters: Can we lower medical costs by...
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