Comparing the number of admissions between Med/Surg and Cardiac in MN (or any two procedures) - Applied Sciences
APA FORMAT
The dataset to use to complete this assignment is MN Admission dataset
Assignment #1: Quantitative Analysis
For this assignment, you should choose one dataset from the list/links below. You should then analyze the dataset you chose using Excel Analysis ToolPak or RStudio (for bonus points)
Six Datasets to select and use for analysis in this class :
Minnesota Healthcare Database.xlsx
Medicare National Data by County
MN Hospital Report Data by Care Unit FY2013
MN HCCIS Imaging Procedures 2013
MEPS Dental Files
MEPS Inpatient Stay Database
You should develop an analysis report, in five main sections, including (1) Introduction, (2) Analysis (including research questions/objective, data set used, research method, and analysis steps), (3) Results (tables, graphs, and discussion of results), (4) Conclusion and health policy recommendations. This is a 5-6 page individual project report.
Here are the main steps for this assignment.
Step 1: You submitted a topic you plan to use for this assignment in week 1. If the Professor has approved that topic for you to use then carry on.
Step 2: Develop the research question for that approved topic. Then, select the data set you could use to answer the research question, plan the research method you would use, the tables and graphs you would create using the data you have analyzed, and the analysis steps you would take. Refer to the instructions on the Report Structure below.
Step 3: Run the analysis using Microsoft EXCEL Analysis ToolPak (or RStudio if that is the software you chose in Week 1) and report the findings based on the instructions below.
The Report Structure:
Start with the
1. Cover page (1 page, including running head).
Please look at the example http://www.apastyle.org/manual/related/sample-experiment-paper-1.pdf (you can download the file from the class) and http://www.umgc.edu/library/libhow/apa_tutorial.cfm to learn more about the APA style.
Your title page should include:
Title, this is the approved topic by your instructor.
Student name
Class name
Instructor name
Date
2. Introduction
Introduce the problem or topic being investigated. Include relevant background information, for example;
Indicates why this is an issue or topic worth researching;
Highlight how others have researched this topic or issue (whether quantitatively or qualitatively), and
Specify how others have operationalized this concept and measured these phenomena
Note: Introduction should not be more than one or two paragraphs.
Literature Review
There is no need for a literature review in this assignment
3. Research Question or Research Hypothesis
What is the Research Question or Research Hypothesis?
***Just in time information: Here are a few points for Research Question or Research Hypothesis
There are basically two kinds of research questions: testable and non-testable. Neither is better than the other, and both have a place in applied research.
Examples of non-testable questions are:
How do managers feel about the reorganization?
What do residents feel are the most important problems facing the community?
Respondents answers to these questions could be summarized in descriptive tables and the results might be extremely valuable to administrators and planners. Business and social science researchers often ask non-testable research questions. The shortcoming with these types of questions is that they do not provide objective cut-off points for decision-makers.
In order to overcome this problem, researchers often seek to answer one or more testable research questions. Nearly all testable research questions begin with one of the following two phrases:
Is there a significant difference between ...?
Is there a significant relationship between ...?
For example:
Is there a significant relationship between the age of managers? and their attitudes towards the reorganization?
A research hypothesis is a testable statement of opinion. It is created from the research question by replacing the words Is there with the words There is, and also replacing the question mark with a period. The hypotheses for the two sample research questions would be:
There is a significant relationship between the age of managers and their attitudes towards the reorganization.
It is not possible to test a hypothesis directly. Instead, you must turn the hypothesis into a null hypothesis. The null hypothesis is created from the hypothesis by adding the words no or not to the statement. For example, the null hypotheses for the two examples would be:
There is no significant relationship between the age of managers
and their attitudes towards the reorganization.
There is no significant difference between white and minority residents
with respect to what they feel are the most important problems facing the community.
All statistical testing is done on the null hypothesis...never the hypothesis. The result of a statistical test will enable you to either:
1) reject the null hypothesis, or
2) fail to reject the null hypothesis. Never use the words accept the null hypothesis.
*Source: StatPac for Windows Tutorial. (2017). Users Guide; Formulating Hypotheses from Research Questions. Retrieved May 17, 2019 from https://statpac.com/manual/index.htm?turl=formulatinghypothesesfromresearchquestions.htm
What does significance really mean?
“Significance is a statistical term that tells how sure you are that a difference or relationship exists. To say that a significant difference or relationship exists only tells half the story. We might be very sure that a relationship exists, but is it a strong, moderate, or weak relationship? After finding a significant relationship, it is important to evaluate its strength. Significant relationships can be strong or weak. Significant differences can be large or small. It just depends on your sample size.
To determine whether the observed difference is statistically significant, we look at two outputs of our statistical test:
P-value: The primary output of statistical tests is the p-value (probability value). It indicates the probability of observing the difference if no difference exists.
The p-value from above example, 0.9926, indicates that we DO NOT expect to see a meaningless (random) difference of 5\% or more in ‘hospital beds’ only about 993 times in 1000 there is no difference (0.9926*1000=992.6 ~ 993).
Note: This is an example from the week1 exercise.
The p-value from above example, 0.0001, indicates that we’d expect to see a meaningless (random) ‘number of the employees on payer’ difference of 5\% or more only about 0.1 times in 1000 (0.0001 * 1000=0.1).
CI around Difference: A confidence interval around a difference that does not cross zero also indicates statistical significance. The graph below shows the 95\% confidence interval around the difference between hospital beds in 2011 and 2012 (CI: [-40.82 ; 40.44]):
CI around Difference: A confidence interval around a difference that does not cross zero also indicates statistical significance. The graph below shows the 95\% confidence interval around the difference between hospital beds in 2011 and 2012 (CI: [-382.16 ; 125.53]):
The boundaries of this confidence interval around the difference also provide a way to see what the upper [40.44] and lower bounds [-40.82].
As a summary:
“Statistically significant means a result is unlikely due to chance.
The p-value is the probability of obtaining the difference we saw from a sample (or a larger one) if there really isn’t a difference for all users.
Statistical significance doesn’t mean practical significance. Only by considering context can we determine whether a difference is practically significant; that is, whether it requires action.
The confidence interval around the difference also indicates statistical significance if the interval does not cross zero. It also provides likely boundaries for any improvement to aide in determining if a difference really is noteworthy.
With large sample sizes, you’re virtually certain to see statistically significant results, in such situations, it’s important to interpret the size of the difference”(Measuring U, 2019).
*Resource
Measuring U. (2019). Statistically significant. Retrieved May 17, 2019 from: https://measuringu.com/statistically-significant/
Small sample sizes often do not yield statistical significance; when they do, the differences themselves tend also to be practically significant; that is, meaningful enough to warrant action.
4. Research Method
Discuss the Research Methodology (in general). Describe the variable or variables that are being analyzed. Identify the statistical test you will select to analyze these data and explain why you chose this test. Summarize your statistical alternative hypothesis. This section includes the following sub-sections:
a) Describe the Dataset
Example: The primary source of data will be HOSPITAL COMPARE MEDICARE DATA (citation). This dataset provides information on hospital characteristics, such as: Number of staffed beds, ownership, system membership, staffing by nurses and non-clinical staff, teaching status, percentage of discharge for Medicare and Medicaid patients, and information regarding the availability of specialty and high-tech services, as well as Electronic Medical Record (EMR) use (Describe dataset in 2-3 lines, Google the dataset and find the related website to find more information about the data).
Also, describe the sample size; for example, “The writer is using Medicare data-2013, this data includes 3000 obs. for all of the hospitals in the US.”
b) Describe Variables
Next, review the database you selected and select a variable or variables that are a “best-fit.” That is, choose a variable that quantitatively measures the concept or concepts articulated in your research question or hypothesis.
Return to your previously stated Research Question or Hypothesis and evaluate it considering the variables you have selected. (See the sample Table 1).
Table 1. List of variables used for the analysis
Variable
Definition
Description of data code
Source
Year
Total Hospital Beds
Total facility beds set up and staffed at the end of the reporting period
Numeric
MN Data
2013
….
…..
Source: UMGC, 2019
***Just in time information:
To cite a dataset, you can go with two approaches:
First, look at the note in the dataset for example;
Medicare National Data by County. (2012). Dartmouth Atlas of Health Care
Second, use the online citation, for example:
Zare, H., (2019, May). MN Hospital Report Data. Data posted in University of Maryland University College HMGT 400 online classroom, archived at http://campus.umgc.edu
See two examples describing the variables from Minnesota Data:
Table 2. Definition of variables used in the analysis
Variable
Definition
Description
of code
Source
Year
hospital_beds
Total facility beds set up and staffed at the end of the reporting period
Numeric
MN data
2013
year
FY
Categorical
MN data
2013
Source: UMGC, 2019
c) Describe the Research Method for Analysis
First, describe the research method as general (e.g., this is a quantitative method and then explain this method in about one paragraph. If you have this part in the introduction, you do not need to add it here).
Then, explain the statistical method you plan to use for your analysis (Refer to content in week 3 on Biostatistics for information on various statistical methods you can choose from).
Example:
Hypothesis: AZ hospitals are more likely to have lower readmission rates for PN compared to CA.
Research Method: To determine whether Arizona hospitals are more likely to have lower readmission rate than California, we will use a t-test, to determine whether differences across hospital types are statistically significant (You can change the test depends on your analysis).
d) Describe statistical package
Add one paragraph for the statistical package, e.g., Excel or RStudio.
5. Results
Discuss your findings considering the following tips:
▪ Why you needed to see the distribution of data before any analysis (e.g., check for outliers, finding the best fit-test; for example, if the data had not a normal distribution, you can’t use the parametric test, etc., so just add 1 or 2 sentences).
▪ Did you eliminate outliers? (Please write 1 or 2 sentences, if applicable).
▪ How many observations do you have in your database and how many for selected variables, report \% of missing.
▪ When you are finished with this, go for the next steps:
Present the results of your statistical analysis; include any relevant statistical information (summary tables, including N, mean, std. dev.). Make sure to completely and correctly name all your columns and rows, tables, and variables. For this part you could have at least 1-2 tables and 1-2 figures (depending on your variables bar-chart, pi-chart, or scatter-plot), you can use a table like this:
Table 3. Descriptive analysis to compare \% of BL in Medicare beneficiary, MD vs. VA- 2013
Variable
Obs.
Mean
SD
P-value
Per of Lipid in MD
24
83.20
2.32
0.4064
Per of Lipid in VA
124
82.69
4.41
Source: UMGC, 2019
When you have tables and plots ready, think about your finding and state the statistical conclusion. That is, do the results present evidence in favor or the null hypothesis or evidence that contradicts the null hypothesis?
6. Conclusion and Discussion
Review your research questions or hypothesis.
How has your analysis informed this question or hypothesis? Present your conclusion(s) from the results (presented above) and discuss the meaning of this conclusion(s) considering the research question or hypothesis presented in your introduction.
At the end of this section, add one or two sentences and discuss the limitations (including biases) associated with this analysis and any other statements you think are important in understanding the results of this analysis.
References
Include a reference page listing the bibliographic information for all sources cited in this report. This information should be consistent with the requirements specified in the American Psychological Association (APA) format and style guide.Assignment #1: Quantitative Analysis
For this assignment, you should choose one dataset from the list/links below. You should then analyze the dataset you chose using Excel Analysis ToolPak or RStudio (for bonus points)
Six Datasets to select and use for analysis in this class :
Minnesota Healthcare Database.xlsx
Medicare National Data by County
MN Hospital Report Data by Care Unit FY2013
MN HCCIS Imaging Procedures 2013
MEPS Dental Files
MEPS Inpatient Stay Database
You should develop an analysis report, in five main sections, including (1) Introduction, (2) Analysis (including research questions/objective, data set used, research method, and analysis steps), (3) Results (tables, graphs, and discussion of results), (4) Conclusion and health policy recommendations. This is a 5-6 page individual project report.
Here are the main steps for this assignment.
Step 1: You submitted a topic you plan to use for this assignment in week 1. If the Professor has approved that topic for you to use then carry on.
Step 2: Develop the research question for that approved topic. Then, select the data set you could use to answer the research question, plan the research method you would use, the tables and graphs you would create using the data you have analyzed, and the analysis steps you would take. Refer to the instructions on the Report Structure below.
Step 3: Run the analysis using Microsoft EXCEL Analysis ToolPak (or RStudio if that is the software you chose in Week 1) and report the findings based on the instructions below.
The Report Structure:
Start with the
1. Cover page (1 page, including running head).
Please look at the example http://www.apastyle.org/manual/related/sample-experiment-paper-1.pdf (you can download the file from the class) and http://www.umgc.edu/library/libhow/apa_tutorial.cfm to learn more about the APA style.
Your title page should include:
Title, this is the approved topic by your instructor.
Student name
Class name
Instructor name
Date
2. Introduction
Introduce the problem or topic being investigated. Include relevant background information, for example;
Indicates why this is an issue or topic worth researching;
Highlight how others have researched this topic or issue (whether quantitatively or qualitatively), and
Specify how others have operationalized this concept and measured these phenomena
Note: Introduction should not be more than one or two paragraphs.
Literature Review
There is no need for a literature review in this assignment
3. Research Question or Research Hypothesis
What is the Research Question or Research Hypothesis?
***Just in time information: Here are a few points for Research Question or Research Hypothesis
There are basically two kinds of research questions: testable and non-testable. Neither is better than the other, and both have a place in applied research.
Examples of non-testable questions are:
How do managers feel about the reorganization?
What do residents feel are the mosAdmissions by Care Unit
Minnesota Hospitals Admissions by Care Unit of the Hospital, Fiscal Year 2012
Data current as of 2-6-2014 Acute Care Non-Acute Care Total
HCCIS ID Hospital Name Affiliation City County Report Year End Date CAH Licensed Beds Licensed Bassinets Available Beds Med/Surg Admissions Cardiac Admissions Chemical Dependency Admissions Mental Health (Psychiatric) Admissions Neurology Admissions Neonatal (exclude routine nursery) Admissions Obstetrics Admissions Orthopedic Admissions Rehabilitation Admissions Other Acute Care Specialty Admissions Total Billing Acute Care Admissions balancing account (discharge data to amt provided by hospital in 4320) Total Acute Care Admissions (ties to 4320) Routine Nursery Admissions (Births) Swing Bed Admissions (ties to 4324) Subacute/
Transitional Care Admissions (ties to 4327) Other Non-Acute Care Admissions Total Non-Acute and Nursery Care Admissions Total Acute and Non-Acute Care Hospital Admissions (4320+7180)
(#4504) (#4531) (#7082) (# 7691) (# 7268) (# 4304) (# 4307) (# 7274) (# 4344) (# 7523) (# 7271) (# 4309) (# 7175) (# 8070) (# 8032) (# 8071) (# 4331) (# 7177) (# 7178) (# 7179) (# 7180) (# 7176)
1 Tyler Healthcare Center, Inc. Avera Health Tyler Lincoln 2/29/12 Yes 20 1 20 10 8 1 4 23 87 110 20 4 24 134
2 Abbott Northwestern Hospital Allina Hospitals and Clinics Minneapolis Hennepin 12/31/12 No 952 36 644 8,906 7,018 195 3,224 2,433 2,023 4,516 6,855 701 3,780 39,651 -1,521 38,130 4,264 4,264 42,394
3 Essentia Health Ada Essentia Community Hospitals and Clinics (ECHC) Ada Norman 6/30/12 Yes 14 0 14 33 6 3 2 6 50 25 75 20 20 95
4 Riverwood HealthCare Center No Affiliation Aitkin Aitkin 9/30/12 Yes 25 6 25 408 135 12 6 24 14 62 87 28 83 859 231 1,090 63 32 95 1,185
5 Albany Area Hospital and Medical Center Catholic Health Initiatives Albany Stearns 6/30/12 Yes 17 2 17 80 16 6 1 28 5 15 151 86 237 45 42 9 96 333
6 Appleton Municipal Hospital and Nursing Home No Affiliation Appleton Swift 9/30/12 Yes 15 1 15 42 12 6 1 9 13 83 30 113 52 7 59 172
7 Sibley Medical Center No Affiliation Arlington Sibley 9/30/12 Yes 20 0 14 82 5 5 1 6 13 13 125 -24 101 32 8 40 141
10 Bethesda LTACH HealthEast Care System St. Paul Ramsey 8/31/12 No 254 0 126 165 161 892 1,218 0 1,218 1,218
11 Buffalo Hospital Allina Hospitals and Clinics Buffalo Wright 12/31/12 No 65 18 44 1,093 315 34 22 78 176 560 328 276 2,882 -120 2,762 893 893 3,655
13 Cambridge Medical Center Allina Hospitals and Clinics Cambridge Isanti 12/31/12 No 86 15 86 1,386 337 417 558 141 144 541 267 336 4,127 -340 3,787 459 459 4,246
14 Sanford Canby Medical Center Sanford Health Canby Yellow Medicine 6/30/12 Yes 25 4 25 121 13 1 12 4 15 23 24 213 89 302 37 105 142 444
15 Mayo Clinic Health System - Cannon Falls Mayo Clinic Cannon Falls Goodhue 12/31/12 Yes 21 4 21 146 44 1 3 15 56 40 305 37 342 123 123 465
17 Chip
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Key outcomes: The approach that you take must be clear
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Topic: Purchasing and Technology
You read about blockchain ledger technology. Now do some additional research out on the Internet and share your URL with the rest of the class
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Computers are being used to monitor the spread of outbreaks in different areas of the world and with this record
3. Furman v. Georgia is a U.S Supreme Court case that resolves around the Eighth Amendments ban on cruel and unsual punishment in death penalty cases. The Furman v. Georgia case was based on Furman being convicted of murder in Georgia. Furman was caught i
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4. Identify two examples of real world problems that you have observed in your personal
Summary & Evaluation: Reference & 188. Academic Search Ultimate
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We can mention at least one example of how the violation of ethical standards can be prevented. Many organizations promote ethical self-regulation by creating moral codes to help direct their business activities
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The inbound logistics for William Instrument refer to purchase components from various electronic firms. During the purchase process William need to consider the quality and price of the components. In this case
4. A U.S. Supreme Court case known as Furman v. Georgia (1972) is a landmark case that involved Eighth Amendment’s ban of unusual and cruel punishment in death penalty cases (Furman v. Georgia (1972)
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While you must form your answers to the questions below from our assigned reading material
CliftonLarsonAllen LLP (2013)
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The word assimilate is negative to me. I believe everyone should learn about a country that they are going to live in. It doesnt mean that they have to believe that everything in America is better than where they came from. It means that they care enough
Data collection
Single Subject Chris is a social worker in a geriatric case management program located in a midsize Northeastern town. She has an MSW and is part of a team of case managers that likes to continuously improve on its practice. The team is currently using an
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A Health in All Policies approach
Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum
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Read Connecting Communities and Complexity: A Case Study in Creating the Conditions for Transformational Change
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Use the bolded black section and sub-section titles below to organize your paper. For each section
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Losinksi wanted details on use of the ED at CGH. He asked the administrative resident