The purpose of this assignment is to gain a broad perspective of risk management and quality management as applicable to all health care organizations, rather than focusing on a specific segment of the health care industry.…
Porter, PhD, M. E. (2010). What Is Value in Health Care? The New England Journal of Medicine. doi:10.1056/NEJMp1011024…
The following paper will be addressing the Risk and Quality management of one of the leading health care organizations in the world today and an organization whose benefits many of us have had the pleasure of experiencing: Kaiser Permanente, which is one of the most esteemed and flourishing organizations within the health care field. Kaiser Permanente provides and offers leading health care technologies, outstanding doctors, emergency services, laboratory needs, pharmaceuticals, and other hospital services among other things. They also have a very detailed and successful risk and quality management program which they enforce within their various organizations.…
Clinical quality standards should be developed through a bottom-up approach, in collaboration with the Federal Government, health care professionals and public health and social care practitioners, accrediting societies, medical societies and boards, insurers, and service users. However, it’s important to recognize that the vexing problems of quality care and cost-effectiveness in the U.S. health care system are unlikely to get resolved without the leadership from the Federal Government. Ideally, leadership would naturally surface from within the industry to lead the development of quality care standards, but the fragmented health care…
7. Schoenbaum, S., Audet, A,J., Davis, K. “ Obtaining Greater Value from Health Care: The…
The purpose of this assignment is to gain a broad perspective of risk management and quality management as applicable to all health care organizations, rather than focusing on a specific segment of the health care industry.…
Having clear, well defined goals can: help business growth, achieve your objectives, improve teamwork and collaboration, and help everyone understand the direction a business is heading (Australian Government, 2016). I chose this principle because goals towards patient-centered measures and outcomes are increasingly important as insurance reimbursement is based on performance. Having well- implemented goals that provide a transformation to a more patient-centered model ensures the highest reimbursement for the facility, this should be the direction healthcare facilities from a business stand point are moving. Moreover, well-implemented goals have the potential to improve the comprehensiveness, coordination, efficiency, effectiveness, cost effectiveness, and value of care, as well as the satisfaction of patients and providers. My institution strives to continuously improve the quality-of-care, with a vision of patient-centered care. They value and promote evidence-based processes and goals that promoted patient-centered care that improves quality and has cost effective outcomes. It is the reason why my department is supporting my capstone for Nursing 4600.…
We have quality improvement aspect followed by audit to deliver better care and improve a current practice. As a result of the process I have come across the fact that most of the patients who have admitted into our unit were happy the way they received care during their hospitalization. It also brings attention to that positive and effective communication delivers better understanding to the patients about their care and options for their choice of care.…
The U.S. devotes a much larger share of its national income to health care than any other country in the world. However, the gross over-spending has not yielded the healthiest population (OECD Health data, 2009). Our economy is continually growing at a lesser rate than healthcare spending. The need to restrain this unsustainable growth in health care costs is often overlooked in favor of reform focused on expanding access to care. Attention must be focused on restructuring the payment process with the goal of reducing costs without sacrificing quality.…
With healthcare spending steadily on the rise in the United States, healthcare payers are beginning to make the shift from volume-based to value-based payment regimes. The main focus in doing so is to improve the quality of care while reducing the cost. One type of value-based approach is an Accountable Care Organization (ACO), which is defined as a “group of healthcare providers who agree to share responsibility for the quality, cost, and coordination of care for a defined population of patients.” There are three core features of the ACO model. The first is that the ACO consists of a strong base of primary care health provider organizations; the second is that performance measurement is designed to support ongoing improvement in patient care…
* The purpose of this assignment is to gain a broad perspective of risk management and quality management as applicable to all health care organizations, rather than focusing on a specific segment of the health care industry.…
Center for Medicare and Medicaid Services’ (CMS) has had long time efforts to tie Medicare’s payment system to a value based system, which in turn improves the healthcare quality outcomes and more importantly, improves care provided in the inpatient setting.2 In the reform of healthcare in the United States, the transition from Fee for service to a value based system has initiated many challenges faced by the healthcare system. Today, healthcare systems are required to report on Medicare quality measures that determine the way the get paid. This shift has created a new way in which participating hospitals are paid. Instead of being paid for the amount…
With the current landscape of healthcare in the United States, there are several stakeholders that have conflicting vision as to healthcare administration. Looking at the few key stakeholders, it is comprised of Patients, Physicians, Hospitals, and Payors. Each of the respective groups have different view points on how healthcare administration is judged to be a successful delivery. Exploring each stakeholder’s view of healthcare will provide us with a better understanding of their goals. Understanding the vision of each stakeholders in healthcare allow a broader understanding of the healthcare delivery in the United States and its complexity.…
This paper explores a published book of concern with the American health care systems and top three health care issues. It shows an overview and recommendations of our health care delivery systems and an overall blueprint for reform. Ledford and Lambrew offer recommendations to promote quality, efficiency, patient-centeredness, and other salient characteristics of a high performing health system. The blueprint is a vision of how different parts of the system should be structured and how they should function ( (Meredith King Ledford, Jeanne M. Lambrew, David J. Rothman, & John D. Podesta, 2008)…
84. Nelson, E., Rust, R.T., Zahorik, A., Rose, R.L., Batalden, P. and Siemanski, B., 1992- “Do patient perceptions of quality relate to hospital financial performance?” Journal of Healthcare Marketing, Dec., pp.1-13.…