Nix, K. (2013, November 20). What Obamacare’s Pay-For-Performance Programs Mean for Health Care Quality. Retrieved from www.heritage.org: http://www.heritage.org/research/reports/2013/11/what-obamacares-pay-for-performance-programs-mean-for-health-care-quality…
In the video “Value Based Health Care Delivery”, spoken by Michael Porter, he begins with a discussion of redefining health care delivery. He stated that unless we want to make pay cuts for health professionals or limit care, there has to be improvement in the value of health care delivered. As defined by Porter, value is patient health outcomes per dollar spent. In order for significant improvement in value, it would require reconstruction of the fundamentals of the health care delivery system.…
Look at health care from an economical view point and learn how economics has a major effect on the management of health care in our society. I chose the first two words on the list, resources and quality, along with opportunity cost, to discuss in this paper. In the discussion the terms will be defined and the relationship that the terms share in the view of market economics and the health economics will be analyzed. The question will be asked, “How are these three terms related and the effects they share on the health care community. Also what affects do they play in health care’s organizations economical…
Managing in a healthcare environment can often be hectic and present many challenges due to a constant change of policies and procedures. In order for any organization to be successful, the organization must identify goals and a plan to reach that goal set. To ensure that the organization is able to work effectively and provide quality care there are several processes available to produce quality care. These processes are strategic planning, performance improvement, and information systems. Each processes feeds directly into the next, when used correctly and simultaneously. These processes can greatly increase the quality of healthcare in an organization.…
However the extra attention to detail of a patients life and health habits may reduce the amount of patients each provider can services, having to focus more time on each patient for higher quality of care makes it very difficult to keep the quantity of patients. Usually the fewer patients a provider has is helpful and allows the provider to provide better quality of care, however there are not enough current providers to service the number of patients in the United States. Providers are left with the struggle of balancing the number of patients they can service with the quality of care they can provide. While the idea of Pay-For-Performance systems is good there are concerns about the future effects on the health care system. One concern is that providers will pick and choose their patients by their health history leaving the sickest without care. The Pay-For-Performance system focuses on the outcomes of patients treatments as well as the manner in which they are treated. Because it is easier to have healthy patients if you start with patients that are not that sick in the first place it is a concern that providers will only take on patients that have simple or no health…
When a group of individuals get together to talk about the health care industries they automatically think of hospitals and it is the first thing that the group thinks of. The hospitals use quality management to accomplish the long and short term goals that will improve the patient’s safety and the quality of care a patient receives. There are different program titles that represent quality improvement. There are a lot of different concepts, policies, and factors that a place needs to have for a successful organization. I will be talking about them within my paper.…
In today 's reality of health care management, organizations must make the tough choices in order to survive. More and more, people are looking for quality at an affordable price. Our organizations must employ methods to do more with less; management teams must do whatever it takes to accomplish that goal. In an ever-growing industry that is health care, it is often necessary for organizations to downsize to control costs while maintaining quality. External as well as internal motivators make the process of downsizing necessary to maintain a competitive edge. Difficult decisions must be made taking employees lives under consideration, without losing sight of the desired effect; cutting…
There is a growing trend in the United States called pay-for-performance. Pay-for-performance is a system that is used where providers are compensated by payers for meeting certain pre-established measures for quality and efficiency (What is Pay-for-Performance, n.a.). We are going to be discussing what pay-for-performance is. There are different aspects of pay-for-performance which include; the effects of reimbursement by this approach, the impact cost reductions has on quality and efficiency of health care, the affects to the providers and patients, and the effects on the future of health care.…
Currently the health care system’s financial incentives are not structured to reward effective and efficient care. Payment systems pay doctors, hospitals and providers for services (fee for service). Oddly, when care is efficient, the savings go back to the payer, insurance companies or the federal government rather than the hospital. These factors, in…
Cost, Quality, and Access . Sultz and Young (2011) note that there is currently a strong movement within the U.S. health care system to address “the seemingly unresolvable need to correct problems of access and cost without compromising the quality of care” (pg. 1). After viewing the required video Reinventing Healthcare-A Fred Friendly Seminar , discuss how one of the cases presented during the seminar is an example of the tension between cost, access, and quality. Highlight what you consider to be the biggest problem inherent in the system.…
From the past ,Health care workers wear facing a very serious and sensitive problem while treating patient which is Medications Errors. Patient safety is characterized as opportunity from incidental harm because of medical care, or absence of medicinal blunders, or absence of abuse in administrations. Medical error is: "a failure in the therapeutic process that can possibly lead to harm to the patient"(1). It occurs when a health care provider selects improper technique in care or improperly executes an proper strategy of care. Medical errors can happen anywhere in the health care system: In hospitals, clinics, operations rooms, doctors' offices, nursing homes, pharmacies, and patients' homes. Errors can happen…
Individual payments for health care services received have undergone many changes over the past one hundred and fifty years in this country. For many years a fee for service system was in place. This was acceptable at the time because costs were low. However, as costs began to rise, changes in the system occurred as well. Private insurance companies started to form in the 1920s to help consumers afford medical care when needed. Through several evolutions over the years and due to increased costs of medical care, we saw new market oriented public policy initiatives starting to form by the 1980s. In 1970 health care spending represented 7% of the national income, but by 1993 it grew to 13.4% (White, 2004). Health care costs were starting to get out of hand and something needed to be done to address it. "In the public sector, important initiatives included the introduction of the Medicare Prospective Payment System, a range of state reform efforts, and the Clinton administration 's health reform initiative. At the same time, private insurers introduced changes that set in motion a fundamental restructuring of relationships in the health care market place, ultimately giving rise to managed care" (White, 2004). This paper will discuss the rationale, effectiveness, strengths, and weaknesses behind this relatively young reimbursement payment system called managed care.…
A medication error is any avoidable event that may cause or lead to untimely medication use or patient harm; however, while the medication is still in control of the health care administer (Brock, 2006). 80 percent of the most severe medical errors can be interrelated communication between clinicians, primarily in handoffs. For example, a handoff is a medical error if information regarding an essential diagnostic test is not communicated carefully and properly between providers at shift change (Starme, 2015). However, the end result could be a detrimentally harmful delay in patient care.…
Quality improvement among the healthcare industry is needed on a continuous basis. Staying familiar with the different trends and changes in policies is imperative for all health care organizations. Prior to any quality improvement a review and analysis of the current process is needed to determine whether or not additional adjustments are necessary. Once the areas of concern are identified a course of action plan needs to be executed. Along with process improvement quality improvement is needed in regards to patient care as well. Offering health trackers online, nurse lines for medical advice after hours, or even the ability to schedule appointments via the web. Next, I will review organizations that have contributed to reviewing the quality in healthcare organizations.…
References: Davis, K., Schoen, C., Shea, K., & Haran, C. (2008). Aiming High for the U.S. Health System: A…