Unit 1 Individual Project Quality Improvement in Healthcare HCM672

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Colorado Technical University *

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672

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Health Science

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Feb 20, 2024

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Unit 1 Individual Project Quality Improvement in Healthcare HCM672 Vincent L. Smith January 7, 2024
Introduction The purpose of this unit 1 individual assignment will be to examine and explain some of the possible reasons or factors for the rising costs of health care here in the United States. Based on information or data from the health care industry, the United States continues to fall behind in quality care and treatment for the patient or individuals in need of proper medical services based on performance delivery. This assignment will also attempt to examine and explain the relationship of cost and quality of health care in the United States. This assignment will also help to identify methods in which the Patient Protection and Affordable Care Act (PPACA) manages or attempts to improve the quality of health care while trying to lower costs. Included in this assignment will also be information explaining how and if the PPACA was capable of achieving certain goals necessary for developing and implementing improved quality care (Buntin et al., 2018). Relationship between Cost and Quality in Healthcare For the most part, health care in the United States has become very expensive due to increasing costs for both services and treatments. Over the past few decades, concerns have been increasing in numerous countries due to measuring how each particular hospital is being assessed or monitored when it comes to comparing costs. Medical treatment and services are key factors which play a vital role in the complexity of hospital costs along with efforts to control or manage costs as well (Buntin et al., 2018). Costs containment and improvement for quality care is imperative for the success within any health care organization or facility. The costs and quality of health care continue to be hot topics of debate when it comes to policies and guidelines for trying to reform the health care system in its current state today. These concerns and topics surrounding health care include quality of care, increasing/decreasing costs, accessing coverage,
and affordable coverage just to name a few. While researching and examining quality and costs, there are two vital questions of importance of great concern. The first question being; “Will the improvement of quality increase health care cost?” The second question; “Will lowering costs decrease or lower the standards for health care?”. However, the assumption exist that if there is a improvement in care, that hospital costs will decrease by lowering both readmissions and complications within the health care organization or facility. Research studies have shown or indicated various characteristics are associated quality and costs. The process or method of measuring or gauging quality can be implemented in numerous ways that will have connections to costs that may be different or dissimilar. In addition to gauging quality, measuring of costs my be determined by reimbursements to health care plans or to the provider for resources used. The United States faces at least two vital factors or increasing concerns for health care such as quality and increasing costs (Engel, 2018). These two factors or challenges for the most part in many instances become a costly burden for private payers, the government and those individuals who are or maybe low to no income. The creation of the Affordable Care Act or Patient Protection Affordable was established with various provisions. These provisions serve a purpose for helping to shape United States healthcare system. The establishment of this regulation makes it possible to expand coverage to help with making health care easier to afford while also reforming and stabilizing the health care market or industry. This in some cases can make it possible to then reduce uneconomical or unnecessary spending while also fostering competition within the healthcare market which will eventually help to cause significant improvement for quality medical care. Since becoming a law, the ACA has shown the the healthcare system has managed to show signs of steady improvement in terms of quality although costs appear to be somewhat sluggish. These steady improvements
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