A Interview On The Future Of Healthcare

By 2001 it was brutally apparent that the U.S. Health Care system was in dire need of a reform in regards to quality and patient safety. Following two separate reports issued by The Institute of Medicine (IOM), To Err is Human (1999) and Crossing the Quality Chasm: A New Health Care System for the 21st Century(2001) the U.S. Congress requested the IOM review quality processes across multiple government funded health care programs. And understandably, “these reports described America’s healthcare system as a tangled, highly fragmented web that often wastes resources by duplicating efforts, leaving unaccountable gaps in coverage, and failing to build on the strengths of all health professionals” (Brown J., p. I – 15, 2013). Thus, the Committee on the Quality of Health Care in America released 6 aims to address key dimensions that require improvement in our health care system. These aims propose that our system needs to strive to be more Safe, Effective, Patient-Centered, Timely, Efficient, and Equitable (STEEEP). All of which were created to help overhaul our current health care system and, more importantly, narrow the quality chasm.

There are many components to a hospital or medical facility. All of them are necessary to have a properly functioning environment. The emergency department of a hospital is a fast paced world. You have to be constantly on your toes and prepared for whatever may come through the doors. There are many people that work in an emergency room to make it run smoothly. Techs, nurses, CNA’s, LVN’s, and doctors all work side by side to help those who are critically injured. Without all these people it would be complete chaos.

Health care spending grew 3.7 percent in 2012 and the traditional way medicine was practiced had to change (Edlin, Goldman & Leive, 2014). The Affordable Care Act and Population Health was designed based on the concept of “The Triple Aim” to foster change in patient care by providing better care for individuals, better health for populations and decrease the cost of health through improved care (Perez, 2014). As a result, population management has moved to the front by linking services, reducing hospital admission, risk stratification, pursing preventive medicine, ensuring medication review and lowering health care cost. Several organizations have follow in the pursuit of population management by forming Accountable Care Organizations

According to the Federal Bureau of Investigation (FBI) “health care fraud costs the country an estimated $80 billion dollars a year” ("Health Care Fraud," n.d., p. 1). Because health care costs continue to rise more rapidly than the rate of inflation the threat of health care fraud continues to rise. The Affordable Health Care Act has put new policies in place to identify and stop health care fraud. The FBI along with other government, insurance, and public agencies have joined together to combat fraud at every level. New rules in identifying, investigating, and prosecuting fraud before payments are made to medical providers could save billions of

I have had a passion for becoming a healthcare provider for children for quite a while (for a long time). Children are one of the most important individuals of society because they are the future and will one day be in charge of the world. Their health at a young age is indicative to how their health will be as adults. Childhood has a great effect on how a person turns out to be so I hope to help children I hope to use prevention and education to preserve and restore the health of my patients. My career goals are to prevent children from having to spend time in hospitals or in pain and to help them live out their life and dreams to the fullest extent. Children play a very large role in their families, and when a child becomes sick, the whole family becomes distressed. Pediatricians not only heal children, but they help and prevent a family from suffering. I love medicine and children, and I hope to combine these two passions by becoming a pediatrician.

First of all, both scenarios represent emotionally charged situations that impact many stakeholders both internally (employees, patients, providers and board members) and externally (payers, community, government entities, community leaders). There is no doubt that the knowledge I have gained over the course of this program allowed me to have a broader understanding of the implications for each of these stakeholders. Furthermore, not only having knowledge of the perspectives of these various stakeholders but also the tools to critically assess the situation and formulate a plan is also a byproduct of my studies. Additionally, this work highlights the complex and fragmented nature of the US health system and the challenges in working on a solution to almost any problem tackled by healthcare leaders today. Thankfully, the program has given me the confidence to undertake these

One of the greatest changes in healthcare in the past ten years has been the rise of managed care, much to the displeasure of many patients and physicians alike. Managed care arose out of concern about spiraling healthcare costs and was designed to encourage physicians to give patients treatments that were cost-effective out of their own financial interests. "The consumer strategy was directed at imposing some barriers to use by levying various forms of co-insurance. The most common approaches used either deductibles (where the consumer paid the first portion of the bill a technique familiar in other types of insurance) or co-payments (where the consumer paid a portion of the bill and the insurance company the rest) or a combination of both' (Kane et al 1994). Managed care has given health insurance companies an increasingly significant voice in how treatment is administered and allocated. Managed care has proliferated in the past decade despite considerable criticism of the practice of 'nickel and diming' patients as well as the considerable bureaucratic red tape it is has generated. Also, research indicates that healthy, well-insured patients tend to over-consume care without meaningful co-pays but poorer, sicker patients can be deterred even by moderate co-payments and suffer negative health consequences (Kane et al 1994). However, managed care has not gone away and is a reality that all healthcare

The curriculum helps identify the inefficiencies in the healthcare system, while concurrently providing the knowledge to confront these issues. Through my world travels, I have been inspired to reform inadequate health systems by transitioning into healthcare policy as a hospital executive, where I can craft unique health policies to support the underserved. The SLIM program will provide the necessary knowledge to implement effective policies that convey my vision of creating practical and accessible health care. Further, these policies will better represent the needs of both physicians and patients, aligning directly with the Columbia-Bassett mission. The SLIM program also provides the strongest support for my long-term goals of providing for the underserved because it will strengthen my abilities to adapt quickly and promote my relentless desire to solve challenging problems. These are transferable skills that can facilitate the creation of an efficient hospital system. Utilizing these same skills will enable me to generate accessible health care, emphasize the physicians’ needs, and implement innovative solutions for my

The future and direction of health care has been the topic of discussion amongst politician and U.S citizens today. There are several challenges surrounding the future and strategic direction in which health care should be heading. Accreditation, quality of health care and organization’s compliance; access to health care, maintaining a skilled workforce, information technology and pay for performance are some of the challenges that currently presenting itself in healthcare today. If health care is not dealt with appropriately it will have a significant effect an impact on the strategic direction in the future and direction of care.

Imagine having an ability to soar in the future. What would the healthcare system look like? What ideas would we bring back from the future and place into practice? According to Murphy (2011) leaders will begin to “lead from the future” (p. 26). In 2009, President Barack Obama signed the HITECH Act legislation. The legislation supports the adoption of meaningful use of information technology (U. S. Department of Health & Human Service, 2013). It is imperative leaders understand the future of the healthcare system. Meaningful use of information technology included the following objectives: (1) improving quality, safety, efficiency, and reduce health disparities, (2) engaging patients and families, (3) improving care coordination, (4) improving population and public health, and (5) ensuring adequate privacy and security protections for personal health information (Federal Register, 2010). These objectives will be required to become incorporated within an electronic health record. Meaningful use is intended to result in patient-centered, evidence-based, prevention oriented, efficient, and equitable healthcare. As healthcare leaders in the twenty-first century how can we make that happen? This paper will utilize Roger’s (2003) theory related to elements of diffusion as a foundation to influence change at a small New York Hospital.

The current state of our health care delivery is a dysfunctional mess at best. The cost of financing an Affordable Care Act insurance plan within the confines of what is written into the language has not yet been determine . For people earning over $35,000.00 per year there are no subsidies, for folks with Cadillac plans provided by employers there are taxes levied for non-cost containment. That seems to be a punishment and makes no sense as far as cost analysis. According to the report issued by Stinson, “Employer-sponsored plans valued at more than $8,500.00 for individual coverage and $23,000.00 for family coverage would be assessed a tax equal to 40 percent of the excess value amount. Designed to be incentive to insurers to keep their

The health care industry exist to provide preventative measures, diagnose health conditions, repair, and provide services to improve the quality of life. The cost of health care continues to rise each year. Health care fraud is a factor that continues to plague the health care industry. The affect health care fraud has on hospitals, is the increasing cost of medical services. The following research will examine and evaluate how organizational structure and governance, culture and the lack of focus on social responsibility affects on health care fraud. The following research will also include recommendations for prevention of health care fraud, recommendations for

“Demographics of the US population have changed dramatically in the last three decades. These changes directly impact the healthcare industry in regard to the patients we serve and our workforce” (Borkowski, 2012). In fact, Voutsas (2011) argues that the U.S workforce is the most demographically heterogeneous workforce in the world and he believes that this is due to major changes and diversity .Borkowski (2012) also states that the significant changes in the US populations has been seen greatly in regards to gender, age ,and race and ethnicity .

The current state of United States’ health care system is one of the most polarizing subjects of debate among scholars and other health care professionals across the globe. This can be attributed to the fact that at one extreme end, there are some who argue that that Americans have the best system of health care in the world (MePhee, 2013). Perhaps the availability of the state-of-the-art facilities and free medical technology that have become highly symbolic of the various industries in the United States have motivated the idea of the country’s health care system being unparalleled to others. However, there is a common belief that the fight for universal health care can only be successful if its current state of health care is described as a failure in the modern era as emphasized by MePhee (2013).

The future trends in health care are limitless. From using applications that perform EKG’s to robot-assisted surgery, the rapid expansion of technology applications in health care is astounding. Advancing technology also pushes the boundaries of health care in its ability to integrate health care information. The integration of health care information is critical to the effective, efficient delivery of quality care in a now fragmented health care system. This paper will assess how the internet or any new forms of electronic communication can be used as an external delivery source of communicating patient-specific information, address the impact of distance delivery on health care, how these communication issues impact health care today and