Affordable Health Care Alternative Solutions

With nearly all health care institutions participating in some form of quality improvement (QI) activities (Walston, Burns and Kimberly 2000; Manuel 2008; Gowen Iii, Stock and McFadden 2008; Chassin 2013), the lack of substantial improvement in quality is disheartening (Glasgow, Scott-Caziewell and Kaboli 2010; Chassin 2013). Unless substantial changes are made to the way in which quality improvement is conducted with an effort to seriously address the widespread overuse of health services, desired progress will not be achieved (Chassin 2013). Thus, healthcare providers need to study, develop, implement, and sustain process management systems which must investigate a clear identified problem and improve patient and worker safety while enhancing

having access to health services, illegal immigrants would be able to live a more comfortable and secure life, as well as the whole community around them. Lack of follow-ups, such as tuberculosis, AIDS/HIVS, and untreated mental issues could result being life-threating. As we know, many illegal immigrants that come to the United States are

The way we practice healthcare and healthcare organizations are changing due to the pressure to reduce costs, improve the quality of care and to meet rigorous guidelines. This change has forced health care professionals to examine we evaluate our overall performance. Paradise Hospital, Inc. has not had any service improvements since 1995. A physician named Avedis Donabedian (2005) proposed a model for assessing health care quality based on structures, processes, and outcomes. He defined structure as the environment in which health care is provided. This is known as the organizational characteristics such as the measurement of staffing ratios and the number of hospital beds. The process is described as the method by which health care is provided. This represents the communication and interaction seen between doctor and patient. The necessity for the tests and procedures performed. The outcome is defined as the consequence of the health care provided, was there a desirable or undesirable effect.

When it comes to the U.S. healthcare system, there are two sides of the argument. Some Americans may argue that the U.S. healthcare system is the best in the world given the many state-of-the-art healthcare facilities and innovative and advanced medical technology available, and there are those who argue that it is too costly and inefficient on many different levels (Chua, 2006). Despite the large amount of spending invested on their healthcare system, the U.S. consistently underperforms on most indicators of performance compared to other countries (Davis, Stremikis, Squires, & Schoen, 2014). Healthcare costs such as doctor visits, hospital stays, and prescription drugs are more expensive in the U.S. than any other country in the world.

Quality healthcare is a very important factor in how individuals perceive their quality of life. In most countries, it is the major political issue. The healthcare delivery organization is a part of the national identity (Dranove & Sfekas, 2009).

The Institute of Medicine of 2001, states numerous areas where healthcare is failing patients, stating delivery of care is often overly complex and uncoordinated, leading to a slowdown in care rather than improved efficiency in regards to patient safety (Institute of Medicine, 2001). To account for the incommodious system, the Institute of Medicine discusses in a health policy review released titled Crossing the Quality Chasm: A new Health System for the 21st Century. six aims for improvement of quality. The six aims for improvement are built around the core of healthcare to be built around safety, effectiveness, timeliness, efficiency, equitable and patient centeredness (Institute of Medicine, 2001). A healthcare system that achieves gains in these areas would be better off at meeting patient needs according to the Crossing the Quality Chasm review.

One of these reports is “Crossing the quality chasm: A new health system for the 21st century” by the Institute of Medicine (IOM, 2001). After more than a decade being published, this report continues providing useful and relevant information. The report explains six dimensions of quality that need to be achieved by the healthcare system to improve quality, the six aims are: Safety, Effectiveness, Efficiency, Timeliness, Patient centered care, and Equitability. (Joshi, 2015, pg 6)

In order to continuously provide effective and efficient healthcare, variation has to occur within the healthcare organization. As the book states, “variation in healthcare indicates inconsistencies in the quality of care provided to different populations of patients” (Ransom, 2008, p. 55). For this to occur, organizations have to make small changes to improve their patients health and quality of life. Process variation, outcome variation and performance variation all have an impact on how care is provided and assessed. For instance, if a physician uses a different method for the screening of colorectal cancer that will not necessarily led to outcome changes or quality improvement. A good start at implementing healthcare changes could be done by creating changes in supply-genitive care (local healthcare system) (Ransom, 2008, p. 59).

According to Err is Human: Building a Safer Health Care System, thousands of Americans die annually due to medical errors and hundreds of thousands are victims of a non-fatal medical errors or injuries (Kongstvedt, 2013). With that being said, health care is composed of three main components: quality, access, and cost (Tabish, 2009). High quality care could prevent many of these fatalities or never events that occur within the health care organization. Historically speaking, many health care changes and improvements in quality of care have occurred due to quality management and quality assurance. To fully understand how quality is achieved and maintained, it is important to dissect these two programs or processes. This paper will analyze the key components of a quality management program as well as discuss characteristics that distinguish a quality management program from traditional quality assurance.

Glickman, S., Baggett, K., Krubert, C., Peterson. E., & Schulman, K. (2007). Promoting quality: the health-care organization from a management perspective. International Journal for Quality in Health Care.

There are certain influences that encourage the development of a health care delivery system. As Roemer (1991) indicated, the organization of a health care facility depends on the health needs of a society. The simple definition of organization is the association, business, or club that is formed for a particular purpose with a set of objectives and goals (Organization, n.d.). According to Roemer, “the ultimate objective of an organization in a health system is to promote or protect peoples’ health…” (p. 49).

Immigrants that come over can spread serious or deadly disease. We have seen very serious viruses like the ebola virus spread through africa and kill thousands. What if someone with ebola was to come through america and spread it? Immigrants need to be tested for disease and if they contain any deadly viruses they should be deported. We need to keep America healthy and safe.

American’s health care cost is notoriously high compared to other industrial countries’ health care costs. Why is this the reality? This is the question Mark Stabile et. al. argues in “Health Care Cost Containment Strategies Used in Four Other High-Income Countries Lessons For the United States.” Although the other four countries— Switzerland, UK, Germany and France—are not perfect, they have cost-containment strategies that the U.S. could replicate. The main goals are that the U.S. needs better cost-effective measurements, an increase in negotiating powers with providers and pharmaceutical companies, and more uniform prices for the same services. The question then becomes how will the U.S. accomplish these goals?

Improving the quality of health care system is the main goal of this organization. In this case study we will be talking about the strategic plans being made by the organization for the next decade to deal with the problems of resource management, network growth, patient satisfaction as well as nurse staffing. The readiness of the organization towards catering the citizens' needs for health care will also be discussed in this case study (Goetsch and Davis, 2010).

Livanage, Champika, Egbu, and Charles (2005) states that “Donabedian (1980) cited in Long and Harrison (1985) argues that the evaluation of the quality of health service involves the functional relationship of structure inputs, process, and outcomes.” They also stated that the characteristics of structure can potentially affect the care process ultimately affecting the care outcome. In this article it they also revealed that the relationship between structure, process and outcome that quality can’t be achieved by one domain but all of them play a major role in healthcare quality (2005). According to Shi and Singh (2015) structure, process and outcomes are closely linked as stated earlier. In order to have a good process the structure must