Case Study: Procedures Of New Patient Processing Medical System

7. Describe the major benefits of episode-of-care reimbursement according to its advocates and the major concerns about episode-of-care reimbursement expressed by his critics.

What is your evaluation of the effectiveness of the U.S. health care system in the context of delivery, finance, management, and/or sustainability? What are the issues that prompted a need for health care reform? Support your answer with a credible data reference. Do not use a reference already used by another student.

The implications and effects on patients waiting long hours to be seen in the ED are immense. In a recent study done over five years in Ontario hospitals showed the risk of adverse events and even deaths increased with the length of stay in the ED (Science Daily, 2011). When EDs become overcrowded the quality of care changes and declines; which is extremely dangerous. Authors of the study calculated that if ED length of stay was cut by only an hour that 150 fewer Ontarians would die each year (Science Daily, 2011). Wait times can also negatively affect patients financially, untreated medical conditions can lead to reduced productivity and inability to work leading to increased financial strains (Fraser Institute, 2014). As well as delayed access to care can result in more complex interventions needed. Therefore an initiative is needed to provide patients with timely, efficient care when accessing

There are many factors to why appointments are delayed or re-scheduled that are beyond the structuring of time, however, there are some ideas that can help ease the annoyance of having to wait. The best thing to address is making sure the patient feels comfortable. Keep people abreast of the wait time and what’s going on. People understand things happen. However, they don’t want to feel forgotten. Some doctor’s offices have grasped the ideas of distraction, provide TV with news and valuable information, brochures and literature read, even hiring nurses or

A major scandal arose out of Phoenix, Arizona in 2014 that led to many investigations finding that as many as forty patients died while waiting for care at a local VA hospital. (O’Donnel) And since then, there have not been many signs of improvement, In Arizona as well as the rest of the United States United States, on the wait time scandal. Despite billions of dollars and many calls of reform, investigations still show that that some VA facilities still struggle with bettering the wait times for their patients, leading to more death and late diagnoses. Reports conclude that there are over 500,000 cases of extended wait times, including delays longer than 30 days and being put on a waiting list just for an available appointment.

If a patient or carer wants to complain I would see if I could deal with it personally. If I was unable to resolve the issue, I would advise them to call or email PALS the hospital complaints department.

Federal Qualified Public Health Clinic (FQPH) is experiencing an organizational break down. Many of FQPH patients are recipients of Medicaid and SCHIP, or uninsured self-pay clients as it is located in a large Northwestern City. The physicians are frustrated with current conditions. As a last-ditch effort, they inform Administrator of their complaints that need immediate attention or they will terminate employment. Those complaints include inadequate paper medical records; inefficient patient registration practices; mean and slow employees; mistreatment of patients and medical staff; inadequate staff; disorganization of medical supplies and medications; untimely lab results; unclean facility; and unsafe parking.

Work sheet was used to identify gaps and practice change in our assessment, documentation and care

The Healthcare Common Procedure System is usually known as HCPCS. This system was developed by The Centers for Medicare and Medicaid (CMS). The advancement and practice of HCPCS Level II codes was introduced in the 1980s. Using HPCS codes was optional up until 1996 when HIPAA was passed. The Secretary of Health and Human Services assigned authority under the Health Insurance Portability & Accountability Act of 1996 legislation to CMS (Centers for Medicare and Medicaid Services) to maintain and administer HCPCS Level II codes.

Some of the charts that were given in the journal were not necessary. For example, Figure two which explains the flow of hospital units and patients. The information provided in this chart was explained enough in the text. Providing this chart was a waste of space. The authors could have written more

Complete an analysis of your concept map. Based on your analysis, what is (are) the priority patient problem(s)?

I enjoyed reading your post. I am so surprised that the hospital allowed your son to wait six hours in the Emergency Department (ED) before seen by a pediatrician. That is outrageous. Long wait times remain to be an issue for many hospitals. There are tools to help hospital address this issue. The Agency for Healthcare Research and Quality developed a tool called TeamStepps (Rice, 2016). It stands for Team Strategies and Tools to Enhance Performance and Patient Safety (Plonien & Williams, 2015). It is a tool designed to encourage teamwork in health care settings. An out of state hospital called The Banner Payson Medical Center implemented the TeamStepps in their Emergency Department (ED) to address their long wait time issues. (Rice, 2016).

Clinical decision-support systems (CDSS) apply best-known medical knowledge to patient data for the purpose of generating case-specific decision-support advice. CDSS forms the cornerstone of health informatics research and practice. It is an embedded concept in almost all major clinical information systems and plays an instrumental role in helping health care achieve its ultimate goal: providing high quality patient care while, at the same time, assuring patient safety and reducing costs. This computer based systems designed to impact clinician decision making about individual patients at the point in time that these decisions are made. If used properly, CDSS have the potential to change the way medicine has been taught and

As can be seen in Table 1 below, the resources causing the long wait times are those that are over utilized, or those that show capacity utilizations greater than 100 percent. The only over utilized resource are the Physicians, who are being over utilized by 21 percent. The other major resources are still underutilized.

-Examine at least three (3) examples of quality initiatives that could increase patient satisfaction and potentially reduce healthcare cost. Support your response with examples of the successful application your chosen quality initiatives.