Genesys Health Care Executive Summary

The American people deserve quality, effective healthcare. Unfortunately, those who can afford healthcare have been paying more and more every year. The Center for Medicare Services (CMS) has developed a plan to incentivize change in the healthcare delivery system. Triple Aim focuses on simultaneously improving the patient experience, improving the health of populations, and reducing the per capita cost of health care (Berwick, Nolan, & Whittington, 2008). Triple Aim affects all areas of the healthcare delivery system; this paper will focus on how hospitals are improving care, encouraging healthier lifestyles, and reducing costs.

The United States Department of Veterans Affairs (VA) was founded in 1930, and today, “operates one of the largest health care delivery systems in the nation, with 168 medical centers and more than 1,000 outpatient facilities organized into regional networks” (GAO, 2017). The VA employs nearly 350,000 people at its facilities and serves approximately 9 million veterans each year (VA, 2017).

Triple Aim, as defined by the Institute for Healthcare Improvement, consists of improving patient experience of care, improving health populations, and reducing per capita health care costs simultaneously (IHI, 2009). Triple Aim is not focused on patient satisfaction or on reducing the growth of healthcare; rather it is based on the six Institute of Medicine (IOM) dimensions (safe, effective, patient-centered, timely, efficient, and equitable), reducing per capita healthcare costs, and improving health populations (Relman, 2001). Key to the Triple Aim model is understanding each element works in tandem with each other and sacrificing population health at the expense of reducing per capita expense, for example, does not comply with the Triple Aim

VBA administers a wide variety of benefit programs authorized by Congress including Vocational rehabilitation and employment, Education service and GI Bill, Loan guarantee, Service-connected disability compensation, VA pension and fiduciary services, and VA life insurance. The following organizational chart depicts the current structure of the Veterans Benefits Administration. The Veterans Health Administration (VHA) serves the Veteran population and is responsible for providing a wide range of medical services by providing inpatient and outpatient care to 5.5 million veterans across the United States and its territories. The VHA operates one of the largest networks of health care facilities in the world. It includes 171 medical centers, 800+ outpatient clinics, 127 nursing homes and 196 Vietnam Veterans Outreach Centers. As well as, domiciliary residences, home health services, adult day care, residential care and respite care programs. In addition, the VHA helps support veterans' health care in non-VA hospitals (Choice Program) and is the country’s largest provider of graduate medical education. The following organizational chart depicts the current structure of the Veterans Health Administration. The National Cemetery Administration (NCA) provides burial space for Veterans and their eligible family members; maintains national cemeteries; marks Veterans’ graves with headstones, markers, and medallions; and administers grants for establishing or expanding state and tribal government Veteran cemeteries. The following organizational chart depicts the current structure of the National Cemetery

In the healthcare field, there are forces that drive practice and develop change within an organization. There are both internal and external forces in which not one organization is immune to (Kotter, 1996). By establishing a vision of the company, a sense of purpose and direction is created, working towards change within the forces (Huyer, 2014). When people participate in a vision, they work towards a common goal and identify what needs to be changed in order to reach that vision. In this paper, a presentation of Banner Health will be discussed, along with its mission and stakeholders, driving forces, viability, as well as an analysis of forces, a response to change, a vision for change, and an evaluation of change.

How can ideas such as the Triple Aim initiative and patient centeredness help to improve performance in the U.S. health system?

Healthcare and wellness are important to every American, business and to our federal government’s bottom line. Sharon (2010) stated, “Staying healthy reduces the demand for health care. According to the Department of Health and Human Services, medical care for persons with chronic disease accounts for 75% of the dollars spent as a nation on medical care. Today’s most serious and expensive health problems are caused, in large part, by poor lifestyle choices: tobacco use, diets high in fat and sugar, inadequate physical activity, and drug and alcohol use.”

The Veterans Administration hospital is a unique aspect because it is the second - largest agency in the federal government because it is funded by congressional appropriations. It is also comprised of three administrations such as Veterans Health Administration (VHA), Veterans Benefits Administration (VBA) and National Cemetery Administration (NCA) . VHA or Veterans Health Administration helps run clinics across the country to research and improve the quality of life for the Veterans. After the VHA comes the VBA which provides educational resources, loans for home purchases, and financial assistance. Last but not least is the NCA and it gives national cemeteries and provides final arrangements for veterans when they are unfortunately die.The

One-sixth of the U.S. economy is spent on healthcare and around $800 billion is wasted per year on cares that are wasteful or inefficient. Overall, the healthcare costs are rising (America’s Health Insurance Plans, 2014). The concept of health promotion has been gaining traction. The Affordable Care Act implements the state of positive health among the population with the concept of prevention through promotion via healthcare access to every citizen (ObamaCareFacts, 2014). Disease prevention is not the only important thing about health promotion. A greater longevity and a higher quality of life are some of the behaviors described as a health promotion. To an individual, health promotion can bring a sense of harmony and wellbeing, increase positive

Where is the organization headed? And how does the organization arrive there? In addition, organizations become capable of assessing opportunities for improvement and success. For instance, for years health care systems have known that soon enough we will need to plan for changes in health care (i.e., electronic medical records, aging population, healthcare professional shortage). Therefore, according to Zuckerman (2013), “failing to plan for these or postponing action to mitigate them could weaken a health organization to the point where survival is not possible.” An excellent example of avoiding the inevitable is the case of the National Institute of Health (NIH). The NIH is facing a critical need for change (Lena, 2016). In fact, deficiencies in the system provoked a need for change in the way they operate as it relates to patient safety and patient outcomes. In fact, results from a study showed a need for a leader that is experienced, who not only focus on research but ensuring quality in all hospital operations (Lena, 2016). According to the NIH, this leader must focus actually on developing effective patient safety standards, and processes for compliance and oversight (Lena, 2016).” Reaching these standards is possible if there is a plan in place to support the change. Without planning and accountability, the NIH can perceive itself in a similar position in 20 years. In

Introduction: The Patient Protection and Affordable Care Act (ACA) contains different policies that are pertinent to expanding health care access when needed, re-shaping insurance and market system, extending the health workforce, reducing the financial burden, and improving quality of care and life. Moreover, the aim of the new law is not only to help people when they get sick, but also to support them to enjoy the diverse initiatives and blessings of public health and preventive medicine and incentives to adopt a better and healthy life.1 Based on this fact, the wellness programs are among many of the policies under the provision of prevention/wellness of the ACA that focus on building a healthier nation by expanding the coverage for preventive services at the workplaces and thus reducing the health care cost.1,2

Develop and execute a defined strategy to be in compliance with approaching government regulation and law changes that affect the health care industry

Once a hospital has codified its basic beliefs and philosophies with a mission, vision, and value statement it has created a general sense of direction for the organization. Once an organization has its sense of direction laid out it will need adaptive strategies to refine the path. “Adaptive strategies provide further progression by specifying the type and scope of expansion, reduction, or maintenance. They provide the primary method for achieving the vision and are the strategies that are most visible to those outside of the organization” (Swayne, et al., pp. 200 - 202, 2008).

efficient. Consequently, research shows most morbidity and mortality in relation to chronic illnesses can be prevented; the key to reducing employer health care cost is prevention. Hence, keeping healthy employees healthy through wellness programming will be the new method towards saving dollars associated with employee illness.

Health promotion is pretty essential in the modern age, especially when many diseases affecting the general public can be addressed through this approach. The beauty of health promotion is that it equips people with the necessary knowledge on how to go about self-efficacy and primary prevention of illnesses-something that helps in keeping people away from the hospital. One of the clinical problems currently facing the 21st century society and subsequently the healthcare sector is the rise of lifestyle diseases, notably, diabetes due to a shift in lifestyle patterns (Edelman, Mandle & Kudzma, 2013). As such, this one clinical area that in dire need of health promotion, essentially through educating people on prevention and management tactics. Nonetheless, conducting health promotion requires the possession of various vital skills which help the healthcare providers in gaining a sound knowledge of a clinical problem and consequently, tailor-make the interventions such that they meet the unique needs of a certain patient or even a population.