HSA 501 Assignment 1 Value Proposition in Patient Care Essay example

Management is important in any environment, but especially so in the healthcare field.  As the health care system continues to evolve, sound management is critical to the survival of health care institutions (Johnson, 2005). The management team in a healthcare environment must always aim to improve the efficiency of the day to day activities and constantly plan for ways to improve the productivity and efficiency. Every manager’s main duty is to succeed in helping the organization achieve high performance while utilizing all of the organization’s human and material resources. On a daily basis health care managers must recognize performance problems and

The change to value based purchasing has bought many challenges to the healthcare industry. With the change to value-based purchasing for payments, it has changed how healthcare organization receive payment and delivery care. The advantage of have value based purchasing is that it improves the quality of care while reducing cost in an effort of aligning patient’s with the right provider and treatment plan (Minemyer, Jun 29, 2016). However, there are many disadvantages, such as it increases the patient volume as counteracting the reduction of procedure volume (Brown, B. & Crapo, 2016). Also it makes providers more responsible for care that is beyond the expected treatment of care needed (Minemyer, Jun 29, 2016). With quality measures tied

Even though Texas Health Resources approach is uninterrupted throughout this study with the sole purpose of endorsing of quality assurance and maneuvering to brand core measurements attained. The key to the leaders involved in this organization study is to convey, examine, make improvements, collaborate, and initiate changes within the hospital, which this study principally is engrossed on bringing crucial argument and descriptions to light. Precisely monitoring the study there were several references concerning how Texas Health Harris Methodist- Cleborne recuperated their performance and quality assurance by the 15th percentile from Texas Health Resources its parent organization. This organization 's theory used would be a resources dependence theory. Authority was assumed to this same organization Texas Health Resources with anticipation to produce and improve a new core resource model for clinical outcomes and this theory would be an independent variable theory. Numerous quality encouragements were set up for employees to promote their performances which demonstrates the hierarchy of needs theory. For the reason that, this demonstrates that the Texas Health Resources constructs all the results regarding what transpires and gives Texas Health Harris Methodist -Cleborne the approval to acquire a new position of clinical outcomes specialists, that what focus on the daily functions within their organization. Established on their discoveries, reports showed that part of her

The American human services framework is experiencing a rapid shift that incorporated a movement from fee-for-service payment into value-based payment that rely profoundly upon the provider integration plus care coordination (Santo, 2014). Value- based installment attempt to realign the economic incentive regarding care delivery by integrating doctors pay to value and quality. The FCA and AKS, are regulatory structures that were basically created to handle fraud and abuse claims emerging from the fee- for-service reimbursement framework.

The U.S. spends more resources on healthcare than any other nation. Yet, the The Commonwealth Fund (2014, para. 1) claim the U.S. health system consistently ranks last or near last relative to other industrialized nations regarding health outcomes. Consequently, insurance companies are adopting a value-based reimbursement system aimed at containing costs and improving clinical outcomes (U.S. Department of Health and Human Services, n.d., para. 35).

1). The IHI initiated this new framework of care because chronic health issues have become a global dilemma that has placed larger demands on healthcare systems, along with the aging population and longevity (IHI, 2016a). Other countries health systems outperform the United States in quality and cost in providing services for their citizens (IHI, 2016a). In order to meet the growing need for healthcare systems performance and to accommodate more enrollees through the ACA, healthcare providers and organizations must change their approach in providing healthcare for the public.

Value-based reimbursement is a natural progression toward improved patient care. When hospitals and other providers are financially incentivized to provide excellent patient care (i.e. customer service) the difference in patient satisfaction and the quality of services provided is measurable. In the article you referenced the authors Brown and Carpo state that “these new value-based models require providers to prove that they’re meeting quality standards and benefitting patients while cutting costs” (n.d.).

What suggestions would you make to a health care organization when evaluating what practice they should follow for their particular organization?

Value-Based Payments (VBP) is a tactic utilized by purchasers to encourage quality and the value of health care services (Health Care Incentives, 2017). Value-Based Payments offer financial incentives to doctors, hospitals, medical groups, and health care providers (Webb, 2015). The incentive is to provide better care for their patients and to focus on the quality of the care they are providing rather than the number of people they treat. This payment model is being used as a way to keep DSRIP sustainable (NYSDOH, 2015). The VBP Model offers a roadmap, which outlines a five year plan to attaining inclusive payment reform; which includes a shift to 80% VBP through Medicaid managed care plans (The Commonwealth Fund, 2017). This payment reform should be accomplished by the end of DSRIP enactment period of five years (The Commonwealth Fund, 2017).

The concepts of accountable care and triple aim are somewhat similar in nature with an encompassing goal of quality patient care. Accountable care emphasizes the provision of value-driven care that involves improving the patient health outcomes, reducing the amount of chronic illnesses among patients, and reducing the cost of health care within the United States through improved collaboration and coordination (Hacker & Walker, 2013). Similarly, the formulation of the triple aim by the Institute for Healthcare Improvement or IHI addresses three of the main problems facing the US health care system today namely: high cost, low quality, and poor health status (Tanenbaum, 2017). These two approaches dwells on the belief that precisely calibrated financial incentives will produce socially desirable ends (McCarthy, 2015). Their goals are somewhat aligned

Time and again, hospitals are often called upon to improve the quality of its various health care activities in order to better serve patients and immediate communities. A quality improvement plan thus helps in the selection of high priority areas and the utilization of evidence-based practices in conducting the improvement (Berenguer et al., 2010). In view of the healthcare improvement needs of Sunlight Hospital, this paper seeks to classify and justify five measurements of quality of care in a hospital, specify the four main features in a health care organization that can be used in the design of a quality improvement plan, and suggest the salient reasons quality of care would add value and create a competitive advantage

Quality is one of the most essential elements of healthcare. As stated by the Agency of Health Research and Quality, “Everyday, millions of Americans receive high-quality health care that helps to maintain or restore their health and ability to function” (Agency of Health Research and Quality, 2014). Improvements have become vital to the success of health care organizations and in the Healthcare Quality Book, it is explained that quality in the U.S. healthcare system is not at the standard that it should be (Ransom, Joshi, Nash & Ransom, 2008). Although this has been a reoccurring issue, attempts to fix the insufficiency have been less successful than expected.

Quality is something that every health care agency strives to achieve. The Institute of Medicine (IOM) suggests that health care organizations develop a culture of safety such that an organization's care processes and workforce are focused on improving the reliability and safety of care for patients (Groves, Meisenbach, & Scott-Cawiezell, 2011). In order to address an issue related to health care quality, it is important to look at the frameworks that will analyze an organization and identify opportunities to improve performance. The purpose of this paper is to provide a description of an organization and an analysis of the following: mission, vision and values, strategic plan, goals,

Value base care rewards providers for working together to coordinate treatments, administrant the correct services, and improving overall population health. As time goes on, insurers will continue to base care provider reimbursements more on treatment quality than quantity.

Fixing problems that face health care in many health facilities demand a system wide set of solutions. The systems used in these facilities must be assessed and redesigned to identify factors that will aid in the achievement of the set goals. The enormous task of achieving the goals should be undertaken collaboratively by all the key stakeholders, who include, health care professionals, planners and policy makers, administrators, payers, and patients and their families. These partnerships must begin with a common understanding of the problems together with a shared commitment to cooperate and work together to eliminate the problems. With this knowledge, therefore, an action plan for redesigning the health care system can be developed and later implemented. For a successful health care service to be realized, there are various factors which should be employed and which are not found in the traditional business setting. These include unique economic processes, proper regulatory requirements and the perfect quality indicators. This creates a need for every leader within the healthcare industry to create or develop unique skill sets that will harmonize both organizational leadership and the inter-professional team development. It is, therefore, important to understand the comprehensive approach to the management of patient care and also how the concepts of team development and organizational leadership support healthcare leaders in creation of a patient-centric