Health Care Delivery Analysis

Over the course of our countries history, the delivery of our health care system has tried to meet the needs of our growing and changing population. However, we somehow seem to fall short in delivering our goals of providing quality, affordable and accessible healthcare to our citizens. The history of our delivery system will show we continuously changed the delivery of our system however never mange to control cost. If we can come up with efficient ways to cut cost, the delivery of quality care will follow.

Roemer’s model of a health care delivery system shows the different necessary elements for a system to be successful. As health needs are the input; the system needs resources, organization of programs, economic support mechanisms, and delivery of services to provide the health needs output (Roemer, p 33). Able 2 is an organization that provides services to people with disabilities. They have many resources, but perhaps not enough to meet the health needs of every consumer. They have well organized programs, have economic support, and can deliver services completely and holistically to produce health as the output of the client. The most important implication that was found in analyzing Able 2 was the need for increased resources as they are not able to meet the needs for every client in need of its services. Ultimately though, Able 2 is an excellent organization that provides an array of services for those people with disabilities.

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.

The cost and quality of health care and access to it is one of the foremost aspirations in national health care. And the overall main aims of reforming the American health care system is to reduce costs, enhance the quality of and access to health care [1].

However, prior to the existence of the ACA, the American healthcare system left a lot to be desired and still today leaves room for improvement. The basic issues underlying efforts to improve the United States (US) health care system remain, as they have for decades, concerns for costs, access, and quality (Sultz, 2006). Even though knowledge, technology, and

Title three: making the quality and efficiency of health care in US to be of a higher standard. Under this title, the quality of medical care would be enhanced for every U.S citizen, mainly to those who were members of Medicaid and Medicare. A research was set to be conducted aim at mobilizing consumer on taking good care of their health. Accountable Care Organizations would also receive a percentage of the savings

In the past, managed care in the United States took the form of voluntary programs. Such programs date from about 1850, when managed care was provided chiefly by cooperative mutual benefit and fraternal beneficiary associations. Limited coverage by commercial companies was also introduced during that period, and subsequently many plans were established by industries and labor unions.

In 2001, the US Institute of Medicine’s seminal report, ‘Crossing the Quality Chasm: A New Health System for the 21st Century’, recommended six goals for improvement in healthcare, with one focusing on patient-centred care (Institute of Medicine [IOM], 2011). Furthermore, various international organisations, such as the Institute for Patient- and Family-

The triad of cost, quality, and access has impacted the development of the Affordable Care Act on many levels. The Affordable Care Act aims to improve the quality of healthcare, while maintaining the cost of health care ("Quality of care," n.d.). Under the Affordable Care Act, there is more funding for each state to assist in treating people with chronic illness. The goal is for these patient populations to have high-quality services at an affordable cost (“Quality of care,” n.d.). To ensure that quality of care is provided, the Affordable Care Act requires quality measures to be met in order for organizations to receive reimbursement. Although the United States still needs improvement in providing high quality health care that is accessible

Quality of care is a primary article of the ACA and a major goal is to insure every American has exactly that. Even though the “care” pillar is the strongest of the three pillars it still faces many challenges. One major component defining quality of care is technology. The medical community currently suffers from outdated technology, which leads to lapses in care and lack of communication between medical facilities and companies causing overlap and delay. Better technology is required to expedite file distribution between medical facilities and help share patient information between pharmacists and physicians. This, of course, is expensive and like other aspects of this bill is falling short in funding and again driving another nail into the potential Obama care coffin. More troubling, perhaps, is the massive costs of maintaining and operating the countries medical infrastructure. Its figured that the combination of hospitals, physicians, insurance companies, and the federal Centers for Medicare & Medicaid Services are projected to total almost $2.7 trillion between 2014 and 2022. If Americans are to receive actual quality care, then financial burdens must be solved before any real progress can be

United States has no dearth of highly qualified, well-trained doctors and still the US healthcare quality fails to meet the established industry benchmarks. Institute of Medicine’s (IOM’s) 2001 Report, “Crossing the Quality Chasm”, clearly states that the American healthcare delivery system is in need of a pivotal change. (Committee on Quality of Healthcare in America (Institute of Medicine), 2001). The exasperation level is continuously rising amongst both, the patients and the providers, and yet the problem of delivering and receiving high quality care remains unaffected. In order to address this problem of healthcare quality improvement and affordability, the Patient Protection and Affordable Care Act (PPACA or Obamacare) was signed in the year 2010. The main aim behind PPACA is to improve healthcare quality and accessibility, at the same time keeping it cost efficient. To facilitate its goal PPACA is trying to achieve the cost effectiveness through reducing the Medicare price growth and regulating the quantity of care by encouraging evidence based practices. This new legislation supports the healthcare system in which the goals of both provider and the patients are better aligned with value as opposed to the quantity of services. Overall the reform under PPACA seeks to establish a direct link between the payments made to the healthcare

Our healthcare system needs major restructuring. Major improvements needs to begin with "all health care organizations, professional groups, and private and public purchasers should adopt as their explicit purpose to continually reduce the burden of illness, injury, and disability, and to improve the health and functioning of the people of the United States", (Crossing the ……, 2001).

The future of America’s health care system looks bright with new innovations coming about. Advancements in technology, patient care, and access to care are all important factors to create a health care system suitable for American citizens. New health care reforms help shape our health care system to provide better care to all citizens. To implement these new reforms, the plan must be financially viable and be understood by those it effects. To improve the current health care system, new reforms should include ways to insure more citizens in a cost effective manner, offer insurance at an affordable rate, improve efficiency of the health care system, and provide higher transparency to the public.

The growing demand for quality and affordability in healthcare has peaked in the United States in these recent years. The goal in today’s health care is to manage costs while improving healthcare quality outcomes and patient satisfaction. To adapt the efforts towards improving the quality of care, it is important to begin by defining quality. Quality is purposed by the care experienced by patients, family members, and the general public; in addition to, the safety of care, effectiveness of care, availability and accessibility of care, and the environment (Horne, 2014).

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.