Health Care Field Cost Control Methods Essay

Health care expenditures is an increasing proportion of gross domestic product (GDP) in Organization for Economic Cooperation and Development countries as its share in GDP increased by an average of nearly 2 percent annually in last 40 years. Health care expenditures in the US increased 6.2 on average annually between 1991 and 2011. Health care spending consisted 17.9 percent of GDP in the US in 2011.

Our Healthcare system is clearly business based according to the article “Cost Conundrum” and on the movie “Escape Fire”. In the movie it had an impacting story of an older lady who had heart problems where she went to a doctor and they were going to charge her thousands of dollars were later she went to a different doctor and they charged her a couple hundred dollars for t he same procedure. I couldn’t believe that in a different office she would get the same procedure done for a lot cheaper than in the other doctor’s office. Also, it surprised me how the medical staff are giving all these medications to our soldiers were they are clearly

The basic reason for this study is to identify ways to improve the quality of healthcare among patients through bedside reporting method.This will better satisfaction and services delivered at the hospitals. The ever increasing specialization to improve patient outcomes and better health care delivery can contribute to the serious riskof fragmentation of care and problems with handoffs. These are some of the issues associated with emergency room reporting method (Radtke, 2013). There is need to evaluate the handoff method used in hospitals and understand which is the best way to use that increases patient satisfaction. Bedside handoff gives the patient an opportunity to contribute to his or her plan of care. It allows the nurse to visualize the client and as necessary questions regarding their health status. This is the reason there is a need to conduct research on bedside reporting.

The office would need to establish a goal to accommodate all post-discharge patients. When appointments cannot be made then an escalation process to the office manager needs to occur. In order to foster communication with professional partners, an investigation of the system failures. How can the transition to home be improved? The workflow should include a validation step that would entail hand-off communication between hospital rounders and office schedulers. If missteps occur, then the office staff could catch the near misses and call the patient at home. Care coordination among providers on an outpatient basis could be supported by the electronic medical record and having verbal care conferences. Next strategy could involve the hospital completing a call back within twenty-four hours to all patients discharged. This intervention could potentially catch some of the missed opportunities. Another approach involves face to face reinforcement of the patient-centered partnership with H. H. According to Counsil et al. (2012), “patient-centered care plans for complex patients changed the relationships with the health team” (p. 190). The development of this patient directed plan of care and partnership is

Quality of service should be one of the most important and well monitored goals for any medical facility, from your small town family doctor’s office, to nursing and rehabilitation facilities, all the way to large hospital systems. The quality of service provided in a facility doesn’t just affect the patients. Quality of service also affects the bottom line, or whether or not the hospital system is profitable. In order to better access the system’s current quality of service and to devise improvement plans I would need to explore issues that have significant effect on quality of care such as, patient satisfaction and retention, medical errors

In healthcare system the highest quality medical care means” the greatest benefit to patients at the lowest possible cost” (Burke & Ryan, 2014, p. 3). “The Agency for Healthcare Research and Quality (AHRQ) defines quality health care as doing the right thing for the right patient, at the right time, in the right way to achieve the best possible results” (NCQA, p. 3) According to American college of physicians, the single most reason for the health care cost is higher healthcare spending. There are several factors involved in the high health care cost such as inappropriate use of technologies, lack of patient centered care, overuse of the reimbursement, excessive price for health care facilities, increased organizational cost, and health accountability are some of the reasons for increased health care cost. In order to decrease the cost, the available health resources be used judiciously and equitably. Understanding these factors and identifying the potential factors of health care costs assists in providing quality and effective services and thus improves the health outcomes (ACP, 2009).

Patient satisfaction: This issue can affect funding, revenue and reimbursement from insurance providers. Patient satisfaction can be affected by nearly any aspect of the hospital experience, surveys are done randomly to gain insight on the patients overall treatment at the facility. Negative feedback can cause assumptions about treatment and quality by the HCO as well as decrease in incoming patients.

The Utilization Management and Care Coordination teams will be trained in small group sessions using oral presentations supplemented with handouts. The training will include demonstration of how to complete the LACE index and apply the risk stratification through the use of a patient case file review. The case file demonstration assists in establishing inter-rater reliability needs for consistent application of medical management decision making (McQuillan, 2001). Upon the completion of training the teams will be asked to complete a short training survey to assist in the measurement of change in behaviors associated with the training (APPENDIX G). The survey will ask the team to rate the effectiveness of the training based on a five point Likert scale rating from strongly agree to strongly disagree. The questions will

The first effort that will help with cost containment is monitoring the decisions of physicians. It is thought to be that physicians “determine who comes into our facilities, how long they stay, and what gets done to care for them along the way” (Rich Daly, 2013) If physicians really do determine all of that stated, then the efforts for cost containment need them to be the leaders. The article “Putting Physicians in the Lead for Cost Containment” also states that there are many factors that physicians can go through with such as improving daily care while keeping costs low, change procedures to “yield savings”, and it also states that they should be on top of things to notice progress. All of those factors stated in the article can contribute to cost containment in a way that also improves the quality of care. The ideas given will help patients by giving them a higher quality of care and it will also help physicians by giving them a

The final standard under communication is the performance of a “time out” before a procedure. There are also elements of performance that must be met to be in compliance for this standard. The first is conducting a “time out” before every procedure. This is met by the Universal Protocol Policy. The Universal Protocol Policy also meets the next bullet point of standardizing “time out” for Nightingale Hospital and having them started by an elected team member with the involvement of team members. The third element of performance is performing a “time out“ between a change of people performing a procedure on a patient. This is unfortunately not met by any protocol in the information provided by Nightingale Hospital. Having team members agree the correct patient identity, the correct site, and the correct procedure to be done on a patient is the next element of performance. The final element of performance is the documentation of “time outs”. Though there are no policies bases on the information given from Nightingale Hospital of “time outs”, there is a graphical analysis of “time outs” hospital wide indicating

Sample measures through patient and nurse satisfaction surveys and observations will be used to show if we are making improvements with the change. Run charts will be used to show if improvements are taking place over time and will help with improvements by depicting how well the handoff process is performing. They will help in determining when changes are

Professes excellent customer service skills and equite decisions, with staff, family members, governmental agencies, visotors, and vendors according the professional role and representation to the professional setting. Professioonal knowledge, skills and training in medical records retention, maintaing patient a staff condifntality according to policy and proceddure, and regulatory guidelines. Additional expereince includes proficiency and effiecny in, survey preparedness, Quality Qssessment and Assuance for Quality Improvement, and provide education/training on the organization performance of operation for preventive deficient practice, achieving excellence in standard of care practice, star rating according to CMS, quality care measures, Casper report, regulatory quality initiatives, and customer service satisfaction analysis to further enhance positive clinical care outcomes of the patient-centered model according to regulatory guidelines, facility policy and

The abstract of the study clearly and concisely summarized the main features of the report. It stated that the study was conducted as a qualitative, ethnographic research. Then, it briefly described the problems associated with call bells and how these problems affected patients’ perceptions regarding the quality of care. It explained that the study identified three interrelated themes regarding communication through call bells including answering the call bell, communicating the patient’s request to the appropriate health care provider and following through with the

In conclusion, a structure on lower cost is pertinent to providing the right model for the system. Achieving a prosperous medical outcome in the end requires a cost budget that will benefit not only the Health care organization but the patients as well. Another benefit for patients is to implement a low cost strategy that will allow patients to receive medical treatment and also pay out cost that meets the individual’s budget. Creating an income chart would also be a way to know what a patient can afford to pay.

The data are collected from observation of over 100 patients’ visits, 50 of which were observed and audio taped. The research questions that are asked by Davidson are: