Health Management Of The Healthcare Delivery System

Healthcare is in a constant state of change with movements that impact rates, access and quality of care. Hospitals have become more competitive due to the rising cost of care delivery and the reduction in reimbursement from payers. This causes difficulty in delivering quality care to all patients, which is being measured by mandated patient perception surveys, Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). HCAHPS scores are part of value

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.

In today’s time, the hallmark of the US health industry is to form integrated delivery systems. An integrated health delivery system is an arrangement of health professionals and health care facilities that provide health services within a continuous organization of delivery. These systems will allow the purchaser and consumer of health care service to receive all the needed services within a all-in-one delivery system that would facilitate the needed access to the appropriate level of care at the appropriate time (Professional Issues). I.D.S presumably will also provide higher quality services and more patient centric care at relatively lower costs (Effects of Integrated Delivery Systems on Cost and Quality). To best understand integrated delivery systems (IDS), it is helpful to contrast the IDS model with health service delivery under the traditional fee-for-service (FFS) arrangement.

The entities Comprising the Public Health Infrastructure include: County and city health departments and local boards of health - State, territorial, and island nation health departments - Various U.S. Public Health Service agencies in the Department of Health and Human Services (HHS) - Tribal health agencies coordinated at HHS by the Indian Health Service - Public and private laboratories - Hospitals and other private-sector healthcare providers - Volunteer organizations, such as the American Red Cross, American Diabetes Association, American Cancer Society.

In some areas of population health, technology in enhanced patient information is utilized to perform risk stratification to identify the high risk patients. These patient’s often have uncontrolled BP, diabetes with an HgbA1c over 9, COPD, etc. Once identified as high risk or potential high risk, these patients receive additional care or patient outreach to help manage their condition. Some organizations employee RN Health Coaches and Care Coordination teams to help these patients and identify gaps in care. The primary care physician assumes care of the patient along with striving for the patient to become active in their overall health thereby keeping them out of the hospital (Sanford, 2013). One enhanced area of population management is the PCMH model. PCMH practices increase patient’s engagement in shared decision making while providing compensation for care coordination, care management and medical consultation outside of traditional face-to-face visits (Berryman, Palmer, Kohl &Parham, 2013). A patient centered approach pushes for changes not only in the delivery of medicine but in traditional encounters. In addition, PCMH encourages increased access to the patient’s primary care physicians and improved patient satisfaction scores. PCMH and population health encourages providers to increase after hours care to decrease emergency department visits and/or hospitalizations. Thereby reducing cost and improving the patient’s

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.

Delivery System Reform Incentive Payment Program (DSRIP) -- local programs working to improve health care delivery costs and outcome.

Trends indicate the administrative complexity in the U.S. health care system requires that American hospitals employ far larger staffs to handle billing requirements (Anderson & Squires, p. 1-2). Furthermore, despite enormous innovation and investments in technology, the U.S. is failing to achieve improvements in life expectancy. The return on investment has been low; therefore, examination into other methods to increase quality of care, and decrease costs has become compelling. The U.S. has known for quite some time that health care costs, and therefore spending have gotten out of control. There have been several Presidents who have unsuccessfully attempted to help alleviate the nation of this issue. However, with the implementation of the Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009, we have begun to notice a positive trend, in the said decline in spending. There have been methods implemented to begin helping providers and organizations monitor their progress, reward them for proper adherence, and now there are

To add to the dilemma, the rising cost of healthcare will not adequately be addressed by any new healthcare system. The costs of healthcare in America are staggering and currently represent over 17% of our national GDP with the expectation of that number rising to 20% in less than 5 years. These costs are direct hits on the revenues received by hospital which affect their ability to remain operational. As the hospital’s revenues and profit margin decrease, so does the expected longevity of the hospital.

Healthcare financing is proven to be challenging. A balance between adequate access, acceptable quality and affordable cost are the main objectives of a healthcare system (Paterson, 2014, p. 13). The island of Tekram is finding extremely difficult to achieve a solution to the current crisis of their healthcare system. The objective to this case study is to recommend a new healthcare strategy to island government.

The United States healthcare delivery system is a uniquely developed system that involves various features, components, and services. The US delivery system is massive, with total employment in various healthcare settings of qualified medical professionals that provide key functions to delivering quality healthcare. This essay will discuss the characteristics if the United States healthcare delivery system and how it could be developed from a free market perspective.

There are many issues that are causing changings in the healthcare system. Population aging, rapidly increasing costs of healthcare and the growing burden of chronic disease are challenges to health systems worldwide. To meet these challenges will require new approaches to healthcare delivery and comprehensive population health management. Many states are not prepared to tackle this issue yet. The US has the most expensive healthcare system in the world with health status indicators that are only average in comparison

The healthcare system has seen significant change over the past decade. This is due to improved technology, healthcare reform, and the economic crisis (Hendren, 2010). With the changes that are occurring,

Alliance Health + was established in August 2010. It is wellbeing and administration association. As the main Pacific-Led Primary Health Organization in New Zealand, AH+ has an enlisted Population of 93,000 crosswise over 26 General Practices in the Counties Manukau and Auckland DHB regions. (alliancehealth, about-us, 2015). AH+ (Alliance Health +) is a new organisation with all the available services. They also supports pacific provider network. It will be beneficial to New Zealand in the near future. The association additionally gives wellbeing and group administrations - especially in the territories of wellbeing administration combination, and of intersectional joining where that will impact the social determinants of wellbeing. We trust that accomplishing this will advantage all Population aggregates and will likewise enhance the working existences of clinicians and their capacity to better address the issues of the populations they serve. (alliancehealth, about-us, 2015)