Healthcare Ecosystems Ltt Task 2 Essay

The primary care practice is essential to improve the care of our population, our current system is fragmented, but it does show potential for improvement. The Agency for Healthcare Research and Quality has listed some areas that will help improve our system. One is “the need for external infrastructure to help primary care practices develop quality improvement” this is done with support to the quality capacity (Agency For Healthcare Research and Quality, 2015). Quality care will include the coordination of care within the system, as well as understanding what needs the patient will have

Patient-Centered Medical Homes (PCMH) are growing in popularity as the right thing to do improve patient care. PCMH are growing in popularity, as there is early evidence of their effectiveness (Egge, M. 2012). The PCMH concept has been widely promoted as a way to enhance primary care and deliver better care to patients with chronic conditions. This model of care has stimulated the attention of payers, Medicaid policy makers, physicians, and patient advocates, as it has the potential to address several of the limitations of the current healthcare system (Wang, J. et al 2014). Currently, primary care in the United States is focused on acute and episodic illness, it inadvertently limits comprehensive, coordinated, preventive and chronic care (Bleser, W. et al 2014). The PCMH address these limitations through organizing patient care, emphasizing team work, and coordinating data tracking (Bleser, W. et al 2014). A PCMH and HMO have some similarities but are markedly different.

In response to the “Patient Protection and Affordable Care Act (ACA) amended by the Health Care and Education Reconciliation Act (Reconciliation Act), collectively referred to as healthcare reform” (); Wishard-Eskenazi Health of Indianapolis, Indiana has begun to make milestone changes to meet the requirements of the healthcare reform. Being a leader in today’s technology which began thirty years ago with development of one of the nation’s first electronic medical record and continues to excel in the healthcare informatics technology today continues to use this technology in quality improvement initiatives, support for future technology research and improving the quality care of the patient.

Baptist Health, headquartered in Louisville, Kentucky is the largest not-for-profit healthcare organization in the state. The vision of this HCO is to be nationally recognized as a healthcare leader in the state of Kentucky. Baptist Health was originally founded in 1924 as a single 120 bed hospital in Louisville, Kentucky. Expansions in 1953 with the addition of Western Baptist Hospital in Paducah, Kentucky and in 1954 with the addition of Central Baptist Hospital in Lexington, Kentucky created the foundation for the HCO known today as Baptist Health (Welcome to Baptist Health hospitals and clinics in Kentucky, 2013).

This will be a cooperative plan with the primary care offices. Patients with chronic illnesses will be referred to care managers if they don’t already have one assigned.

Many chronic conditions can greatly affect an individual physically with some sort of chronic pain, mentally with depression, and socially by rendering them unable to work (Harris & Wallace, 2012). These effects can thus put strain on families and society as more individuals suffer from various chronic conditions. In recent years, many of those working as health care professionals, such as primary care providers (PCPs) are affected greatly by the widespread prevalence of chronic disease in the US. For PCPs, approximately 75% of their patients schedule visits for multiple chronic illnesses (Zamosky, 2013). This has caused a shift in health care to focus on tertiary prevention in limiting comorbidities and issues associated with chronic diseases. PCPs face challenges by having less time to treat chronic disease because they only having have approximately eighteen minutes to deal with on average seven issues for each patient (Zamosky, 2013). Since the Affordable Care Act (ACA) was implemented, insurance companies can no longer deny coverage or charge more for people with preexisting conditions which includes those with chronic diseases (ObamaCare Facts, n.d.). The ACA helps people with chronic illnesses to obtain insurance; however, since these people are insured

5. The current labor market assessment looks good in the beginning stages of production. The information technology field has steadily been growing over the past decade. This along with the familiarity of the field has grown over the years as well. As being one of the leaders in this industry, our reputation will also serve as a great benefit of recruiting new employees for our expansion.

Definitions of the quality of medical care are no longer left to clinicians who decide for themselves what technical performance constitutes “good care.” What are the other dimensions of quality care and why are they important? What has changed since the days when “doctor knows best?”

The current health care sector is too costly and too fragmented with a lot of variation in care even with established evidence based guidelines. Providers lack the tools, support and information they need to offer the coordinated health management that can reduce cost and improve outcomes. Primary Care Physicians are constrained in their abilities to perform any proactive care that involves avoiding Hospital or ER visits, and influencing healthy lifestyles.

Q: What do you see as the biggest changes that have happened in this career field? That will happen in the future?

Quality measures are strategies that gauge, evaluate or compute health care processes, results, discernments, patient insight, and administrative structure. In addition, quality measures are frameworks that are connected with the capacity to deliver first-class health care and/or that are able to identify with one or more quality objectives for medicinal services. These objectives include: compelling, protected, effective, quiet focused, impartial, and opportune consideration. Quality measures can be used to measure quality improvement, public reporting, and pay-for-reporting programs specific for health care providers (CMS.gov, 2016). There are an assortment of quality measures in which health care organizations can use to determine the status of the care they are delivering. Many are appropriate, but few are chosen for this research paper. Among them are: National Health Care Surveys, Hospital IQR Programs, Scorecards, and Political, Power, and Perception/Data for Decision-making tools.

Examining planning for and effectively measuring the health care quality indicators make healthcare quality more transparent and provide information for quality improvement programs and initiatives in the healthcare system.

In focusing on the process and the systems used to provide care to the patients, I would look at both inputs and outcomes. Inputs such as suggestions can come from the patients. The focus on Quality assessment is a process that the health facility goes through to obtain accreditation. The company that does this for the health industry is Joint Commission on Accreditation of Healthcare Organizations (JCAHO). There are other American –based healthcare accreditation organizations that work with many hospitals and healthcare facilities such as the American osteopathic Association (AOA), the Accreditation Commission for Health Care, Inc. (ACHC), Commission on Accreditation of Rehabilitation Facilities (CARF), and the Healthcare Facilities Accreditation Program (HFAP).

The environment of this career is ever changing, computers are the future and every day new technologies are discovered in this field so there is always more to learn about.

Primary health care, supports and help individuals to make the most important decision of their health because of the advice they receive from different health care professionals who have the right skills to provide that supports. (Sinclair, Rochon, Leatt,2005).With the level and accessibility of specialized health care professionals, individuals re able to manage their chronic disease, and their needs are being meet.