Healthcare Services Vs. Healthcare

Healthcare system are employee sponsored insurance is not portable, overworked interns, residents, and nurses causing fatigue and burn out, and cost. Once an employee is no longer employed at an establishment he or she loses all health care benefits. This is such a disservice since the employee has paid into benefits and no longer has coverage (Goodman, 2016). Once the employee finds employee there is a period in which they are uninsured until benefits kick in. If anything happens during this time it is an out of pocket expense. Many healthcare workers are overworked causing fatigue and burn out. More staff could help relieve this problem. Lastly, the cost of healthcare is very expensive. In fact in the U.S. we pay more for healthcare than any other modern society. If we do not find solutions spiraling cost will bankrupt companies and force individuals to drop coverage, destroy long term viability of Medicare and Medicaid (Goodman,

External and internal influences are relevant in health care. These influences continue to affect the total operations of a health care facility. I will summarize the insights I have gained into the external influences of the new health care reform policy and quality initiatives. The recent health care reform legislation was passed in the house and senate this year. The senior vice president, that I have interviewed, states that health care reform is an “unknown” for organizations. In addition, I will research the quality improvement initiatives and how these external influences include implications for organizations and health care administrators.

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

Employers are continuing to face rising health benefit costs and are constantly looking for alternatives to control these escalating costs. Health benefit premiums continue to increase at a double digit pace for employers and employees (Poor, Ross & Tollen, 2004). This escalation is putting environmental pressures on all impacted stakeholders. Companies and insurance providers are squeezing this industry to get a handle on cost while still providing an appropriate level of care. This cycle puts the patient front and center as the ultimate stakeholder who incurs changes in health benefits. This mandate of cost control, efficient operations and market share has facilitated a constant analysis of the dynamic health

I have chosen the topic “Examine the financial characteristics of health care delivery along with managing costs, revenues, and human

Since most specialty procedures are inpatient services, EMC’s inpatient occupancy rate suffers. The occupancy rate for Emanuel Medical Center – fifty percent – is far below that of its competitors and industry benchmarks. To accompany this, EMC (on average) receives a lower reimbursement for in-patient Medicare services per patient seen in comparison to its competitors. A result such as this is correlated with directly to the fewer amount of specialty services that EMC offers. In order for Emanuel Medical Center to be able to compete with other hospitals in its service area, it is imperative that EMC evaluates what services they currently offer and are capable to offer in the future to add value to the hospital, increase its revenue stream, and expand its patient mix. Currently, Emanuel Medical Center has not succumbed to its increasing financial pressurealthough EMC has had a negative operating income for five straight years. A negative operating income places EMC at a disadvantage because it limits the hospitals ability to renovate its aging building or hire new specialists to offer revenue enhancing procedures. EMC’s competitors, on the other hand, have large sources of revenue due to their mergers with large healthcare networks such as Catholic Healthcare West. Another competitor, Kaiser Permanente Modesto Medical Center, has extremely large financial resources due to the fact

Established in the 1930s by Henry J. Kaiser and Dr. Sidney as a health care program for construction, shipyard, and steel mill employees, in 1945 Kaiser Permanente (KP) opened enrollment to the public (Our History, 2016). Despite many challenges and setbacks, KP has grown to become one of the largest leading healthcare providers (SPEC Associates, 2011; "Labor Management," n.d.). However, is KP ready to meet the health care needs of citizens in the next decade? This paper will delve into KP to assess their readiness as well as their strategic plans regarding network growth, adequately staffing nurses, managing resources, and maintaining patient satisfaction.

Many providers offer their own patient portal to coordinate patient care and communications within their limited network; this creates multiple fragmented healthcare-based platforms that a patient is required to administer. Research was conducted to evaluate how adding a community patient portal would benefit the organization and patient outcomes. Today most patients have multiple providers and are often managing the care of a family member or loved one. This makes managing their care difficult and does not foster organizational loyalty or improved outcomes. With the change to pay-for-performance, healthcare organizations need to better manage their population to ensure they are meeting the quality measures that will have a positive impact their financial goals.

The business goals of modern healthcare include the need to increase patient safety and satisfaction, to eliminate fraud, waste, and abuse, and to maintain employee satisfaction in order to control costs and increase profitability. However, in reviewing the history of healthcare reimbursement, this was not always the case and at a point in time existed where the cost of healthcare was escalating exponentially due to abuses in the way providers were allowed to utilize and bill for services. Due to this, the changes in how healthcare services are reimbursed changed dramatically over the past several decades with those changes designed to create savings for insurers and those entities paying health care premiums.

Employers are continuing to face rising health benefit costs and are constantly looking for alternatives to control these escalating costs. Health benefit premiums continue to increase at a double digit pace for employers and employees (Poor, Ross & Tollen, 2004). This escalation is putting environmental pressures on all impacted stakeholders, including insurance and health care providers. Companies and insurance providers are squeezing this industry to get a handle on cost while still providing an appropriate level of care. This cycle puts the patient front and center as the ultimate stakeholder who incurs changes in health benefits.

Over the past decade we have seen our society become more of a demand society. Many individuals face heavy demands at work and even in their personal lives. Members of our society are always in search of ways to make the most use of the time they have. This has made many businesses change the way they operate to meet the growing demands of our society. Our Healthcare system is one area that I see that continues to change to meet the demands of our society. In the next several years I feel that healthcare will become even more Mcdonalized to meet these growing demands. In this paper I will discuss some of the changes that the healthcare system have been implemented to meet the growing demands of our public.

This article represents a focus group type of qualitative research. According to Qualitative Research Consultants Association (2015), in focus group qualitative research, a group of individuals who share a need, life circumstance, or habit relevant to the research issue(s) at hand are led in a discussion by a modulator. The focus group discussions often include between two to ten respondents, and are often held face to face. They can also be conducted remotely through videoconferencing, teleconferencing, or

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,

Hospitals and health systems in the U.S. are experiencing a remarkable transformation in their business models directed from numerous influences that are projected to ultimately turn the industry around. Pressures include providers troubled with the quantity of services they are responsible for, to providers who concentrate on presenting high-cost services that give emphasis to sustaining healthy populations (Dunn & Becker, 2013).

The use of focus groups as a qualitative and interpretive method of enquiry comprises of a number of strengths and weaknesses.