Integrated Healthcare Delivery Systems ( Idss )

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.

The health care system must change to improve our nation’s health and takes strong steps to address the unsustainable growth of health care costs in America. We still have a long way to go before our health system become effective. We still have population that do not have insurance, have difficulties accessing their health care, or their needs are not met within the healthcare system. It is an investment in prevention and wellness and increasing access to primary care physician.

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 care delivery enterprise must be re-tooled so that it functions in a fee-for-value reimbursement environment as is has in a fee-for-service reimbursement environment. The Centers for Medicare and Medicaid Services (CMS) is leading the

With any form of integrated physician model both parties have much to gain, patient acquisition, quality of care, and resources are some examples that both parties could see as incentives to work together. Treatment is being shifted from volume of care to quality of care since the incorporation of the affordable care act set

There has been discussion to have universal healthcare system similar to Medicare as a method to have a centralized monitoring system of cost. There have also been other systems tried beginning with HMOs in the 1970s in an effort to streamline access to necessary healthcare services by employing a gatekeeper to their access at the primary care levels. With patient dissatisfaction, PPOs were tried which circumvent the necessity of referrals (Hacker, 1998). Either of these models had substantial effect on healthcare outcomes while the cost of healthcare continued to skyrocket. The US spends more than any other country on healthcare but outcomes are not better (Blackstone, 2016). In 2010, under President Obama’s leadership, Affordable Care Act was passed and one of the promising features is the formation of accountable care

Austin, A., & Wetle, V. (2012). The United States health care system, combining business, health, and delivery. (2nd ed.). Upper Saddle River, NJ: Pearson Education.

Shi, L., & Singh, D.A. (2015). Delivering health care in America: A systems approach (6th ed.). Burlington, MA: Jones & Bartlett Learning.

The healthcare system in America started as a predominantly volunteer system where patients were required to pay little to nothing for treatment. Since it began, the healthcare industry has seen tremendous changes that have transformed it into a business entity which has operations like financial management, strategic planning and functional specialties to keep the industry viable. The industry is one of the largest in the country employing 15 million people with a projected increase of jobs with 3 million jobs annually. As the healthcare industry continues growing, services and personnel are changing, and various dynamics are coming into play to accommodate changes (Smith, Saunders, Stuckhardt, & McGinnis, 2013).

The delivery system reform include: Mandates that the Secretary of Health and Human Services adopt value-based purchasing and payment methods for Medicare reimbursements for both physicians and hospitals. Creates incentives to reduce preventable hospital admissions. Creates a new Center for Medicare and Medicaid Innovation that will research, develop, test, and expand innovative payment and delivery arrangements. Encourages the formation of Accountable Care Organizations (ACOs) that allow hospitals and doctors to work together to manage and coordinate care and provides that these ACOs will receive a share of the savings they achieve for Medicare

Integrated care helps with prevention of behavioral health and physical health problems. In addition, integrated care relates to a worldwide concept of health care reform that focuses more on coordinated care and integrated care ideas. This idea deals with the fragmented delivery of health care and the social service system helping the lower-income populations within the United States. World Health Organization explains that integrated care creates a shift in the way health care systems becomes funded, managed and delivered. In addition, clinicians have to place the person in the center of the care instead of the disease or illness (WHO Framework on integrated

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.

The healthcare delivery system of the United States of America (USA) has been negatively affected by sub-standard or poor service delivery to patients. In fact, this poor quality of service delivery has been characterized by high delivery costs, splintered organizational management, and absence of a central control authority (Brandeis University / The Heller School for Social Policy and Management, 2010). Consequently, the delivery of services in the context of poor management practices and prohibitive costs has limited patient access to services, compromised the standard of care that is delivered, and maintained and facilitated a culture of inefficiency and ineffective delivery of services to patients in low and middle-income communities (Brandeis University / The Heller School for Social Policy and Management, 2010). Furthermore, a systematic innovation in the healthcare system has

The health care delivery system of the united states has undergone major changes in both social and technological perspectives. Following are the two different perspectives regarding U.S healthcare delivery system;

Managing the growth of allied health care sector in the United State. Healthcare delivery system changings are most effectual when they are cohesive and ensure real answerability from providers to patient to improve outcomes. With the expected increase in allied health staff in the healthcare organizations, the first need will be to ensure that the care provided to patients is not impacted in anyway. Hiring new allied health staff allows organization to provide to provide adequate care for patients, but it also increases the cost to provide care. This means that recovering the financial costs of care and minimizing the cost of care takes a higher priority. Evidence proposes that multiple methods to delivery system changes may be necessary bend the cost curve and improve care quality. For example, the efficiency of a single disease administration program may be limited for patients who have multiple chronic conditions and who require coordinated care from many