Essay on Learning Experiences with Linear and Systemic Questioning

What we bring as a person to the counseling room determines the direction we take with our clients. Coming from what I describe as a dysfunctional family and my questions of why is my family the way it is, why do I behave or think the way I do I drown to the family counseling theory. Many people including myself have why questions about their family. Some of those why questions are, “why is my family like this, where did I get this habit from, will my family ever change? The family systems approach helps solve some of those why questions.

The second statement of the counselor that was a good characteristic was when he stated “Great. That is a good start. Let’s talk some more about where that frustration comes from.” (Laureate Education, Inc., 2012). The counselor used an open-ended question to allow the client to give an answer with a more elaborate answer than just yes or no. Also the counselor was supportive of the client’s choice to focus on himself at this point in his counseling. According to Cooper (2010) “open questions will allow for a more meaningful response and give more control to the client.” If a client is guarded in their responses open-ended questions will allow them to disclose what they feel comfortable disclosing without them feeling so pressured to give information.

The successful evolution of this organizational structure in a competitive marketplace has required a close partnership between managers and physicians supported by a culture of physician group accountability for quality and efficiency. An overarching agenda for achieving excellence focuses on high-impact health conditions, provides goal-oriented tools to analyze population data, proactively identifies patients in need of intervention, supports systematic process improvements, and promotes collaboration between patients and professionals to improve health.

Complexity is part of the nature of many things in our existence especially those that matter the most. The health industry is a complex system most of all due to the presence of the human factor within it. This particular complexity means that every situation is truly unique based on the psychological characteristics of each protagonist, the context within which they are evolving and the communal rules, sometimes unspoken, that govern the stakeholders. As a result, even a clear cut resurgence of an issue or scenario may fail to resolve if a leader blindly applies a previous strategy without first considering the specific intricacies of the situation (Plsek, 2003).

The U.S. Healthcare delivery system has been impacted with increasing administrative costs and a recent survey by Casalino revealed that physicians are spending about three hours each week working on the health plans they support. The time is being consumed on many administrative tasks that include confirming that the medication being prescribed is covered, checking if specialist is in the plan’s preferred network, and managing the preauthorization of medical forms for specific care.

The concept generates images of large healthcare entities managing the administrative protocols of prior authorization or denials to the actual delivery of care through a facility or network of healthcare providers. Hacker and Marmor (1999) described several meanings of the term managed care with the most applicable to the menagerie of forms managed care can take being a combination of the financing and delivery of healthcare services. While this particular study is dated, the authors contend any managed care structure features administrative oversight, patient steerage to a particular provider entity or network and the amount of risk-sharing whether at an individual or group level. These features continue to be true today as organizations explore the benefits offered to employees through managed care structures such as preferred provider organizations, clinically integrated networks, and accountable care organizations. As a healthcare provider, the goal is to provide access to healthcare which is affordable, offers access to providers of choice and engages with providers who provide the highest quality

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Do you know leaders in healthcare have a new style of managing? Healthcare field is one of the fields that changes occur frequently. With the introduction of the Affordable Care Act (ACA) brought a lot of changes in every aspect of healthcare delivery, from reimbursement to quality control to elimination of wasteful and inefficient practices and having huge impact on the U.S. healthcare delivery system, with many more changes to come. When leaders in healthcare organizations are asked, “what’s the one word that best characterizes the impact of the Affordable Care Act (ACA) on the U.S. healthcare delivery system,” most will answer “change”. These changes also brought new managing styles to healthcare leaders. I would be writing in my own discourse community, which is Health Systems Management. To give guide lines for a neighbor who is thinking of jointing this discourse community, how we operate and to be successful in this filed.

Managed Care is a system of health care in which patients agree to visit only certain doctor and hospitals, and in which the cost of treatment is monitored by a managing company. David, a clinical supervisor of one pad was responsible for the clinical supervision of eight clinical case managers. On typically day, he receives around 40 phone messages about clients that are in need of his services. His job is to field calls from mental health providers seeking authorization to provide treatment for clients. There are those who believe that managed care is simply another example of corporate America discovering a means to increase profits for shareholders of insurance companies, at the expense of individuals seeking mental health treatment. (pg.

The HMO could oversee and approve physician decisions such as whether to admit a patient, how long to keep the patient in the hospital, and whether to order expensive diagnostic tests for the patient, all of which heretofore had been made autonomously by physicians. The HMO “managed” care, with the goal of limiting high costs due to overutilization, without compromising patient outcomes. In the next three decades, health insurance plans adopted tactics introduced by the HMO model to limit expenditures and health care use. Managed care grew to encompass 97% of the employer-sponsored health insurance market, which represents approximately half of all insured Americans (Bradley and Taylor, 2013). Since the managed care systems lowered costs, Medicare and Medicaid programs also began to increase their managed care tactics, instituting greater control over physician and hospital decision-making, to further rationalize their spending. Thus, managed care efforts began to slow the acceleration of health care costs during the 1990’s; however, this attenuation could not be sustained. Public complaints of overly harsh rationing by managed care companies reduced their popularity in the employer insurance market and cost acceleration resumed in the early

Managed care integrates the delivery of health care and financing of health care. In managed care, insurance companies controls the cost, quality, and access of medical care to beneficiaries by limiting the reimbursement levels paid to providers,, by reducing utilization, or both (Beik, 2014, p. 116). There are different types of managed care. Some of the most common types of managed care are Preferred Provider Organization (PPO) and Health Maintenance Organizations. Managed care programs uses different interventions such as economic incentives for doctors and patients, increased cost sharing, controls on inpatient admission and length of stays, and so forth (Deom, Agoritsas, Bovier, & Perneger, 2010, p. 1). On the other hand, managed care tools such as gate keeping, health care networks, second opinion requirement, and pre approval requirement for expensive treatments or hospitalization has changed healthcare delivery on both the macro and micro levels. On the micro level, it greatly impacts the quality of care, cost, autonomy, and relations with patients. According to the research study, managed care greatly affects physicians. It reduces career satisfaction through its impact on doctors’ autonomy and the pressure caused by managed care may affect the doctor’s ability to provide high quality of medical care. (Deom, Agoritsas, Bovier, & Perneger, 2010, p. 7). Like for example, managed care contracting has a positive and negative impact on physicians and patients. The

As we all know Managed Care Organizations (MCOs) have one major goal, and that is to save money. Whether it is by reducing care, incentivizing doctor s or advertising, they are pursuing their goal. In fact, we all know that back in the 70s the rise of healthcare cost pushed this initiative, and that although it has been criticized over the years, it has proven to some extent that it does reduce cost, to the point that Medicaid and Medicare have adopted their model. However, despite all the efforts, healthcare costs continued to rise, and skepticism arose. In fact, it wasn’t long until people were saying that managed care had failed. Furthermore, a new tool was developed

Under the leadership of Bruce Broussard, President and CEO since 2011, Humana have developed and integrated health model system that has continued to lower the cost of healthcare and enhanced quality along with improving member experience. Broussard’s specializations in his work history clearly steered Humana to inviting him to come aboard. He brought Humana an extensive variety of executive leadership experience such as publicly traded and private companies within an assortment of healthcare sectors, including oncology, pharmaceuticals, assisted living/senior housing, home care, physician practice management, surgical centers, and dental networks. However, in addition to Broussard meeting the corporate objectives, he also has executives who are experts in each of their fields. Each executive officer reports to him and each are incremental in setting strategic plans to carry out Human’s objectives. His ability to navigate and influence people credited his success as a leader at Humana. Also, while at a previous position at U.S.

Inquiry is an interactive way of learning. Students are actively engaged in their studies. Inquiry involves student-centered activities focusing on questioning, exploring, and posing explanations. The goal of inquiry is to introduce a new way of learning where students can learn about the world around them through active engagement in real-life examples. Inquiry based learning can be incorporated into all academic subjects throughout the curriculum. Science could possibly be the most effective subject to incorporate inquiry.

Fixing problems that face health care in many health facilities demand a system wide set of solutions. The systems used in these facilities must be assessed and redesigned to identify factors that will aid in the achievement of the set goals. The enormous task of achieving the goals should be undertaken collaboratively by all the key stakeholders, who include, health care professionals, planners and policy makers, administrators, payers, and patients and their families. These partnerships must begin with a common understanding of the problems together with a shared commitment to cooperate and work together to eliminate the problems. With this knowledge, therefore, an action plan for redesigning the health care system can be developed and later implemented. For a successful health care service to be realized, there are various factors which should be employed and which are not found in the traditional business setting. These include unique economic processes, proper regulatory requirements and the perfect quality indicators. This creates a need for every leader within the healthcare industry to create or develop unique skill sets that will harmonize both organizational leadership and the inter-professional team development. It is, therefore, important to understand the comprehensive approach to the management of patient care and also how the concepts of team development and organizational leadership support healthcare leaders in creation of a patient-centric