Background
Our health care system has never been more complicated than it is today. Many factors have created this complexity:
• Ongoing scientific research
• Corresponding innovations of new technologies, devices, and pharmaceuticals
• Convoluted changes in an already intricate legal and regulatory environment.
As a result, clinical treatment protocols have been changing at a dizzyingly accelerated pace.
These shifting dynamics have exacerbated the incessant challenges of medical group practice. Keeping up with new rules, regulations, and technologies has demanded increasing time commitments, creating new pressures over subjects like work distribution and on-call coverage. Moreover, decision-making about fundamental business choices have
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Perhaps one of the most significant challenges we face today is trying to manage the “flight or fight” response to real and perceived danger. Eons ago our ancestors protected themselves from daily existential dangers via the mechanism. Today however, the “flight or fight” response creates a bewildering cycle of overreactions since our brains continue to respond in this intense mode to mere petty (and perhaps unintended) insults or misunderstandings. Inside a medical group practice, staff members might experience countless and various types of “fear,” such as a fear that they are undercompensated - or that someone else is overcompensated, that they don’t have sufficient control -or that they are losing control, that they are working too hard - or that someone else is not working hard enough nor contributing his or her "fair share."
Our inherited propensity for systematic errors in how we process information can prove disastrous in a medical group practice. Decisions driven by fear, irrationality, promises forgotten, inattention to information and simple incompetence for the tasks at hand can diminish trust, as physician colleagues come to view each other as unreliable, insincere, and incompetent.
These negative emotions can
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.
Our healthcare system is in a state of constant change. Just as the industry was adapting to the demands of countless healthcare reforms, the fate of regulations like the Affordable Care Act (ACA) and others like it, dangle in the wind. As the country transitions to a newly appointed administration, there is an increasing level of uncertainty among industry leaders. Federal, state, and local mandates continue to drive the need to improve the quality, costs, and outcomes of care which add to an already overburdened and burnout system. These coupled with our highly secular society who is primarily focused on the treating and curing illness through advanced technology, medications, and procedures has resulted in a
The American Health Care system needs to be constantly improved to keep up with the demands of America’s health care system. In order for the American Health Care system to improve policies must be constantly reviewed. Congress still plays a powerful role in public policy making (Morone, Litman, & Robins, 2008). A health care policy is put in place to reach a desired health outcome, which may have a meaningful effect on people. People in position of authority advocates for a new policy for the group they have special interest in helping. The Health care system is formed by the health care policy making process (Abood, 2007). There are public, institutional, and business policies related to health care developed by hospitals, accrediting organizations, or managed care organizations (Abood, 2007). A policy is implemented to improve the health among people in the United States. Some policies
Due to the fact, the Affordable Care Act was an overhaul unlike any other in America in regards to healthcare it has received a great deal of attention nationwide. All the attention seems to have gotten people to thinking about our health care system in comparison to others countries health care systems and what is best for the United States. According to Delivering Health Care in America: A Systems Approach. Sixth ed., the United States leads the world in the latest and greatest in medical technology, training and research. Another feature that makes this health system stand out is that is doesn’t automatic cover everyone unlike other health systems. The health care system is a patchwork of various components of other systems. Some
However, prior to the existence of the ACA, the American healthcare system left a lot to be desired and still today leaves room for improvement. The basic issues underlying efforts to improve the United States (US) health care system remain, as they have for decades, concerns for costs, access, and quality (Sultz, 2006). Even though knowledge, technology, and
The increase of expenses - As politicians continue their dissension amongst each other, the situation is worsening in our healthcare system. According to the World Health Organization, to achieve universal health coverage, countries need a financial system that enables people access to all types of health services without incurring financial hardship (Carrin, Mathauer, Xu, & Evans, 2011). This idea would be the foundation of innovative ideas that the U.S. could reform its healthcare system, but too many ideas are sabotaging any valid efforts. In the mean time, the U.S. healthcare system continues to deal with issues such as the increasing uninsured Americans (over 49 million), expensive administrative procedures and the inability to measure the accuracy of quality of care, access of care, and the increasing healthcare spending and financing that limit our ability to efficient utilize resources.
While the Kaiser Family Foundation (2013) provides a workable summary of the general points of the Affordable Care Act and documents abound regarding services that are currently covered under the Affordable Care Act, even eligibility specialists are left puzzled about what services will be covered or requirements needed for coverage, next month, in three months, or in a year (Pattie, personal communication, 2017) given the current political environment. Historically, fragmentation of services “each functioning well within its specialized sphere, but failing to address the needs of the whole person,” (HCQA, 2015, p.3) drive up healthcare costs, especially for the patient with complex needs. Consequently, health care now talks about patient centered, integrated care based in the
The triad of cost, quality, and access has impacted the development of the Affordable Care Act on many levels. The Affordable Care Act aims to improve the quality of healthcare, while maintaining the cost of health care ("Quality of care," n.d.). Under the Affordable Care Act, there is more funding for each state to assist in treating people with chronic illness. The goal is for these patient populations to have high-quality services at an affordable cost (“Quality of care,” n.d.). To ensure that quality of care is provided, the Affordable Care Act requires quality measures to be met in order for organizations to receive reimbursement. Although the United States still needs improvement in providing high quality health care that is accessible
Our healthcare system needs major restructuring. Major improvements needs to begin with "all health care organizations, professional groups, and private and public purchasers should adopt as their explicit purpose to continually reduce the burden of illness, injury, and disability, and to improve the health and functioning of the people of the United States", (Crossing the ……, 2001).
Medical care will only become more complex (Lyckholm, et. al, 2001). Therefore, the need for continued education amongst each other and healthcare organizations is important in limiting issues that may affect standards of care.
The health care industry is one of the most dynamic and delicate industries in the U.S. having experienced healthy and substantial changes for the last thirty years most of which have aimed to improve health care management and services delivery to the patients. The changes have enabled the integration of technology into the industry such as in the area of informatics, science and research and payment services and clinical treatments. The health care sector has introduced various changes to address disease and health care management such as the Modernization Act of 2003, the Patient Protection Act and Affordable Act, which aim at improving health provision and most
The United States has a unique system of healthcare delivery, it is complex and massive. Twenty-five years ago; American citizens had guaranteed insurance, meaning the patient could see any physician and the insurance companies and patients would share the cost. But today, 187.4 million Americans have private health insurance coverage (Medicaid, 2014). The subsystems of American health care delivery are Managed care, military, vulnerable populations and integrated delivery
As a matter of fact Wise and Yashiro, 2006 assert that there some individuals who describe the America’s system as being fragmented and inefficient, considering the staggering statistics regarding how Americans spend more on health care compared to other countries in the world. Additionally, they suffer from massive insurance costs and uneven quality of care, and thus understanding the debate about the two diametrically opposed viewpoints requires an in-depth understanding of the current health care issues in the United States (Rashidian, Joudaki, Vian, & Baradaran, 2012).
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,