Q1 &2
Would you describe this heart hospital as successful? Explain why.
If successful, what were the elements that made it successful? If not yet successful, what else should NH be doing?
“A dream of making quality healthcare available to the masses worldwide”
Narayana Hrudayalaya was established by Dr. Devi Prasad Shetty in 2001 with this mission. Its main focus was to provide affordable cardiac care to the masses. It has followed a hybrid strategy of attracting paying patients by virtue of its reputation for high quality combined with a relentless focus on lowering its costs of operations whenever possible. In 2004, the proportion of patients who paid NH 's full price to those that cannot afford to pay was about 60:40. Following
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On an average each camp screened 400 people a day, none of whom was required to pay either the hospital or the organisers. They also set up the Yeshashwini Health Insurance Scheme which provided benefits to 1.7m farmers at extremely low costs of Rs 5 per month.
Q3. Is the insurance scheme successful? Explain why. What are the challenges going forward?
Yeshashwini Health Insurance Scheme was launched in 2002 for the 1.7 million farmers. Just for Rs. 5 a month, cardholders had access to free treatment at 150 hospitals in 29 districts of Karnataka for any medical procedure costing up to Rs. 100000. Government also contributed Rs. 2.5 for every Rs. 5 paid by every farmer. Dr. Devi Prasad chose to utilise the existing government infrastructure in the form of state controlled cooperative societies. Prior to the scheme, it was estimated that the average occupancy of hospitals was only 35% although the state boasted 30 private medical colleges each with 500 beds; actual occupancy was low reflecting the lack of affordability rather than a lack of infrastructure.Research by the NH team estimated that only 8% of the policyholders would require medical procedures, thus the total funds collected were expected to cover the cost of treatment for those in need.Most common use of the scheme was for non surgical treatment. Non surgery procedures formed 80% of the procedures conducted through the Yeshashwini scheme. It was mostly
Narayana emerged initially as the world’s largest focused‐factory, lowest‐cost, and high quality cardiac care facility, initiated in Bangalore. It then subsequently morphed into a large Health City, and then spread geographically across India, and via diagnosis‐by‐telemedicine all over the world. Now, it has opened a state‐of‐the‐art facility in the Cayman Islands, to serve the Caribbean, and within striking distance of large numbers of US under‐insured, but just outside US regulatory waters.
relationships that were both good and bad with various other groups so that they could make it through those first years. With great will and sheer luck the area has thrived, becoming the heart of the United States gov- ernment today.
Nonprofit hospitals have become a common characteristic of the hospital sector because they can be found across the country because of their presence in almost every corner, they never decline to provide treatment, and offer several community-based health programs. On the contrary, the for-profit health facilities are regarded as the corporate model of health care services as they seek to make profit first. They enjoy huge capital that enables them to develop state-of-the-art facilities and purchase the latest clinical technologies.
The Elijah Heart Center (EHC) has started seeing and realizing that the financial burdens that are starting to increase cost of staffing, the decreasing amount of reimbursements, the gathering of loans for expansion, and the costs of continuation of upgrading equipment is starting to seriously show strains and obstacles. From my analyzations EHC has to start projecting developments of series of options to create reductions in costs and to improve a stable amount of income. These decisions can be highly influential and by addressing these problems can secure long term goals and short term goals that can be reached to make EHC a more profitable organization.
Healthcare is essential to the nature of our well- being, it provides some financial relief to individuals or families during doctor or hospital visits. Medical care is very expensive, and without health insurance it can be even more of a financial burden. However, being able to afford health insurance has been a challenge for a lot of family’s. For some, they must choose whether to feed their families, pay utility bills or make monthly health insurance payments; so, they allow the insurance to laps. The
What could Maine and Kentucky have done differently to improve implementation? I think they could have started this reform a lot sooner and maybe things would have progressed faster. Kentucky still has some challenges after this
This paper will discuss about organizational structure, philosophies and business practices of for-profit healthcare organizations and non-profit organizations. The most essential dissimilarity between nonprofit and for-profit organizations is the reason they exist. As for-profit organization in healthcare, they are generally found to generate income for entrepreneurs and their employees. However, nonprofits are generally found to serve a humanitarian or environmental need. Furthermore, nonprofits an organization does not pay property taxes due to a consideration of a charity and they establish a certain community in agreement with state and federal
Durban also supports a manager grounded approach to collective health coverage that is supported by an overtly funded catalogue to those of insufficient means. He presented this to make health insurance more reasonably priced for small businesses and the entrepreneurial by
HCA is a healthcare provider that was established in 1968. Their main focus is on offering cliental with a number of different services to include: inpatient, intensive care, outpatient, diagnostic and emergency services. To achieve these objectives they operate a variety of facilities such as: outpatient, psychiatric, surgery centers, freestanding emergency care facilities, diagnostic / imaging centers and comprehensive rehabilitation / physical therapy centers. They are structured to create increasing earnings for its policy and shareholders. This is achieved by contracting with private doctors to deliver services to its preferred providers members. At the same time, they receive fees from these entities and they negotiate lower group rates.
They were forced to receive identification numbers and new housing inside a small, dingy, and poor camp. They were also given vaccines, to protect them from diseases that they might encounter while in the camp. The living space inside the camps was very small, and most people were forced to live in small shacks or stables.
Healthcare organizations do not contribute to the society’s welfare and impact the society positively therefore the relationship with the stakeholders is poor. With a poor relationship, this causes conflict between the patient and the doctor. Enough financial resources should be allocated to prevent quality of care issues and improve the quality of care to the patients. The moneys allocated can be used to purchase equipments that are beneficial to the care of the patients. There are many issues when it comes to the allocation of resources and should be cost effective to ensure the health benefits of those in the community that are being treated. If the allocations of the resources are not done correctly it can affect the community. Human resources should allocate financial resources to eliminate the shortage of doctors and nurses which has affected the performance and
The document severely lacks pertinent financial information for the three years of operation of the heart clinic. Besides some minimal information of mean revenue and expenses for 2011, the document neglects to offer any other valuable financial information for consideration. This section can be further expanded with details of an income statement, balance sheet and current statement of cash flows. Financial statements can be a healthy management tool to illustrate the success of operating performance to appropriate stakeholders and their constituents.
When it comes to the healthcare system, the root of it can be tracked back to the nineteenth century. At that time, compared to a private company, most of the service providers were hospitals, which provide a people free-charge service and inexpensive medicine because they were not profit-oriented institutions. To some degree, the expenditure of a household on healthcare at that time is lower than the one of a modern household. Hospitals played an important role in offering the disadvantaged healthcare resources and fundamental treatment. As the number of patients increased, they still needed working capital to support their expenditure. Most sources of money were from
Nepal is mountainous country in the World. The average life expectancy is 67.95. Nepal has an approx. 28 million population. Also, approximately two thirds of the health problem in Nepal are infectious disease. This infectious disease occurs high rate of illness and death. In addition to this, there are many people are infected from HIV aids due to lack of education and open boarder between India Nepal. The health system has been developed day by day. There are health post in every village development committee area. Also, now a day’s government allow private sector to invest in health care system. Right now, there are so many private health college, hospital, clinic, nursing home etc. So, we can see that health system has been developed.
In Nepal, modern health services have a short history. Until the early 1960s, only a few urban hospitals and rural dispensaries were available. Since the late 1980s, thousands of health institutions have been established at the Village Development Committee (VDC) level. During the past 15 years, Nepal has achieved significant progress in the field of child and maternal mortality and eradicating polio and meningitis. That has been an encouragingmove toward achieving Millennium Development Goal targets. To ensure universal health coverage, the Ministry of Health and Population (MoHP) has a plan to set up health centers within a half an hour walking distance of each village. The government has started providing free basic medicine for all citizens through public health institution. However, it is generally impossible for rural people to find all prescribed medicines throughout the entire year due to shipping difficulties and medicine shortages.The government has been providing basic healthcare services through sub-health post,thebottom level of healthcare institutions in Nepal.