The Complexity Of The Healthcare System

The healthcare sector remains to be one of the major sectors of the economy, and a key part of healthy living for the human population. The main stakeholders in the health sector are the physicians, patients and the top management officials managing activities in and around the health sector. The growth and success of the health sector depends very much on the way all the key stakeholders become satisfied; because it makes them to give their best output and cooperate with the correct laid down procedures which leading the entire health sector. The healthcare sector requires a way to break down communication barriers, in order to enable employees to have a satisfying work experience; while also allowing physicians to practice medicine successfully

As the healthcare system prepares to select a outsource company as its vendor for this project, what types of information should it give to and gather from each vendor under consideration?

The first characteristic of the US health care system is that there is no central governing agency which allows for little integration and coordination. While the government has a great influence on the health care system, the system is mostly controlled through private hands. The system is financed publically and privately creating a variety of payments and delivery unlike centrally controlled healthcare systems in other developed countries. The US system is more complex and less manageable than centrally controlled health care systems, which makes it more expensive. The second characteristic of the US health care system is that it is technology driven and focuses on acute care. With more usage of high technology,

The health care industry is an environment that is competitive and expensive. To be a patient receiving care the urgency is high and at a very critical point to trust a team of strangers with your care possibly even your life. On the other side of that coin, treating and interacting with patients is a part of the health care industry because providing care does not end with the physician. In the middle of these two different side of health care is where management steps in and takes over the middle ground.

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).

Primary care is the backbone of many industrialized nations, but is the US one of them? Unfortunately, the answer is no. The US lags behind such developed nations in its accessibility of primary care by a huge difference. The United States healthcare system fails to ensure the timely preventative and primary care for its residents. The current estimates indicate that there is merely one physician for every 2,500 patients. Not only Medicare beneficiaries, but also privately insured adults struggle in accessing the right primary care physician at the right time. Moreover, maldistribution of physicians only exacerbates the problem, especially for those residing in health professional shortage areas (HPSA).15 Approximately, sixty-five million Americans live in designated primary care shortage areas.13 Such underserved population faces higher disease and death rates and health disparities that then result in higher rates of hospitalizations and emergency department visits—in other words, expensive medical bills.21 More governmental control on the geographic location of primary care physicians can be a first-step to fixing the shortage problem.

Health care systems are made to improve and provide quality, efficient care, work in a more collective fashion to improve patient care and reduce overall healthcare cost. They must be mindful of wasteful spending and become more accountable to a diverse patient population.

Managed Care is a complex health care system in which physicians, hospitals, and other healthcare professionals organize in an interrelated system of people and facilities that communicate with one another and work together as a unit, commonly referred to as a network. This network coordinates and arranges health care services and benefits for a specific group of individuals, referred as enrollees, for the purpose of managing costs, quality, and access to health care. The Managed care program may be provided in a variety of settings, such as Health Maintenance Organization (HMO) and Preferred Provider Organization (PPO). In Health Maintenance Organization, the insurance company will only pay for care within the network. The member will pick a primary care provider who coordinates most of their care. Preferred Provider Organization (PPO) usually pays more if the member will get care within the network, but they still pay a portion if the member will go outside. And Point of Service (POS) plans let you choose between an HMO and a PPO each time you need care (Merrick, 2013).

A healthcare system is any type organization of institutions, people and resources that are there to provide a healthcare to the population. In any country healthcare system is very important because the quality of life, productivity of the country and life expectancy is determined by the country's healthcare system. Each country has a different healthcare system that is suitable for population. Most of the country has a Universal healthcare system while some of them have a single payer healthcare system. Different governments run different types of healthcare system. Every healthcare system has own strength and weakness. Among the country that

Healthcare in the United States has long been a heated topic of discussion, it seems that the biggest issue with Health care reform is the simple lack of understanding towards health insurance all together. A study done by the journal Health Affairs found that “only 60 percent of the people who should be signing up for the ObamaCare understand all of its key concepts”. Jimmy Kimmel did a segment on his show Jimmy Kimmel Live called “Six of One” in which he sent a film crew around Hollywood, California to ask random people whether they preferred The Affordable Care Act or ObamaCare. I was sorry to see that so many different people were oblivious to the fact that ObamaCare is just a nickname for the Affordable Care Act.

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.

people with complex health care issues in terms of quality, cost and access to care (Agency for

Moving forward with the social problems issue chosen for this course, I have found two reliable resources that are underway of working out the United States health care system, seeing as how there are so many concerns and issues that patients, physicians, families, and insurance programs are facing. The current structure of the health care system has been sustained and used for years simply because it rests on its own set of reinforcing elements. These elements include: “…organization by specialty with independent private-practice physicians; measurement of “quality” defined as process compliance; cost accounting driven not by costs but by charges; fee-for-service payments by specialty with rampant cross-subsidies; delivery systems with duplicative service lines and little integration; fragmentation of patient populations such that most providers do not have critical masses of patients with a given medical condition; soloed IT systems around medical specialties,” (Mayberry, et al., 2006).

IN the readings the book talking about creating knowledge. There is statements that Health organizations constantly have to keep up with the new knolede that become available. It is ciritical because the new information can change process, have new break threws in new techniques or disprove old outdated processes. Stakeholder in side or even outside these organization are always look for health organizations to provide or have the newest and greatest technology or techniques to help their illness or injury. As such this emphasis on what they want and why.

A country’s economy and well-being depends upon how strong its healthcare system is. A country would grow into a stronger nation if the people are mentally and physically stronger. Moreover, healthcare systems are usually complex and complicated systems and thus, they need a lot of attention. As Donley (2005) states, “[t]he changing patterns of health care delivery have increased complexity in all practice environments” (p. 314). By a complicated system, it means how different healthcare organizations together play a pivotal role in measuring success of a country’s healthcare system. These healthcare organizations further rely on various departments within the system which are in turn led by various leaders. Thus, it is evident how leaders are the key link in deciding the fate