Abstract
Roemer’s model of a health care delivery system shows the different necessary elements for a system to be successful. As health needs are the input; the system needs resources, organization of programs, economic support mechanisms, and delivery of services to provide the health needs output (Roemer, p 33). Able 2 is an organization that provides services to people with disabilities. They have many resources, but perhaps not enough to meet the health needs of every consumer. They have well organized programs, have economic support, and can deliver services completely and holistically to produce health as the output of the client. The most important implication that was found in analyzing Able 2 was the need for increased resources as they are not able to meet the needs for every client in need of its services. Ultimately though, Able 2 is an excellent organization that provides an array of services for those people with disabilities.
Finance Mechanisms
Economic support mechanisms are one of the major components needed in a health care delivery system (Roemer, p 33). Without income, an organization would fail. Able-2 is a non-profit organization (NPO) and a non-government organization (NGO) in the private sector. They have been tax-exempt both by state and federal taxes since 1978. Under the umbrella of an NPO, its purpose must be charitable and all revenue, after normal expenditures, must serve the public’s interest (DeMartinis, 2005). In 2013, income
broad range of individual patients. The patient should be able to benefit maximally from the care he/she receives.
The entities Comprising the Public Health Infrastructure include: County and city health departments and local boards of health - State, territorial, and island nation health departments - Various U.S. Public Health Service agencies in the Department of Health and Human Services (HHS) - Tribal health agencies coordinated at HHS by the Indian Health Service - Public and private laboratories - Hospitals and other private-sector healthcare providers - Volunteer organizations, such as the American Red Cross, American Diabetes Association, American Cancer Society.
The three models of service delivery are as follows the Medical Model, Public Health Model and the Human Service Model.
Cardiac diseases alone have been estimated, direct and indirect costs, for the overall American population are “approximately $165.4 billion for 2009” (CDC, 2013). A survey found that heart disease accounted for 4.2 million of the hospitalizations in 2006. In 62% of these cases were short stay hospitalizations and occurred amount peoples ages 65 and older. These hospitalization rates also vary by gender, racial, and ethnic groups.
One element of an external environmental assessment is the complicated, dynamic process of a competitor analysis. The new paradigm of healthcare delivery makes it necessary for organizations to think about their competitive edge, something that healthcare administrators did not have to think about in the past. Ginter, Duncan, and Swayne (2013) identify the essential elements of a service area competitor analysis: establishing the categories of service; determine the service area, the geographical boundaries; and identification and analysis of weaknesses and strengths of those vying for the same market share (p. 78). Today’s healthcare leaders need to think beyond the facilities that are most close, owing to the fact that consumers of care are willing to move past their neighborhoods to centers of excellence that deliver the highest quality care. Leaders also need to consider service providers that are dissimilar in structure. These ventures are new to the healthcare market, offering one profitable, specialized service. Market niches should not be overlooked or underestimated because they are likely contenders (Ginter et al. p. 80). This paper offers a competitive analysis for detoxification, the first level of treatment for substance use disorders (SUDs). There is a discussion of the service category and service area of one treatment offered in a freestanding psychiatric facility in metro Boston, Massachusetts, and ends with a discussion on how the
In the past, managed care in the United States took the form of voluntary programs. Such programs date from about 1850, when managed care was provided chiefly by cooperative mutual benefit and fraternal beneficiary associations. Limited coverage by commercial companies was also introduced during that period, and subsequently many plans were established by industries and labor unions.
1. What are the basic characteristics that differentiate the U.S. health care delivery system from that of other countries?
Next, we studied the financial structures of health care organizations. Specifically, we examined the structure of nonprofit healthcare organizations. I remember spending a good amount of time debating whether or not nonprofits should maintain their tax exempt status. As someone who had spent their entire professional career working for a nonprofit organization, I often viewed myself as the sole champion for these organizations. In sessions and on the discussion boards, I advocated that nonprofit healthcare organizations in most situation function as a safe net of the community and that the level of community benefits these organizations provide do justify the lost revenue for state and federal agencies.
Shi,L., & Singh, D. A. (2015). Delivering Health Care in America: A Systems Approach (6th ed.). Burlington, MA: Jones & Bartlett Learning.
For anyone who has kept up with the news, the US healthcare system has undergone major changes in recent years. Insurance providers are no longer able to deny someone coverage based on pre-existing conditions. The advent of healthcare marketplaces has changed the way people purchase health insurance. Children can stay on their parents' health insurance plans until 26. Leading the healthcare revolution is InnovaCare Health. This organization is a leading provider of Medicaid and Medicare Advantage plans. InnovaCare Health recently announced it would partner with the Health Care Payment Learning and Action Network. This is a significant private-public partnership that seeks to change compensation models to reflect the quality of care instead of quantity. This new partnership reflects InnovaCare Health's to affect change in compensation sooner rather than later. The current healthcare model focuses on reimbursing physicians based on the number of patients seen or procedures performed. This encourages "treadmill medicine," or a model that focuses on rapid turnover. This can often lead to detrimental effects on patient health. The new quality model would reward physicians based on practice targets. Potential goals include HbA1c goals for patients with diabetes, the percentage of patients who smoke, and hospital stay after surgical procedures.
Over the last several years, a wide variety of health care organizations have been facing a number of challenges. This is because of pressures associated with: rising costs, increasing demands and larger numbers of patients. For many facilities this has created a situation where patient safety issues are often overlooked. This is because the staff is facing tremendous amounts of pressure, long hours and more patients. The combination of these factors has created a situation where a variety of hospitals need to improve their patient safety procedures. In the case of Sharp Memorial Hospital, they are focused on addressing these issues through different strategies. To fully understand how they are able to achieve these objectives requires looking at: specific ways the organization has responded to the crisis in medical errors, their definition of patient safety, the causes of errors, systematic barriers and transformations that have been adopted. Together, these different elements will provide the greatest insights as to how the facility is coping with the crisis in patient safety.
Financing health services in the United States is very important and involves an excessive amount of health institutions and activities. Health services are supported by several methods to create revenue that most hospital, clinics, and treatment centers use for daily operational costs (World Health Organization, 2006). These methods are: general taxation of the state, county, or township/municipality, Medicare or Medicaid or other socialized health insurance plans, voluntary and private health insurance and lastly, donations to health charities accepted from non-profit organizations, donations
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.
In this paper there will be a brief discussion of three forces that have affected the development of the U.S healthcare system. It will observe whether or not these forces will continue to have an effect on the U.S healthcare system over the next decade. This paper will also include an additional force, which may be lead to believe to have an impact on the health care system of the nation. And lastly this paper will evaluate the importance of technology in healthcare.
Given the fact that the United states of America and Canada are linked together sharing a border which is open basically to and from both sides, their health care systems are highly different from each other and how the services are financed, organized and given to the citizens.