Systems Thinking
Patti Maisner
Kaplan University
Introduction Before the new healthcare reform (ACA) not too many had access or means for healthcare. Practitioners charged what they wanted and ordered extra and unnecessary treatments. With the implementation of a new way to cover healthcare, the system finds itself struggling to make a quick response to local markets while they struggle with shifts from fee for service to value care, using theoretical public health models, dealing with target populations, delivering quality care while keeping their costs at a minimum. There is a strong desire to reach for the public health way of delivering healthcare. That is reinvesting in the patient, becoming part of larger systems by forming partnerships to give the patient what they need.
Organizational Components There are several components of an organization: having an accomplished and competent workforce, the latest system for storing and transmitting data, and the proficiency to evaluate and respond to the health needs of the public (Office of Disease Prevention and Health Promotion, 2015). Within these dynamics are the tools to enhance the health of communities by formulating environments that support & sustain optimum health, while promoting the learning of skillful behaviors. To break this down further, the CDC (Centers for Disease Control and Prevention, 2014) believe that with the above tools, every public health
Hispanics are one of the largest groups in the United States that are uninsured. Additionally, the Hispanic population is one of the fastest growing ethnic groups in the U.S. The Hispanic population is estimated to increase over the next 25 years to 32 million out of a total of 72 million of the US population (Brice, 2000). The U.S. health care system is facing one of its most notable societal issues in years in reference to its ability to provide access to medical care for the millions of Americans who do not have health care, for whatever cause. The Affordable Care Act was signed into law on March 23, 2010, for the purpose of reducing inequalities in insurance coverage and to provide access to health care for all. A vital goal of the
With the implementation of any new program there are bound to be unforeseen errors that causes the plan to be seen as failing when in reality it is just working through some issues. The Affordable Care Act (ACA) is going through that process right now. A simple example to point to is the website that was built for the new healthcare system crashing when it was launched. The ACA is also exposing flaws in how healthcare is funded and also projected. With an estimated 32 million people gaining access to healthcare sharing of patient information is going to be vital, new technology will have to emerge to help with the surge of patient information. Along with the expansion of access to healthcare it is exposing the lack of qualified
In 2010 the Affordable Care Act (ACA), also known as Obamacare, was signed into act to help reform healthcare in the United States. Before and after the act was effective, many people were concerned with how it would affect our country as a whole and on an individual basis. Many people say that the ACA is helping our country and others are not so sure. The goal of the act is to give millions of uninsured Americans access to quality health care and by also making it more affordable. Although there seems to be many positives from this act, not everyone agrees that it was the greatest idea to obtain optimal health status. As many people know, children are now allowed to stay on their parents insurance until they are twenty-six years old.
As you know my situation is messy here in Texas. As a single, young male I do not qualify for Medicaid and with the ACA expansion more people are qualifying for Medicaid depending on their state. Sadly, that is not the case for me. I live in the state of Texas which is one of nearly 20 states yet to expand its Medicaid program under the Affordable Care Act (ACA), and is home to the largest number of uninsured Americans of any state in the country. I do not meet the Medicaid requirements in Texas, available only to people with disabilities who have incomes below 75 percent of the federal poverty level; pregnant women with incomes less than 200 percent of poverty; and parents with incomes less than 19 percent of poverty. I will continue to be uninsured and as a freelance construction worker I should have coverage in case of a mishap at work. Therefore, I strongly support the idea of adding a public option to the U.S healthcare system for individuals like myself that do not qualify for Medicaid and do not have the financial means to buy health insurance on the private market.
Just like anything else that is first implemented out to people, there are also flaws. Not everything that first rolls out to the public is perfect. However, although this new health care may have some flaws in the beginning, some may say that there are a little more just minute flaws. Some may express that the new Affordable Care Act may be a reform that will hurt us rather than help us. “If there is any area of social policy in which Americans are likely to be aware that their system has flaws, it is in health care.” As if America it is not already the country that has the most expensive health care system , “Americans pay an average annual cost of $8,174 per person for their health care, over twice as high as the average Western
The Affordable Care Act (ACA) is a health reform law that was signed by President Barrack Obama on March 23, 2010. The full name of the law is the Patient Protection and Affordable Care Act (PPACA). One week later the President also signed a law called the Health Care Education and Reconciliation Act (HCERA), which was a supplement that made several changes the PPACA. What the country currently refers to as the ACA or "Obamacare" is both of these laws combined. (McDonough, 2012)
In the last four years, the United States has implemented a new reform in our medical system called the Affordable Care Act (ACA). Its goal is to reform the health care system, by providing Americans with a more affordable health insurance policy. It also tries to compress the growth of healthcare spending in the United States. The ACA offers Americans better health coverage because of the widespread reforms that are included. These reforms will expand our healthcare coverage, hold insurance companies liable, lower health care costs, guarantee more choice for patients, and improve the quality of healthcare for all Americans (Markette, 2011, p. 12). As the law has passed, there have been many people affected. For example, the craft supply
The Affordable Care Act has brought many changes to healthcare in the United States. Some of the changes brought on by the Affordable Care Act have had a positive impact on society and some have had a negative impact. Some of the positive effects of the Affordable Care Act include better consumer protection and equality, and healthcare coverage for more Americans. Some of the negative effects include rising insurance premiums and a shortage of doctors. There is also a new set of rules under the Affordable Care Act regarding the billing of medical claims.
The Affordable Care Act passed in 2010 and signed by President Obama on March 23, 2010. The vision was to reform the health-care in America worked and dramatically decreases the number of uninsured individuals. President Barack Obama campaigned aggressively under the phrase’ “Yes We Can”. In the end “Yes he did” get the health-care reform legislation past and set into motion the overall of health insurance decades in the making. Many of the major objectives of the Affordable Care Act were setup to be implemented over time, most of which will be in place by 2016. Until then it is somewhat difficult to determine the true impact of the Affordable Care Act on individuals and their medical care and the financial impact of the costs. As,
Universal Healthcare in the United States has been a long time journey that dates back decades and we, as a country, are far behind other developed countries who have had universal healthcare for a long time. Today, Healthcare is obtained through employers or by people paying for it by themselves, which is incredibly expensive due to high premiums. Five years have passed since the controversial Obama care, or Affordable Care Act, was signed into law on March 23, 2010. The Affordable Care Act aimed at fixing the many problems that the United States has with healthcare by making it available to everyone, but also more efficient and this required drastic changes that made some people happy while others unhappy since some are benefiting while others are not. These people include politicians, but foremost presidential candidates. Candidate’s stance on the issue of healthcare is truly important due to the fact that if they’re the next president of the United States, it could hurt or improve the health care reform. Noteworthy candidates are: Jeb Bush, Hillary Clinton, Marco Rubio, and Bernie Sanders. Republicans and Democrats have long debated whether or not the Affordable Care Act should be repealed or replaced. Republicans believe that it is a problem while Democrats support it. The Affordable Care Act should not be replaced but instead improved because it provides quality and affordable health care to Americans. Everyone gets sick and people shouldn’t be afraid of receiving help
The Affordable Care Act (ACA), unofficially called Obama Care, was signed by President Obama in March of 2010. The ACA was later sent to Congress and passed in June of 2012. The Affordable Care Act’s goals are to help the community have affordable health care for all United State citizens. There are several significant differences between both parties in the House of Representatives on the Affordable Care Act. Since the Affordable Care Act has been instated as law, the pros have masked the cons and there seems to only be positive outcomes. Democrats are in favor of the ACA because this will help the majority of the population in the United States. The Democrat support of The Affordable Care Act has helped people who cannot afford health care; for example, the act makes health care more affordable and available to the people. While writing The Affordable Care Act, Democrats and Republicans argued over conflicts of ideas to which side was right or wrong. Democrats believed that the Affordable Care Act would prosper and thus far it has shown positive results, and unlike the Democrats, Republicans believe in the abstracts of the reform and currently still do.
The Affordable Care Act (ACA) was created by President Obama back in March 2010 to help reduce healthcare costs and improve healthcare quality for uninsured Americans. The ACA was implemented to reduce the cost that was growing with Medicare and Medicaid because they have increased over the years threatening the entire federal budget (Amadeo, 2017). People who are not working and are unable to cover their healthcare expenses usually end up on Medicaid which is paid for by the government. The others who are over the age of 65 are on Medicare and have their premiums supported by the federal government. However, people who make too much money or who are too young to qualify for either
Since the Affordable Care Act (ACA) signed into law in March 2010, a few things have changed in the provision of physical therapy services, in specific productivity standards and reimbursement in outpatient physical therapy clinics. The Affordable Care Act has resulted in an increased demand for physical therapy services primarily due to the construction of the Health Insurance Marketplace. This created new health insurance options to help Americans acquire health insurance, who previously were not able to afford it. Although the ACA is a very extensive and complex piece of legislation, it has ultimately resulted in more individuals who are eligible for physical therapy services. This increased demand not only comes from the ACA but also from reimbursement cuts from insurance companies, subsequently causing physical therapists to overload their schedules as a means to offset these cuts. These demands are without factoring in the aging baby boomer population, which is expected to increased the physical therapist need by 30% from 2008 to 2018 (cite). Physical therapy is about providing the best patient care, however patient care is also a business and businesses are centered on revenue. Below are some of the current proposed solutions along with personal solutions and insight on the productivity issue.
The Affordable Care Act (ACA) added to the Social Security Act has increased the financial accountability of healthcare organizations for preventable readmissions. Hospitals have increased their awareness and are looking for system ways to assist in the reduction. The Centers for Medicare and Medicaid Services (CMS) have initiated a process for decreasing the reimbursement for readmitted patients within a 30-day period. CMS identified readmission measures for applicable conditions of acute myocardial infarction (AMI), heart failure (HF), pneumonia and in 2015 chronic obstructive pulmonary disease (COPD) and hip and knee replacement which are included within the measurement to calculate the readmission payment adjustment for
Primary care access is a growing concern for all Americans and the reason behind this concern is an imbalance between demand for care and capacity to provide care. Demand is growing as the population expands, ages, and faces chronic illnesses and the capacity is shrinking as the ration of primary care clinicians to population drops (Ghorob & Bodenheimer, 2012). A primary goal of the Affordable Care Act (ACA) was to improve access to quality health care for uninsured Americans, largely through public and private insurance expansions (Polsky et al, 2015). At the same time, the architects of the law recognized the need to increase the availability of primary care providers to meet the increased demand for health care (Pg. 538, 2015).