Despite higher spending on health care, the U.S. health care system ranked last on patient safety, efficiency and equity according to the Commonwealth Fund survey. Our aim should be reduction of high healthcare costs without decreasing people access to health care or sacrificing quality. A collaborative effort is required to work on above recommendations to solve the problems besetting our health care system. References: 1. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3096004/ 2.
I believe, one of the major challenges for the Canadian health care model as more providers become part of the continuum of care is the financial security that health care can finance towards resources. Resources would be limited since there would a higher demand such as increased wait time to attending care, creating a high strain on health care providers. To help decrease waiting times, health care providers would need to hire more staff which then causes a raise in public taxes to help pay those staff.
It is a vertically integrated system that encompasses medical and health related services required throughout an individuals’ life span (Sultz, H., & Young, K., 2014). They are organizations that operate a variety of business entities, each which is related to the other. Unlike horizontal integration, vertical integration is fully comprehensive, with complete continuum of services. Due to this a vertically integrated system is able to “offer attractive benefits to their sponsoring organizations, patients, physicians, and other providers, as well as payers (Sultz, H., & Young, K., 2014).” As a result, this system attracts many patients.
The Importance of Accountability Why is Accountability so important in the health care industry? Even though a situation may be positive or negative, every aspect of health care needs to be credited to something or someone, with accountability, errors can be fixed and then prevented and helps keep costs down. An employee accountability is measured by customer satisfaction, results of performance, and the cost and impacts of the employee over time, and affects an organization’s working culture by their values, integrity and work ethics. A successful organization follows the checks and balance process, maintains a positive working culture, and stays clear from blame.
The Joint commission is a nonprofit organization that evaluates health care organizations by recommending them to provide safety, high quality, and value to the public. The Joint Commission evaluates and credits 20,500 health care organizations by providing standards that can be achievable and reasonable therefore improving the health care organizations. A benefit of the presence of the Joint commission is that the community and patients can feel safe when choosing services or treatment from health care facilities because the Joint Commission survey the facilities by making sure that all procedures and care are done in a low risk environment. Health care organizations who are accredited and certified show the commitment that health care
A patient is going to have a different idea of how a health care should be managed. This in contrast to the way a physician may think the administration should be managed. Furthermore, each different stakeholder involved would have their own ideal reasons to why the health care administration
Based on this case the cost driver is to properly distribute the direct cost among the different divisions. Dr. Julian would like to control her departments costs by having them distributed fairly among the divisions without affecting the hospital’s reimbursement/revenue. Carroll University Hospital is currently using the standard costing unit, which is based on the cost of bed/day for inpatients. Currently the present cost accounting system that is being used at CUH takes the total direct cost of the departments, then allocates the indirect costs and distributes it among the departments evenly regardless of the actual resources being used in those departments, and without considering that there may be some patients in these divisions that may require more resources than others, this method does not seem to recognize the different activities,
Under direct contracting, providers must go beyond their traditional roles as suppliers of care to owners of integrated financing and delivery systems. This transition can be difficult for employers to compile and manage actuarial and legal mandates. A physician group can be presented as a threat to health plans, as it does business by obtaining an insurance license. This is because the subcontractor is a competitor. Providers must become active managed care partners with employers, instead of being reactive adversaries of managed care organizations on a contractual basis.
Medicare Kelsey Reinholt SOC 400 10/22/2015 Les Lazarevic ABSTRACT The focus of this paper is to provide knowledge over the Medicare and its requirements. This paper explains some challenges that might occur with the choices on Traditional Medicare, with Medicare+Choice, there is usually an incentive financially or at least an encouragement for a transfer to the private sector for little to no cost. Medicare and Medicaid, two publicly funded health programs, both cover populations in need of long-term care, but they are poorly coordinated.
How managed care plans contribute to public health practice. This article looks at alliance between Health plans and public health agencies. They discuss how public health care plans have similar needs also may have similar needs for the expertise and clinical capacity to serve vulnerable and underserved populations. Health care plans that are in place now to assist people with having access to health care.
The model of the Five Competitive Forces, developed by Michael E. Porter, is based on corporate strategy, industry structure and the way they change. Porter has identified five competitive forces that shape every industry and every market and they determine the intensity of competition and hence the profitability and attractiveness of an industry. We further look into how the strategy and industry structure is placed in the field of healthcare and hospitals and analyze the attractiveness of the overall industry. 2.2 Rivalry among competitors Industry Rivalry is one of the 5 forces used to determine the intensity of competition in the industry. Competition in health care is the potential to provide with a mechanism to reduce cost and hence accessible
Increasing costs all around the globe due to economic downfalls is making this issue even more challenging. It is vital that we have some focus on revenue, but we can’t lose focus on the costs of running a business. In health care this can be very challenging because of all the changes involved with the government, in laws regarding health care reform. “Understanding the total costs of services will allow the redeployment of resources which provide a higher payback, or will facilitate the elimination of those resources altogether.” (Hughes, 2011).
“Healthcare facilities and practitioners are licensed and regulated by federal, state, and local governments and laws” (Gartee, 2011, p. 43). Having accreditation means that an organization has been recognized for upholding standards and compliance. In efforts to ensure quality care of patients, an organization must meet Joint Commission standards in which a facility is one of the accomplished facilities. The Joint Commission is better known as JCAHO stands for the Joint Commission of the Accreditation of Healthcare Organizations. JCAHO was established to recognize the best organizations but in the process to improve the quality care among disadvantaged institutions as well (Kobs, 1999).
Physicians and Hospitals go hand in hand when it comes to the medical care of patients, and it is this relationship that allows the patients to receive the care they need and deserve. It is also this relationship that we as health care administrators need to understand. In order to fully understand this relationship we need to define the concept of the integrated physician model. We also need to explain the importance of clinical integration in the strategic planning process, and the dynamics of and controversies surrounding accountable care organizations and alternative approaches to the current health system. I will also explain the advantages and disadvantages for hospitals and physician’s models.