Disadvantages Of Direct Contracting

To allow anything to develop in a relationship, both parties must allow the variable to grow and prosper. To develop a variable such as trust, one must possess a number of personal and professional qualities. When a person trusts another person it means opening up for an action and expecting the other (trustor) to act in accordance with his/her (trustee’s) wishes, interests or will (Rortveit K. et al. 2015). The power issue between patients and nurses can cause some patients not to avail of health care services (Rortveit K. et al. 2015). Trust is an important aspect of nursing and has been the focus of nursing theory and research (Rortveit K. et al. 2015).

Setting prices for any organization can be a tedious process. Not only do you need to make sure that prices will create a profit, but you need to ensure that the amounts created will be reasonable. Profit analysis is a route that you could take to set prices for a particular service. Profit analysis is a more detailed and neutral way a health care manager can evaluate and even foresee the course of production for the health care facility or organization. Profit analysis is a method that can be used to understand costs, price assumptions, and volume because it allows a health care manager to answer practical questions (Gapenski, 2013).

How do employer priorities affect claim adjudication and management in workers’ compensation systems? A company’s main priority is to be successful, which means making profit. The global market is becoming more competitive and as a result, many businesses adopt strategies that cut costs to ensure that they do not run bankrupt. When employees injure themselves, the potential cost of injury claims impacts a company’s WCB premiums.

Aflac survived their employees and encouraged consistent communication. In turn, Aflac responded to the employee satisfaction survey with an increase in program related benefits and low or little out of pocket expenses as it pertains to healthcare. Two external opportunities Aflac can potentially implement are; enlisting contractors to complete the work for lower salaries as well as having the contractors pay higher healthcare premiums to offset profits/losses and or to increase the monetary amount customers pay for services. While the threats of Aflac consist of competitors offering the same products/services for less and overtime because Aflac offers low cost health premiums the cost to the employer could be too rich to continue to pay once the organization keeps growing.

The mandatory overtime cycle will not be easy to break; multiple interventions are necessary. Healthcare facilities can achieve this through by first understanding their objectives and goals. One alternative is voluntary overtime; it allows the nurse to decide whether to consent or refuse a request to work overtime while still promoting continuity of care. Maintenance of sufficient staffing necessitates strong retention efforts on current workers as well as effective employment on new staff members. The use of nurse float pools and staffing agencies also alleviates shortages.

The challenges associated with it include the difficulty of defining the boundaries of an episode (what care falls within and outside of the episode); its potential to increase barriers to patients’ choice of provider and or geographic preferences for care if adoption is not widespread; lack of incentive to reduce unnecessary episodes and the potential to avoid high-risk patients or cases that may exceed the average episode payment (Silversmith, J., 2011). For example, Geisinger Health System’s ProvenCare: as a bundled payment model for coronary artery bypass graft (CABG) surgery (AHA, 2010). This appears to be a case rate in which the hospital and the professional fees were each paid a single fee for inpatient and physician services during hospitalization. In the essence there is warranty period of coverage if there is readmission within 72 hours and the patient is covered when the patient comes back for complications within that time period, all services are covered and the patient would not need to pay any additional money for hospitalization. Furthermore, since CABG is

This shows that health care providers needs to have a stronger relationship with their patients. What would I notice if I believed this view? If I believed this view I would see a lot more over the counter drugs being purchased and less time being spent in doctors offices. I would notice more infomercial drugs being dispense to patients in hospitals and pharmacies.

( aha article). Critics of the bundled payment program feel that bundle payments are prolonged fee for service and will not result increased efficiencies. ( Harvard

It shouldn’t be but it is. The reality of this issue is that it requires policy change. Right now we are subject to the same marketplace influences of other commodities. The pro to this argument is that citizens of the richest nation in the world should not go without healthcare.

However, there are limited studies that have addressed safety climate among healthcare workers (Gershon et al., 2000; Hahn and Murphy, 2008; Smith et al., 2013). The question is that why ones should discriminate patient safety climate against safety climate of Healthcare Providers such as nurses. The reason is that there are powerful laws that support patient rights and continues supervision is implemented for that. On the other hand, patients are vulnerable individuals so any unsafe behavior has a potential of leading to serious consequences. In the other viewpoint, indeed patients are customer and healthcare managers attempt to obtain their customer satisfaction, because of business competition and/or financial

One paramount difference right now is that healthcare organizations are essentially hiring in lieu of firing; hence, recruitment and retention are one of the most paramount issues. This is not obligatorily the case in other industries. The Cumulated States health care system faces many challenges in endeavoring to find a viable future. According to Dombovy (2002) among the critical issues are: • Achieving consensus on the constructs of health care • Reducing clinical variation/ enhancing quality • Financing incipient technology and drugs while circumscribing the rate of incrimination in health care costs.

Please respond to the following: "Brand Portfolio Molecule and Brand Report Card" Based on your review of the Learnscape scenario titled “Learnscape 3: Recover and Retention”, explain the fundamental reasons why brands do not exist in isolation but do exist in larger environments that include other brands. Provide two (2) specific recommendations or solutions that help the health care facility in this scenario improve patient satisfaction. Brands do not exist in isolation but do exist in a larger environments which includes other brands, because brands are highly interdependent and value of the brand is driven by its impact on the customer’s precipitation. The brands needs other brands in order to have meaningful comparison with other brands.

HIPPA Breaches A Common Legal Issue in Healthcare When it pertains to patient health information discretion is paramount. Protecting patients from threats that could endanger their rights is essential and the primary reason for safeguarding their personal information is to secure the interest of the individuals who are entrusting the organization with their information. There are however breaches to individuals’ private health information. In the healthcare field one common legal issue is HIPPA and data breaches.

They are as a result treating more patients, are under more pressure and thus reducing the quality of care for patients. A recent AOTA article describing the current PPS in SNFs concluded that need for the Centers for Medicare and Medicaid Services (CMS) to implement a new system of therapy payment is crucial because patients are not being given quality care they need due to dictated frequency of therapy (Red Flags, 2015). It further suggests that the focus of new payment method should be on patient characteristics rather than the quantity of therapy delivered (Red Flags, 2015). Therapists also have to guess what services they are going to deliver to a patient rather than in the past when itemized bills or actual costs were sent to insurance companies after the services were provided (cost-based reimbursement, retrospective payment plan). Current and future occupational therapists should have an understanding of the Medicare A PPS system and be aware of annual PPS rule changes if working in a skilled nursing facility or related inpatient setting.

Second, the medical apps endanger the privacy of personal and medical information of the patients. For some people easy access to care is more important and on the contrary, for some privacy is the priority. Health care managers need to reassure that the application of eMedicine will not increase the chances of fraud and misuse of the confidential information. Third, high-cost patients like dual-eligible- both enrolled in Medicare and Medicaid- consume most of the health care resources. Also some patients wait till their health problem reaches emergency situations and their visit to to the emergency department is noticeable.