Affordable Care Act The goal of the Affordable Care Act was to provide health care for all U.S. citizens. The idea was to increase access to health care and improve the quality and efficiency of healthcare delivery. However, there are a lot of questions of whether or not the decision to pass this act, or even the ideals it included were ethical. Jürgen Unützer and Wayne Katon at the University of Washington developed a model known as the “Collaborative Care Model”. This model showed many of the flaws of the ACA.
However, if no appropriate technique is developed to ﬁnd great potential economic values from big healthcare data, these data might not only become meaningless but also requires a large amount of space to store and manage. Over the past two decades, the miraculous evolution of data mining technique has imposed a major impact on the revolution of human’s lifestyle by predicting behaviors and future trends on everything which can convert stored data into meaningful information. These techniques are well suitable for providing decision support in the healthcare setting. To speed up the diagnosis time and improve the diagnosis accuracy, a new system in healthcare industry should be workable to provide a much cheaper and faster way for diagnosis . Clinical Decision Support System (CDSS), with various data mining techniques being applied to assist physicians in diagnosing patient diseases with similar symptoms, has received a great attention
Those aren’t the only reasons I want to go into this profession, I really want to help people get well and feel better. A physician isn’t the only role that helps patients feel better. A pharmacist also has a key role. Pharmacists are healthcare providers that have to communicate with there patients to make sure they can take the medication properly according to their lifestyle, diet, and transportation. The best reason of all is that I get to work directly with patients.
Originally, some diseases wiped out thousands upon thousands but today society has eliminated those threats. For a growing society, technology in medicine is necessary to fulfill its demands and to create a better future for mankind. Just this year at the State of the Union, Obama announced that Biden, the Vice President, is taking over the research for a cure to cancer and it would receive complete funding. Therefore organizations and research labs dedicated to finding a cure for cancer will have unlimited funding for whatever they require. Additionally, technology allows doctors easier access to databases to correctly diagnose a patient and find previous records.
This model pays providers on the basis of quantity of services provided with limited accountability for quality outcomes or care delivery efficiency. Consequently, it provides clear incentives for providers to order the performance of more laboratory tests and services without clear and evident improvement on patient outcomes, increasing instead the cost of health care. In response, CMS rolled out its first and pilot P4P program, called the (PHQI) program, in 2003 (Baird, 2016). Thereafter, it tested the limits of the P4P model with new programs for different health care providers. To further expand the P4P programs, the 111th Congress enacted the Patient Protection and Affordable Care Act of 2010 (PPACA 2010), which came to be known popularly as ‘Obamacare’ (Nix, 2013) and shortened as Affordable Care Act (ACA), and mandated CMS to design a hospital value-based purchasing (HVBP) program that will link Medicare payments to health care provider quality outcomes (Baird, 2016).
The need for standardized quality measures has been evolving as insurances companies, patients and employers want more data driven health outcomes that improve patient health while reducing cost. The National Committee for Quality Assurance and the federal Agency for Health Care Research and Quality (AHRQ) along with CMS have been a leaders in utilizing evidence based methodologies and measuring quality outcomes to improvement health. The Healthcare Effectiveness Data and Information Set (HEDIS) is the most widely set of quality measures in the U.S incorporating quality measures across many domains of treatment identification strategy in the Initiation and Engagement measures, based on procedure, diagnosis codes and chart audits that is feasible
Developing a reputable compensation plan for a medical facility can bring a lot benefits when properly developed. Although the Mapleton Family Medicine has presented nearly an excellent incentive system plan, there are still things that should be considered. 1. Patience: Benefits such as added compensations can actually be extremely complex, requiring a certain degree of legal precautions; therefore, shouldn’t be rushed. The plan should develop over time, allowing appropriate factors to be researched and determined.
“The use of vaccines has greatly reduced the morbidity and mortality attributable to several childhood diseases. Childhood vaccinations remain some of the most favorable and cost-effective prevention strategies available,” states Matthew Davis, the Chief of Academic General Pediatrics and Primary Care in the Department of Pediatrics at Northwestern Medicine, in a 2002 research study done in many different countries (Davis et al. 1982). Childhood vaccinations have allowed the world to be where it is today by saving lives and preventing disease. However, research has shown that vaccines do cost a substantial amount of money and could potentially cause doctors and pediatricians to lose money upon administration.
healthcare system. I found these trends very important, because they help the health care managers align the organization with the changing external environment. The first trend is eMedicine which enables patients to be more involved in their own care. The Food and Drug Administration (FDA) is continuously approving more medical softwares and physicians are becoming more interested to get advantage of this technology. Therefore, it is important for health care organizations to be prepared to adopt eMedicine.
As conditions of disease vary from individual to individual due to age factor and concurrent conditions, individualization is the need of the hour. These days, lots of variations exist in persons’ requirements, so physicians prefer individualization of treatment. Hence, for this physicians also require evidence to confirm that the treatment they are thinking is the best suited treatment for the patient. In this scenario, evidence based medicine comes into picture. It is an approach which helps physicians in selecting best evidence available out of all evidences, to choose the treatment which best suits the patient.
In particular, their Medicaid program has been well known as the textbook describes North Carolina as a leader in improving Medicaid quality and costs. Furthermore, their plan seems to do a great job of implementing current health care issues. For example, the plan insures that the CCE’s are providing fair and equal access, using the same financial vendor to reimburse medical providers, integrating mental health, and ensures access to primary and preventative services. Furthermore, physicians have been working towards an evidence-based medicine, as well as developing case management procedures for high-risk patients. Overall, it seems as though they are doing fairly well as they are not only working