...Accountable Care Organizations: Key to Transforming Healthcare? The Talia Goldsmith, MHA Candidate 2011 Suffolk University Sawyer Business School HLTH 890AE: Healthcare Strategic Management Professor Richard H. Gregg, M.A., M.B.A. April 28, 2011 Table of Contents Objective .....................................................................................................................................3 Introduction ..............................................................................................................................3 Overview of ACOs as a Mandate and an Opportunity for Healthcare Organizations............................................................................................................................4 Examples of Missions, Visions, Values and Goals for ACOs........................................6 Mission ................................................................................................................................................. 6 Vision ....................
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...The US influence on the Indian health care system has been immense ever since the 1980s and particularly after the 1990s, in which the structural adjustment programmes (SAP) played an important role. SAP, implemented in India in the early 1990s, introduced a new era of economic liberalisation into the economy. Healthcare structure was not left untouched by the new reform economy. Though the implementation of these SAP in India were at the behest of the World Bank (WB) and International Monetary Fund (IMF), yet the neoliberalist agenda underlining these reforms was unmistakable. The nature of these reforms also made it clear that Indian health service sector was moving towards an era of privatisation and de-regulation, the very hallmarks of the US health service system. Thus a look at the evolution of the healthcare system in the India since the 1980s and 1990s shows a definite US imprint. Baru (1998: 37-38) states that the extent of US influence on Indian health services may be understood at the following levels – the role of the multinational companies in pharmaceuticals and medical equipment industries, the influence of the NRI doctors some of whom began returning to...
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...believe will best help pharmaceutical companies realise the potential the future holds to enhance the value they provide to shareholders and society alike. Pharmaceuticals and Life Sciences Pharma 2020: Challenging business models Which path will you take? Fourth in the Pharma 2020 series and published in April 2009, this report highlights how Pharma’s fully integrated business models may not be the best option for the pharma industry in 2020; more creative collaboration models may be more attractive. This paper also evaluates the advantages and disadvantages of the alternative business models and how each stands up against the challenges facing the industry. *connectedthinking Pharma 2020: The vision # Pharmaceuticals and Life Sciences Pharma 2020: Virtual R&D Which path will you take? This report, published in June 2008, explores opportunities to improve the R&D process. It proposes that new technologies will enable the adoption of virtual R&D; and by operating in a more connected world the industry, in collaboration with researchers, governments, healthcare payers and providers, can address the changing needs of society more effectively. 1 Pharmaceuticals and Life Sciences Pharma 2020: Taxing times ahead Which path will you take? Pharma 2020: Virtual R&D Pharmaceuticals and Life Sciences Pharma 2020: Marketing the future Which path will you take? Published in February 2009, this paper discusses the key forces reshaping the pharmaceutical marketplace,...
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...happens now? Is it global? All these questions pump adrenaline to everyone who is concern about their health status. Health care organizations, specifically hospitals have significantly felt the impact of nursing shortage. Nurses are an integral part of any health care organization; and are known to the health care community as front line workers. The following outline is to discuss a health care situation such as nursing shortage in hospital settings. This outline is to provide a comprehensive overview by analyzing and evaluating the effectiveness of procedures that are in place, and recommend improvement strategies based on economic theories and concepts that support best practices. Key Players Nursing shortage is a work in itself, there is no immediate solution to the problem; therefore, nurses as the key players must be involved in the decision making occurring at every health care organization. As nurses, the sole responsibility lies upon them to establish a safe working environment, ensuring patients and nurses’ right be upheld at all times, and nurses upholding the highest quality of care rendered to patients. Nurses must be intensely involved in committees to have a voice and in-puts and must be willing to effect change. Therefore, we must look at the accrediting body for nursing organizations, nurses who work in hospital setting, the health care providers who collaborate with nursing to assure...
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...RESEARCH 2015 R E S E A R C H , 2 015 The Doctoral Programs at Harvard Business School educate scholars who make a difference in the world through rigorous academic research that influences practice. More than 140 strong, HBS doctoral students represent diverse backgrounds, degrees, undergraduate schools, and disciplines includ— ing economics, engineering, mathematics, physics, psychology, and sociology. They examine the most critical issues in business management through rigorous research, creating and disseminating new knowledge as the next generation of thought leaders. By the time they graduate, students will have authored and co-authored publications with faculty members, who often become important mentors, colleagues, and collaborators. ACCOUNTING AND MANAGEMENT Chattopadhyay, Akash , Matthew R. Lyle, and Charles C.Y. Wang. “Accounting Data, Market Values and the Cross-Section of Expected Returns Worldwide.” Working Paper, April 2015. (Revise and resubmit to Journal of Accounting and Economics.) Gow, Ian D., Sa-Pyung Sean Shin, and Suraj Srinivasan. “Activist Directors: Determinants and Consequences.” HBS Working Paper 14-120, June 2014. Gow, Ian D., Sa-Pyung Sean Shin, and Suraj Srinivasan. “Consequences to Directors of Shareholder Activism.” HBS Working Paper 14-071, February 2014. Ioannou, Ioannis, Shelley Xin Li, and George Serafeim. “The Effect of Target Difficulty and Incentives on Target Completion: The Case of Reducing Carbon Emissions.”...
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...Implications of Health Economic Concepts for Health Care Melissa James Strayer University Dr. Wanda Allen Health Economics – HSA 510 February 1, 2015 Assignment # 1 Implication of Health Economic Concepts for Health Care Assess the value of healthcare professionals and decision makers understanding the discipline of health economics. Healthcare is getting gradually complex around the world. The need for technological development, economic support, demographics changes and the study of diseases are shifting at a fast speed. There had been numerous labors in describing collective capabilities and values within the healthcare organizations. It is necessary for learning and training programs to be regulated based on the needs of the humanities they support. Therefore, the institutions that are designing and delivering those activities must take responsibility for the products they manufacture for the use of the society. Hence, Academic institutions that are in charge of educating healthcare professionals together with their various stakeholders must interact in collaboration to create actual and proficient strategies that will promote suitable culture in the healthcare systems. Current medical education process has its origins in the European institutions of higher learning that customarily cherished academic freedom, sovereignty and self-regulating exploration...
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...Professional Development of Nursing Professionals According to the Institute of Medicine (IOM) report (2010), the nursing profession has become the nation’s largest health care workforce with more than three million active licensed members. Registered nurses (RNs) usually work in hospitals, physician inpatient or outpatient offices, home healthcare, nursing care facilities, correctional facilities, government offices, schools or public health offices, and within the military. There primary role is provide and coordinate patient care, educate patients and the public about health conditions, and provide advice as well as emotional support for the patients and their family members (Bureau of Labor Statistics, 2016). Nursing has become one of the fastest growing healthcare professions with an expected 20% increase per decade by the year 2030 based on the high demand but quick turnover from the new grad nurses population and the 2010 Affordable Care Act (Auerbach, et. al., 2013). The Robert Wood Johnson Foundation (RWJF) and the Institute of Medicine (IOM) in 2008, created a two-year initiative response toward the need to assess and transform the nursing profession in response to the 2010 Affordable Care Act legislation which has become one of the largest health care overhauls since the 1965 creation of Medicare and Medicaid. The IOM appointed a committee on the RWJF Initiative on the Future of Nursing at the IOM to produce multiple reports that would make recommendations for an action...
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...Professional Development of Nursing Professional: The Future of Nursing Grand Canyon University: NRS-430V August 18, 2013 Introduction In 2010, the United States (US) lawmakers approved the Patient Protection and Affordable Care Act (PPACA) attempting to improve the United States health care system by focusing it’s emphasis on cost maintenance, access, and quality of care (Poghosyan, Lucero, Rauch, Berkowitz, 2010). This transformation will now necessitate a restructure of the many roles within the health care professionals, including registered nurses (RNs). In 2008, the Robert Wood Johnson Foundation (RWJF), and the institute of Medicine (IOM) launched a two-year planned response to the critical need to assess and transform the nursing profession (Institute of Medicine, 2010). According to the Institute of Medicine (IOM) report, The Future of Nursing: Leading Changes, Advancing Health, suggest that the future of nursing is advancing with the opportunities that will transform the healthcare system by using knowledge and skills of nursing. The purpose of this discussion focuses on the impacts of the health care reform in nurses’ practice, education, and leadership. The implications on Nursing Education In the US, the health care system is changing dramatically. As the baby boomer population is aging, there has also been a surge of obesity triggering the complexity of chronic illness, such as diabetes, hypertension, and cardiovascular disease. These factors demand...
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...EXECUTIVE SUMMARY The Marcus Island healthcare system is characterized as socialized medicine where all residents have access to primary care, pharmaceuticals and diagnostic testing. While residents have access to care, they are responsible for a small portion of the payment at the time of service, and in some cases, those who are willing to pay a premium are afforded better access to services. While patients themselves believe their healthcare is either adequate or good, there are several aspects of the Marcus Island healthcare system that suggest care could be better. Specially, Marcus Island’s health care system has been running increasing budget deficits for the past five years. The health care system lacks access to comprehensive services including preventive care and screenings, mental health, dental service, and specialty care. Long wait times for appointments are an issue, as well as continuity of care between providers. Furthermore, there is no system in place to track quality of care indicators. An overhaul of the health care system is needed, including improvements in budgeting and increasing access to the full range of comprehensive health services. In addition, implementation of an electronic health records system would allow for greater continuity of care, improved efficiencies in services, and tracking of quality indicators. DEMOGRAPHICS Demographics: Marcus Island has thirty million residents; the population is growing. Family size is generally...
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...222 healthcare stakeholders including healthcare providers, managers, policy-makers, and payers to identify factors affecting the quality of healthcare services provided in Iranian healthcare organisations. Results: Quality in healthcare is a production of cooperation between the patient and the healthcare provider in a supportive environment. Personal factors of the provider and the patient, and factors pertaining to the healthcare organisation, healthcare system, and the broader environment affect healthcare service quality. Healthcare quality can be improved by supportive visionary leadership, proper planning, education and training, availability of resources, effective management of resources, employees and processes, and collaboration and cooperation among providers. Conclusion: This article contributes to healthcare theory and practice by developing a conceptual framework that provides policy-makers and managers a practical understanding of factors that affect healthcare service quality. Keywords: Healthcare Organisations, Quality, Pluralistic Evaluation, Iran Copyright: © 2014 by Kerman University of Medical Sciences Citation: Mosadeghrad AM. Factors influencing healthcare service quality. Int J Health Policy Manag 2014; 3: 77–89. doi: 10.15171/ijhpm.2014.65 Introduction The Iranian healthcare system has been characterised by a strong public sector component. Public healthcare services are complemented by the private sector (i.e....
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...general, nurses provide the vast majority of patient- care in hospitals, nursing homes, ambulatory care sites, and other health care settings. Penant Hospital is 200- bed hospital located close to the inner city. We serve mainly people from low socio-economic backgrounds, average age 65years. There is a large migrant population in the area, with demography of blacks, whites and Hispanics. Penant hospital was established almost fifty years ago and is part of a large corporation. We are Joint Commission accredited and have over 400 medical staff. Our dedication to providing quality, compassionate, cost effective healthcare that is responsive to the needs of our patients, physicians and community is firmly established in our mission. We provide many services to our community. These services encompass emergency care, breast care, inpatient hospice care, behavioral health, laboratory services, wound care, orthopedics as well as pain management. Penant Hospital has an administrative team which comprises of Chief Executive Officer (CEO), Chief Medical Officer(CMO), Chief Nursing Officer(CNO), Chief Financial Officer (CFO) , Chief Organizational Officer (COO) and Director of Risk Management. Their job expectations and responsibilities include but are not limited to the development of a broader set of leadership and technical skills as well as to increase their understanding of healthcare delivery and its effectiveness (Hospitals, 2014). Critical to care (and the business) is the rights...
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...Running head: COST AND QUALITY ANALYSIS Healthcare cost and quality Grand Canyon University July 24th, 2012 Ethics, Policy, and Finance in the Health Care System Sally L. Clark A challenge that the healthcare nation is facing is to provide the quality of care that is expected and obtain low healthcare cost. Working hand in hand with the private sector and government is in hopes of improving the quality of care that each patient deserves and maintaining the cost so that research can continue. The purpose of this paper is to look into relationships between healthcare cost and quality healthcare. Differences in HealthCare Cost and Quality Working in the healthcare system, you often wonder if the nation works on quality of care or do they work more on cost of healthcare. Quality of care is an important role in achieving the best healthcare. Cost of healthcare is based on incentives that support the effectiveness while curving the spending growth (MacReady, 2012). Reform needs to be provided a baseline in evaluating healthcare delivery systems for a broader success of payments and delivery models with payment providers (2012, p.2). Sometimes higher cost effects quality of care. Some decisions need to be made that may affect the “clinical and fiscal health of the nation” (2012 p.1). Differentiating Roles and Major Activities Public and Private agencies plays an important role on how healthcare is delivered. The Commonwealth Fund...
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...IN ASIA 1. Introduction: Medical tourism can be broadly defined as provision of 'cost effective' private medical care in collaboration with the tourism industry for patients needing surgical and other forms of specialized treatment. Medical or Health tourism has become a common form of vacationing, and covers a broad spectrum of medical services. It mixes leisure, fun and relaxation together with wellness and healthcare. The global health care industry is valued at $ 2.8 tn. The market for health tourism is estimated to be $67 bn, growing at a rate 20% per annum. It can be divided into three broad segments: 1. Surgeries like orthopedic surgery, heart by-pass surgery, cancer therapy, eye surgery, organ transplantation. 2. Plastic surgery or cosmetic surgery. 3. Health spas, weight loss exercise centers, hot springs and holistic treatment including wellness therapies. Different countries have become preferred destination in each of these segments for medical tourist. India is a preferred destination for heart, orthopedic, eye and neurosurgeries. Eye surgery kidney dialysis and organ transplantation are among the most common treatments sought by medical tourist in Thailand and according to the Health Ministry, in 2004 the country attracted 600,000 medical tourists, who generated 20 billion baht in revenue. As a result, Asia’s medical tourism industry could generate over US$4.4 billion a year by 2012, with India, Thailand, Singapore, Malaysia and South Korea...
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...in Healthcare Costs and Spending” by Kaiser Family Foundation. Given the unusual relationships in healthcare between consumers, payers, and providers, the ethical implications involved in healthcare decisions, it is nearly impossible to define the “right” amount to be spend in healthcare. As our nation is debating what the appropriate amount to be spend on healthcare is, this project aims on understanding the drivers for this high cost and possible ways to control them. One of the important drivers for this high healthcare cost that we identified and will discuss in this paper is unnecessary care. Although there are number of factors contributing to unnecessary care, this paper focuses on four key issues mainly sterilization, hospital acquired infections, medical errors and hospital readmissions. Sterilization: Background of the issue Hospitals are hygienic paradoxes. It is where patients are cured from diseases and acquire a new one. Hospital hygiene is difficult to achieve. According to the World Health Organization estimates, “more than 1.4 million people worldwide are affected by infections acquired in hospitals” (Cleanhospitals.net). Why are there so many unclean hospitals and what body of people holds them accountable for medical negligence? How do you eliminate hospital-acquired infections (HAIs) and improve hospital hygiene standards? Current status and challenges Currently, many hospitals clean, disinfect, and sterilize hospital equipment. While...
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...Case Cisco Systems: Solving Business Problems Through Collaboration Perhaps you’ve heard of Cisco Systems. It’s the company that runs those catchy “Human Network” ads. It also produces those familiar Linksys wireless Internet routers and owns Pure Digital Technologies, the company that makes the trendy Flip video cameras. But most of what Cisco sells is not for regular consumers like you and me. Cisco is a tried and true B-to-B company. In fact, it earned honors as BtoB magazine’s 2009 “marketer of the year.” Three-quarters of Cisco’s sales are in routers, switches, and advanced network technologies—the things that keep data moving around cyberspace 24/7. But over the past decade, in addition to all that hardware, Cisco has pioneered the next generation of Internet networking tools, from cybersecurity to set-top boxes to videoconferencing. But this story is about much more than just a tech giant that makes equipment and software that companies need to run their Internet and intranet activities. It’s about a forward-thinking firm that has transitioned from a manufacturer to a leadership consultancy. To make that happen, Cisco has perfected one major concept that seems to drive both its own business and its interactions with customer organizations—collaboration. Cisco is all about collaborating with its clients in order to help those clients better collaborate employees, suppliers, partners, and customers. COLLABORATION WITHIN AND WITHOUT John Chambers became the CEO of...
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