...Value in Health Care Strayer University Professor: Dr. Jeff Kaluyu Due: Week 8 Introduction: The healthcare industry is evolving both nationally and globally, and as a result, the challenges facing health care services delivery organizations are also increasing. Health care professionals are the decision-makers and also the ones closely associated with the day-to-day decision making processes affecting the delivery of health care services and goods to patients. The economic evaluation of the health care services delivery systems has proven to play an important role in the different types of health care decision-making. For example, formulary decisions, reimbursement decisions, high health cost decisions, and e-prescribing. This makes it a point of interest to assess the influence of economic evaluations on health care decision-making both at the macro, me so, and micro levels. Even though the impact of economic evaluation studies on health care decision making has been limited, there is an increasing requirement for the cost-effectiveness of the health care intervention to be considered when formulating and implementing guidelines for clinical practices. What is encouraging at this moment is the fact that health care decision-makers do recognize the usefulness and necessity of published economic evaluations that rightly inform the public about their decision making processes (Van Velden/Severens/Novak, 2006). Delivering value in health care therefore, will continue...
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...Trends in Healthcare Western Governors University Healthcare Management Case Study HMA1 Linda Gunn August 21, 2010 HMA1: Trends in Healthcare The American healthcare system is in the midst of change. No other time in history has the call for healthcare reform been so strong. It is the emergence of expensive new technologies with an aging population and a new call for equitable quality access of health services for all citizens that have pushed for the impending change. Successful managers will need to understand the impetus for this change. The challenges will provide many opportunities for a manager that is properly prepared to lead and guide their organization. Model trends in the United States. Historically, the United State’s healthcare system has been provider dominated. Physicians ordered and directed care without concern for cost or resources. While complex and ever-changing, the focus was on treatment of infectious diseases such as polio, influenza, small pox. (Shortell & Kaluzny, 2006) Our current model of healthcare places much of the responsibility and burden of the cost of medical care on the individual. American healthcare spending approaches 17% of our gross domestic product (GDP), the highest of any member of the World Health Organization. Our performance consistently underperforms in comparison to our peer nations in such measures as life expectancy, infant mortality and overall level of health. (World Health Organization [WHO], 2000) Though...
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...HSM 543 Health Services Finance Spring 2013 Trends Toward the Innovations of Integrated Healthcare Service Systems Abstract The healthcare industry is a large and dynamic sector with many unique characteristics. It includes hospitals, health systems, ambulatory clinics, medical group practices, and other organizations providing health-care services. Business and leaders must be well equipped in traditional management knowledge and practices to manage the unique aspects of the health-services industry. The success of the new Health Care Reform depends on the cost, types of coverage and technological advances. Careful elevation and true quality assurance programs will reduce some the nepotism that goes on in our system. This will allow the best person, business, or technology to be used as it is needed. The innovation that has been created over the past ten years have allowed for improvements as well as lowering the mortality rate. Japan system allows for frequent health checks and even house calls are being done electronically. This paper looks at various costs of the Healthcare system, technological alternatives available in the Healthcare system and look at the pros and cons of different options available. History of the United States Healthcare If we compare the quality of health care today with the health care prevailing a century ago, it has dramatically...
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... Mentor: Ronda Arnold March 15, 2015 C159/UUT2 – POLICY, POLITICS & GLOBAL HEALTH TRENDS POLICY ANALYSIS TASK Introduction: This assignment requires that I develop and thoroughly analyze a public policy in order to advocate for one that improves the health of the public and/or the nursing profession globally (local, state, national or international). To do this, I must reflect on several aspects of being a policy maker within the nursing profession. I was instructed to consider the following: · Why did I select the health or nursing profession policy issue? · How does this issue affect nursing practice, healthcare delivery and health outcomes for individual, families and/or communities? · What are the values and the ethical positions that underpin my perspectives? · What criteria will I use to evaluate the success (outcomes) of my proposed policy change? I will use both, a top-down and bottom-up approach, in order to analyze and bring the nursing perspective to policy makers and stakeholders. By identifying the values and ethical perspectives that underpin my position, I will develop criteria to evaluate the success of my work which will lead to the creation of a policy brief that can be sent to decision makers and create a plan to work with an organization/community to promote policy change at the local level. Nursing research to support my position is vital in guiding me to my conclusion and will include principles of community based participatory research...
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...Center School of Nursing Define the problem and assemble the evidence Too many Veterans in the United States lack health insurance and are ineligible to receive care provided by the Veteran’s Health Administration. According to American Community Survey (ACS) conducted in 2010, one in 10 of the nation’s 12.5 million veterans under the age of 65 is uninsured. A veteran is defined by federal law as any person who served for any length of time in any military service branch. Contrary to the presumption of most, not all veterans qualify for free healthcare through the Department of Veteran Affairs. The Veterans Health Administration (VHA) operates as a branch of the Department of Veterans Affairs and is the largest health system in the nation. It is recognized for its commitment to providing high-quality population specific healthcare. The VHA also works closely with academic medical centers across the nation. Haley and Kenney (2012) identify eligibility for health care provided by the VHA as being on veteran status, service-connected disabilities and income level. Other factors include demographic location and cost sharing requirements. Health insurance coverage for veterans as with other groups of nonelderly adults has heavy dependence on access to employer sponsored insurance (ESI) and the costs of obtaining it. It must also be considered that the majority of states in our nation deny Medicaid coverage to nondisabled adults without dependent children. Medicaid coverage...
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...Center for US Health System Reform Business Technology Office The ‘big data’ revolution in healthcare Accelerating value and innovation January 2013 Peter Groves Basel Kayyali David Knott Steve Van Kuiken Contents The ‘big data’revolution in healthcare: Accelerating value and innovation 1 Introduction1 Reaching the tipping point: A new view of big data in the healthcare industry 2 Impact of big data on the healthcare system 6 Big data as a source of innovation in healthcare 10 How to sustain the momentum 13 Getting started: Thoughts for senior leaders 17 1 The ‘big data’ revolution in healthcare: Accelerating value and innovation Introduction An era of open information in healthcare is now under way. We have already experienced a decade of progress in digitizing medical records, as pharmaceutical companies and other organizations aggregate years of research and development data in electronic databases. The federal government and other public stakeholders have also accelerated the move toward transparency by making decades of stored data usable, searchable, and actionable by the healthcare sector as a whole. Together, these increases in data liquidity have brought the industry to the tipping point. Healthcare stakeholders now have access to promising new threads of knowledge. This information is a form of “big data,” so called not only for its sheer volume but for its complexity, diversity, and timeliness...
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...Research Paper: Healthcare Services and The Affordable Care Act (ACA). Table of Contents: Abstract……………………………………………………………………………………...3 Introduction………………………………………………………………………………….3 Background of the Affordable Care Act …………………………………………………4 The Affordable Care Act………………………………………………………………….. 5 Methodology………………………………………………………………………………...8 Collection of Data…………………………………………………………………………..9 Primary………………………………………………………………………………10 Secondary…………………………………………………………………………..11 The Environmental Working Group………………………………………………………12 Primary Survey…………………………………………………………………….13 Questions and Answers…………………………………………………………...14 Findings from the collection of information and data…………………………………..15 Conclusion and recommendations……………………………………………………….17 Appendix A: SWOT Analysis……………………………………………………………..19 Appendix B: EWG’s Business Strategy …………………………………………………26 Appendix C: EWG’s Business Analyses………………………………………………...32 Appendix D: References…………………………………………………………………..37 Abstract Healthcare has been a topic of debate since a long period of time. The recent changes in the government legislation have specified some employer-based requirements for the healthcare provision to employees. Many organizations have also been impacted by the legislative amendments. The following section will cover the introductory knowledge of the Affordable Care Act along with its objectives. Furthermore, we will discuss the impact of this act has on the American society...
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...August 18, 2014 The Impact of the 2010 IOM Report on The Future of Nursing The United States is at a significant junction. Health care reforms are being carried out and the system is beginning to change. The largest component of the health care workforce is nurses and the needs to strengthen this group will only improve the delivery of care and the health care system. The IOM and the Robert Wood Johnson Foundation established that accessible, high quality care cannot be achieved without extraordinary nursing care and leadership (American Nurses Association, 2014, p. 1). The report calls on nurses individually and as a profession to embrace changes needed to promote health, prevent illness and care for people across the lifespan. The report also calls for support from interprofessional collaborations from physicians, dieticians, physical therapist and other multisector professions to work with nurses to make the changes necessary for a more accessible, cost efficient and high quality health care system. This report expands on the theme that high quality, safe, evidence based patient centered care is a critical role of nursing and that to have a successful health care system rests on the future of nursing (Institute of Medicine, 2010). In 2010 the President signed into law and Congress approved health care legislation called the Affordable Care Act. This legislation gives the United States the opportunity to transform its health care system to provide seamless, affordable...
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...Healthcare technology in the U.S. is considered to be among the most sophisticated in the world. It not only leads the world in the production of medical technologies it is the medical technology’s largest consumer. Our first class medical institutions serve as the foundation for very sophisticated technology, advanced care, and innovation. In 2012 the U.S. market value for healthcare technology exceeded 110 billion which represents about 38% of the entire healthcare technology industry. Healthcare technology in the U.S. also represents a significant number of employment opportunities. In 2010 the healthcare industry employed approximately 14% of the workforce and generates approximately $1.75 trillion of revenue. Employment projections for the next 10 years are expected to grow more than 40% (SelectUSA, 2013). To many Americans that is a good news story. However, there is a side of the story that is not all good. The same technology that we produce and use, that contributes to an increase in life expectancy, is leading to increased demand on the healthcare system, primarily from the growing population of senior citizens. This leads to a shrinking supply of healthcare resources to treat the very people who need it. This creates a situation where many people go untreated. Insurance companies, both public and private, are required to solicit bids to get the required healthcare resources to treat their customers. Given that many in our society can afford to pay a good price...
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...Bibliography 22 VII. Appendix I 28 VIII. Appendix II 31 I. Advantages of EHRs In an effort to reign in rising health care costs and increased health care disparity and inequality in the U.S., former president George W. Bush doubled the funding for Health Care Information Technology to 100 million in 2005 (The White House). It was part of a larger plan to utilize latest information technology to standardize patient and health records, which despite spending 1.6 trillion dollars, attributed to 98,000 medically related errors in 2004. The plan was part of his campaign promise and was reiterated in his January 20, 2004 State of the Union address when, President Bush remarked, “by computerizing health records, we can avoid dangerous medical mistakes, reduce costs, and improve care.” Considering that the federal government is “one of the largest buyers of healthcare - in Medicare, Medicaid, the Community Health Centers program, the Federal Health Benefits program, Veterans medical care, and programs in...
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...is increasingly being deployed and used in healthcare facilities to facilitate the communication of information across different healthcare teams and external insurance payers. The underlying assumption underpinning the introduction of IT in healthcare is that, improvements in information flow will eventually translate into improved quality of care (Mort M, 2009).The US Healthcare system is slowly moving toward Electronic Health Records. As mandated by the government all healthcare establishments need to be complaint by 2014 as per this report ( ref).In IT's infancy, healthcare organizations used it for limited payroll and accounting functions. Today, healthcare organizations can use technology for direct deposit of their payroll, receiving payments from insurance providers, remote patient monitoring, clinical data processing and remote delivery of diagnoses (Bernstien, 2007). At every step of its evolution, IT has become more affordable, more powerful, more reliable, and more accessible and above an all much more versatile in the amount of applications than it was conceived for (Bernstien, 2007). The challenges faced by the industry are on multiple fronts, including rising costs and inconsistent quality (McGlynn et.al, 2003). Health information technology, especially electronic health records has the potential to improve overall quality and effectiveness of healthcare providers (Chaudhry, 2006). Over the last few years US policy makers with help of American Recovery and Reinvestment...
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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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...The term socialist has been thrown around quite a bit in the past few years. Not since the cold war has the term garnered so much attention in the press and from politicians. But when you look at countries who actually have a socialist economic structure, you can see some similarities to the United States – but there are some really stark differences. Below, you will see some of the most socialistic nations in the world today: China Denmark Finland Netherlands Canada Sweden Norway Ireland New Zealand Belgium Despite popular myths, there is very little connection between economic performance and welfare expenditure. Many of the countries on this list are proof of that, such as Denmark and Finland. Even though both countries are more socialistic than America, the workforce remains stronger. China In China the government manages and controls the economy. Many of the domestic companies are owned and run by the government. Recently, the Chinese economy has become more geared towards capitalism, but is still officially socialist. Life in China remains relatively less stressful and more relaxed than life in capitalist countries like America. Denmark Denmark has a wide range of welfare benefits that they offer their citizens. As a result, they also have the highest taxes in the world. Equality is considered the most important value in Denmark. Small businesses thrive, with over 70 percent of companies having 50 employees or less Finland Finland has one of...
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...The Health Care reform bill has the creation of an Institute for Comparative Effectiveness as a key component with the hope of improving quality and reducing health care costs. The institute would have the authority to make official determinations of the clinical effectiveness and cost-effectiveness of medical treatments, procedures, drugs, and medical devices. President Obama's initial nominee as Secretary of Health and Human Services (HHS), former Senator Tom Daschle (D-SD), has likewise proposed the creation of a supremely powerful Federal Health Board, which would have similar authority to make decisions that would be binding on health plans and providers financed by federal taxpayers, and potentially on private health insurance coverage.[2] While Senator Daschle has withdrawn his name from Senate consideration, the concept of such a board or institute is strongly indicative of the Obama Administration's policy orientation toward centralized health policy decision-making. Last year, congress has passed the American Recovery and Reinvestment Act (H.R. 1, which would establish a Federal Coordinating Council for Comparative Effectiveness Research. The bill provides $1.1 billion for the new council and delegate spending authority to the HHS Secretary to investigate the effectiveness of different drugs and medical devices.[3] Of course, there is no reason why anyone should not have access to information on what works and what doesn't. There is no reason...
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...Big Data in healthcare Prepared by: Athina Klaoudatou Christos Panagiotou Abstract The aim of this report is to describe the eHealth market. The focus is the Greek business landscape, current trends in the market, industry growth, drivers, and restraints, the technologies and the players in various aspects of the field. Data are presented about the evolution of the market and there are descriptions of what Greek companies offer. Moreover implementation measures are presented, along with progress achieved with respect to national and regional eHealth solutions in EU and EEA Member States. Table of Contents 1. The National Health System 1 1.1. Organizational structure 1 1.2. Some facts & figures 1 2. What is eHealth, definitions, areas of application, benefits 5 2.1. What is eHealth 5 2.2. Forms of eHealth 5 2.3. Benefits of eHealth 6 3. eHealth framework in European Union countries 7 3.1. eHealth Action Plan 2012 - 2020 7 3.2. eHealth in the European Countries 8 4. Application of eHealth practices 10 4.1. Electronic Health records (EHR) 10 4.1.1. Examples of current EHR use 10 4.1.2. Electronic Health Record in Greece 12 4.1.3. Summing up 14 4.2. Interoperability 15 4.2.1. Defining Interoperability in Healthcare Systems 15 4.2.2. Most widely used contemporary Interoperability standards in Healthcare 16 4.2.3. EPSOS (European Patients Smart Open Services) 17 4.2.4. Interoperability in Greece Healthcare Informatics...
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