...Agile Care Team model Name: Institution: Agile Care Team model The current concern in most health care organizations is to devise the appropriate ways that will embrace the management of the departments within the premise. That should create, update, and continuously improve health care delivery aligned with the triple aim initiative. Mostly, their primary goal is to provide appropriate levels of patient care as well as care quality. Additionally, they target the patients and member population as well as well as the optimization of the costs for health care delivery. Thus, health care providers should learn from and implement Lean methodologies since the priorities focus on process efficiencies and health management outcomes. Notably, the focus of the approach is to understand and improve customer value within the organization. That will allow for remote access to various products and services. The improvement targets both the patients and providers, hence optimizing health care delivery. Agile Approach constitute the sequential execution of processes within a given period and provides a feedback loop to the clients to ensure solution validation. The goal of the model is to advance service delivery within various the hospitals since it enhances the relationship between the health providers and the patients. An example of a nurse-managed model The figure above illustrates the Triple Aim Model. Most health care models currently implement various...
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...management systems are ongoing organizational mechanisms or arrangements for strategically managing the implementation of agreed-upon strategies, assessing the performance of those strategies, and formulating new or revised strategies (Bryson, 2004, pg. 270). There are six types of strategic management systems, although any strategic management system in practice will probably be a hybrid of the six types (Bryson, 2004, pg. 271). The types of strategic management systems consist of the integrated units of management approach, the strategic issues management approach, the contract approach, the collaboration approach, the portfolio management approach, and the goals or benchmark approach. The proposed strategic plan for Northwell Health focuses on providing a seamless provision of health care to all patients. Northwell Health would benefit from using the goals or benchmark approach. It is designed to gain...
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...Health Care Financing Gail M. Biggers Grand Canyon University: HCA 515 – O102 March 24, 2013 There are two broad approaches to financing health care: a market-based approach and a government-financed approach. For each approach, answer the following questions: 1. Who is provided access? Most government financed systems are inclined to make available for every person living in the nation with treatment which proposes access to some fundamental level of care. Majority of people pay for coverage through taxes and additional charges. In government financed health care the government may provide care itself such as the United Kingdom or they may contact other providers to do so ex: Germany and Japan or in the United States government financed programs Medicare and Medicaid. Under the market-based system it is employer based dependents other half or children may also be covered by the working spouses or parent’s employer. Access in the United States is restricted to those that health insurance through their employer under government plan and those those who can afford to buy insurance through their personal funds and those who can pay for services surreptitiously. 2. How much coverage is provided? Starting in January 2014 new individual plans and plans purchased in an Affordable Insurance Exchange will cover essential benefits like hospitalizations doctors’ services prescription drugs rehabilitation and mental health services. Under the government financed...
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...Since the establishment of Intermountain Health Care, they have grown to become an internationally recognized system of 22 hospitals, a medical group with more than 185 physician clinics, and an affiliated health insurance company. They have been recognized for their achievements and innovations in the development of systems and management, in order to produce effectiveness and efficiency within the processes of healthcare through high quality services and minimisation of costs. Intermountain Health Care’s performance has proved to be advancing exponentially as of the mid 90s, due to clinical-improvement projects routinely showing significant cost savings. What is Intermountain Health Care’s approach to the management of health care delivery? Intermountain Health Care’s approach to the management of health care delivery focuses on quality improvement, where the concept of quality is associated with cost effectiveness or value. At IHC, quality can be defined as producing optimal results at the lowest possible cost. The strategic goals of the company reflect the elimination of quality waste, the identification of inappropriate variation in outcomes, and the achievement of high results with the reflection of low costs. As an example, goals outlined in the 2001 system for cardiovascular clinical program included the use of appropriate prescriptions of hospital discharge medications to patients. Through the precision of prescribing the most beneficial drugs, patients will not...
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...Syllabus College of Natural Sciences HCA/240 Version 4 Health and Diseases | Copyright © 2011, 2009, 2007 by University of Phoenix. All rights reserved. Course Description This course introduces the student to the basic principles of illness and disease commonly seen in the health care environment. Topics may include infectious and noninfectious diseases, environmental health, and the promotion of good health practices. In addition, students will be introduced to common disease and medical procedure terminology. Policies Faculty and students/learners will be held responsible for understanding and adhering to all policies contained within the following two documents: University policies: You must be logged into the student website to view this document. Instructor policies: This document is posted in the Course Materials forum. University policies are subject to change. Be sure to read the policies at the beginning of each class. Policies may be slightly different depending on the modality in which you attend class. If you have recently changed modalities, read the policies governing your current class modality. Course Materials Zelman, M., Tompary, E., Raymond, J., Holdaway, P., & Mulvihill, M. (2010). Human diseases: A systemic approach (7th ed.). Upper Saddle River, NJ: Pearson. All electronic materials are available on the student website. Week One: Introduction to Human Health and Disease | | Details | Due | Points | ...
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...Results The data collection procedures for this research is by observation of 118 health care professionals preparing medication preparation of intravenous narcotic preparation. Researchers were focusing on 2 potential approaches to reducing medication error, individual error focus and systematic error focus. Observing the health care professionals with different procedural changes, process design, to see if it reduces the possibility of error is the appropriate data collection. This research did not directly involve patient identifiable health information. This study was based off of the data from the original study that used some patient protected health information. This research studied the two possible approaches that would possibly effect the reduction in medication errors. The principles of validity and reliability are essential bases of the scientific method. Validity of research must have been randomization of the sample groups and appropriate care and diligence shown in the allocation of controls (Shuttle, 2008). The research is validated since the sample group is randomized with professionals within their field such as RN’s that are licensed to prepare IV mediations along with hospital pharmacists. Also controls were allocated with diligence. For example, the group in the research were randomly selected and the controls, such as the same medications and stations, were kept the same for each participation as much as possible. The reliability of the research is...
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...HealthCare Financing Cathy Jones HCA 515 9/9/2015 Market Based Approach 1. Who is provided access? Market based approach provides access to consumers and employers including large, small, and individual employers. All subjects encompass different needs and preferences. 2. How much coverage is provided? The amount of coverage varies per the need of the customer. It can provide as much or as little as they need. The qualifiers include but are not limited to the breadth of the coverage, the techniques in managing the services and the sharing of beneficiary amounts fluctuate. 3. How are the services paid for? They are paid for by the employer and consumer through high deductable health plans and Health Savings Accounts. 4. How does reimbursement apply? Employees are reimbursed through premiums with a set annual limit. One way is through Health Reimbursement Arrangement (HRA). These plans are popular because it allows the employer to reimburse employees tax free for their personal insurance premium and out of pocket medical expenses up to a certain limit. 5. Are there limitations on care? This approach does not serve everyone equally. Premiums and access to health insurance varies across the nation. Premiums vary with differences in the cost of living, what medical providers are in the area, and the pattern in health care practices. 6. What guides care decisions for patients? 7. What is the quality of services? This plan provides a higher...
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...the chairman of the hospital board of directors. Healthcare had always been an interest if his. Armstrong had planned to become a physician before being drafted to the Navy while in college. After many years of business management he had begun to resent the time spent travelling and growing his business. He had secured what he described as an “over competent” team of managers within his family business and was ready for change. When the opportunity to become the hospitals administrator became available Armstrong accepted the challenge. However not being experienced in heath care management he was initially reluctant. Armstrong consulted with the hospital’s chief of medical services to inquire, “How do I measure performance?” Familiar with the definition of good performance within corporate business, financial gain and profit, Armstrong struggled with how to define good performance within Health Care. The chief offered no suggestion but, respected the fact that he asked that question and expected that he would seek out the answer to it. Because Armstrong knew the facility & was well respected the chief felt Armstrong was the best person for the...
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...CHAPTER 8 HEALTH SERVICE DELIVERY MODULE 8.1 Overview This chapter presents the health delivery module of the assessment. Section 8.1 defines health service delivery and its key components. Section 8.2 provides guidelines on preparing a profile of health service delivery for the country of interest, including instructions on how to customize the profile for country-specific aspects of the health delivery process. Section 8.3 presents the indicator-based assessment, including detailed descriptions of the indicators. Section 8.4 discusses how to summarize the findings and develop recommendations. 8.1.1 What Is Health Service Delivery? The World Health Organization (WHO) defines service delivery as the way inputs are combined to allow the delivery of a series of interventions or health actions (WHO 2001b). As noted in the World Health Report 2000, “the service provision function [of the health system] is the most familiar; the entire health system is often identified with just service delivery.” The report states that service provision, or service delivery is the chief function the health system needs to perform (WHO 2000). As such, Figure 8.1 (see also Chapter 1, Figure 1.1) shows the relationship between service delivery and the other modules of this health systems assessment and their relationship with health system objectives. Because of the limited time to conduct this assessment, more emphasis will be placed on personal health (as opposed to public health) services and service...
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...Can We Capture Potential Health Care Savings Without A Federal Takeover? by David V. Axene Most proposals for reforming the U.S. health care system of today focus on reducing the high cost of care. The standard thought process assumes that reducing costs will increase ac- cess to care by improving the affordability of health care and perhaps funding more care for the uninsured. An endless num- ber of proposals focus on this issue. In fact, most of today’s initiatives are based upon lowering costs and/or “bending the trend.” Too few proposals address the core of this essay, “How do we capture those savings?” Most insured and/or government run programs directly capture savings since the programs are directly and indepen- dently funded by premiums and/or taxes and savings result in surplus that can be readily captured. Self-funded, most experi- ence-rated and self-pay programs create much more challenging issues. The reduced cost flows directly back to the entity or individual without being captured for broader public policy uses. Who owns these “saved” funds? Is it the employer, the covered employees, the labor union, the individual? The plan sponsor very much considers these dollars as its own. After all, it reduced its cost of care; therefore, it is the plan sponsor’s money! Plan sponsors cringe during discussions about potential taxes on such programs since they view their right to self-fund the coverage an important freedom. Capturing Savings The challenging public policy...
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...Table of Contents Executive Summary 2 Introduction 5 Company Background 7 Quality Intitiatives 9 Key Observation Points 11 Comparative Analysis 12 Concluding Remarks 13 Future Recommendations 15 Appendix 17 References 21 Executive Summary Coventry’s roots can be traced back to November 21, 1986, the date the company’s predecessor company, Coventry Corporation, was incorporated. Coventry Health Care, Inc. became a public company in 1991, and is currently listed on the NYSE with ticker symbol "CVH". Since the company’s inception, the building blocks of “The Coventry Model” have remained financial discipline and service excellence. The company’s senior management team has long understood those two objectives need not be mutually exclusive. As an organization, our long-term success depends on the ability to translate our commitment to affordable and accessible health care into real change. We look to four principles to guide us as we strive to provide exceptional value for members, employers, and providers: Easy and Simple Experience Everyone at Coventry is uncompromising in their commitment to ensure that all our customers have an easy, simple, and productive experience – whether enrolling as a new member, refilling a prescription, or filing a claim. Operational Excellence We pay fanatical attention to operational excellence, continually refining the advanced platforms and processes that are essential to what we do: delivering...
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...Team Based Health Care Delivery Oliver Solis Grand Canyon University Analysis of Contemporary Health Care Models HCA-515-0101 March 5, 2014 Team Based Health Care Delivery Introduction The paper that I will be presenting will discuss the latest model in health care delivery that was developed by researchers and medical professionals to come up to a better quality health service delivery to all. This is called the “Team based health care delivery” which simply defines as the collaboration between hospitals, physicians and other medical professionals that will work as a team to provide a quality and excellent care to the patient (American Hospital Association, “n.d.”, p. 2-8) Patients Case This case that I will be presenting is a case of a seventy year old man with hypertension that was admitted at the emergency room for CVA (Cerebro Vascular Accident). Upon arrival of the patient at the hospital ER stroke neurologist and the ER physician are the front liners that will see the patient. A nurse should be attending too to administer any medication and apply intravenous solution and of course take all the vital signs of the patient. .The patient must be evaluated within 45 minutes and the first 15 minutes is the most crucial in this case. Increased pressure in the brain should be monitored closely. Blood sugar is also a big factor and should not be neglected because it plays a special role too. Body temperature is another indicator that should not be forgotten to be...
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...improve the training and education for health care providers through integration of the latest innovations in technology and research into the academic training programs for certification, education and training of staff.3 It is not only a helpful tool for health care providers but for patients as well. Several studies had been conducted to measure the effectiveness and acceptability of incorporating technology in health care delivery specifically delivering preventive and counseling services that would otherwise be overlooked by patients and require a lengthy referral system using traditional medicine system. A randomized clinical trial conducted to compare the effectiveness of smoking counseling and cessation services...
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...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 (CBPR). Keywords/Terminology: · Top-down approach – one in which a...
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...Age Discrimination and Age-Based Rationing of Health Care Crystal LaShae Hunter HMP671 – Ethics in Health Care - Fall II 2015 (Week 6) Valparaiso University Author Note: “I have neither given, received, nor have I tolerated other's used of unauthorized aid." Age Discrimination and Age-Based Rationing of Health Care Health care as a social good, requires a tremendous amount of a nation’s expenditures; and health care is not the only social good that a nation must consider, there are also the social goods of defense, education, public health, and infrastructure, to name a few. In the United States alone, the percentage of the GDP spent on health care over a three year period, from 2011-2013, averaged 17.066% (17.1%, 17.0%, 17.1%, each respective year) (The World Bank Group, Inc, 2015). In retrospect, despite the passing and subsequent implementation of the Affordable Care Act in 2010, with the final aspects of the bill effective January 1, 2015, the ever-rising cost of health care may never truly subside, as the nation’s baby boomers continue to age and subsequent chronic conditions often associated with aging such as coronary artery disease, diabetes, and certain cancers increase with the aging population. In fact, according to Centers for Medicare and Medicaid Services (2015), Medicare accounted for 20% of total US health care expenditure in 2014, growing 5.5% and expected to “accelerate after 2015” in direct correlation to the expected increases in use of medical...
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