The United health care designs a program that evaluates the quality and cost effective performance system. Performance results to increase transparency and decision making. It helps to meet both quality and cost effective measures by patients” (Leatherman, 2013). United health care “effectively communicates the performance results and feedback to the customers that provides the detailed process of decision making abilities. United Health care provides the important guidelines of preventing health issues at an initial stage which is important in healthy life style.
Quality of Care and Physician Quality Reporting Initiative To explain the concept of payment/reimbursement based on quality of care is to first define what quality of care means. The simplest definition I could find states “Quality (of care) is a measure of the ability of a doctor, hospital or health plan to provide services for individuals and populations that increase the likelihood of desired health outcomes and are consistent with current professional knowledge…” (Web Definition: Quality of Care, n.d.). The U.S. Institute of Medicine (IOM) defines ‘quality’ as “the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge. What this really means is that each individual consumer should receive the best possible health care available every time services are needed. Health care providers should provide care that meets the needs of each individual patient, including the use of appropriate advances in medical technology.
It helps to meet both quality and cost effective measures by patients. (Leatherman, 2013) United health care effectively communicates the performance results and feedback to the customers that provides the detailed process of decision making abilities. United Health care provides the important guidelines of preventing health issues at an initial stage which is important in healthy life style. It helps to make the patients healthy. United health group is committed to offer a wide range of health insurance plans and other benefits.
Comparative effectiveness research has proven itself to be an important component in health care for identifying the best and most cost-effective interventions and standardizing their use. “A Comparative Effectiveness Research System (CER System) is a mechanism for synthesizing research about different medical interventions and translating it into guidelines for or restrictions on the use of different types of therapies, in an attempt to maximize good outcomes for patients” (Jonas, 278). The main goal of the CER System is to maintain and standardize quality and of health care and control the costs. In the comparative effectiveness research system, researchers can compare the benefits and harms of treatments, procedures, medications, and many more aspects in healthcare to see which one is more effective in preventing, diagnosing, treating, or even monitoring patients conditions. Treatments and procedures can be very different depending on the situation, and the comparative effectiveness research system develops the most effective approach to every situation.
• Finally, physicians, nurses, and members of ancillary support departments have an equally large stake in the success of a new hospital program. They can ensure that the new service is technically adequate and provides the type of health benefit that potential customers in the marketplace have a right to expect
The goal of continuously educating staff in the importance of nursing-sensitive indicators hopefully leads to improved care and a reduction in negative outcomes. Nursing-sensitive indicators include anything relating to the quality of nursing care (Sauls, 2013). This includes a wide range of topics from the incidence of pressure ulcers to patient satisfaction scores. In the case study provided, a better understanding of several nursing-sensitive indicators would help reduce interference with patient care. Some of the basics include, use of restraints, respect for culture and patient wishes, and transparency between the medical staff and the patient/family unit.
Interdisciplinary and Intradisciplinary Teams Jodi Honaker Ohio University NRSE 4510-1025 Interdisciplinary and Intradisciplinary Teams Healthcare today consists of both interdisciplinary and intradisciplinary teams. Although these healthcare teams function very differently, they are equally focused on giving the best patient care possible. The most important person in any team is the patient. Meticulous and Concise communication between all team members are key to a successful outcome. "Good communicators listen objectively, avoid making value judgments, and include patients in health care decisions" (Burkhardt & Nathaniel, 2014, p. 221).
empower and educate individuals to make healthy choices, and 4.) eliminate disparities in traditionally underserved populations to improve the quality of life for all Americans (CITATION). The council works closely with the Institute of Medicine to make strategies on how to use funds to improve public health. PPACA supporters feel that as America strives to increase public health thought preventative care, Americans will be healthier and need fewer costly
What are the key features which characterize EBP? Are there any surprises? Melnyk and Fineout Overholt (2005) define EBP as an “approach that enables clinicians to provide the highest quality of care in meeting the multifaceted needs of patients and families” Rutledge and Grant (2002) define EBP as “care that integrates best scientific evidence with clinical expertise, knowledge of pathophysiology, knowledge of psychosocial issues, and decision making preferences of patients” Pravikoff and coworkers offer a simplified definition of EBP as “a systematic approach to problem solving for healthcare providers, including RNs, characterized by the use of the best evidence currently available for clinical decision-making in order to provide the most consistent and best possible care to patients” (Pravikoff, Tanner, & Pierce, 2005, p.40). Ingersoll (2000) includes both the patient and the practitioner in her definition, as she defines EBP as “the conscientious, explicit, and judicious use of theory driven research-based information in making decisions about care delivery to individuals or groups of patients and considers individual needs and
Professional Development of Nursing Professionals Jeanette Deutschmann Grand Canyon University/NRS-430V September 27th, 2015 Professional Development of Nursing Professionals Comprising of more than three million members, the nursing profession makes up largest portion of the healthcare workforce. Being at the forefront of patient care, nurses play a crucial role in assisting to understand the objectives that are set forth in the Affordable Care Act (Battie, 2013). This legislation provides insurance coverage for thirty two million more Americans, and the healthcare needs to continue to adapt to meet this new demand (Battie, 2013). The Institute of Medicine (IOM) and the Robert Wood Johnson Foundation in 2008 (RWJF) set forth a two-year initiative to respond to the need to assess and transform the nursing profession. “The Future of Nursing: Leading Change, Advancing Health” is an evidence based report developed in 2010 that evaluates the capability of nursing to meet the anticipated demands the health care reform will create.