On an international foundation, the development of health care policy is aggressively being influenced by cost considerations. Managed Care is a system that incorporates the financing and delivery of appropriate health care using a wide-ranging set of services. Managed Care for a variety of payers was once seen as an effective approach to backing up health care quality while keeping under proper control costs. The power of nations and communities to pay for this care from available resources is a major of debate. During the past decade, the attractiveness of this access to many employers has faded and prospects for limiting health care costs have been baffled.
“Patient-Family” Centered Care versus “Disease-Based” Approach to Health Care Medicine faces several critical and conflicting challenges. The tremendous and changing cultural diversity of our population requires physicians to develop new skills in communication and negotiation with their patients. But managed care constraints, litigation, and growing regulatory pressures have compromised communication and trust between physicians and patients. This, along with the surge in technologic development, has driven the medical system even further toward a “disease-based” approach to health care that views individuals as “cases” and undervalues the sociocultural and humanistic aspects of patient care. The results are a diminishing faith in the medical establishment and the rise of alternative medical philosophies and practices.
People’s view of health care is that they want the best; however the best comes at a cost to which many cannot afford (Barton, 2010). Long term care is a special type of health care service, due to the fact that they provide a unique type of care. Individuals living at long term can are dependent on the facility to provide them the care, for the needs they have and will have in the foreseeable future. This creates a unique atmosphere, because of the various different types of health care professionals they will use. It is said the longer you live, the more likely you are to develop multiple problems (co-morbidities) that
When under one hub, issues with Class VIII distribution from previous Joint Operations seem to be a thing of the past. Supplies get to where they are crucially needed. Another key advantage is that the flexibility of medical support is greatly increased allowing for better preparation for stability operations, global war on terror, homeland security, and the overall range of military operations. A disadvantage of JHSS Operations is the loss of individual service identity for the different medical departments. Every entity has doctrine for there their specific medical department and JHSS blurs the lines of demarcation.
Hospital Group Productivity The organizational structure of a hospital is very complex and encompasses many different aspects. Therefore, it is important that every group work effectively to increase productivity. The main groups identified in the hopsital setting are administrators, caregivers (such as physicians and nurses), and support staff (such as housekeepers and kitchen workers). This report will identify that the main problems that hinder productivity for each group are: role conflicts within groups, communication problems among group members, lack of cohesiveness in groups with diverse members, and excessive intergroup conflict; it will also provide recommendations for resolving these issues in order to increase group productivity. Role conflicts within groups First, we will discuss role conflict and how it relates to each group in a hospital setting.
In this journal, I will be reflecting about how insurance companies, hospitals, and patients can use Cost-benefit analysis for sustaining a life. First and foremost, Insurance companies routinely use cost-benefit analysis in healthcare to set policies and decide whether to approve claims. Many companies have blanket policies on general treatments, to either approve or deny them. If the cost is unacceptably high and the benefit is marginal or low, the company may deny treatment. In the event of an appeal, it can perform a more rigorous analysis of the situation.
But understanding technology has been a real problem due to the fact that technology is always changing and evolving. This leads to more funds being put into training the staff and physicians to learn how to operate these machines effectively. It also doesn’t help that as the technology evolves, it becomes more expensive. Todd C. Linden, MHA, FACHE, President & CEO of Grinnell Regional Medical Center stated that CT scanners which made thicker slices of section of the diagnostic area of the body have been upgraded to produce thinner slices of sections. The prices of these technology advances have increased from a couple of hundred thousands of dollars to multi-million dollar pieces of equipments.
Qualifications of medical assistants Medical assistants work in a very busy environment that often requires them to practice much patience. They are involved in working with the patient as well as other medical personnel such as doctors and nurses. The responsibility to keep the busy hospital environment organized is not one that is easy to uphold. Often the medical assistants find that they are responsible for the basic functioning of the doctor’s office as well as the patients well being. If records are misplaced or wrongly filed, the results could be detrimental.
Reimbursement and Pay-for-performance Theresa Kilgo HCS/531 December 16, 2013 Dr. Rachael Kehoe Reimbursement and Pay-for-performance There are a lot of problems within the health care system that State, Federal, and Local governments are trying to correct the matter by moving away from the fee-for-services model and move to the pay-for-service model. One of the problems is cost and efficiency of health care, and one of the ways that they are trying to fix the problem is with pay-for-performance. That can be defined as an incentive that provide financial funds to health care providers to carry out improvements focused on achieving prime patient issues, this program is widespread and many states have adopted the program, and many have a report that they have seen an increase in quality of care. This program was created to improve the healthcare systems, however, many authors have different meanings and roles of pay-for-performance but all agree on the definition and function of the program, “the objective of pay-for-performance initiatives is to link reimbursement to quality and efficiency as an incentive to improve the quality of health care, as well as reduce system wide costs” (Shi & Singh, 2012, p. 237). There are a lot of pros and cons of pay-for-performance in health care (see appendix for charts.)
Today of the greatest challenges facing many families is the overall cost of health care and the cost of long term health care. Regular insurance companies do not cover the expenses associated with long term care. New challenges arise, providing ample opportunities for new research to be conducted and for existing research to be applied in innovative ways. Workforce shortages, questions about how to measure and deliver quality care, a lack of integration of care, and unstable financing are among the central challenges facing the field of long-term care. http://www.ncbi.nlm.nih.gov/pubmed/10293297 http://www.hmpins.com/lifehealth/longtermcare/