P4P programs are the directions the health care industry is going and improvement to make the P4P programs work for the best outcome is critical. The P4P programs are designed to make improvements to the health care industry and measure the quality of caregiven. A system that does not work the way it is supposed to is useless. Mechanisms and entities needs to be in place to make sure the system is working correctly and is an asset to the health care industry. The United States is making huge changes in the health care industry.
As the relative size of the overhead cost pools increase, the Apple Valley group would need to switch to the double apportionment method in order to accurately allocate all overhead costs. Also, the double apportionment method is a more fair and equal allocation method to the patient services departments. As allocation rates increase and become more concentrated in only the patient services departments, the sensitivity improves as costs are directly attributed to profit generating cost centers. These allocations are based on estimates, and absolute patient volume provides the most accurate assessments for profitability. Regardless of the allocation method, Adult Medicine is the most profitable department, and Obstetrics is the next most profitable department.
The US health care market is referred to as “imperfect” because the prices are determined by health plans rather than the interaction of the forces of supply and demand. 6. Who are the major players in the US health services system? What are the positive and negative effects of the often conflicting self-interests of these players? The major players in the US health services system are the physicians,
Pay-for-Performance Tarvis T. Edwards HCS/531 November 03, 2014 Rachael Kehoe Pay-for-Performance Even though the effects of pay-for-performance will influence the future of health care in patient care, reimbursement to the healthcare providers will require close monitoring. The physician receives reimbursement for providing quality care and for making quality innovations. Pay-for-performance offers financial incentives to close the gap in healthcare the patients receive and the healthcare the patients could receive. The effect of pay-for-performance for the healthcare providers depends on his or her quality and efficiency of services he or she provides
An example of this is how health care organizations have sought to deal with specific clinical ethical issues surrounding death and dying, organ transplantations, and informed consent before they have assessed the ethical organizational life and ethical infrastructure of the total organization. However, to change the way an organization practices, one must take the culture of its employees and customers into consideration. Ignoring culture in attempting to refocus the values orientation of an organization is similar to ignoring causes and treating symptoms (Cipriano Silva, 1998). Another example of ethical issues in the workplace involves patient confidentiality. On several occasions, administrators are instructed to perform based on standards of the company not congruent with their own.
Basic elements of effective communication construct patients and caregivers by sharing concerns and building trust. There is so much information available now that is making people build their self-confidence and part of effective communication distinguishing between helpful and harmful information. The basic rules of health care communication involve costs. Since there have been stricter review processes, referral systems, and reimbursement guidelines, many people worry about getting optimal care because they opt for managed care which saves them money (du Pre, 2005). Even Medicaid has accountability for quality.
The recommendation that I believe would do the most good toward getting more URMs into the medical field would be the one that addresses the costs and financing of health professions education. This recommendation involves the reexamination of costs and financing of health professions training with an emphasis on the reduction or elimination of many health care field training costs for those that have low-incomes or are members of a URM. First off I think that all of the other recommendations are great and would defiantly help, but when it comes right down to it our world revolves around the almighty dollar. We can do everything in the world, even beg minority’s to get into the health care field, but they won’t be able to do it if they can’t afford the education. So, making changes in costs and financing would go a long way toward removing the financial obstacle, that way the other recommendations have a much better chance of being successful.
This would enable a better understanding of the impact of technology on health and how to extrapolate these best practices to the entire nation home health care service system. VNSNY could use its financial performance and risk mitigation strength as a leverage to continue to innovate in home health care system, and attract not only private sector investors but also state and federal funds. * Larry Whiteside Jr., Chief Information Security Officer of VNSNY has said that “Time is a precious commodity and it is something that you can never get back.” He added that the information system used add time back in his day. There is a leading role for VNSNY to take in the use of technology such as taking digital photos of wounds to email to doctors and using Tele Health monitors to continuously keep track of patients’ vital signs. And once that lead is taken no other organization will be able to compete VNSNY in the home healthcare sector, and that skill will be able to be marketable nationwide.
HSA are meant to replace high cost, low deductable health insurance policies. Also used to supplement retirement if you are healthy because the money can stay in the account and grow with tax advantage. (www.medhealthinsurance.com/hsaplan.htm) A health savings account is similar to an IRA account, devoted solely to health expenses and used with high deductibles health insurance policy. | Type of payment system is concurrent because payment is due at time of service. There is also an option of a prospective payment system because physicians receive a fixed payment rate to specific treatments; this amount is consistent for the same type of treatment.
The government has recently implemented an incentive for quality improvement by rewarding those facilities financially that have improved quality performance. Lastly, here is the most staggering statistic of all. If 90% of hospitals would adopt an EMR, the potential net efficiency and safety savings, without a physician order entry system could top $371 billion. It seems the answer is obvious, dollars do make sense. References Hillestad, R., Bigelow, J., Bower, A., Girosi, F., Meili, R., Scoville, R., & Taylor, R. (2005).