According to Rosenau, Lai, and Lako (2012), the United States health care industry P4P is one of the most important developments after capitation and managed care. The target of P4P is to change the behavior patients, physicians, and those working in the health care industry through a system of rewards and punishments. The P4P bonus for physicians can become the form of an add-on to his or her salary to the general fee-for-service. A bonus for a hospital can be additional payments beyond the payments received through the diagnosis group based payment. A punishment through the P4P system can end in the reduction of compensation or other penalties.
Pearland Health Center is a facility that caters to emergency type needs. The needs of the clients are of minor care; if the care is major; they are advised and transported to the nearest hospital; such as those that are need of a CT or MRI. The service delivery area is typically walk-ins instead of ambulances. Although the cases that looked into are minor, but the injuries themselves can be somewhat major due to the training and experiences of the professionals and physicians on site. The professionals and physicians are trained and have experience with high volume emergency trauma within a twelve-year and more spans.
In recent years patients started to look into other directions, since predictions for limiting expenses faded. Managed Care I believe can be bad for healthcare providers. With this said what exactly is Managed Care??? Managed Care is a system of health care that commands cost of services, manages the use of services, and measures the use of services, and measures the performance of health care suppliers. On an international foundation, the development of health care policy is aggressively being influenced by cost considerations.
Thus, solving the problem on patient overcrowding will lessen the waiting time for any patient. In the same article, the formation of a Patient Flow Team (PFT) is introduced to solve the problem of emergency overcrowding. The PFT will involve a team leader who will oversee the management of the incoming and outgoing of patients. The said strategy will involve physicians, nurses, administrative staff and the like. Basically, the PFT will involve cross trainings on all members on how to prioritize patient attention without compromising the fact that other patients with minimal help still needs attention from physicians (Mchugh, Van Dyke, Mclelland, & Moss (2011).
Rush will continue to treat uninsured patients, and eventually the accumulation of unreimbursed costs for health care services will be shifted to taxpayers. Not an attractive alternative in my opinion. There is also concern as to whether the rest of the PPACA can take effect even if the individual mandate is held unconstitutional. There is a chance that the whole law could fall apart if the individual mandate falls. If this happens, well, we will be right back at square one – a health care delivery
The lock-in program would help lower the amount of people abusing prescription medication. The lock-in program would also ease the minds of physicians and pharmacists who are fighting a constant battle of keeping track of patients on controlled medications. Even though Americans will pay taxes on Medicaid regardless, many people would feel more at ease knowing their money wasn’t going toward funding the habits of drug abusers. Any patient that seeks assistance from Medicaid should be entered into the lock-in program to help lower the amount of controlled substance abuse, to ease the minds of doctors and pharmacists, and to ensure American tax dollars are spent more
Many social and economic barriers are a part of why many Americans are not receiving proper healthcare. (Lavizzo-Mourey, R, (2009). We can reduce this by Coordinating care through family doctors and Use insurance to manage chronic diseases (Arnst, C. (2009). Example, if more people seek preventive care and are able to speak to their doctor longer than the 10 minutes most providers are with the patient more problems can be addressed and preventive standards can be set in place. This can save the nation an estimated $25 to $50 billion a year for not repeating visits for duplicate complaints or follow up cost.
(Points : 30) Managed care is a method for restructuring the healthcare system, including delivery of a broad range of services, financing of care, and purchasing. Managed care provides… (TCO 1) Explain what is meant by the statement, “It is easier to prevent negligence than it is to defend it.” (Points : 10) The statement “It is easier to prevent negligence than it is to defend it” means that instead of having to defend themselves in court, medical professionals should just do what… (TCO 4) You have a patient collapse on the floor in your department (office) and you must administer CPR. If the patient is injured when you administer CPR, are you protected from a malpractice suit under the Good Samaritan laws? (Points : 10) From this scenario, a physician is not protected from a malpractice suit under the Good Samaritan Laws. Good Samaritan Laws do… (TCO 5) Discuss the role of electronic health records and electronic transmission of date on patient confidentiality.
Penalities would be reduced reimbursement from centre of medicare and medicaid services. As 2014 is fast approaching it is a challenge for the hospitals. Organizational anfd individual barriers to change could be: Financial- The cost of implementing eletronic medication record system is expensive and it was the question in the minds of organization would it be affordable? Start up cost was the major concern to electronic medication record adoption.On going cost includes long term expenditure for maintainenece , modifying and upgrading system Electronic medication record system.Uncertainity over the return on invetment was a concern for physicians, they believed
The Joint Commission also tracks information on “sentinel events which result in unanticipated death or permanent loss of function.” These sentinel events refer to loss of function due to pressure ulcers. With good assessment and intervention protocols most pressure ulcers for at risk patients may be prevented. Only then can quality begin to improve. Patient outcomes are essential to licensure, accreditation and reimbursement. Healthcare plans are beginning to offer financial incentives for quality patient care referred to as pay-for performance programs.