Is a Patient’s Worth and Liability Important to Health Employees?
Introduction
Improving healthcare is a long, time-consuming process. The most important phase is knowing what the glitches are and then finding a small step to improve them. The only way to successfully change our health care system is small step by small step. A problem in today’s healthcare is that patient’s want and need their medical staff to hold value and accountability in their care but they don’t know the fine lines of what these requirements actually are. Porter (2010) defines value “as the health outcomes achieved per dollar spent” (p.2477). Patients need to be aware of this definition and they need to be deciding exactly how many of these health outcomes they are personally
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Accountability is apparently a multi-purpose word or one would think that after looking at five different websites and reading five different definitions. In simple terms it can be said as “being accountable means having the obligation to answer questions regarding decisions and/or actions” (Brinkerhoff, 2004, p. 372). Health care providers need to be held accountable for financial spending and performance grade. Brinkerhoff also tells readers “At the health system level, the focus is on the services, outputs and results of public agencies and programs, not on individual service encounters between patients and providers.” The more accountable providers are forced to be the harder they will try to lower cost and increase carefulness in care procedures and treatment routes. Health care providers have to pay for extremely expensive insurance and this causes them to have to charge more for their services so that they are still making a profit over their initial spending. If accountability increased and less accidents were happening in health institutions then it is possible that their insurance premiums would decrease and they could charge less for care. Then there can come the problem that providers can feel that performance and finances are directly linked. In some instances when the financial cost goes down so does the performance level. Health care providers just need to find the perfect balance and for this they need more rules and
Due to the increasing financial implications, patient satisfaction has become a growing priority for health care organizations, as well as transitioning the health care organization’s philosophy about the delivery of health care (Murphy, 2014). This CMS value based purchasing initiative has created a paradigm shift in health care in which leaders and clinicians must focus on patient centered care and the patient experience which ultimately will result in better outcomes. Leaders and clinicians alike must be committed to the patient satisfaction. As leaders within the organization, these groups must be role models and lead by example for front-line staff. Ultimately, if patients are satisfied, they are more likely to be compliant with their treatment plans and continue to seek follow up care with their health care provider, which will result in decreased lengths of stay, decreased readmissions, increased referrals and decreased costs (Murphy, 2014). One strategy employed by health care leaders to capture the patient experience, is purp...
The premise of “Chasing Zero” is to reduce the number of deaths due to healthcare harm to zero. Leading authorities on healthcare quality, such as Charles Denham, believe that all of these deaths are preventable and can be eliminated (Discovery, 2010). Dr. Denham along with the Texas Medical Institute of Technology (TMIT) are dedicat...
Carol finishes her story with a plea for a better communication among the different healthcare providers and the system in general. There is no perfect system, and health care, the system that constantly evolves, deals with life and death, and employs people to fill such diverse niches is probably the most complex of them all, the most difficult to assess, comprehend, and change. As big, complex, and sometimes scary as it seems, it can be changed: talking to a colleague, taking a moment and asking a patient’s opinion. “Be the change you wish to see in the world”, said Gandhi. This is my motto.
...e adopting some form of contract that encourages population management and cost minimization (Muhlestein, 2013). ACO continues to only represent a small minority of care delivered in the United States. ACOs are still a work in process and their eventual success or failure is still to be determined, but the Accountable Care Organization’s influence on the American health care system continues. Many ACOs will complete a risk-based ACO contract, and their early results will influence how payers, providers and policymakers experiment with future iterations of Accountable Care. If the results are good, then the ACO model may become the dominant form of health care in the United States over the next decade (Muhlestein, 2013). If the results are negative, Accountable Care Organizations may never gain a permanent place in the United States healthcare delivery system.
The world of healthcare changes every day. Technology, as we know it evolves and changes the actual care that patients receive and even post care as well. It has been determined that most faults are caused by system failures. When a break in the system has occurred it must then be decided where the,” inefficiencies, ineffective care and preventable errors” to then influence changes within the broken system (Hughes, 2008). Improvements sometimes can begin with measurements and benchmarks which in turn will allow organizations to assess the trouble spots and broken areas within the system. Many times those broken areas within the system will be owned by the humans who operate within these systems. According to the Institute of Medicine (IOM)
Accountability….What does it mean? Well this past month e lost two soldiers who are a part of our unit and voice of our unit pass away. Accountability is important and should not be taken lightly… A soldier lost his life a couple weeks ago, due to lack of accountability, and it hurt a lot of people. For so many reasons accountability is important, for example. Knowing where your soldiers are at all times helps to know what they’re doing, and what their interest are doing so. In case something happens and someone needs t know where a soldier is accountability comes into play. Army Regulation 600-20 IAW Discipline. Why is discipline so important? Because to be accounted for is a part of disciplinary actions.
Once health care is put into place that is really effective you need to sit back and monitor it. By closing the feedback loop between quality and equity reporting and corrective federal, state, and local policies will be critical given the enormous complexity of reforms” (Fiscella, 2011). “Therefore, if anyone is in Christ, he is a new creation. The old has passed away; behold, the new has come” (2 Corinthians 5: 17).
The patients should receive safe and appropriate care in return for payment equal to the level of care received (“What is Value-Based Care”, 2016). For providers, this means using affordable and proven treatments while also catering to the patient’s needs (“What is Value-Based Care”, 2016). Additionally, this model is built upon measurement which when relayed to the patient will inform them of the scope and cost of their care. Examples of measures that are tracked, provided by the article “What is Value-Based Care,” include: procedural complications, hospital-acquired infections, and readmissions; providers face penalties if these metrics are unacceptable (“What is Value-Based Care”,
Ideal patient-centered care consists of no mistakes, constant communication, no waiting time, cost savings for all patients, physicians who take their time with everyone, no ethical concerns and discrimination issues. In other words, all patients would be treated equally, where neither money nor race was ever an issue. That is describing the world of healthcare as being “perfect.” Unfortunately, nothing in this world is perfect. As a community we can work together to build patient-centered care that is close to perfect, but there are far too many flaws and opinions that will constantly be in the way from allowing that to
I agree with Moses et al. (2013) when they wrote “As long as health care is caught in a triangle between patients, clinicians, and public health, the problems that are plaguing health care in the United States will continue,” (Moses et al., 2013). I agree with the documentary, Money and Medicine, (2012) when it supported the idea that Americans will continue to have the “do more” attitude as long as they are not educated about the risk to the procedures (PBS, 2012). Warner (2014) wrote about disassociation between healthcare and clients; I believe that supports both of the sources (Warner,
As I began watching Reinventing Healthcare-A Fred Friendly Seminar (2008), I thought to myself, “man, things have changed since 2008.” And as the discussion progressed, I started to become irritated by how little had changed. The issues discussed were far-reaching, and the necessity for urgent change was a repeated theme. And yet, eight years later, health care has made changes, but many of its crucial problems still exist.
Why is it so important that healthcare executives adhere to a professional code of ethics?
Health care must be fully accountable for quality and the patient experience is simply the patient's perception of quality. Society should question and debate on how healthcare organizations should show improvement for consumers. This can help organizations create reliable health coverage cost and evaluate medical performances for families and individuals in the future. Physicians and organizations are now evaluating patients with collection of electronic data to improve a patient’s...
Reforming the health care delivery system to progress the quality and value of care is indispensable to addressing the ever-increasing costs, poor quality, and increasing numbers of Americans without health insurance coverage. What is more, reforms should improve access to the right care at the right time in the right setting. They should keep people healthy and prevent common, preventable impediments of illnesses to the greatest extent possible. Thoughtfully assembled reforms would support greater access to health-improving care, in contrast to the current system, which encourages more tests, procedures, and treatments that are either
Introduction Nurses are caring individuals who does not discriminate people either because of their race, ethnicity, religion, gender, and disability. Nowadays, there are many students with disabilities (SWD) who are admitted to nursing programs. Schools are expected to provide accommodations to support the SWD in achieving their goals and become a competent nurse. This author will discuss social, legal, and ethical factors that affects testing in nursing education involving SWD.