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Nurse staffing and patient outcomes
Literature review on patient satisfaction
Literature review on patient satisfaction
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Jennifer
I find it very interesting that the Center for Medicare Services (CMS) has begun to include the patients experience when determine what providers will receive in the form of reimbursement. CMS's addition has led hospitals to incorporate customer service initiatives whose goal is to improve the patient experience, with varying degrees of success (Mazurenko, Zemke, & Lefforge, 2016). The following were found to be important predictors of patient satisfaction: effective interdisciplinary relationships, adequate nurse staffing levels, high-quality and good-tasting food, minimal wait times, and hospital cleanliness. Most of the patient complain about these varies things throughout their stay at the hospital. CMS making hospital focus on
The reason for the controversy of the Hospital Consumer Assessment of Healthcare Providers & Systems, referred to as HCAHPS (pronounced “H-caps”), is the tie that the Center for Medicare and Medicaid Services (CMS) placed between the scores of the assessment and healthcare reimbursement (Westbrook, Babakus, & Grant, 2014). There are two sides to consider when addressing HCAHPS/Press Ganey surveys as they directly affect hospital reimbursement. Patient satisfaction, quality of care, and how they portray their hospital stay contributes to the reimbursement that hospital receives. The nurse-patient relationship plays a large role in influencing the quality of care than patients feel that they are receiving.
Pay-for-performance (P4P) is the compensation representation that compensates healthcare contributors for accomplishing pre-authorized objectives for the delivery of quality health care assistance by economic incentives. P4P is increasingly put into practice in the healthcare structure to support quality enhancements in healthcare systems. Thus, pay-for-performance can be seen as a means of attaching financial incentives to the main objectives of clinical care. However, reimbursement is a managed care payment by a third party to a beneficiary, hospital or other health care providers for services rendered to an insured or beneficiary. This paper discusses how reimbursement can be affected by the pay-for-performance approach and how system cost reductions impact the quality and efficiency of healthcare. In addition, it also addresses how pay-for-performance affects different healthcare providers and their customers. Finally, there will also be a discussion on the effects pay-for-performance will have on the future of healthcare.
With healthcare costs soaring in the United States, there is a continuous movement by hospitals and health systems towards reaching a number of patient and system oriented goals related to higher levels of quality, safety, and cost effectiveness. The Triple Aim captures the essential challenges and opportunities of this time within the U.S. Healthcare system. Formally introduce by the Institute for Healthcare Improvement (IHI) in October 2007, the Triple Aim is theoretical model for optimizing health system performance. The initiative has three components: improving the patient experience of care (including quality and satisfaction), improving the health of populations, and reducing the per capita costs of health care (Berwick,
With today’s technology and the specialized skills of doctors, nurses, and therapists, patients who need long term care of acute problems can obtain these services at institutions known as postacute care providers. One type of facility that falls under this title is the Long Term Acute Care Hospital (LTACH) (Munoz-Price, 2009, p. 438). This paper will discuss services provided by LTACHs, the role of the Chief Nursing Officer (CNO) in these facilities, and Medicare reimbursement effected by patient satisfaction surveys.
[19]Press I. 2005. Patient Satisfaction: Understanding and Managing the Experience of Care, 2nd Edition. Chicago, IL: Health Administration Press.
According to the Centers for Disease Control and Prevention (CDC) (2012), the average time patients spend in the U.S. emergency department (ER) before they can see a doctor has increased to 25% between 2003-2009. The main cause of longer wait times (WT) in the ER is overcrowding. Overcrowding has been found to be closely related to both subjective and objective patient satisfaction (Miro’ et al, 2003). Longer wait times in the ED is such an important issue because its consequences are detrimental not only to the ER patients, but also to providers. As a health care provider, decreasing patients’ WT in the ED is essential, although challenging, to improve patient’s health outcomes and increase patients’ satisfaction. Although it is a very challenging issue to tackle, hospitals that have initiated some quality improvement (QI) strategies are experiencing some positive outcomes in that area of care. The outcomes are measured by decreased waiting times, improved patients’ clinical outcomes and increased patients’ satisfaction.
increases in patient satisfaction, which in a hospital setting is important not only for our
...lthcare system is slowly shifting from volume to value based care for quality purposes. By allowing physicians to receive payments on value over volume, patients receive quality of care and overall healthcare costs are lowered. The patients’ healthcare experience will be measured in terms of quality instead of how many appointments a physician has. Also, Medicare and Medicaid reimbursements are prompting hospitals, physicians and other healthcare organizations to make the value shifts. In response to the evolving healthcare cost, ways to reduce health care cost will be examined. When we lead towards a patient centered system organized around what patients need, everyone has better outcomes. The patient is involved in their healthcare choices and more driven in the health care arena. A value based approach can help significantly in achieving patient-centered care.
Based on your view of the objectives of performance evaluation, evaluate the perspectives about performance appraisal presented by the managers.
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...
Cliff, B. (2012, May/June). Excellence in patient satisfaction within a patient-centered culture. Journal of Healthcare Management, 57, 157-159. http://dx.doi.org/Retrieved from
Outstanding healthcare facilities try to compensate patients for economic and non-economic losses. They ensure the patients have their time and concerns addressed. They make sure that the patient experience makes them feel good.
(Greet the customer “Good Morning Sir” and say “ I am-------- from AC Neilson, I understand you are involved in transport business and I am here to take your opinion about the vehicles you are using and it’s service aspects” Give a pass for the respondent to think and continue as “can I take 20 minutes, sir”. If not given ask for a fresh appointment and meet on the appointment date)
“What to expect during your hospital stay high quality hospital care,a clean and safe environment,involvement in your care,protection of your privacy,help when leaving the hospital,help when leaving the hospital,and help with your billing claims.”(The patients bill of rights) People need hospitals that treat them and their needs right. Every hospital needs to treat every patient equally or the same way. They should know that they are in a safe and clean environment so they can trust the people around there. If they cannot trust the environment there how are they suppose to trust the people that work there. Hospital care should be the same in every hospital. They should treat patients equally and with the right care. As if they wanted to be treated if they were in the same position as the patients is right now. The patient needs to be treated the same way the doctor or nurses would like to be treated if they were in that ...
Organization is a group of people brought to gather to achieve specific goals. Goals can be achieved if team member are performing well. Performance is the results of activities given to the employees in an organization to be achieved within specific period of time. Evaluating the current performance of employees against past performances and organizational standards is known as Performance Appraisal (Dessler, 2005). Furthermore performance appraisal helps the company know how individual employees are performing and how to improve their performance thus improving the performance of the company (Grubb, 2007). A performance appraisal is propose in which the performance management system in an organizations set work goals, determine performance standards, provide performance feedback, determine training and development needs and distribute rewards as well as evaluating an employee’s job performance during a period of time. The performance of team member is much more than appraising individuals’ works, it is managing the business, so the performance of an employee is influences by the performance of an organization. It is target to achieve the best results for the planned strategic by managing activities of employees. There are many different opinions on the performance appraisals, some organizations do performance appraisals without any aim just follow others., where some organizations do performance appraisals to make sure they have a record of a piece of paper in the employee’s file – they are careless about do corrective action. But successful organizations understand the importance of combining performance appraisals into their performance management process and strategy plan as the success of any organizatio...