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Health care costs in the united states essayu
Strength and weakness of our healthcare system
Healthcare around the world compared
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Quality of Health Care in United States With the United States government spending 3.3 trillion dollars, or approximately $10,000 per person, this far exceeds any other controls budget for healthcare. One would assume that the overall quality of health care in the United States would be excellent. That assumption would often be incorrect. Even with the CMS enacting many hopeful protocols and programs for quality assurance the US is still falling short. One of the easiest ways to analyze the United States shortcomings and accolades would be to examine the CMS’s clinical quality measures and how the U.S. is meeting or not meeting measures. The first listed clinical quality measure by the CMS is health outcomes. This is probably because it often viewed as the most important thing by patients. When patients enter the health care realm they want their …show more content…
CMS set out a way to find if providers were improving health outcomes in the eyes of patients and titled this measurement the Medicare Health Outcomes Survey (HOS). The HOS is designed to gather meaningful data to improve quality of care and health to patient. Not only is the information available to CMS, but it is also public knowledge (https://www.cms.gov/Research-Statistics-Data-and-Systems/Research/HOS/). With the HOS, the public and government can assess different health outcomes of hospitals across the U.S., but one of the simplest way to see how the U.S. is obtaining high quality health outcomes is to compare them to other countries. The organization, Peterson-Kaiser, has developed a global health system tracker. One area of health that Peterson-Kaiser focuses it statistics on is life expectancy. They state, “Longer life expectancy can reflect success of the health system in preventing, treating, and curing illness, but can also reflect changes
According to the federal Agency for Healthcare Research and Quality, they have assessed the nation’s health system annually since 2003, reported that, in 2015 the health care delivery system has made progress to achieve the three aims of better care, smarter spending, and healthier people (City of White Plains Health Equity Report, 2017). However, they continue to promote health equality and reach the goal of New York State being the healthiest. But most importantly aiming to reduce or eliminate racial, ethnic, and socioeconomic health
Nerenz, D. R. & Neil, N. (2001). Performance measures for health care systems. Commissioned paper for the center for Health management research. [PDF document]. Retrieved from Systemswww.hret.org/chmr/resources/cp19b.pdf
Papanicolas, I. & Smith, P. (2013). Health system performance comparison an agenda for policy, information and research. Maidenhead: Open University Press.
McGlynn, E, Asch, S, Adams, J, Keesey, J, & Hicks, J. (2003). The quality of health care delivered to adults in the united states. The New England Journal of Medicine, 248(26), 2635-2645.
The National Committee for Quality Assurance (NCQA) has been accrediting MCOs since 1991. All of the information that NCQA gathers from the standardized performance guidelines report card go into the Healthcare Effectiveness Data and Information Set (HEDIS). HEDIS is a popular tool utilized to evaluate the quality of a health care plan (chap. 9). Presently NCQA accredits the most health care plans including EPO, HMOs, POS, and PPOs. NCQA uses HEDIS and CAHPS measures to evaluate and assess clinical performances to help keep the accreditation standards high. The evaluation of their compliance with NCQA standards determines if a plan's status will be recognized as excellent (highest accreditation), commendable (well-established), accredited
There is an ongoing debate on the topic of how to fix the health care system in America. Some believe that there should be a Single Payer system that ensures all health care costs are covered by the government, and the people that want a Public Option system believe that there should be no government interference with paying for individual’s health care costs. In 1993, President Bill Clinton introduced the Health Security Act. Its goal was to provide universal health care for America. There was a lot of controversy throughout the nation whether this Act was going in the right direction, and in 1994, the Act died. Since then there have been multiple other attempts to fix the health care situation, but those attempts have not succeeded. The Affordable Care Act was passed in the senate on December 24, 2009, and passed in the house on March 21, 2010. President Obama signed it into law on March 23 (Obamacare Facts). This indeed was a step forward to end the debate about health care, and began to establish the middle ground for people in America. In order for America to stay on track to rebuild the health care system, we need to keep going in the same direction and expand our horizons by keeping and adding on to the Affordable Care Act so every citizen is content.
... is an abstract model that proposes an exploratory plan for health services and evaluating quality of health care. In accordance with the model, information about quality of care can be obtained from three categories: structure, process, and outcomes. In addition, not long ago The Joint Commission include outcomes in its accreditation valuations (Sultz, & Young, 2011, p. 378).
Blum,J.,(2011). Improving quality, lowering cost: The role of health care delivery system: U. S Department of health and human services.
1) Identifying and developing evidence-based clinical performance measures and measurement resources that enhance the quality of patient care and foster accountability
The Henry J. Kaiser Family Foundation (2011). Health care spending in the United States and
With the United Nations listing health care as natural born right and the escalating cost of health care America has reached a debatable crisis. Even if you do have insurance it's a finical strain on most families.
The US health system has both considerable strengths and notable weaknesses. With a large and well-trained health workforce, access to a wide range of high-quality medical specialists as well as secondary and tertiary institutions, patient outcomes are among the best in the world. But the US also suffers from incomplete coverage of its population, and health expenditure levels per person far exceed all other countries. Poor measures on many objective and subjective indicators of quality and outcomes plague the US health care system. In addition, an unequal distribution of resources across the country and among different population groups results in poor access to care for many citizens. Efforts to provide comprehensive, national health insurance in the United States go back to the Great Depression, and nearly every president since Harry S. Truman has proposed some form of national health insurance.
The United States health care system is one of the most expensive systems in the world yet it is known as being unorganized and chaotic in comparison to other countries (Barton, 2010). This factor is attributed to numerous characteristics that define what the U.S. system is comprised of. Two of the major indications are imperfect market conditions and the demand for new technology (Barton, 2010). The health care system has been described as a free market in
Understanding quality measurement is essential in improving quality. Teams need to be able to understand whether the changes being made are actually leading to improved care and improved outcomes. For data to have an impact on an improvement initiative, providers and staff must understand it, trust it, and use it. Health care organization must understand the measurement of quality provided by the Institute of Medicine (patient outcomes, patient satisfaction, compliance, efficiency, safe, timely, patient centered, and equitable. An organization cannot improve its performance if it does not know how it is performing. Measuring quality improvements is essential as it reflects the quality of care given by the providers and that by comparing performance
Health care has always been an interesting topic all over the world. Voltaire once said, “The art of medicine consists of amusing the patient while nature cures the disease.” It may seem like health care that nothing gets accomplished in different health care systems, but ultimately many trying to cures diseases and improve health care systems.