...ion: date: The Health Care Market healthcare delivery structures also known as the health care delivery systems are basicially the organ ization of people. resources and institutions so as to deliver health care services to meet the public’s health needs of a given target popullation. most of the current healthcare delivery systems have been digitized so as to ease the service delivered to the public and maximize on efficieny. providers of heath care services are basically tasked with improving the quality of care for the ir patients and a good health delivery sytems is simply designed to meet this function. analysis of the current health care delivery structure in my state, compararing and contrasting the major determinants of health market power the New York healthcare delivery system is curently based on ther delivery system reform incentive payment (DSRIP) program. this program is the main mechan ixsm used by the stste to implement the Medicaid Redesign Team (MRT) Waiver Amendment. the purpose of this system is to restructure the health care delivery system in the state by reinvesting in the medicaid program. the system has a primary goal of ensuring that thre is reduction of usong the the hospital if it is possible by at least 25% over a period of five years. this delivery system was aloocated a lot of money to the tune of $6.42 billion dollars. it is designed to improve clinical management and the health of the population of the people of New York. this progtma...
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...Health Care Delivery in the U.S. 310 May 25, 2009 Continuum of Care Paper Long term Before we can discuss the roles of long-term care, we must define the meaning of long-term care. The purpose of this paper is to describe in detail the role long-term care plays in providing services and how long-term care contributes or lacks contribution to the overall management of health care resources. In addition to the above-mentioned topics, the transitioning of patients from one level of care to another level of care in the health care continuum will be discussed. What is Long-Term Care? Most long-term care is to assist people with support services such as activities of daily living like dressing, bathing, and using the bathroom. Long-term care can be provided at home, in the community, in assisted living or in nursing homes. It is important to remember that you may need long-term care at any age according to (Medicare, 2009). Kinds of Services Residents receive room and board, supervision, nursing services, transportation, recreational and social services. Other medical services not included in the daily rate are determined as needed (Rhode Island DHS, 2009).One more service that long-term care provides is home and community based services. These services are designed to provide service in the home and/or community in an effort to uphold the patients’ respect, dignity, and independence. Character of Long-Term Care The role of long-term care as it relates to the overall management...
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...Health Care Delivery in the U.S. 310 May 25, 2009 Continuum of Care Paper Long term Before we can discuss the roles of long-term care, we must define the meaning of long-term care. The purpose of this paper is to describe in detail the role long-term care plays in providing services and how long-term care contributes or lacks contribution to the overall management of health care resources. In addition to the above-mentioned topics, the transitioning of patients from one level of care to another level of care in the health care continuum will be discussed. What is Long-Term Care? Most long-term care is to assist people with support services such as activities of daily living like dressing, bathing, and using the bathroom. Long-term care can be provided at home, in the community, in assisted living or in nursing homes. It is important to remember that you may need long-term care at any age according to (Medicare, 2009). Kinds of Services Residents receive room and board, supervision, nursing services, transportation, recreational and social services. Other medical services not included in the daily rate are determined as needed (Rhode Island DHS, 2009).One more service that long-term care provides is home and community based services. These services are designed to provide service in the home and/or community in an effort to uphold the patients’ respect, dignity, and independence. Character of Long-Term Care The role of long-term care as it relates to the overall management...
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...Evolution of the Healthcare Delivery System in Hospitals The healthcare system has gone though many changes in its long history. . The American health care system has not only made drastic changes within the last 2 centuries but also continues to change and evolve. It is very important that those who have access to healthcare today understand the history of the U.S. healthcare delivery system, how it operates today, and what problems continues to be issues today. We are all consumers of health care. In this paper, I will discuss the origins of the first hospital, and how it has influenced out healthcare system today. Origins of Hospital Healthcare The evolution of hospitals in the Western world has been...
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...FOR IMPROVING HEALTHCARE DELIVERY AND ORGANIZATION PERFORMANCE The present report is focused on identifying strategies for defining, measuring, and improving performance of the healthcare delivery system in any organization. The scope of the report is kept limited to the frontline health service delivery system like hospitals and clinics which directly interacts with patients. The main objective of the report is to identify important determinants of organizational performance in healthcare and to present examples of solutions which can improve its functioning and performance. Identifying present performance: Before formatting future strategy for any organization, it is important to evaluate its present performance. It is important for any organization to deliver healthcare of high quality, high efficiency, easy accessibility, and easy utility; to be considered as a high performance organization. Additionally, the high performance organization must be open to enable learning and to have well planned strategies to access support from different parts of the society to attain sustainability. Thus section discusses the six main outcomes required by high performance organization which are quality, efficiency, utilization, access, learning, and sustainability. 1. Quality: Research on the clinical quality of the healthcare is as old as the healthcare delivery system itself. The researchers identify clinical quality as safe and medically appropriate healthcare. Furthermore,...
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...Statistics make the world go round, literally. A certain population or ethnicity and their disease trends can really have an effect on what can happen in the future for our healthcare systems. Demographics and Disease trends can go hand in hand with one another because disease trends are so constant and unnoticeable that it continues daily, therefore having a particular group being affected by the same disease. Some people do not believe it, but all you have to do is look at the statistics and you will then see how greatly they affect one another. To break things down, demographics are groups of people with a common link, such as; age, gender, race, education level, income level, even marital level, and etc. When in an environment where links are similar or the same, the same trends start to get picked up as well, linking you within the range of your demographics. Environment plays a big role in demographics as well. If you live in the same neighborhood or community as someone, you are linked to that person no matter how small of importance it is. With everyone doing the same trends which come to them like habits, they may never go away until they know that it is a problem. Environment happens to play a role as well when it comes to demographics. Environment happens to play one of the main roles. Habits become hard to break because of the type of environment you around. Who, what, and the things that you are surrounded by happen to make up part of your environment...
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...PUBLIC AND THE HEALTHCARE DELIVERY SYSTEM The Public and the Healthcare Delivery System September 11, 2009 The Public and the Healthcare Delivery System Thesis: Discuss the current American health care delivery system and provide recommended improvements. I. Discuss current healthcare delivery system A. Define concept of healthcare delivery system B. General public opinion regarding our current delivery system II. Examine the cost for the current healthcare delivery system A. Primary methods for funding B. Reforming cost III. What is the current role of the U.S. government in the healthcare delivery system? A. Medicare coverage B. Veteran’s hospitals IV. Insurance coverage for U.S. citizens A. Total number of U.S. citizens with no insurance coverage B. Reforming Insurance coverage for U.S. citizens V. Discuss changes we need to make in the healthcare delivery system A. Public option B. Offer low cost-coverage to individuals with pre-existing medical conditions VI. Who will absorb the cost for the changes needed in healthcare delivery? A. Insurance companies B. U.S. citizens References Bohmer, R. M., & Lee, T. H. (2009). The Shifting Mission of Health Care Delivery Organizations. The New England Journal of Medicine. Retrieved September 11, 2009. Retrieved from http://healthcarereform.nejm.org/?p=1347 Dove, J. T., Weaver, W. D., & Lewin, J. (2009). Healthcare Delivery System Reform:...
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...Integrated Delivery Systems What conditions need to be in place for an integrated delivery system to work properly and achieve the financial benefits possible from such a system? Integrated healthcare systems offer an array of healthcare services as a chain; in fact integrated delivery systems are forms of joint ventures. For such a system to work properly, its primary focus should be making sure it meets the local population’s general health needs. An integrated healthcare system should be able to match the services required and must have the capacity to take care of the population’s requirements and the care offered must be coordinated and integrated across the continuum. It should have a management information system good enough to link its patients, the providers and payers across the whole system. An integrated healthcare system should be able use financial incentives and the organization’s structures to support day to day running, physicians in the network and other caregivers so as to meet the goals of the organization. Care provided must be continuously improved and the integrate network should be willing to work with others in the region to make sure that the community’s health objectives are fulfilled in continuum of care. Cost effective measures that still fulfill good patient care must be used because one of the main objectives of the integrated care system is providing care in the lowest cost setting, Gapenski 2012 (p.15). The success of integrated health...
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...Health Care Delivery in the United States is provided by both public and private sectors. However, most facilities and physicians fall into the private arena. Non - profit hospitals make up approximately 70 % of the nation’s hospitals, the remaining are for-profit hospitals and government hospitals such as the VA. There are also “other” types of facility type providers such as surgicenters, hospice, and specialty clinics. Individual licensed physicians provide care in such facilities or in private practices. U.S. healthcare costs exceed those of other countries; in 2009 2.5 trillion dollars was spent. This is 17.3% of the gross domestic product. Health Insurance costs are rising faster than wages or inflation, and medical causes were cited by about half of bankruptcy filers in the U.S. The Congressional Budget Office has found that "about half of all growth in health care spending in the past several decades was associated with changes in medical care made possible by advances in technology." Other factors included higher income levels, changes in insurance coverage, and rising prices. Economist Hans Sennholz has argued that the Medicare and Medicaid programs may be the main reason for rising health care costs in the U.S. CMS believes that 20-30% of healthcare spending is a waste due to overtreatment, failure to coordinate care and fraud. Hospitals and physicians are generally funded by payments from patients and insurance plans. Around 85% of Americans...
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...knowledge that "the delivery of health care is primarily driven by the medical model, which emphasizes illness rather than wellness” (Shi & Singh, 2015, p. 73). Faced with issues like chronic illnesses, fragmentation, and population of baby boomers that affect the challenges of cost, access, and quality of care; it can be argued that the use of health information devices has positive impact on the delivery of healthcare. Since “the future of healthcare technology is now” (Glandon, Smaltz, & Slovensky, 2014, p. 27), developments in the production of healthcare information devices have been on the increase, popular, and widely used by patients and providers. Some of these devices, which include smart phones, computers, smart glasses like Google glasses, activities trackers, and wearable devices, have impacted and transformed the delivery of healthcare in ways that include cost of healthcare, access to healthcare, and quality of the care delivered. Introduction It is a common knowledge that developments in technology is continually changing, is responsible for globalization, helps with effective evaluation of business and decision-making, and enables the growth of information technology. Similarly, the areas of information technology and healthcare delivery are also presently active, developing, and constantly changing. As a result, the management of health information technology is currently enabling versatility in the delivery of healthcare, helping with the...
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...Shriners Hospital Healthcare Delivery System Imagine a child experiences a traumatic event such as a house fire sustaining life-threatening injuries or develops a musculoskeletal disorder and may not walk again. Where would one go with a child such as this? A child that would need an individualized care plan catered to meet his or her needs without financially crippling their family and incorporating them in the healing process. A place of such magnitude and offers multidisciplinary services does exist and that place is Shriners Hospital for Children. Shriners Hospital, founded in 1922, aims to achieve optimum health for its patients by helping each child become healthy and independent. Through its broad range of medical and rehabilitative services, it accomplishes this goal through treatments, surgeries, and therapies in orthotics, prosthetics, occupational, and recreational. To deliver exceptional care, its healthcare delivery structure and the many factors that affect it contributes to its weaknesses and strengths as a non-profit healthcare provider. The following addresses Shriners Hospital healthcare delivery system, the economic, licensing, and regulating factors, trends affecting the industry, and pricing dynamics it encounters. Health Care Delivery Structure Health care delivery structure is the system through which a healthcare organization provides health care services that met the heath needs of the targeted population. The healthcare delivery structure of...
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...The future of healthcare delivery is transforming daily. Many of these changes are happening right before our eyes. The United States Healthcare system is faced with significant challenges. As a Christian healthcare administrator in order for us to be a part of the forever changing arena of healthcare we must seek God in all that we do. Matthew 6:33 reads, “But seek first the kingdom of God and his righteousness, and all these things shall be added to you.” (New King James Version) Decisions that are made as a health administrator will not only impact our organization but also the patients. The healthcare organization serve many purposes to include treatment, diagnosis, prevention, education and research. As an effective health administrator...
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...Delivery Systems 8/25 • Public health is preventative health services, services intended to preserve and enhance health, water supply, FDA, restaurant sanitation, assessing the environment in a general sense, education • Restorative health: direct intervention in the body, medicines, procedures, injections, “touching” • Interventions and restorative health are more costly, some studies show if people exercise we can reduce need for restorative health • Migrating from medical model to public health is difficult, clinical intervention associated with restorative health • Preventive: whole is greater than sum of the parts • PA’s and NP’s to extend primary care, about improving access and slowing cost curve increase • States are the primary vehicles for licensure for healthcare personnel, states need to expand the scope of practice • Managed care: managed cost, in 1980s there was financial disincentives for referring to specialists • Public health very small effort of maintaining health • Institution: doctors, payors, hospitals, insurance, technology, pharmaceuticals, taxpayers, professionals, communications, • free market vs. gov. control: history founded on individual rights and liberties, we are a society and there are needs greater than any of us as individuals, works for other countries that don’t have a culture of individualism • Most hospitals are not for profit, for-profit chains are low percentage, VA, military, state hospitals aimed at behavioral health •...
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...Abstract The Federally Qualified Health Center (FQHC) model for healthcare delivery is designed to meet the healthcare needs of the most vulnerable and underserved people and communities. They receive funds from the HRSA Health Center Program to provide comprehensive primary care services. They also receive funding from other public and private organizations including; cost based Medicaid payments, grants to support capital and operational costs, discounted pharmaceuticals, access to Nation Health Service Corps clinicians, Medicare, direct patient revenue, private insurance, state and local funding, and philanthropic organizations.The evidence is plentiful regarding the advantages and opportunities for the FQHC model of health care delivery. There are also challenges that impact the system of care as well. Some challenges include funding and workforce shortages. Because of quality, costs, and increased accessibility, APRNs play in integral part in the workforce in FQHCs. Federally Qualified Health Centers as a Model for Healthcare Delivery The Federally Qualified Health Center (FQHC) model for healthcare delivery is designed to meet the healthcare needs of the most...
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...Disease Trends and the Delivery of Healthcare Services HCA/240 July 2, 2010 There are many changes that the U.S. population is going through, and health care is amongst one of them. Americans have begun to live longer seeing an older age. Diversity is playing a role in this change to. Growth is driven by the high birth rates between ethnics and racial minorities along with immigrants. This diversity will lead many to be uninsured. Many of the older generation enter into the health care system with a unique set of problems, conditions, and values. The question is how the needs and desires of each person will be appropriately addressed in such a rapidly changing health care environment (Advameg, 2012). The changes that come with each person during the aging process can affect each individual different. As we all begin to get older the digestive process becomes less effective, and in older people it’s the common cause for malnutrition. Some elderly people are unable to digest food properly or they lose their appetite. The body continuously needs to be nourished, and without that nourishment the body doesn’t have the proper energy that it need. Physical characteristics of a population such as age currently effect the population by 12% for those that are 65 years or older (Advameg, 2012). It’s estimated by the year 2030 to reach 21%. The growth of those 80 and over require more expensive and intensive medical care because of how fast they are growing in number....
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