Premium Essay

What Can Be Done to Improve Access to Healthcare

In: Social Issues

Submitted By boots2935
Words 35073
Pages 141
improving Quality and Value in the U.S.

Health Care
System
August 2009

Preamble
The Bipartisan Policy Center (BPC) is a public policy advocacy organization founded by former U.S.
Senate Majority Leaders Howard Baker, Tom Daschle, Bob Dole, and George Mitchell. Its mission is to develop and promote solutions that can attract the public support and political momentum to achieve real progress. The BPC acts as an incubator for policy efforts that engage top political figures, advocates, academics, and business leaders in the art of principled compromise.
This report is part of a series commissioned by the BPC to advance the substantive work of the
Leaders’ Project on the State of American Health Care. It is intended to explore policy trade-offs and analyze the major decisions involved in improving health care delivery, and discuss them in the broader context of health reform. It does not necessarily reflect the views or opinions of Senators
Baker, Daschle, and Dole or the BPC’s Board of Directors.
The Leaders’ Project was launched in March 2008. Co-Directed by Mark B. McClellan and Chris
Jennings, its mission is (1) to create a bipartisan plan for health reform that can be used to transform the U.S. health care system, and (2) to demonstrate that health reform is an achievable political reality. Over the course of the project, Senators Baker, Daschle, and Dole hosted public policy forums across the country, and orchestrated a targeted outreach campaign to Members of
Congress, the Administration, and key health care constituencies. In June 2009, they released the
Project’s final report entitled, Crossing Our Lines: Working Together to Reform the U.S. Health System, which includes a slate of comprehensive policy recommendations to address the delivery, cost, coverage, and financing challenges facing the nation’s health system. For more...

Similar Documents

Free Essay

Organizational Change Part I

...businesses, like the time of day changing or the way task are completed are not exactly done the same each time. In a business or organization it is important for the staff to understand the need for the change. Understanding the need for the change is not just for the betterment of the organization but also for the employee to understand the importance of their role in change for the business or organization. Providing better access and resources to health care in Maryland State Correctional Institutions has become a major focus for management. There is a huge lack of services and resources especially in the pretrial division of Maryland State Correctional Institutions. The concern is not just inmate or patient satisfaction but a concern for the safety and health of those responsible for detaining these inmates. This paper will examine the need in Maryland State Correctional Institutions for a change in inmate access to healthcare and healthcare resources especially in the pretrial division. It will also identify factors that will influence changing inmate access to healthcare and summarize those factors that can prepare the organization to this change. A theoretical model that is relative to changing inmate access to healthcare and resources will be identified as well as internal and external resources to assist the change will be explained. Need for changing inmate access to health care in a Pretrial division Currently in the State of Maryland individuals......

Words: 1637 - Pages: 7

Premium Essay

Leadership and Patient Centered Care

...reimbursement regulatory procedures have been adopted. This is evident by the regulations of Joint Commission and the provision of services by Medicare Medicaid services (CMS). In this paper, the impact of business practices, regulatory requirements, and reimbursement procedures on patient-centered care is discussed. A multidisciplinary approach on a process improvement enhancing Patient and Family Centered Focus Care is outlined in a hospital located in Arizona. Regulatory Requirements and Healthcare Business In 1996 the Institute of Medicine took on healthcare improvement to resolve unsafe care by ambitiously moving toward quality initiatives. The release of “To Err Is Human: Building a Safer Health System19 (1999) and Crossing the Quality Chasm (2001)” focused on the fails of the healthcare systems pointing out that over 98,000 patients die in hospitals annual due to some sort of medical error (Roussell, 2011). This report was the source of the new transformation of healthcare delivery brigding gaps from a state of broken system to an ideal state of evidence based care. Consumers are well aware of the possibilities of hospital errors and quality care and have become aware of number of business case practices, regulations, and reimbursement...

Words: 3231 - Pages: 13

Premium Essay

Hsa520Assignment4

...telecommunications concepts that would have improved your last visit. Provide specific examples to support your response. It is not unreasonable for a patient to expect particular services from their healthcare providers. What happens when you are traveling and have to make a trip to the emergency room, will your doctor at home get the information from that visit? Health information recorded in paper format makes these tasks very hard, if not impossible. Luckily, there is a growing movement to transform that, using information management and information technology. The use of this type of equipment allows for "high-quality, safe, and competent care. Society today is constantly changing. Society changes jobs, location of residence, and doctors often. While society speaks of a medical structure American medicine is disorganized: it lacks standards, measures, and the ability to exchange information that constitutes a true structure. The medical industry has taken to every kind of clinical technology; from digital thermometers to CT scanners. However, the implementation of information management and information technology in the medical industry falls behind the rest of our economy. Health informatics is best described as the position where information science, medicine, and healthcare all meet. It encompasses the resources, devices, and methods required to enhance the development, storage, retrieval, and the use of information in health and biomedicine.......

Words: 1387 - Pages: 6

Premium Essay

Catastrophic Cyberattack on the Health System

...information technology systems. By doing this helps with sharing information quickly and efficiently. One of the changes that have come into this cyber system is the United States health care system. When it comes to a person’s health care having the information quickly can make a difference in a life. At the same time there are potential risks when sharing this kind of information over an internet connection. Cyber-terrorism meaning is “an assault on electronic communication networks” (Dictionary.com. n.d. para. 1). If this happens to our health care system, the persons responsible could access information that is private. This happened to one hospital located in Bakersfield, California. The hospital was him with a virus attack that crippled the computer system. So the doctors and nurses at this hospital had to go back to using paper records for the patients. Attacks like this can be costly. It can cause delays in surgeries, important test results and cause the care to patients to be interrupted (UCDavis Health System, 2010). With the health care systems moving into a digital world seems like a great idea. Back in 1999-2001 the health records of a service member and their family was done on paper. Every time a service member would move to a different base they had to go get those records and carry them to their next duty station. When I left Germany as a military spouse we could no longer carry our records. So I had to request them to be transferred from......

Words: 1047 - Pages: 5

Premium Essay

The Importance of Accountability Paper

...own success but also for the organization they work for. Even if things do not turn out to be as expected it is good for that person to stand for their actions and becoming responsible for the results in order for identify what the problem was and how it might be fixed. The important thing is to be able to not make the same mistakes if our results were not good. We need to keep in mind that human beings make mistakes on a daily basis and what makes them successful is learning from those mistakes done. In health care accountability is definitely more important because you are dealing with patient’s health and lives. Being accountable in any health care organization it means that you are responding to patient, community, political, and commercial expectations. At all levels of the healthcare system important decisions are taken with regard to the quantity and the way in which the resources are used (Nunes 2011). Health care professional’s objective is to always offer the best quality of health care and access to resources to be able to meet those objectives. Each year over 100,000 people die due to health care mistakes that most of the times could have been prevented. Even though there have been different types of efforts to improve patient safety and improve health care delivery, errors keep on happening on a daily basis. You might ask yourself why things like these still happen. The answer is easy and straight forward, because no one is being accountable for their......

Words: 1345 - Pages: 6

Premium Essay

Healthy People 2020

...#1 Access to Health Care: Improving overall health status Equality in Access to health services is one of the forty two topic areas in Healthy People 2020 that caught my view as one of the objectives to have the highest importance in achieving a national goal of healthy Americans in the future. But what does access to health care actually means? According Gulliford et al (2002), facilitating access to health is concerned with helping people to command appropriate health care resources in order to preserve or improve their health status but unfortunately gaining access to healthcare depends on some factors such as financial, organizational and social or cultural barriers that permits or limit the said utilization of services. Therefore having much available health services is not a factor in itself to improve the quality of healthcare but the utilization of such services by all of the people which will depend on affordability and general accessibility of the service. According to Healthy People 2020 (US Department of Health and Human Services, 2012), it is important to have access to quality health care service in order to achieve equity in health and eventually improve the general health status of all Americans. This I think is one of the most important move that the state should make in order to make the vision of having healthy Americans, including all migrants, ethnic and minority groups, by the year 2020. Though free service is not always the key to have access......

Words: 3132 - Pages: 13

Premium Essay

Microsoft Kinect and Its Impact on the Future of Health Care

...Perhaps no where is this felt more than the healthcare industry. Daniel Kraft, in his 2011 talk “Medicine’s Future? There’s an app for that.”, briefly mentions numerous innovations that are beginning to enter the healthcare arena. From robotic surgery to e-legs, healthcare providers are starting to use technological advances to improve the lives of the patients they serve, and with research into stem cells and 3d organ printing are envisioning what the future may hold. Microsoft Kinect is one such innovation that has begun to change the way many areas of healthcare is practiced and as more innovations emerge will continue to play a role in the changing face of healthcare. Introduced to the public in 2010, Microsoft Kinect is a wireless game controller that allows humans to interact with their computers using movements, gestures and voice commands (Terry). Released as an attachment to a video game, its potential in health care became evident quickly. Surgeons at a hospital in Toronto began using the system to scroll through digital images allowing them to see these images without ruining their sterile field, saving time and decreasing the chance of infection (Perry). In 2011 Microsoft introduced a free software developer kit (SDK) for Kinect which allows developers to build software applications (apps) and made these apps available at the Windows store (Jackson). As a result of these apps, Microsoft Kinect reach into healthcare arena is leaving the operating......

Words: 1223 - Pages: 5

Premium Essay

Health Care Information Technology Benefits and Problems

...Health Care Information Technology Benefits and Problems By Bryan Chadwick Health Care Information Technology, what is it? How does it benefit us? What are some of the problems with it? These are questions that need to be answered. Health Care IT the communications between information science, computer science and health care. According to Forbes we as a nation spent $2.8 trillion on healthcare in 2012 (Pearl, 2013), that is around 18% of the U.S gross Domestic Product (Pearl, 2013). Of that $2.8 trillion spent on HealthCare around $34.5 billion is spent on its Information Technology. (Manos, 2013) We know the definition of health care IT; but what is it really? It is the computer software and systems that each clinic, hospital, and insurance company uses. This allows us to upload patient records easier, transfer data between hospitals. Allows your doctor to pull up your medical history and treat you with much faster response time. Also one main benefit, it allows patients to be able to access health records, treatment information, test results and billing from their computer, smartphone or tablet. With technology giving us the power at our figure tips to access data from anywhere; Healthcare Information Technology can have its benefits and problems. We have listed some benefits with the Information Technology. However what are some of the issues with it. How secure is this information? Is this information HIPPA compliant? According to the Department of Health and......

Words: 956 - Pages: 4

Premium Essay

Managerial Applications of Information Technology

...plan…………………………..10 10. Conclusions ………………………………………………10, 11 11. Summary of project…………………………………………11 References…………………………………………………………..12 Abstract The business problem to be solved is how to improve operational efficiencies, reduce employee time management issues, and improve insight into the patient’s care and health for improved strategic planning, performance monitoring, and client satisfaction. Company Background Interim HealthCare was founded in 1966. It is the nation's leading home care, hospice and medical staffing company. Interim has more than 300 independently owned and operated franchise locations provide a variety of home health, senior care, hospice, palliative care, pediatric care and healthcare staffing services. The independent franchisees employ more than 40,000 health care workers providing nurses, therapists, aides and other health care personnel to approximately 50,000 people annually. It is one of the nation's oldest health care franchise companies. This innovative company was built on the commitment and dedication of franchisees who have made valuable contributions to the communities they serve. There are more than 300 independently owned franchise locations in 43 states that provide nursing, therapy and non-medical home care, hospice and healthcare...

Words: 2644 - Pages: 11

Premium Essay

Organizational Change Part Ii

...successful companies or organizations view organizational change as a necessary process for the company's existence. How the organizational change is implemented and how the implementation is managed, should be done in such a manner that demonstrates the skillfulness and usefulness of the product or service. Management has to create strategies for the implementation of change that would make employees comfortable and acceptable of the change. It is predictable for employees in a company or organization to be resistant to change. Doing something that is different or uncommon for any individual may cause resistance because it is unknown. This is why how change is implemented matters and how management handles the implementation is relevant to the success of the change. This paper will focus on strategies for implementing change in a Correctional facility as it related to inmate access to healthcare. The paper will describe different assessments and evaluations used to monitor the process of inmate healthcare access. Community techniques and resources will also be defined in this paper, along with additional organizational resources relative to the process, systems, personal, and professionals roles in the organization. Strategies for Changing Inmate Access to Healthcare Access to health care in the correctional institutions in Maryland are limited. Especially in the pretrial divisions of the correctional facilities there are not many opportunities or resources for......

Words: 1642 - Pages: 7

Premium Essay

Emr Research and Opinion Paper

...31 I. Advantages of EHRs In an effort to reign in rising health care costs and increased health care disparity and inequality in the U.S., former president George W. Bush doubled the funding for Health Care Information Technology to 100 million in 2005 (The White House). It was part of a larger plan to utilize latest information technology to standardize patient and health records, which despite spending 1.6 trillion dollars, attributed to 98,000 medically related errors in 2004. The plan was part of his campaign promise and was reiterated in his January 20, 2004 State of the Union address when, President Bush remarked, “by computerizing health records, we can avoid dangerous medical mistakes, reduce costs, and improve care.” Considering that the federal government is “one of the largest buyers of healthcare - in Medicare, Medicaid, the Community Health Centers program, the Federal Health Benefits program, Veterans medical care, and programs in...

Words: 7955 - Pages: 32

Premium Essay

Health Literacy

...skills impacts on the ability to navigate the healthcare system. It makes it harder, if not impossible, for individuals to make choices about their treatment and their ability to make healthy lifestyle choices. Health Literacy is the ability of individuals to make informed decisions about their health. Everyone needs these skills, but those with poor LLN skills are more at risk poorer health literacy, poorer health outcomes and greater health inequalities. Health literacy involves basic health knowledge and a range of skills including: • the ability to find and read health information; • the ability to comprehend and evaluate health information; • the ability to communicate verbally with health professionals; • the ability to assimilate the above to make better informed personal decisions on their health. Within a health context these skills are needed in order to: • navigate and access the healthcare system and use services appropriately; • communicate health needs effectively; • make empowered choices and decisions about both healthy lifestyles and treatment options; • understand and follow treatment instructions; • both communicate and understand essential information in routine or unexpected medical situations; • find, understand and evaluate accurate and up to date health information; • understand what to expect in clinical situations ......

Words: 1236 - Pages: 5

Premium Essay

Given Knowledge of Key Cost and Marginal Revenue Relationships, Use Marginal Analysis to Demonstrate Shutdown, Break-Even and Optimal Output Points, as Well as the Optimal Amount of a Resource to Utilize

...claims, records and data exchange and enhancements through the use of technology and business re-engineering initiatives. 2. Business Problem Statement: As compared with other sectors of society who have successfully integrated IT into their business practices, the field of medicine has not been as aggressive in its approach to IT integration. Due to the rising cost of healthcare and increasing demands by patients and insurers for better quality care, healthcare organizations are being driven to implement IT to improve results. Healthcare is a very “information-intensive, confidential and sensitive industry,” that remains highly fragmented and inefficient. The use of technology in delivering clinical care, processing insurance claims and performing administrative functions has the potential to yield both cost savings and improvements in the care itself. The automation of electronic medical records and claims processing can be shown to save time and money as well as improve the effectiveness of making pertinent patient information and medical charges readily accessible to healthcare providers and patients. Sensitivity to patient privacy rights and cost audits must also be considered, as this information is considered “highly sensitive,” and must be accurate and protected. Also, with the pace of change in the global economy, it is hard to stay current on the business trends and developments impacting the medical insurance industry. 3. ......

Words: 4934 - Pages: 20

Premium Essay

Black/African Americans and Health Care

...and cultures. In fact, the U.S. Census of 2010 reported that 36.3% of the population belongs to a racial or ethnic minority group (Centers for Disease Control and Prevention, 2014). In spite of national goals to improve health care, including the implementation of the Affordable Care Act (U.S. Department of Health and Human Services, 2014), many Americans are still finding it difficult and challenging to maintain good health and having their health care needs addressed. For many Americans, race is a huge issue in healthcare today. Minority and ethnic groups are especially susceptible to race related health issues. One such group with a deep seeded history in the United States is Black or African Americans. Black/African Americans are the second largest minority group in the United States (Edelman, Kudzma, & Mandle, 2014). Because of the history involving slavery and segregation, Black/African Americans still have to deal with inequalities in many aspects of their lives such as health care, regardless of changes over the last 60 years (Edelman, Kudzma, & Mandle, 2014). The health status, barriers to health, and health disparities of Black/African Americans demonstrate a need for improvement in equality and the resources that are available in order to improve their health. Health Status & Disparities According to the National Vital Statistics Report, the top 10 leading causes of death of Black/African Americans are: Heart disease, cancer, stroke, diabetes, and......

Words: 1378 - Pages: 6

Premium Essay

Single Payer Healthcare for the United States

...Contents Page Section 1: Executive Summary …………………………………………….. 3 Section 2: Introduction …………………………………………….. 4 Section 3: Literature Review ……………………………………………… 5 Section 4: Problem Analysis ……………………………………………… 10 Section 5: Solutions and Implementations ………………………………………… 17 Section 6: Justification ……………………………………………… 18 Section 7: References ……………………………………………… 20 Executive Summary Almost four decades ago, Canada and the United States had very similar health care systems. Today, they are very different. The Canadian system is predominantly publicly financed, whereas the American one is funded primarily through a private system, resulting in many sequelae. What is less clear is whether the two different health care systems produce differences in the quality of care for their respective populations. This area of research is of interest to policymakers and health care programmers in their...

Words: 5173 - Pages: 21