Be sure to make your answers specific to a patient that has a brain tumor as you trace his or her interaction with the health care industry through the 3 levels of care. In addition, do not forget to use citations and references throughout your paper.
The content covers administrative, practical and clinical matters to enable the student to assist health care professionals in their clinical activities
The issue of Electronic Health Records interoperability can be seen as very important at the beginning of conception or as an emergency associated with high impact in quality of care, and costs if left to be solved at an advanced stage of the process.
Dr. Porter reports receiving lecture fees from the American Surgical Association, the American Medical Group Association, the World Health Care Congress, Hoag Hospital, and the Children's Hospital of Philadelphia, receiving director's fees from Thermo Fisher Scientific, and having an equity interest in Thermo Fisher Scientific, Genzyme, Zoll Medical, Merck, and Pfizer. No other potential conflict of interest relevant to this article was reported.
Moving ahead now on all these fronts is also important in order to align every stakeholder's interest with value, or reform will once again fail. However, a health care strategy, like any good strategy, involves a sequence of steps over time rather than an attempt to change everything at once. Road maps will be needed for rolling out changes in each area while giving the actors time to adjust.
True reform will require both moving toward universal insurance coverage and restructuring the care delivery system. These two components are profoundly interrelated, and both are essential. Achieving universal coverage is crucial not only for fairness but also to enable a high-value delivery system. When many people lack access to primary and preventive care and cross-subsidies among patients create major inefficiencies, high-value care is difficult to achieve. This is a principal reason why countries with universal insurance have lower health care spending than the United States. However, expanded access without improved value is unsustainable and sure to fail. Even countries with universal coverage are facing rapidly rising costs and serious quality problems; they, too, have a pressing need to restructure delivery.
Starting college I had no idea what I was going to major in. Penn State offers so many majors and focuses that it was difficult to decide at first. Finally I decided during my sophomore year that I was going to major in Health Policy and Administration. I had no idea of what focus I wanted to have within the major; I just knew that I had a knack for management and knowledge in health care.
? Thinking in terms of the administrator and third-party payer perspectives, answer the following:
o What do you feel are the biggest weaknesses of the health care plan, and why?
o Be sure to provide 2?3 weaknesses for each group (i.e. providers and patients), and explain your rationale for choosing each by supporting your thoughts with properly cited references.
The student will complete a staged essay in which they discuss the role of the primary health care assistant within the health care environment. Within this the student will develop the essay in three stages. The first stage involves discussion of the core principles and values necessary to give person-centred care, the legal and ethical issues of delegation and accountability, in particular relating this to safe practice. This stage will also incorporate some discussion of the evolving role of the health care assistant in primary care. In the second stage the student will reflect on the development of their clinical skills using a specific example. They will describe the care involved referring to relevant policies, guidelines and evidence. In the final stage the student will then reflect on how they have developed the skills involved and explain how they plan to continue to develop their skills in the future.
? Why do you feel that funding preventative health care services has taken so long to become a major component of health plans?
? What do you think will need to happen to change the prevailing mindset of funding health care services reactively versus proactively from a third-party payer’s and an administrator?s perspective? Why?
Outcomes must be measured over the full cycle of care for a medical condition, not separately for each intervention. Outcomes of care are inherently multidimensional, including not only survival but also the degree of health or recovery achieved, the time needed for recovery, the discomfort of care, and the sustainability of recovery. Outcomes must be adjusted for patients' initial conditions to eliminate bias against patients with complex cases.
Fourth, we need a reimbursement system that aligns everyone's interests around improving value for patients. Reimbursement must move to single bundled payments covering the entire cycle of care for a medical condition, including all providers and services. Bundled payments will shift the focus to restoring and maintaining health, providing a mix of services that optimizes outcomes, and reorganizing care into integrated practice structures. For chronic conditions, bundled payments should cover extended periods of care and include responsibility for evaluating and addressing complications.
Jochen Schmitt, Katrin Arnold, Diana Druschke, Enno Swart, Xina Grählert, Ulf Maywald, Andreas Fuchs, Andreas Werblow, Maryan Schemken, Jörg Reichert, Mario Rüdiger. . (2016) Early comprehensive care of preterm infants—effects on quality of life, childhood development, and healthcare utilization: study protocol for a cohort study linking administrative healthcare data with patient reported primary data. 16:1.