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There are several health agencies that currently plays a role in the United States Health Care system. Some of the main ones are the National Center for Health Statistics, Institute for Healthcare Improvement, Institute of Medicine of the National Academies, and Centers for Medicare and Medicaid Services. The two agencies that I want to focus on are U.S. Department of Health and Human Services and The Joint Commission. These two agencies have two very distinct roles in the United States health care system. U.S. Department of Health and Human Services focus is “to help more Americans achieve the security of quality, affordable health care for themselves and for their families.” (citation 1). The Joint Commission key role is “the nation’s …show more content…
Department of Health and Human Services (HHS) key role in the United States health care system is to act upon the different new provision that the Affordable Care Act implemented. It’s role on the Affordable Care Act is to “expand coverage, emphasize prevention, improve the quality of health care and patient outcomes across health care settings, ensure patient safety, promote efficiency and accountability, and work toward high-value health care” (citation 1). The HHS has 11 different division that is set up to tackle the issue that the Affordable Care Act placed on the United Healthcare system when it was passed. The one that focuses on quality of healthcare is the Agency for Health Care Research and Quality (AHQR). The AHQR main goal is to perform research on different intervention to prevent or reduce hospital-acquired conditions. They have done extensive research on Catheter-Associated Urinary Tract Infection, Central Line-Associated Blood Stream Infections, and Adverse drug event, which are the three main ways patient stays in the hospital for an extensive period. According to the statistics that they have compiled, they have saved the United States government approximately $28 million dollars because of their research on Hospital-acquired conditions (AHRQ). The Joint Commission contributes to the United States health system …show more content…
According to The Joint Commission the standard that they set “are the basis of an objective evaluation process that can help health care organizations measure, assess, and improve performance” (TJC). The Joint Commission accreditation plays a pivotal role in health institution quality and cost. The first way that the accreditation helps an institution is “strengthens community confidence in the quality and safety of care, treatment and services” (TJC 2). If patients are confident that your hospital is one of the best around the area, specially where number of hospitals stands, having the accreditation will give an institution an edge. It also guarantees that the current standards in place are of quality and up to date on the current research. Another benefit of having accreditation is “Provides deeming authority for Medicare Certification” (TJC 2). What this entails is, depending on what state you are in, the Center for Medicare and Medicaid would not need a separate visit to your institution if the Joint Commission was there prior. Their standard and the Joint Commission standards are up to par, this means that your primary source of reimbursement will be intact even without a visit. But the most key role that the Joint Commission play is “Helps organize and strengthen patient
The standards of the Joint Commission are a foundation for an objective evaluation process the may help healthcare organizations measure, assess and improve performance. These standards are focused on organizational functions that are key for providing safe high quality care services. The Joint Commission’s standards set goal expectations of reasonable, achievable and surveyable performance of an organization. Only new standards that are relative to patient safety or care quality, have positive impact on healthcare outcomes, and can be accurately measured are added. Input from healthcare professionals, providers, experts, consumers and government agencies develop these standards.
Merwin, E & Thornlow, D. (2009). Managing to improve quality: the relationship between accreditation standards, safety practices, and patient outcomes. Health Care Managment Review, 34(3), 262-272. DOI: 10.1097/HMR.0b013e3181a16bce
External and internal influences are relevant in health care. These influences continue to affect the total operations of a health care facility. I will summarize the insights I have gained into the external influences of the new health care reform policy and quality initiatives. The recent health care reform legislation was passed in the house and senate this year. The senior vice president, that I have interviewed, states that health care reform is an “unknown” for organizations. In addition, I will research the quality improvement initiatives and how these external influences include implications for organizations and health care administrators.
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
In recent years, the number of Americans who are uninsured has reached over 45 million citizens, with millions more who only have the very basic of insurance, effectively under insured. With the growing budget cuts to medicaid and the decreasing amount of employers cutting back on their health insurance options, more and more americans are put into positions with poor health care or no access to it at all. At the heart of the issue stems two roots, one concerning the morality of universal health care and the other concerning the economic effects. Many believe that health care reform at a national level is impossible or impractical, and so for too long now our citizens have stood by as our flawed health-care system has transformed into an unfixable mess. The good that universal healthcare would bring to our nation far outweighs the bad, however, so, sooner rather than later, it is important for us to strive towards a society where all people have access to healthcare.
The U.S. healthcare system is very complex in structure hence it can be appraised with diverse perspectives. From one viewpoint it is described as the most unparalleled health care system in the world, what with the cutting-edge medical technology, the high quality human resources, and the constantly-modernized facilities that are symbolic of the system. This is in addition to the proliferation of innovations aimed at increasing life expectancy and enhancing the quality of life as well as diagnostic and treatment options. At the other extreme are the fair criticisms of the system as being fragmented, inefficient and costly. What are the problems with the U.S. healthcare system? These are the questions this opinion paper tries to propound.
Barton, P.L. (2010). Understanding the U.S. health services system. (4th ed). Chicago, IL: Health Administration Press.
Health Insurance is one of the nations top problems, the cost is rising for premiums, and many businesses just cannot afford it. As Americans many of us have the luxury of health insurance, but far too many of us have to go without it. This is something that always seems to brought up at congressional debates, but little is done about it. “In 2013 there were 41 million people reported with out health insurance coverage, this is too many considering those people probably were sick at some point through out the year, and they couldn’t afford treatment.” We need to find someway to make sure that every citizen of the United States is able to have affordable healthcare for themselves, and their 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.
With medical errors increasing the length of stay and cost of care, hospitals are facing even smaller margins. Struggling to turn a profit they only way hospitals can grow is to improve the quality of care and reduce errors. It was not until recent legislation that hospitals were being reimbursed for poor quality of care leading to longer patient stays or further hospital-acquired infections. The recent health care reform legislation, the Patient Protection and Accountable Care Act, has stopped hospitals from receiving reimbursement for readmissions due to error or nosocomial infections. Not only does this act prevent reimbursement for poor quality care, but also hospitals that deliver lower standards of care will not be able to participate in the Medicare and Medicaid programs (Andel et al.,
Niles, N. J. (2011). Basics of the U.S. health care system. Sudbury, MA: Jones and Bartlett.
Although it is understood there are some benefits to having healthcare, like having access to health care they may not have had before, there were no regulations put in place on insurance companies. When people began being forced to have insurance, the insurance company’s raised their premiums, making it harder to afford. Individuals started seeing higher out of pocket expenses because of higher deductibles and copays, before the insurance plan pays anything. So the average citizen may over the course of a year pay thousands of dollars to their insurance between premiums and deductibles and never see the full benefit’s the police has to offer.
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.
(Essential Hospital Institute) By utilizing care coordination this will increase efficiency by limiting resources which could potentially entice insurance companies with new payment methods. Health organizations are now looking to treat and offer all services to the patient. This eliminates the patient from visiting completive health facilities for illnesses. “If designed thoughtfully, care coordination programs can improve patients’ experiences with the health care system and their health outcomes as well as reduce wasteful spending in the long run.”(Traver &
Society today is an informed group of individuals who would like to be aware of what is going on in the world around them. Health care is inclusive in their need for knowledge when it comes to their health or their family member’s well-being. Therefore in health care an educated consumer is more than willing to research medications, poll medical procedures and even physician to determine if the health care professional is qualified to perform certain procedures. Because of the savvy consumer, the Centers for Medicare & Medicaid Services devised a reporting system that would inform the public how the hospital has been performing based on patient stays. The performance for certain areas are evaluated by Quality Indicators