In this paper there will be an understanding of the California Sutter health system, which will in tail about the efforts of the California Sutter health system to increase the point of service collections. Not to mention the improvement of the overall revenue cycle. Though, not to go into grave detail on what the paper is fully about, this will be said though, that in order for some of the things to happen there were steps to be taken such as the measure of performance in benchmarks. Then to mention it will also talk about how each registration is analyzed while using the rules of engineering to show what problems their patients leave at the registration desk. With that being said lets dive right into the paper following the abstract there …show more content…
As stated by, The role of academic health centers in addressing social responsibility, they have many different ideas to go by and different types of information given when reading threw the journal. Such as their unique way of discipline, professions, and functions when addressing the health centers social determination (Wartman, S. A., & Steinberg, M. J. (2011). Those are not the only ideas they had it even came down to the centers having to close off certain programs that came to the community health needs. In doing so it lead to walls known as the “guild mentality”, meaning it was the regulators and accreditors that uneven reasons in the health care system. In the long run the purpose of the overall method was to make the community a better social determination of …show more content…
Due to the fact that the operation was able to show the concerns that are arise by the network and the people. Sutter health was worried with the growing numbers of self-pay patients and the lowering amount of revenue there needed to be an increase of the collection, turned into the number one item objective on the list of making and thinking of a strategy. The accomplishment of every strategy was able to be shown by the delivery of the set goals. So when it came to the Sutter Health it was estimated revenue collection from the self- pay patients increased by an additional $78 million after the implementation of the strategy (Souza & McCarty, 2007). So when push comes to shove it was clear that the program was a success. Aside from the raising in revenue it was also shown that it is also putting it into practice the program changed all the other benefits. This is proved by a quote that states, one of these benefits is improved quality of care for the patients (Souza & McCarty, 2007). Over all the system reduced a lot of things that were being denied such as the patients. In order of doing so the system did this by calculating the customer needs into the system making it customer feel welcomed. So by doing all this the customers now spend less time in the hospital and more time at
CAH needs to add value to be able get more patients that will increase the profits for CAH. One way for CAH to add value would be to focus on disease management. Take diabetes, the patient would see a primary care doctor, got to an optometrist and get their labs done together and the providers would communicate with each other to make sure the patient is getting the care they need. The primary care doctor could make sure that the patients are reminded of when their next appointments are. Using web-based health also would help to add value ("Capturing the Value from Value-Added Services"). The Veterans Affairs Administration uses a web-based health notification system to allow patients to know what their lab results are and to refill prescriptions from their home that would then be mailed to
While the data was collected by identifying patients with the highest medical costs, lowering medical costs was never Brenner’s goal; “he was more interested in helping people who received bad health care” (Gawande, 2011). Although a clearly defined list of action steps is not outlined in the literature (Gawande, 2011; “Jeffrey C. Brenner,” 2013; Robert Wood Johnson Foundation, 2014) Brenner clearly began by using his funds to hire a staff and increase his pool of data, identified the most vulnerable patients by health care cost and emergency room and hospital visit frequency, met with the most vulnerable patients, acquired information about all of the factors affecting the patient’s health through forming relationships, and then based on the client’s needs, utilized a custom case plan to improve the delivery of health care services to the patient (Gawande, 2011; “Jeffrey C. Brenner,” 2013; Robert Wood Johnson Foundation,
A SWOT analysis was examined towards Sutter Health and its Affiliates to better understand the organizations strengths, weaknesses, opportunities, and threats. The SWOT analysis provides a breakdown of ways the organization can manage its negative aspects of weaknesses and threats to strategies a plan to overcome those concerns. In addition, the identifying of the strengths and opportunity in a SWOT analysis provides the bases of what the hospital has accomplished and how it should continue to manage those positive outcomes.
While the outcomes of the effects of newer efforts are unclear, the assessments address specific issues that stand in the way of Honor Health’s mission. Honor Health is effectively using its vision statement to fulfill its mission; to an extent, as its mission and vision are so vague. By identifying data and socioeconomic barriers to care in each individual community it serves; each community is identified by zip codes that surround each hospital and health clinic in the organization, it can purpose and implement initiatives to address specific needs (Honor Health, 2015). While the vision statement is vague, it does provide a broad goal for the organization that can allow a variety of strategies, allowing operational flexibility and room for leadership to implement a diverse definition of organizational mission
Pay-for-performance (P4P) is the compensation representation that compensates healthcare contributors for accomplishing pre-authorized objectives for the delivery of quality health care assistance by economic incentives. P4P is increasingly put into practice in the healthcare structure to support quality enhancements in healthcare systems. Thus, pay-for-performance can be seen as a means of attaching financial incentives to the main objectives of clinical care. However, reimbursement is a managed care payment by a third party to a beneficiary, hospital or other health care providers for services rendered to an insured or beneficiary. This paper discusses how reimbursement can be affected by the pay-for-performance approach and how system cost reductions impact the quality and efficiency of healthcare. In addition, it also addresses how pay-for-performance affects different healthcare providers and their customers. Finally, there will also be a discussion on the effects pay-for-performance will have on the future of healthcare.
When one examines managed health care and the hospitals that provide the care, a degree of variation is found in the treatment and care of their patients. This variation can be between hospitals or even between physicians within a health care network. For managed care companies the variation may be beneficial. This may provide them with opportunities to save money when it comes to paying for their policy holder’s care, however this large variation may also be detrimental to the insurance company. This would fall into the category of management of utilization, if hospitals and managed care organizations can control treatment utilization, they can control premium costs for both themselves and their customers (Rodwin 1996). If health care organizations can implement prevention as a way to warrant good health with their consumers, insurance companies can also illuminate unnecessary health care. These are just a few examples of how the health care industry can help benefit their patients, but that does not mean every issue involving physician over utilization or quality of care is erased because there is a management mechanism set in place.
While the concern of harmful queue-jumping exists by people paying their way to the front of the line, the second-tier allows the people to use their money to leave the queue completely and seek out their own choice of care. This creates an efficiency gain as the individuals who remain in the original line can move forward in place of those who left the line to enter the second tier. Along with the benefit of the efficiency gain, new jobs and opportunities are created as new firms are opened. As private practices are opened, jobs become available on a variety of levels such as maintenance, internships, administration and health professionals. These practices even allow for students to gain experience in smaller medical environments. Support staff are extremely important when running a busy practice and as a result, private practices hire many individuals to fill employee, associate and partner positions to help the practice run smoothly (PPA, 1998). The second-tier uses the faults of the public insurance mechanism to create a new system of opportunities and efficiency, benefitting the overall health care and all
Niles, N. J. (2014). Basics of the U.S. health care system (2nd ed.). Retrieved July 14, 2016, from http://samples.jbpub.com/9781284043761/Chapter1.pdf
Barton, P.L. (2010). Understanding the U.S. health services system. (4th ed). Chicago, IL: Health Administration Press.
Introduction. The analysis developed, studied, and recorded in this document will cover the various operating procedures, business practices, and reasoning methods that impact and influence how ST Jude Children’s Hospital provides healthcare treatment and medical attention. It will attempt to provide a clear and concise message about the three sections pertaining to this project. ST Jude is a pediatric treatment and research facility that has a focus on children with catastrophic disease. It was founded in 1962 by Danny Thomas who was an entertainer. To be specific, the hospital first opened on 4 February 1962. This is an interesting
The state is responsible for the overall regulatory, supervisory and fiscal functions as well as for quality monitoring and planning of the distribution of medical specialties at the hospital level (Schäfer et al., 2010). The 5 regions are responsible for hospitals and for self-employed health care professionals, whereas the municipalities are responsible for disease prevention and health promotion rel...
...staff would not be required to put in the overtime to compensate for the lack of workers. Patients would no longer have to suffer the neglect of the staff because he or she was too busy. Making sure the patient gets the best quality care reduces the time spent for recovery. Reducing the time spent for recovery increases the organization’s finances. Providing a safe facility also reduces the expenses on the private hospital’s budget. Ensuring a patient is safe can reduce potential use of ongoing treatment and services. Hiring the appropriate nursing staff needed can save the organization money. Instead of cutting back on staff, more staff needs to be hired to fulfil the needs of the patient. In the economy today, private hospitals need to focus on the overall long term effects of each action opposed to quick reactions resulting in financial strain for the facility.
To ensure good quality and coverage of health services, facilities can conduct self-assessment by analyzing and comparing the actual activities against plans made and targets. The analysis of quality of health services refers to quality of the best possibility treatment patients/clients receive. This requires the reference to the protocol and guidelines for standardized treatment. For example, the proportion of children under one get the correct vaccines at the right intervals. The analysis of coverage suggests the number of patients/clients receive a particular services compared to those who should have received it. For example, how many children under 1 year old are immunized?
When asked to state the primary goal of his business, Dr. Slez cited “high quality health care service” as the firm’s main objective. The effective treatment of, and development of trust with, the practice’s patients, Dr. Slez continued, takes precedence over profits. Indeed, if all healthcare firms placed profits above patient care (and many do) we would be far worse off. While doing what is needed to stop the spread of a disease or alleviate pain may not always be the most cost effective approach, it is the approach demanded by the government and general public. This is not to say that Dr. Slez’s firm does not try to maximize profit. The f...
Shediac-Rizkallah, M.C., Bone, L.R (1998) Planning for the sustainability of community based health programs : Conceptual frameworks and future directions for research, practice and policy: Health Education Research. 12 (1) pg 87-108.