ORGANIZATION DESCRIPTION: Charity Health began its Healthcare journey during the Great Depression as a response to the challenges of access to affordable care in Arizona. Robert Dantley, MD, and Larry Fisher became leading visionaries’ pioneers in the model of creating value-based healthcare coverage. They co-founded Charity Health in 1940 and introduced a new way of providing healthcare to communities as prepaid employer benefit. Originally the patient could use their benefits within the healthcare where the benefits were accepted, however the cost of an open network proved to be unsustainable. Working together toward a new plan, the model of a closed network of contracted providers with prepaid rates was created. Employees could visit a physician …show more content…
Creating clinical care pathways, practice guidelines, and strategically aligned performance measures to measure patient outcomes. By integrating these components, evidence-based care aims to enhance the quality, safety, effectiveness, and efficiency of healthcare delivery, leading to better patient outcomes and experiences. It serves as a foundation for clinical practice guidelines, protocols, and standards of care across charity healthcare. Value-based healthcare is another strategic pillar of the Charity healthcare delivery system that is focused on maximizing coordinated care to strategically achieve the best possible health outcomes for patients while optimizing the use of resources. Value-based care focuses on the importance of tailoring healthcare services to meet the individual needs and preferences of patients. It involves actively engaging patients in their care decisions and considering their values and goals. Alongside outcome measurement, Value Based Care includes measuring the costs associated with delivering healthcare services. Value-based care extends beyond individual patient care to encompass the health of entire …show more content…
The Charity Health organizational shared agenda is structured to facilitate an inclusive leadership culture that treats all team members equitably and strives to make sure everyone feels a sense of belonging. Leading by engaging includes rounding out outcomes with direct reports, quarterly leadership updates from the Chief Executive Officer and the executive team and voice of the employee listening and feedback sessions that are to help build relationships and trust with your employees, increase their engagement and productivity. This plan creates a competitive advantage that can help attract and retain top talent and make Community Health a better place to work for every employee. This inclusive culture creates a sense of ownership which improves the health of the organization when everyone feels a sense of ownership and trust. Creating a culture of accountability and trust includes the individuals and teams understanding of what they are to perform, a clear understanding and alignment of what that action is, and how they will be
The health care organization with which I am familiar and involved is Kaiser Permanente where I work as an Emergency Room Registered Nurse and later promoted to management. Kaiser Permanente was founded in 1945, is the nation’s largest not-for-profit health plan, serving 9.1 million members, with headquarters in Oakland, California. At Kaiser Permanente, physicians are responsible for medical decisions, continuously developing and refining medical practices to ensure that care is delivered in the most effective manner possible. Kaiser Permanente combines a nonprofit insurance plan with its own hospitals and clinics, is the kind of holistic health system that President Obama’s health care law encourages. It still operates in a half-dozen states from Maryland to Hawaii and is looking to expand...
Catheter Acquired Urinary Tract Infections (CAUTIs) has become to be classified as one among the leading infections which most individuals end up being susceptible to acquire while at the hospital. Healthcare-associated or acquired infections (HAIs) are a significant cause of illness, death, and more often than not, have resulted to cost the tax payers potentially high medical expenses in most health care settings. ("Agency for Healthcare Research and Quality," para. 1) Due to this, 1 out of every 20 patients will end up with CAUTI within the US hospitals and this has caused Agency for healthcare research and quality (AHRQ) to embark on nationwide plans to help in the eradication and control of CAUTI incidences. ("Agency
...lthcare system is slowly shifting from volume to value based care for quality purposes. By allowing physicians to receive payments on value over volume, patients receive quality of care and overall healthcare costs are lowered. The patients’ healthcare experience will be measured in terms of quality instead of how many appointments a physician has. Also, Medicare and Medicaid reimbursements are prompting hospitals, physicians and other healthcare organizations to make the value shifts. In response to the evolving healthcare cost, ways to reduce health care cost will be examined. When we lead towards a patient centered system organized around what patients need, everyone has better outcomes. The patient is involved in their healthcare choices and more driven in the health care arena. A value based approach can help significantly in achieving patient-centered care.
Achieving high value for patients must become the overarching goal of health care delivery, with value defined as the health outcomes achieved. ( Michael E. Porter, 2010).
Evidence –Based Practice is a process through which scientific evidence is identified, appraised, and applied in health care interventions. This practice obliges nursing experts to depend on logical research and confirmation more frequently than experience or instinct. EBP is intended to guide medicine of patients in a regulated methodology. This model joins together research, investigation and patient history to give the most exhaustive consideration conceivable. EBP got mainstream throughout the late 1970s. In any case, the thoughts behind the practice were presented much sooner than by nursing pioneer Florence Nightingale. As stated by Carole Cooper, "Nightingale evaluated nature's turf, gathered information, distinguished intercessions and observed patient results." This methodology mirrors current evidence- based practice. Utilization of EBP expanded throughout the 1970s and 1980s in light of calls for additional productivity in patient consideration. While restorative exploration discoveries were accessible, specialists and attendants were not equipped to get to or execute the new data rapidly enough. This new system joined together components of useful information and experience with clinical examination discoveries and investigation.
In this assignment as detailed in the module eleven handbook (South Trent School of Operating Department Practice, 2012) the author will aim to explore and describe the principles and methods of scientific enquiry that underpin Evidence Based Practice (EBP). Research and evaluate the choice of the various methods that can be used within the healthcare and theatre based setting and relate these practices to the Operating Department Practitioners (ODP’s) Standards of Proficiency (Health Professions Council. 2008).
The current health care reimbursement system in the United State is not cost effective, and politicians, along with insurance companies, are searching for a new reimbursement model. A new health care arrangement, value based health care, seems to be gaining momentum with help from the biggest piece of health care legislation within the last decade; the Affordable Care Act is pushing the health care system to adopt this arrangement. However, the community of health care providers is attempting to slow the momentum of the value based health care, because they wish to maintain their autonomy under the current fee-for-service reimbursement system (FFS).
Within this essay Evidence based Practice will be identified and the significant effect it has on the nursing profession, barriers will also be explored in the implementation of Evidence Based Practice.
In social work evidence based practice is considered to be a decision making process and practitioners rely on the evidence when working with clients. According to Aveyard and Sharp (2013), evidence based practice is not easy to put into practice and there are many barriers to evidence based practice such as lack of time, lack of awareness of research, lack of support and cooperation, and lack of authority and inadequate facilities (p. 145). Although there are challenges to implementing evidence base practice this is still a doable task in the field of social work. Therefore, practitioners need to explore the motivation, knowledge and skills needed by the individual, the organizational motivation, learning
Over the last 10 years evidence-based practice (EBP) has grown substantially and is changing the nursing care delivered to patients along with the nursing work environment. Nurses are more involved in the decision making process, and are making clinical decisions with better patient outcomes (Good, Fink, Krugman, Oman, & Traditi, 2011). With technology growing at such a fast pace, new and more effective medicines, medical devices, and procedures are developed daily. Digestible sensors that monitor your bodily systems and 3D printing of embryonic stem cells, blood vessels, and sheets of cardiac tissue that actually beat like a real heart, are significantly impacting the future of healthcare (Honigman,
The balance between quality patient care and medical necessity is a top priority and the main concern of many of the healthcare organizations today. Due to the rising cost of healthcare, there has been a change in the focus of reimbursement strategies that are affecting the delivery of patient care. This shift from a fee-for-service towards a value-based system creates a challenge that has shifted many providers’ focus more directly on their revenue. As a result, organizations are forced to take a hard look at the cost of services they are providing patients and then determining if the services and level of care are appropriate for the prescribed patient care.
Today, many Americans face the struggle of the daily hustle and bustle, and at times can experience this pressure to rush even in their medical appointments. Conversely, the introduction of “patient-centered care” has been pushed immensely, to ensure that patients and families feel they get the medical attention they are seeking and paying for. Unlike years past, patient centered care places the focus on the patient, as opposed to the physician.1 The Institute of Medicine (IOM) separates patient centered care into eight dimensions, including respect, emotional support, coordination of care, involvement of the family, physical comfort, continuity and transition and access to care.2
Evidence based practice (EBP) is a key component in delivering cost-effective, high quality health care. [1] However, only around half of the care providers in the United States utilized EBPs. Additionally, nearly a quarter of services delivered to American consumers are unnecessary and potentially harmful. Today, educators are teaching and promoting evidenced based health care to future nursing professionals. The Institute of Medicine (IOM) supports this action as a means to achieve the objective that 90 percent of all medical treatments have a foundation in evidence based practices by the year 2020.
The World Health Organization outlines 6 areas of quality that help shape our definition of what makes quality care. Those areas are; (1) Effective: using evidence bases practice to improve health outcomes based on needs of individuals and communities. (2) Efficient: healthcare that maximizes resources and minimizes waste. (3) Accessible: timely care that is provided in a setting where the skills and resources are appropriate for the medical need and is geographically reasonable. (4) Acceptable/Patient-Centered: healthcare that considers individual needs, preferences, and culture. (5) Equitable: healthcare quality that does not vary because of race, gender, ethnicity, geographical location, or socioeconomically status. (6) Safe: healthcare that minimizes harm and risks to patients. (Bengoa, 2006)
The years 1789 to 1799, was a period of social and political transformation in France as well as a turning point in European history. On the surface of the French Revolution royal incompetence may inevitably appear as its major contributor. However, the revolt was far more deep rooted as French citizens sought “liberte, egalite and fraternite” which was a major philosophy of the time. They sought to eradicate the class biases of the ancient regime society, the albatross of unfair taxation and also the oppressiveness of feudalism. Moreover, France was experiencing a phase of enlightenment as well as it was greatly influenced by Atlantic revolutions of its time such as the American war of independence.