Wait a second!
More handpicked essays just for you.
More handpicked essays just for you.
Case study of hospital merger
Case study of hospital merger
Factors that drive change in health care
Don’t take our word for it - see why 10 million students trust us with their essay needs.
Recommended: Case study of hospital merger
Introduction Changing the way health care is delivered will result in improved efficiency as well as improved quality, overlapping responsibilities, and pressures will be the driving force behind the health care transformation. Consequently, health care distribution and funding will move from a volume-based payment system to a value-based payment system throughout the following decade. In today’s controlling and cost-effective environment, hospitals need to be more focused in their efforts to improve performance creativities, which are necessary for short-term success that will also continue for long-term accomplishments. Further, hospital consolidation will help decrease costs, improve facilities through modernization, expand and offer more upgraded services to patients, as well as combining existing strengths which will enable future hospitals to offer all-inclusive and more efficient care. (Noether & May, 2017) Future of Health Services Delivery The growing market trend in today’s world is the creation of mergers, or forming health systems, which is larger …show more content…
Consequently, health care distribution and funding will move from a volume-based payment system to a value-based payment system throughout the following decade. In today’s controlling and cost-effective environment, hospitals need to be more focused in their efforts to improve performance creativities, which are necessary for short-term success that will also, continue for long-term accomplishments. Further, hospital consolidation will help decrease costs, improve facilities through modernization, expand and offer more upgraded services to patients, as well as combining existing strengths which will enable future hospitals to offer all-inclusive and more efficient care. (Noether & May,
Strengths Long-standing reputation Provision of quality healthcare Highest rank in patient satisfaction Recipient of Joint Commission accreditation Serving a diverse population Weaknesses Smaller than other four hospitals Decrease in net profit Increase in expenses Significant increase in long-term debt Not-for-profit status Opportunities Changes in government regulations Change in lifestyle Influx of patients due to higher patient satisfaction Cost savings Opening of some outpatient clinics and surgery centers Threats Too much competition
A strategy needs to be developed for measuring the recent changes in health and social care services. The promised improvements of quality, choice or innovation of services for patients arising from the proposed merger can be evaluated by these following things:
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.
A recent phenomenon in the health services is the burgeoning of outpatient healthcare centers. Particularly vigorous growth has been observed in centers that perform diagnostic tests and simple surgeries and procedures like colonoscopies. At the current state, outpatient care centers outnumber hospitals in Pennsylvania. Furthermore, these centers now perform one of every four surgical and diagnostic procedures in the state (Levy 2006). However, the trend applies nationwide, and other states could easily follow suit. Many critics have commented on the negative and positive aspects of this trend. What remains to be determined are the long term effects (on health and the economy) of this paradigm shift, in terms of the wellness of the community as well as economically. Proponents of the movement have pointed to the lower overhead for these clinics trickling down to lower costs for patients. However, critics skeptically question whether the real benefits are for the patients or simply as a mechanism to stuff physicians' wallets. When considered as firms in the marketplace, it is evident that these two groups, both servicing the health needs of the community, have vastly different balance sheets and income statements. This transfers over to a difference in operational functionality, profitability, and cost structure. Furthermore, the disparity of financial motivations that is visible in the varying profit margins is of concern to the community. All of these are important considerations to be made when considering the economic implications of this new phenomenon.
The purpose of this paper is to discuss how Electronic Medical Records (EMR), affects healthcare delivery. I will discuss the positives and negatives this issue has on healthcare and how it effects the cost and quality for healthcare services. In addition, I will identify any potential trade-offs to cost or quality. Lastly, I will discuss how the EMR affects my job as well as any challenges or opportunities this issue presents.
Hospital Corporation of America (HCA). Staff Analysis Statement of Problem HCA, after following a conservative financial policy since its establishment, has entered the new decade preparing to make some changes in order to realign their financial strategy and capital structure. Since its establishment, HCA has often been used as a measure for the entire proprietary hospital industry. Is it now time for the market to realign their expectations for the industry as a whole? HCA has target goals that need to be met in order to accomplish milestones in the future.
When assessing where the industry will go over the next ten years, there is one area that stands out. Government involvement in healthcare has become a major player in how this industry is changing. New regulations are being introduced at a rapid rate and have pushed hospitals into constant change management (Arab Kash, Spaulding, Johnson, & Gamm, 2014).
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).
...e crucial change needed in health services delivery, with the aim of transforming the current deteriorated system into a true “health care” system. (ANA, 2010)
The article chosen for this assignment was published on December 23, 2010 in the New England Journal of Medicine (Porter, 2010). The author, Porter (2010) examines the role of value in the healthcare system in the United States. According to Porter (2010) “Value should define the framework for performance improvement in healthcare.” Porter indicates that value in healthcare should be measured by outcomes achieved not the volume of services rendered. According to Porter (2010), “The proper unit for measuring value should encompass all services or activities that jointly determine success in meeting a set of patient’s needs.
"The Medical Home Model of Care." The Medical Home Model of Care. Sept. 2012. 04 Dec.
Shi, L. & Singh, D. A. (2010). Delivering Health Care in America: A System Approach 5th ed. Baltimore, Maryland: Jones & Bartlet
There are new challenges every year in the health care field. Research on the future of the U.S. Healthcare System is of paramount importance to the entire health care industry as well as the citizens of the U.S. To begin with, the research will discuss how challenges for future healthcare services can be enhanced by reducing the costs of medication. By creating a better quality of health care, Information technology advancements, including future funding, lower rising costs, the Medicare and Medicaid programs. The research will also discuss the challenges of market share for different ages of people populating and maintaining a skilled workplace. It will further discuss the tentative solutions to these challenges.
Competitive advantage matters greatly to those responsible for the management of healthcare institutions. Together with rapidly escalating healthcare costs, increasingly complex medical technologies, and growing regulatory and legal pressures, healthcare organizations face a critical need to improve the quality of care at reduced costs (Cu...
...d procedures are now being monitored to improve clinical processes. Ensuring that these processes are implemented in a timely, effective manner can also improve the quality of care given to patients. Management of the processes ensures accountability of the effectiveness of care, which, as mentioned earlier, improves outcomes. Lastly, providing reimbursements based on the quality of care and not the quantity also decreases the “wasting” and overuse of supplies. Providers previously felt the need to do more than necessary to meet a certain quota based on a quantity of supplies or other interventions used. Changing this goal can significantly decrease the cost of care due to using on the supplies necessary to provide effective, high-quality care. I look forward to this implementation of change and hope to see others encouraging an increase in high-quality healthcare.