Health Care Delivery System: A Case Study

519 Words2 Pages
bulb-icon

Recommended: Health care delivery system in us

With the partial electronic medical record system, budgeting for full EMR integration is a key priority that will allow Creekside to capture the necessary quality metrics mandated by CMS, as well as support higher quality outcomes for patients. Assigning the appropriate amount of resources to manage capital budget projects, as well as maintaining flexibility through the capital budget process will ensure success (Vianueva, 2011). By appointing project managers in charge of capital project implementations to act as liaisons with key stakeholders and using dashboards to track changes on a capital project timeline, the success of the project is sustained adding to operational and capital budgeting efficiency (Vianueva, 2011). The issue of waste inside our nation’s health care delivery framework has been generally accredited to destruction (Redding, 2013). The discernment is based on the introduce that health care administrators tend to be over the top, and the results imperfect, when clinical care is not facilitated over providers and care settings (Redding, 2013). …show more content…

However, arranging a successful transition from fee-for-service to new revenue models may be the most noteworthy impending challenge for finance executives of health care systems (Harris & Hemnani, 2013). To successfully direct a health care system toward financial health, an investigation of new income models should take into consideration five factors: (1) effects of direct contract on the healthcare system, (2) effects of volume changes in net income, (3) effects of operational improvements, (4) effects of revenue in danger from competitor actions, and (5) other key benefits (Harris & Hemnani,

Show More
Related

  • Revenue Determination Bases

    1089 Words  | 3 Pages

    Chapter 6 describes revenue determination. Write a 3-4 page paper to include: List and discuss the three payment-determination bases. Explain the difference between a “specific services” payment unit compared to a “bundled services” payment unit. Describe the three major ways that health care providers can control their revenue function. I expect at least 5 secondary sources properly cited and referenced for this paper.

    Read More

  • Health Care Case Study

    1406 Words  | 3 Pages

    Health Care workers are constantly faced with legal and ethical issues every day during the course of their work. It is important that the health care workers have a clear understanding of these legal and ethical issues that they will face (1). In the case study analysed key legal and ethical issues arise during the initial decision-making of the incident, when the second ambulance crew arrived, throughout the treatment and during the transfer of patient to the hospital. The ethical issues in this case can be described as what the paramedic believes is the right thing to do for the patient and the legal issues control what the law describes that the paramedic should do in this situation (2, 3). It is therefore important that paramedics also

    Read More

  • Current Status of the Electronic Health Records in the United States

    921 Words  | 2 Pages

    For years now, the healthcare system in the United States have managed patient’s health records through paper charting, this has since changed for the better with the introduction of an electronic medical record (EMR) system. This type of system has helped healthcare providers, hospitals and other ambulatory institutions extract data from a patient’s chart to help expedite clinical diagnosis and providing necessary care. Although this form of technology shows great promise, studies have shown that this system is just a foundation to the next evolution of health technology. The transformation of EMR to electronic heath record system (EHR) is the ultimate goal of the federal government.

    Read More

  • Reimbursement and Pay-for-Performance in Healthcare

    1964 Words  | 4 Pages

    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.

    Read More

  • Human Service Delivery: A Case Study

    847 Words  | 2 Pages

    In Human Service practices there are 3 models of service delivery used by professionals. These include the medical model, public health model, and the human service model. Each of these models differs in several ways, although the use of all three interactively, can many times provide the most effective outcomes for clients. Human Service professionals should have knowledge of all 3 models in order to effectively serve each unique individual and his or her specific needs.

    Read More

  • The Three Stages Of Meaningful Use In Healthcare

    1274 Words  | 3 Pages

    “Meaningful Use” implemented in July, 2010, set criteria’s for physicians and hospitals to adhere, in order to qualify for certain financial incentives and to be deemed meaningful users (MU) of the EMR. Meaningful use in healthcare is defined as using certified electronic health record to improve quality, safety, efficiency, and reduce mortality and morbidity. There are 3 stages of meaningful use implementation. The requirements for the 3 stages are spread out over a period of 5 years. MU mandates that physicians meet 15 core objectives and hospitals meet 14 core objectives (Hoffman & Pudgurski, 2011). The goal is to in-cooperate the patient and family in their health, empower autonomy to make decisions while improving care in all population.

    Read More

  • Managing Healthcare Costs and Revenues

    2273 Words  | 5 Pages

    Buchbinder, S. B., & Shanks, N. A. (2007). Managing Costs and Revenues. In (Ed.), Introduction to Healthcare Management ( ed., p. pp. -). : . []. doi: Retrieved from

    Read More

  • Healthcare Delivery Issues

    994 Words  | 2 Pages

    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.

    Read More

  • The Revenue Cycle in Healthcare

    866 Words  | 2 Pages

    There are several factors that contribute to the complexity of the revenue cycle. Frequent changes in contracts with payers, legislative mandates, and managed care are just a few examples of reasons why revenue cycle in the healthcare industry is so complex. Furthermore, the problems that arise in the steps of the revenue cycle further complicate the whole process. For example, going through the steps of the revenue cycle efficiently is extremely difficult when it is managed by poorly trained personnel. Furthermore, if a healthcare provider does not have the proper information system to track patient records and billing, receiving reimbursement can become difficult. In addition, one of the main factors that delay payments is denial from the insurance companies. The reason for Denial includes incorrect coding, the certain sequence of care and medical necessity or even delay in submitting claims. Lastly, inefficient patient correspondence can not only hinder the process of revenue cycle but also result in many patient complaints (Wolper, 2004).

    Read More

  • Pros And Cons Of Value Based Health Care

    887 Words  | 2 Pages

    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).

    Read More

  • Characteristics of the U.S. Health Care Delivery System

    613 Words  | 2 Pages

    Barton, P.L. (2010). Understanding the U.S. health services system. (4th ed). Chicago, IL: Health Administration Press.

    Read More

  • Strategic Pricing: Key to Successful Healthcare Organizations

    1246 Words  | 3 Pages

    One primary key to a successful health care organization is having a strategy to achieve the mission of the organization. This is particularly true in reference to creating a budget and generating revenue for a profitable bottom line of a hospital. Executives are experiencing a gap that is continuously widening between technology and hospital demands, which is causing additional conversation around pricing. According to Nugent (2004), there are three major themes to consider when it comes to strategic pricing. These themes include pricing at the margin (pricing new business to cover variable costs and margin, if capacity exists), cross-subsidizing (funding one service with profits from another service) and testing what the market will bear

    Read More

  • Pros And Cons Of The Fee For Service Model

    287 Words  | 1 Pages

    There are clearly some positives of the fee for service payment system. This system puts and emphasis of productivity in health care. It is done by promoting the delivery of health care and capitalizing and maximizing visits to the providers. This method is also a flexible method. Meaning, that this method will still be utilized no matter what type of care is being provided to the patients. It does not matter if the patient is getting a surgery, therapy session, doesn’t matter what the size of the practice or the place of delivery.

    Read More

  • Integrated Health Information System

    1498 Words  | 3 Pages

    Cerner, one of the top two EHR systems in the country, was chosen by UAB when leaders in the health system decided to switch to a fully integrated health information system.  The decision to utilize the Cerner EHR, PowerChart, as part of an integrated system, fulfilled a core value of the organization and follows the trend of many institutions throughout the country (Ford, 2013).  PowerChart provides users with an integrated, clinical database that allows them to view real-time clinical data, enter orders via a CPOE module, and ­­­document in patient's chart from multiple locations throughout the health system (Alsip, 2017).

    Read More

  • Care Delivery Case Study

    107 Words  | 1 Pages

    Existing roles of all care providers that facilitate the direct and nondirect patient care functions are then evaluated to determine opportunities for role redesign to deliver these services (Tables 4 and 5). On a unit with primarily oncology and end-stage renal disease patients, discharge planning for aftercare consumes tremendous time and human resources. Various providers, such as social workers, case managers, a unit charge nurse, or a primary nurse, can perform some of these functions. Using the criteria for evaluation, a care delivery model can be developed that maximizes all existing resources and meets the objectives of the direct and nondirect patient care functions.

    Read More

More about Health Care Delivery System: A Case Study

Open Document