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Introduction to affordable care act
Introduction to affordable care act
Introduction to affordable care act
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Healthcare is one of the most dynamic industries in our great nation. To truly understand just how dynamic the industry is, one needs to understand that healthcare in and of itself is a living, breathing industry that is ever changing and conforming to meet the ideals set forth from a broad group of stakeholders. When one looks at the evolution that healthcare has undergone in the past 165 years, the picture of the true dynamics of this industry is painted. One must take this evolutional history into account when looking at the next ten years in our industry. When looking at these evolutional processes, one can see that the systems have changed as our country and its people have required it to (Williams & Torrens, 2008). When looking at how this industry will change or evolve over the next decade, one can ascertain that it will be by the demands of those involved that change will come. 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). …show more content…
E., & Gamm, L. (2014). Success Factors for Strategic Change Initiatives: A Qualitative Study of Healthcare Administrators ' Perspectives. Journal of Healthcare Management, 59(1), 65-81. Cooper, R. W., & Gardner, L. A. (2016). Extensive Changes and Major Challenges Encountered in Health Insurance Markets under the Affordable Care Act. Journal of Financial Service Professionals, 70(5), 53-71. Williams, S. J., & Torrens, P. R. (2008). Introduction to health services (7th ed.). Clifton Park, NY: Thomson Delmar Learning. XIAO-YING, Z., & PEIYING, Z. (2016). Telemedicine in clinical setting. Experimental & Therapeutic Medicine, 12(4), 2405-2407.
Determined healthcare systems routinely examine their environments internally and externally to locate significant trends and forces in the present and for the future which will have an effect on their performance goals and mission efforts. These healthcare systems understand who their stakeholders are, their needs and how best to meet those expectations and needs. These systems give attention to specific efforts on accomplishing goals that acquire opportunities in the whole environment while they continue to adjust their internal structures and functions. Precise aims are dealt with by uninterrupted sequences for performance improvements. Strategic directions for systems originate from the mission and directives. Strategic directions are identified by observing key stakeholders, addressing their interests and being proactive about responding to current, as well as, future shifts and trends in the systems’ entire environment (Skinner, 2001).
Brigham and Women’s Hospital (BWH) is located in Boston, Massachusetts. This hospital is a major teaching hospital of Harvard Medical School. The Brigham and Women’s Hospital is a product of merge from three large teaching hospitals of Harvard Medical school. Those hospitals were: the Peter Bent Brigham Hospital, the Robert Breck Brigham Hospital, and the Boston Hospital for Women. Since 1980, after the merge, Brigham and Women’s hospital became the largest, the most innovative, and the most respectful hospital in the North-East USA. (Brigham and Women’s and Faulkner Hospitals, 2013)
As individuals, we tend to hope for the better but that is just hope. Reality could bring unpredictable situations at any given time. When I wake up in the morning, I have no idea of what could surface in my healthcare. I can be doing great today and be on the verge of a healthcare crisis the next. Moreover, the healthcare industry does not always provide quality care and cost are unknown (Porter 2009, 110). If you have insurance, you are somewhat ready for unpredictable happenings but if you are uninsured, then your actual cost for services increases. The healthcare arena is always a topic of discussion for improving. Quality of care needs to be priority as we shift from a volume to value based care (Porter 2009, 112). Accountable Care Organizations (ACO’s) is a great example of a healthcare model that is creating value. ACO’s work by providing specialized care to Medicare patients by providing superior care that lowers overall cost (Devers 2009). Maybe other health care sectors could follow ACO models in the
Ghosh, C. (2013). Affordable Care Act: Strategies to Tame the Future. Physician Executive, 39(6), 68-70.
With so many structural and financial changes expected in the healthcare market can HCA anticipate a future while adapting and expanding its services and continuing to prosper while it meets the healthcare needs of the community?
Tate, Nick J.. ObamaCare Survival Guide: The Affordable Care Act and What It Means for You
As of April 1, 2010, many changes in the health care structure is changing. Many of these changes are reorganizing the responsibilities of who makes the decisions on how services are commissioned, the way money is spent and issuing more involvement from local authorities and opening up comp...
As I began watching Reinventing Healthcare-A Fred Friendly Seminar (2008), I thought to myself, “man, things have changed since 2008.” And as the discussion progressed, I started to become irritated by how little had changed. The issues discussed were far-reaching, and the necessity for urgent change was a repeated theme. And yet, eight years later, health care has made changes, but many of its crucial problems still exist.
Barton, P.L. (2010). Understanding the U.S. health services system. (4th ed). Chicago, IL: Health Administration Press.
With consolidation among hospital systems over the last few years there has been a trend toward ways to streamline processes. By having “shared services” such as laundry services, human resources and radiology and diagnostic services it’s possible to lower costs and have common processes. The advent of health care reform and the Affordable Care Act (ACA) with its Information Technology (IT) incentives has led to greater interest in risk management and IT solutions. While there was a decrease in 2012 on outsourcing IT services the finalization by the Supreme Court of the ACA and President Obama’s re-election cemented the need for an IT solution (Kutscher, 2012)
McDonough, John E., and Eli Y. Adashi. "Realizing the Promise of the Affordable Care Act--January 1, 2014." JAMA: The Journal Of The American Medical Association 311.6 (2014): 569-70. Print.
Change is inevitable in healthcare. The purpose of this paper was to discuss and guide the facilitators of change through the process of implementing a future care delivery model. Leadership qualifications and role were identified in an effort to assist the leader in identifying and rectifying complications that can impede progress. Potential conflicts among the enablers of change were discussed as well as tools necessary to minimize these barriers. The Twelve Bed Hospital Model was reviewed in detail and suggestions for transitioning into this model were considered. Lewin’s Change theory was utilized for the change process.
Nowak, Sarah, Christine Eibner, David M. Adamson, and Evan Saltzman. Effects of the Affordable Care Act on Consumer Health Care Spending and Risk of Catastrophic Health Costs. N.p.: RAND Corporation, 2013. Stable URL: Http://www.jstor.org/stable/10.7249/j.ctt5hhv2q. Web.
"Impacts of the Affordable Care Act." USA Today. 16 Mar. 2012: A4. eLibrary. Web. 14 Feb. 2014.
... near future. At International level, both the public and private sectors must engage in efforts to promote the utilization of new technological changes in healthcare to further improve and make it effectual.