Healthcare Delivery Models Paper
Healthcare Delivery Models Paper
Healthcare Delivery Models Paper
Healthcare Delivery Models
Introduction
There is a constant change in the healthcare delivery system due to the dynamics in the population’s age and healthcare needs. The Healthcare delivery models are a partnership among hospitals, specialists, attending physician, and other healthcare competent who accept the joint responsibility for care provided to its patients and the quality of costs. They also offer a consolidated accessible healthcare service by clinicians who are accountable for addressing the issue. The affordable care act launched in 2010 ensured that the population had access to quality and affordable healthcare services. Therefore, healthcare delivery models have emerged with hopes of improving the provision of adequate healthcare services (Scott, & Scott, 2017). This paper will address the triple AIM and its relation to population health management and delivery models. I will discuss the current trends in health care delivery models and describe how quality and safety impact delivery models in health care.
The Triple AIM As It Relates To Population Health Management And Delivery Models
BUY NOW A PLAGIARISM-FREE PAPER HERE
All healthcare organizations have a similar mission of improving the quality of healthcare to their population (Scott, & Scott, 2017). The institute of healthcare improvement developed a triple AIM framework in 2007 whose intentions are to assist the healthcare systems; reduce healthcare costs, optimize performance, and improve patient care through varieties of interventions and metrics. Triple AIM is the eventual point of disembarkation for all the well-performing hospitals and health systems in the future. It has helped its partners understand and stratify populations’ needs, mapping or utilizing resources in the community, and activate the population to improve health to achieve improvements in health, the experience of care, and costs. The triple AIM for population health includes the population management new model, change in packages to support the triple AIM starting with high risk and high-cost population (Mery, et al, 2017). It has sweeping movements and other population health inventiveness to better population prognosis at a scale, considering reducing inequities and disparities. It is increasing outstretch and effect by strengthening capacity and expertise for population health and improvements. Finally, it provides design, assessment, and capability for comprehensive.
Improving patient experience is one of the primary goals of Triple Aim when interacting with healthcare systems. These are achieved effectively at the population level by assessing the overall health of communities they serve, identifying existing concerns or areas of risk, and assessing overall mortality. It also has several initiatives over the last decade intending to help patients navigate the healthcare system easily. Effective communication between the patients and the care providers is another strategy that captures patient’s needs (Mery, et al, 2017). The electronic health record is a newly invented system that has improved the patient and providers’ experience. The electronic health record helps in shared decision-making and patient-centered care coordination team. To know the impact of the triple AIM, the organizations conduct patient satisfaction surveys and established quality improvement measures.
The triple AIM in the United States of America has contributed to a higher healthcare quality with reduced costs. Other contributing factors to reduced healthcare costs are the aging population, increased chronic illnesses, and an increase in lifestyle diseases. The reduced healthcare costs have increased the quality of care as well as improving patient outcomes. Improving population health is a factor in triple AIM because everyone in the community is a potential patient (Mery, et al, 2017). The institute of healthcare improvement has recommended strategies in healthcare delivery to better their services. These recommendations involve families and individuals when improving disease prevention and health promotion, building a cost control platform, designing care models, redesigning primary care services and structures, and create a support system integration and execution. The triple Aim has helped healthcare platforms to reduce care costs, optimize performance, and improve patient care. Healthcare Delivery Models Paper
Discuss Current Trends In Health Care Delivery Models
Due to the emerging healthcare reform, there are three emerging healthcare delivery models in healthcare. Some of the reforms were after the formation of the patient protection and affordable act in 2010. This act had provisions that seek intertwine of healthcare with the cost of care (Kirkland, et al, 2018). It was in a reaction to exploration that a single focus on minimizing the cost of care is not enough. One should know what they are purchasing or what service they are paying. This new system does not have any single responsibility in the quality of care and coordination of the patient. The current system has the; medical or health home, nurse health center, and accountable care organization. Nurses are fundamental to the success of the emerging patient-centered healthcare models. Nurses are the backbone of their practice which includes holistic care such as community and family care (Kirkland, et al, 2018). They coordinate and integrate healthcare services across settings. They also provide chronic disease management, patient education, disease prevention and wellness care, and information management.
Accountable care organization is a partnership among general physician practitioners, departmental experts, and hospital specialists, who accept a common responsibility for the cost of care and quality of care provided to the patients. It coordinates items and services, promotes accountability for the patient population, encourages infrastructure investments, and redesigned care processes for high-quality and efficient care delivery (Kirkland, et al, 2018). It also defines the processes that promote evidence-based medicine and patient engagement, reports on quality and cost measures, coordinates care, telehealth, remote patient monitoring, and other enabling technologies.
Medical/health home is a mechanism to provide patients with central primary care across settings and providers. It is similar to accountable care organizations and must meet lawful necessity that emphasizes on care and services squarely within the scope of practice. A health team is a must to support patient-centered medical homes. Healthcare Delivery Models Paper
It involves personal physicians, a patient-centered orientation, expanded access to coordinated and integrated care, a whole person orientation, safety and high-quality care through quality informed medicine, continuous quality improvements, and payment that recognizes added value from additional components of patient-centered care (Kirkland, et al, 2018). In addition to that, it has promoted capitated payment or other financial incentives to providers. Therefore, it encouraged preventive, chronic disease treatment, and reduce reliance on specialists and emergence.
Describe How Quality And Safety Impact Delivery Models In Health Care.
Safety and high-quality health system provide the most suitable and best value care while keeping patients safe from avoidable harm. Safety and quality of care provided are of great significance to patients’ families and careers. It is a factor for all service providers and healthcare professionals. Safety and quality are often summarized as the right care at the right place, at the right time, and cost. Quality is the degree to which healthcare service for individuals and the population increases likelihood of the desired health outcomes (Salyers, et al, 2017). It related to all health information domains as quality such as effectiveness, continuity of care, accessibility, and appropriateness. Efforts to improve quality and safety of care healthcare include public reporting of information on the issues, reporting safety and quality supports accountability and transparency in service provision. Health professionals, public health, and healthcare providers to improve on decision-making and patient outcome. Patient safety is the cornerstone of high-quality healthcare. Its practices prevent harm because it focuses on negative outcomes such as morbidity and mortality.
Conclusion
Delivery models in healthcare are a partnership among primary physicians, hospitals, specialists, and other healthcare professionals who accept the joint responsibility for the quality of costs and care provided to its patients. Triple AIM is the eventual point of disembarkation for all the well-performing hospitals and health systems in the future. It has helped its partners understand and stratify populations’ needs, mapping or utilizing resources in the community, and activate the population to improve health to achieve improvements in health, the experience of care, and costs. The current system has the; medical or health home, nurse health center, and accountable care organization. Safety and quality of care provided are of great significance to patients’ families and careers. It is a factor for all service providers and healthcare professionals. Healthcare Delivery Models Paper
References
Kirkland, E. B., Heincelman, M., Bishu, K. G., Schumann, S. O., Schreiner, A., Axon, R. N., … & Moran, W. P. (2018). Trends in healthcare expenditures among US adults with hypertension: national estimates, 2003–2014. Journal of the American Heart Association, 7(11), e008731. Healthcare Delivery Models Paper
Mery, G., Majumder, S., Brown, A., & Dobrow, M. J. (2017). What do we mean when we talk about the Triple Aim? A systematic review of evolving definitions and adaptations of the framework at the health system level. Health Policy, 121(6), 629-636.
Salyers, M. P., Bonfils, K. A., Luther, L., Firmin, R. L., White, D. A., Adams, E. L., & Rollins, A. L. (2017). The relationship between professional burnout and quality and safety in healthcare: a meta-analysis. Journal of general internal medicine, 32(4), 475-482.
Scott, & Scott, (2017, January). Drone delivery models for healthcare. In Proceedings of the 50th Hawaii international conference on system sciences.
Case 3: Knee Pain
A 15-year-old male reports dull pain in both knees. Sometimes one or both knees click, and the patient describes a catching sensation under the patella. In determining the causes of the knee pain, what additional history do you need? What categories can you use to differentiate knee pain? What are your specific differential diagnoses for knee pain? What physical examination will you perform? What anatomic structures are you assessing as part of the physical examination? What special maneuvers will you perform? Healthcare Delivery Models Paper
A 15-year-old male reports dull pain in both knees. Sometimes one or both knees click, and the patient describes a catching sensation under the patella. In determining the causes of the knee pain, what additional history do you need? We are assigned case 3 knee pain. Another SOAP note that you are excellent at. I will upload the template and an example of this discussion. Discussion: Assessing Muscoskeletal Pain The body is constantly sending signals about its health. One of the most easily recognized signals is pain. Musculoskeletal conditions comprise one of the leading causes of severe long-term pain in patients.
BUY NOW A PLAGIARISM-FREE PAPER HERE
The musculoskeletal system is an elaborate system of interconnected levers that provide the body with support and mobility. Because of the interconnectedness of the musculoskeletal system, identifying the causes of pain can be challenging. Accurately interpreting the cause of musculoskeletal pain requires an assessment process informed by patient history and physical exams. In this Discussion, you will consider case studies that describe abnormal findings in patients seen in a clinical setting. Note: By Day 1 of this week, your Instructor will have assigned you to one of the following specific case studies for this Discussion. Also, your Discussion post should be in the Episodic/Focused SOAP Note format, rather than the traditional narrative style Discussion posting format. Refer to Chapter 2 of the Sullivan text and the Episodic/Focused SOAP Template in the Week 5 Learning Resources for guidance. Remember that all Episodic/Focused SOAP notes have specific data included in every patient case. Case 1: Back Pain A 42-year-old male reports pain in his lower back for the past month. The pain sometimes radiates to his left leg. In determining the cause of the back pain, based on your knowledge of anatomy, what nerve roots might be involved? How would you test for each of them? What other symptoms need to be explored? What are your differential diagnoses for acute low back pain? Consider the possible origins using the Agency for Healthcare Research and Quality (AHRQ) guidelines as a framework. What physical examination will you perform? What special maneuvers will you perform? Case 2: Ankle Pain A 46-year-old female reports pain in both of her ankles, but she is more concerned about her right ankle. She was playing soccer over the weekend and heard a “pop.” She is able to bear weight, but it is uncomfortable. In determining the cause of the ankle pain, based on your knowledge of anatomy, what foot structures are likely involved? What other symptoms need to be explored? What are your differential diagnoses for ankle pain? What physical examination will you perform? What special maneuvers will you perform? Should you apply the Ottowa ankle rules to determine if you need additional testing? Case 3: Knee Pain A 15-year-old male reports dull pain in both knees. Sometimes one or both knees click, and the patient describes a catching sensation under the patella. In determining the causes of the knee pain, what additional history do you need? What categories can you use to differentiate knee pain? What are your specific differential diagnoses for knee pain? What physical examination will you perform? What anatomic structures are you assessing as part of the physical examination? What special maneuvers will you perform? To prepare: With regard to the case study you were assigned: • Review this week’s Learning Resources, and consider the insights they provide about the case study. • Consider what history would be necessary to collect from the patient in the case study you were assigned. • Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis? • Identify at least five possible conditions that may be considered in a differential diagnosis for the patient. Note: Before you submit your initial post, replace the subject line (“Discussion – Week 8”) with “Review of Case Study ___.” Fill in the blank with the number of the case study you were assigned. By Day 3 Post an episodic/focused note about the patient in the case study to which you were assigned using the episodic/focused note template provided in week 5 resources. Provide evidence from the literature to support diagnostic tests that would be appropriate for each case. List five different possible conditions for the patient’s differential diagnosis and justify why you selected each. Healthcare Delivery Models Paper
Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit! Read a selection of your colleagues’ responses. By Day 6 Respond to at least two of your colleagues on 2 different days who were assigned different case studies than you. Analyze the possible conditions from your colleagues’ differential diagnoses. Determine which of the conditions you would reject and why. Identify the most likely condition, and justify your reasoning. Healthcare Delivery Models Paper
