Cost Management in Health Care: A Focus on Value
Carolann Stanek
University of Mary Cost Management in Health Care: A Focus on Value
Healthcare dollars spent rang in at 2.9 trillion dollars in 2013 (CMS, 2016). Expenditures have increased from 5 to 18 percent of the Gross Domestic Product in the U.S., which is higher than most other nations, despite achieving poorer outcomes (King, 2017). Costs are equivalent to $9,900 per person (King, 2017). Poor cost control has led to a worsened quality of life, financial hardship, and personal bankruptcy for many patients and their families (King, 2017). Americans must strive for a comprehensive solution to cost containment while improving outcomes in the face of a broken, unsustainable system.
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S. (2015). Discovering health care value: Outcomes and the bottom line. Journal of Health Care Compliance, 17(5), 5-10.
Hackbarth, G., & Gamble, K. F. (2017). When healthcare professionals understand business fundamentals. Journal of Higher Education Theory & Practice, 17(9), 50-60.
Hilton, R.W. and Platt, D.E. (2017). Managerial Accounting: Creating Value in a Dynamic Business Environment (11th ed.). New York, NY: McGraw-Hill Education. ISBN 9781259569562
Kaplan, R. S., Witkowski, M., Abbott, M., Barboza Guzman, A., Higgins, L. D., Meara, J. G., & ... Feeley, T. W. (2014). Using time-driven activity-vased costing to identify value improvement opportunities in healthcare. Journal Of Healthcare Management, 59(6), 399-412.
Kennedy, D. M., Caselli, R. J., & Berry, L. L. (2011). A roadmap for improving healthcare service quality. Journal of Healthcare Management, 56(6), 385-400.
King, M. W. (2017). Health care efficiencies: Consolidation and alternative models vs. health care and antitrust regulation - irreconcilable differences? American Journal of Law & Medicine, 43(4), 426-467. doi:10.1177/0098858817753407
Jackson, S. (2001). Successfully implementing total quality management tools within healthcare: What are the key actions? International Journal of Health Care Quality Assurance, 14(4-5),
Healthcare is in a constant state of change with movements that impact rates, access and quality of care. Hospitals have become more competitive due to the rising cost of care delivery and the reduction in reimbursement from payers. This causes difficulty in delivering quality care to all patients, which is being measured by mandated patient perception surveys, Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). HCAHPS scores are part of value
Edmonds, T., Tsay, B., & Olds, P. (2011). Fundamental Managerial Accounting Concepts (6th ed.). New York, NY: McGraw-Hill/Irwin.
McLaughlin, C.P., & Kaluzny, A.D. (2006). Continuous Quality Improvement in Health Care, Third Edition, Jones & Bartlett Publishers, Sudbury, MA.
Hilton, R. (2011). Managerial accounting: Creating value in a dynamic business environment (9th Ed.). McGraw-Hill. Hardcover ISBN: 9780073526928.
There are many problems with healthcare in America today. One of them including the astronomical cost. According to CDC.ORG in 2007 the average person spends seven thousand four hundred dollars per year on health care alone. This rise in healthcare is extremely detrimental for families, seniors, and people of all ages. With such a high cost of insurance people are forced to make hard choices in
Quality Improvement (QI) is an organizational approach leading to the quality of patient care and patient services through use of specific guidelines, principles, and methods to ensure quality of care for every patient and health care facility throughout the world. Quality outcomes focus on the principles of quality management. These measurements investigate the quality of care, patient outcomes and consumer needs, through being part of the participant group. This quality improvement discussion will review the foundational frameworks of QI and explanation of each framework in detail. Included in this QI report will be
This quality improvement discussion will review the purpose of quality management in health care industry and why it is needed. Included in this QI report will be an explanation of the
My experience in both my previous career in nursing and human resources has dealt with approaches in quality improvement in patient safety and different metrics in the turning up organizational behavior as well as up swinging the operations of the organizations respectively. We live in a rapidly changing world, and healthcare industry is not exempted from it. Because I will be playing an indispensable role in the future, I am very interested on the concept of quality improvement and what not and identify possible future challenges and draw lessons from healthcare organizations that has spearhead innovative changes to providing healthcare by pursuing the triple dimensions of the improvement of healthcare in general that is Improving the patient experience of care (including quality and satisfaction); Enriching the health of populations; and Reducing the per capita cost of health care.
Quality improvement is a systematic and continuous process which leads to improvements in healthcare services. The health services are then a reflection of the improving health status of a patient population (Health Resources & Services Administration, n.d.). Quality improvement strategies are the actions which a team will take to accomplish the goals of process improvement. The Institute of Medicine (2001) has developed a vision of six aims for improvement in healthcare which include, safe, effective, patient-centered, timely, efficient, and equitable care. Making improvements in these areas will better meet the needs of patients.
In an ever increasingly competitive healthcare environment, there is a need to determine that 1) the desired outcome is produced, 2) quality care is provided and 3) the cost of care is the lowest possible. Yet the basis for the determination of such is having the right kind of measures available. Dr. Trudy Mallinson is one such specialist in the program who has the year of experience
This course is designed as an introduction to the terminology, processes, functions, and financial reports commonly encountered in health care operations. This course introduces the concepts of basic managerial financial functions, such as budgeting, reimbursement methods, and the responsibilities of health care financial
Glickman, S., Baggett, K., Krubert, C., Peterson. E., & Schulman, K. (2007). Promoting quality: the health-care organization from a management perspective. International Journal for Quality in Health Care.
Examining planning for and effectively measuring the health care quality indicators make healthcare quality more transparent and provide information for quality improvement programs and initiatives in the healthcare system.
Healthcare providers strive to improve service quality by implementing various quality management programs. Customers tend to seek for higher quality of care when choosing treatments, providers, and health plans. For healthcare organizations that desire to provide high quality care and compete in the global market, choosing a quality management program to implement is critical for performance and efficiency. Many studies have been conducted to analyze the effectiveness of such programs. Lean, Six Sigma and Total Quality Management (TQM) are three programs that will reviewed by three different case studies in efforts to understand them and to compare and contrast their capabilities.
Quality is one of the most essential elements of healthcare. As stated by the Agency of Health Research and Quality, “Everyday, millions of Americans receive high-quality health care that helps to maintain or restore their health and ability to function” (Agency of Health Research and Quality, 2014). Improvements have become vital to the success of health care organizations and in the Healthcare Quality Book, it is explained that quality in the U.S. healthcare system is not at the standard that it should be (Ransom, Joshi, Nash & Ransom, 2008). Although this has been a reoccurring issue, attempts to fix the insufficiency have been less successful than expected.