On December 9th, 2016, the Healthcare Collaborative of Greater Columbus held a regional learning session in which I attended here in Columbus, Ohio. The main topic of discussion was moving from volume to value with a multi-stakeholder perspective. The learning objective of the session was to understand value-based payment and what we can expect from the shift in volume to value. Two keynote speakers in attendance Dianne Hassleman and Dr. Diana Han discussed these topics from different perspectives. The first speaker was Dianne Hassleman, Network for Regional Healthcare Improvement, Executive Director of federal and new programs. Diane started off by stating we clearly have a problem and there are some opportunities and challenges we will …show more content…
Diana Han, GE Appliances, Chief Medical Officer and Global Medical Director gave us a view on transition to a new corporate parent Haier Company. General Electric Company transitioned into a new parent company called the Haier Group recently this summer. The Haier Group is a multinational consumer electronics and home appliances company who employees over 12,000 US employees as well as 73,000 globally (Moving from Volume, 2016). Dr. Han stated “It takes a village: Kentuckian health collaborative” when referring to the successful transition. Working together to co-create, assessing where to place bets, waving the SOS flag as a community and having a multi-stakeholder collaboration to make it all work. The collaboration used data from devices, claims, wearable’s, self-reported data and EMR clinical to provide insight (Moving from Volume, 2016). Once they had the insights from data collected they executed and started working toward alternative payment models. This including four models integrate H & P, build EDW/Analytics, chronic condition bundles and curated networks (Moving from Volume, 2016). Dr. Diana Han ended her speech by discussing their next steps. Some of those steps include guide provider care re-engineering, measure/differentiate quality and cost performance of physicians and hospitals; gain insights into network performance, identify defects such as misuse, underuse and overuse, isolate the relative effect of price, use, mix on total variability of episode costs and last determine underlying causes of intra-episode variability within a network or health system and track effect of interventions (Moving from Volume,
The change to value based purchasing has bought many challenges to the healthcare industry. With the change to value-based purchasing for payments, it has changed how healthcare organization receive payment and delivery care. The advantage of have value based purchasing is that it improves the quality of care while reducing cost in an effort of aligning patient’s with the right provider and treatment plan (Minemyer, Jun 29, 2016). However, there are many disadvantages, such as it increases the patient volume as counteracting the reduction of procedure volume (Brown, B. & Crapo, 2016). Also it makes providers more responsible for care that is beyond the expected treatment of care needed (Minemyer, Jun 29, 2016). With quality measures tied
Document B is about colubus the positive and negative things did.it was written in march 15,1493 It is about Columbus the positive and negative actions he did.This source was created in march 15,1493 During the time this source was created To tell the king and queen of spain on what he did during his journey.This source reflects the time period because This was when columbus sailed from spain to a new land which he thought was asia but was in north america but since he saw the native americans he thought he was somewhere in asia.Document C is about the negative things columbus did.
Emerging trends that are encouraging heathcare executives to become interested in developing innovative, integrative, and cost-beneficial HMIS solutions include:
Document a is about Columbus going to the Bahamas and they found gold to bring to Spain. It was written in 1492 It is about Columbus looking for land and they land in the Bahamas and Columbus found gold and took it to Spain and he sails by using two stars and a compass he make the trip, again and again, to get gold to bring it to Spain that the point of view of this poem is that Columbus was a good. Document B is about writing a letter to Ferdinand and Queen Isabella about his trip to Asia. It was written in 1493 it is about Columbus trying to find the water route to Asia and that he when in 1492 and came back 1493 and then he wrote a letter to Ferdinand and Queen Isabella about their trip and that they found the water route to Asia. Document
Let me ask everyone a question who is Christopher Columbus? .I didn't know too much about the man, but, I just knew that he was an important man in history. What I learned was that he helped a lot of the Indians and didn't treat them horribly. He developed a special bond with them and over time he earns their respect. When he discovered the island there was a very high population. A lot of the people did not where cloths like the men did not wear anything and the women didn't have any as well. The only thing that some of the women would have is a leaf to cover themselves.In my personal opinion that would be really hard to survive. it was rough back in the old days and people complain about now imagine back then when we had big problems.
Responsible Reform for the Middle Class stated, The Patient Protection and Affordable Care Act will ensure that all Americans have access to quality, affordable health care and will create the transformation within the health care system necessary to contain costs. One part of the transformation is the creation of value proposition. Value proposition is a promise of value to be delivered. Value is defined as “a fair return or equivalent in goods, services, or money for something exchanged; the monetary worth of something; market price; or the
Some simply call it “The Affordable Care Act” and others affectionately call it “Obama Care”. No matter what it is referred to, the objective of the Affordable Care Act was to make healthcare more affordable for people and also to make insurance available to everyone. With this act came the introduction of value based care and performance based payments. The goal of value based care and performance based payments are to transform how medical care is performed and how the payment for medical services is presented and paid. The “Quality Strategy vision” of The Center for Medicare and Medicaid Services (2017), is a way of improving health.
The health care industry is one of the most dynamic and delicate industries in the U.S. having experienced healthy and substantial changes for the last thirty years most of which have aimed to improve health care management and services delivery to the patients. The changes have enabled the integration of technology into the industry such as in the area of informatics, science and research and payment services and clinical treatments. The health care sector has introduced various changes to address disease and health care management such as the Modernization Act of 2003, the Patient Protection Act and Affordable Act, which aim at improving health provision and most
Kaiser Permanente Healthcare organization has an overarching agenda for achieving excellence, focuses on high-impact health conditions, provides goal-oriented tools to analyze population data, proactively identifies patients in need of intervention, supports systematic process improvements, and promotes collaboration between patients and professionals to improve health. Now the struggles of being able to address all their needs must be met in a highly competitive healthcare system. A little bit of history about how far we have come and the changes we are continuously making daily to meet goals will also be in the paper. Before I continue on this paper, I would like to say that I have a lot of information on these topics. I have already completed the twenty page paper for the most part and now I am just putting it all together. Our
Volume-based health care means that healthcare providers received a payment for providing a particular service, regardless of the outcomes or need, For50 years healthcare has been reimbursing based on volume-based service. Whereas Value-based healthcare is when explicitly incorporates outcomes, is broadly defined as outcomes divided by costs. One of the major problems of health care today is the quality and cost of medical care. One major cause of the problems is the current payment systems that encourage volume-driven, rather than value-driven care. Physicians, hospitals, and other providers gain increased revenues and profits by providing more services to more people.
Healthcare charges are surging out of control. Kaiser Permanente has an Integrated Delivery System that delivers the best care at the lowest possible cost. Kaiser Permanente works intensely to keep down cost while also maintaining quality of care. They work with their members to improve lifestyles and maintain wellness. Integrated healthcare systems are found in large multi-specialty medical group practices with transparent pharmacies, labs and hospitals. Kaiser Permanente uses sharing information systems to track the overall healthcare activities of a particular patient. This method is beneficial for the patient because they are able to avoid the hassle of paying co-payments here and there. They offer email and other communication tools between patient and doctor. More importantly, the patient’s personal health record, “My Health Manager” is available online at no extra cost. “My Health Manager” allows the patient to order prescriptions, view their lab
Thus, Kaiser Permanente is working in a rapidly changing health care environment that requires constant change. Their mission is to provide high quality, affordable health care services and to improve the health of their members and the communities they serve (KP, 2016a). Their vision states they are trusted partners in total health, collaborating with people to help them thrive, and creating communities that are among the healthiest in the nation (KP, 2016a). Therefore, advancing the mission on affordability will help them achieve their main goals, to perform, grow, and lead while keeping affordability at the center (Kaiser Permanente, personal communication, February 2015). First, drive performance in care, quality, and service at a lower cost, enabled by their people, places, and technology. Second, pursue core and new growth with an increasing focus on consumers. Third, lead national health care change through expertise, trust, and
I found an article “CMS: Over Half in Value-Based Care Program to Earn Bonuses” on the Revcycle intelligence website. The government attempts to promote the transition from volume-based purchasing to value-based purchasing for health care and receives positive feedbacks in the past few years. It brings my interest because value-based payment is a new strategy based on value instead of volume.
The healthcare system has seen significant change over the past decade. This is due to improved technology, healthcare reform, and the economic crisis (Hendren, 2010). With the changes that are occurring,
Hospitals and health systems in the U.S. are experiencing a remarkable transformation in their business models directed from numerous influences that are projected to ultimately turn the industry around. Pressures include providers troubled with the quantity of services they are responsible for, to providers who concentrate on presenting high-cost services that give emphasis to sustaining healthy populations (Dunn & Becker, 2013).