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The Future of Health Services Delivery

FAIRLEIGH DICKINSON UNIVERSITY

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Henry P. Becton School of Nursing and Allied Health

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MEDT4301

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Prof. Marilyn R. Rubin

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Fall 2016

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Unit 14 – The Future of Health Services Delivery

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Reading Assignment

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Chapter 14

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Individual Student Learning Outcomes

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Upon completion of this unit, the student will be able to:

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Discuss the forces of future change affecting health care delivery

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Discuss the challenges of coverage, access, and cost despite the promises of the ACA.

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Discuss the future of healthcare reform.

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Explore the future models of health care delivery

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Access future workforce challenges.

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Evaluate global challenges.

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Summarize new frontiers in clinical technology

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Unit 14 – Assignments

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Assignment 1

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What are the advantages of a single payer system? Why are any attempts to reform the U.S. health care system not based on a single payer approach?

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Suppose the US government would adopt single payer system, all citizens would get public insurance cover regardless of their incomes, ages, or employment status.

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Single payer system would offer Americans basic services for instance hospital and physician care as well as long term care.

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The single payer system would be regulated by the government and this would set fee for physicians, hospitals and other health providers. The standard fee would help to regulate such services in term of the charges to the citizens.

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Suppose fully adopted, the single payer system would reduce the burden on the citizens as the health insurance and covers would be financed through tax revenues.

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Medicare and Medicaid would be dropped and citizens given opportunity to use private insurance only if they are willing to beyond their basic insurance covers that is publicly available.

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Single payer system would help to reform the health insurance industry and reduce the mismanagement and excessive charges levied on the citizens by the private insurances and some government hospitals.

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Assignment 2

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List and briefly describe some of the main elements that must be present in a future model of health care delivery in the U.S.?

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Comprehensive Services across the Continuum of Care

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According to Leeat et al., (2000), among the key elements necessary in integrated health care system is detailed scope of clinical health-related services covered. It is through this that the planning, provision, purchase and coordination of all major services are served.

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Geographic coverage and Rostering

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Majority of good health care systems provide geographic coverage to increase the access to health care services. Additionally, rostering is normally used. Leeat et al., (2000) emphasize that this implies that the system become accountable for an individual in any given area, and the patients having the chance to leave suppose they wish to look for alternatives.

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Information system

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Majority of the system have integrated information system that helps to trach how the system is being used and its effectiveness in the short and long term basis. The information system also helps to track and trace patient across the system making it easy to monitor the progress. Hunter (1999) also state that through good information system, communication capacity is enhanced and information flow across pathways is improved. Electronic health management system connects the patients to the healthcare providers and gives access to healthcare across. Additionally, the information enables system wide patient registration and scheduling coordination and clinical data.

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Governance Structure

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Properly coordinated and organized government structure is essential for health care systems. In the past, the unregulated healthcare systems have resulted to mismanagement and provision of poor quality services. It is through government that quality related, consistency, and effectiveness of any healthcare will be monitored. It will also help patients choose and access best available healthcare systems and hospitals.

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Assignment 3

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What are the main workforce challenges that the US must grapple with?

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High Cost of information technology

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The implementation of Health Information Technology is characterized by numerous challenges. Some of the challenges that will be discussed under this sub-topic include economic and technical barriers. In particular, nature of IT implementation and higher costs involved in IT integration will be focused on.

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Lack of incentives and rewards

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Majority of the hardworking healthcare providers and citizens working in other sectors lack incentives and rewards. These employees get discouraged along the way.

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Poor Leadership styles

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Leadership style includes supervisory and behavior. According to research, workforce is bolstered suppose they notice their leader is competent. In most case, there have been witnessed incompetent leaders thus affecting the performances of employees.

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Assignment 4

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What is evidence-based medicine?

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Evidence-based medicine is the objective to enhance then value of medical care administered to a patient.

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Assignment 5

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Please read the New York Times article “Supreme Court Allows Nationwide Health Care Subsidies” by Adam Liptak, June 25, 2015.

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Actually, the senate passing the law for Obama care to take care of poor and middles-class citizens is good idea. Of course, had Republican leaders cared more about Americans in need of health coverage than in trying to harpoon Obamacare, they would have simply worked to clarify and correct the verbal glitch, rather than trying to use it to shoot down the whole Affordable Care Act. Majority of the non-Americans and the youths have been disadvantage in the past and this law will amend such. The subsidiaries are great. Majority of Americans have hope at last.

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Assignment 6

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Please read the New York Times article: “Study of U.S Health Care System Finds Both Waste and Opportunity to Improve” by Annie Lawrey, September 11, 2012.

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Please post your comments on this article.

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The American medical system has been responsible for various overspendings in the healthcare systems. Yes, I agree that in majority of case, they have failed to deliver their mandates and manage the healthcare systems. All I can say is that it’s the lack of proper regulation that is killing this sector. Majority of the funds have gone unaccounted for, mismanaged or simple not mentioned. Reformation is urgently required.

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The recommendations by Professor Cutler to cut the spending is a good idea. Most of the prices are exorbitant and all these are levied on the consumer, the citizens. I would how much money would be left at the end of the day suppose proper regulations were enforced.

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Assignment 7 – Terminology

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Cultural competence

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These are group of congruent characters, attitudes, and strategies that glue a system together, and makes it possible for that system to work effectually in cross-cultural conditions.

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Genometrics

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This entails biometric analysis of chromosomes in order to identify features inherent to chromone functioning and organizations at the level of the entire genome.

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Health care reform

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This is a major general structure that illustrates the alternations or changes in healthcare with an intention to make it better to the consumers.

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High-risk pools

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These are government organized private, self-funded health insurance plans to serve high risk person who meet enrollment criteria and do not have access to group insurance.

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Single-payer system

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This a health care system whereby a single entity collects the entire heath care fees and pays for all healthcare costs.

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Universal access

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The ability for all people to have access to a healthcare service or education regardless of their social classes, gender, ethnicity or background.

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References

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Leatt P, Pink GH, Guerriere M. Towards a Canadian Model of Integrated Healthcare. Healthcare Papers. 2000;1:13–35.

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Hunter DJ. Integrated Care. Journal of Integrated Care. 1999;3:155–61.

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