1) Promoting High-Value Care Case Scenario Prior to beginning work on this discussion forum, read the following articles: Bending the Cost Curve: Time Series Analysis of a Value Transformation Programme at an Academic Medical Centre Geographic Variation in the Delivery of High-Value Inpatient Care A New Instrument to Measure High Value, Cost-Conscious Care Attitudes Among Healthcare Stakeholders: Development of the MHAQ Reducing Healthcare Costs Through Patient Targeting: Risk Adjustment Modeling to Predict Patients Remaining High-Cost (Links to an external site.) Watch the following video: What If All US Health Care Costs Were Transparent? | Jeanne Pinder (Links to an external site.) Researchers have documented systematic variation in Medicare spending and health services utilization across various geographic regions for decades. The findings also evidence that high Medicare spending is unrelated to health outcomes. Policymakers have changed Medicare payment systems to promote high-value care. As key stakeholders in the health care delivery system, health care organizations and providers play an important role in health care spending. You are taking on the role of a new CEO of a hospital that was identified as having high health care cost and utilization. In the first meeting with the board, you are tasked to reduce health care spending and utilization in your hospital. Your board provides a list of factors influencing health care spending and service uses. Your board asks you to prioritize the list and select two to three of the most critical determinants to implement a strategic plan. Some categories of the factors influencing health care spending and service uses are the following: The operating cost regarding the supplies needed to care for patients. Diversity within patient populations, patients’ current state of health, access to care, insurance coverage, and patients’ preferences for their care. Physicians’ decisions on what care to give and the availability of reliable medical evidence to guide those decisions. In the next meeting, you are required to present your strategic plan to your board. Be sure to include the appraised factors in the list that you deemed the most important. Justify your rationales for your selections. In your initial post, Propose your solutions to achieve a reduction in health care spending and utilization while maintaining quality of care. Support your response with a minimum of two scholarly sources that were published in the last 5 years. In your initial post, Summarize your selected article by stating the following: Introduction and reason for selecting the article. Ideas or thoughts presented by the article. Your analysis of the article and a critique. Conclusion that may be derived from the article. Describe a situation or scenario with the identified issue(s) in your current job or a health care setting. Alternatively, you might present a hypothetical situation or scenario. Explain how you can apply the lessons learned from that quality improvement project in your selected article to solve the identified issue(s). Examples of the lessons learned could be the entire QI project, QI tools, QI strategies, QI methodologies, QI team composite, which you can use to streamline workflow, redesign jobs, and more. Hypothesize the desired outcomes.
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