Why patients are having difficulty accessing care
Managed Care. Here we will have you consider challenges existing for insured consumers. Your goal is to identify indicators of quality from consumer and administrative bodies.
Read: Before starting this assignment, please view these short videos:
6 Dimensions of Healthcare Quality
Thompson, B. & Robbins, A. (n.d.) Understanding managed care. Washington State DSHS. Retrieved from: https://www.dshs.wa.gov/sites/default/files/BHSIA/dbh/Integration/Webinar%20Understanding%20Managed%20Care.pdf
You are the hospital administrator and members of the board are calling upon you to explain what is going on in your facility with reference to managed care. Some members of the board are not pleased with the budget, patient satisfaction, and rumors that quality care is not being given due to negative surveys they have read. You need to show the board answers in a slide presentation.
For this assignment, you are to submit a PowerPoint and answer the following. Submit at least 20 slides (not counting the cover slide and reference slide)
Why patients are having difficulty accessing care (issues of access and referral to be included).
What your facility is doing to assure that quality care is being given.
In at least two slides, show how managed care is affecting your budget for the hospital.
In at least two slides, show how quality is determined from a patient perspective and administrative body.
What is your facility doing to bring these patient surveys into a better light?
Present slides that show at least four to five recommendations for improvement of the managed care system
USE THESE SCHOLORLY REFERENCES:
Blumenthal, D., Chernof, B., Fulmer, T., Lumpkin, J., & Selberg, J. (2016). Caring for high-need, high-cost patients – an urgent priority. The New England Journal of Medicine, 375(10), 909-911. doi:10.1056/NEJMp1608511
Allen, D., Braithwaite, J., Sandall, J., & Waring, J. (2016). Towards a sociology of healthcare safety and quality. Sociology of Health & Illness, 38(2), 181-197. doi:10.1111/1467-9566.12390
Wang, T., Shi, L., Nie, X., & Zhu, J. (2013). Race/ethnicity, insurance, income and access to care: The influence of health status. International Journal for Equity in Health, 12(1), 29-29. doi:10.1186/1475-9276-12-29
Bridger, C. M., Smith, S. E., & Saunders, S. T. (2017). Saving lives and saving money: The role of north carolina health departments in medicaid managed care. North Carolina Medical Journal, 78(1), 55-57. doi:10.18043/ncm.78.1.55
Shen, Y., & Eggleston, K. (2009). The effect of soft budget constraints on access and quality in hospital care. International Journal of Health Care Finance and Economics, 9(2), 211-32.
Higgins, A., Veselovskiy, G., & McKown, L. (2013). Provider performance measures in private and public programs: Achieving meaningful alignment with flexibility to innovate. Health Affairs, 32(8), 1453.