DQ: Do you think it is important for health care organizations to be paid for quality of performance?
NUR 621 Topic 5 DQ 2
DQ: Do you think it is important for health care organizations to be paid for quality of performance?
The degree to which health services for individuals and populations increase the likelihood of desired health outcomes is referred to as quality of care by Sura and Shaw. This is supported by professional expertise based on evidence and is essential for obtaining universal health coverage. According to Sura and Shaw, payers evaluate the quality of care based on patient outcomes and a provider’s capacity to control costs. When compared to their counterparts, providers who are able to deliver high-quality, affordable care receive higher reimbursement for their services. Pay-for-performance (P4P) initiatives have been proposed as a means of enhancing patient care quality and offering providers incentives to perform better.
The P4P project was supported by The Centers for Medicare & Medicaid Services in 2003 to enhance patient outcomes, increase quality measurements, and uphold physician accountability. Based on adherence to predetermined measures, it provided incentives to hospitals, provider organizations, and medical professionals. The statistics demonstrated the need for improvement in the quality composite scores CMS pushed with the P4P programs. They concentrated on programs aimed at high and low achievers as well as methods of influencing care. The project’s clear objectives were to reward or financially motivate healthcare stakeholders to deliver high-quality treatment.
I believe that recognizing improvement rates is crucial because it may encourage healthcare systems to deliver better outcomes. It pushes businesses to spend money on raising standards. It enables providers to concentrate on the particular requirements of patients by providing financial incentives for them to take part in P4P. Within two years of the introduction of a readmission reduction program, there were also fewer hospital readmissions, particularly among Medicare patients, according to Penner (Penner, 2016). Although our healthcare system is always changing, in my opinion, these changes are strengthening it.
S. Penner (2016).
For nurses and nursing leaders: Economics and financial management (3rd ed.). Publishing House Springer
Shah, N. R., and Sura, A. (2010). Initiatives that reward performance: Slight Advantages in Increasing Healthcare Quality. American health & medication benefits, 3(2), 135-142.
Attachments
based on Sura and Shaw.doc
REPLY
KNOWLEDGE. VERIFY
Discuss how payment and quality are related. Is it a good idea to pay more for quality? provide justification.
REPLY
Yes, it is crucial. For any firm to stay relevant and win over the public’s trust, quality improvement
DQ Do you believe that paying healthcare providers according to their level of performance is important?
public. Money is earned via a lot of effort. Nobody likes to spend their hard-earned money on inferior products. Because they not only provide health care to all of us but also, and most significantly, help to enhance our heath and quality of life, healthcare institutions should be at the forefront of providing the public with high-quality healthcare services.
Reference:
Arnold M. Epstein, Nancy Dean Beaulieu, and others (2002). Health-Plan Accreditation by the National Committee on Quality Assurance: Predictors, Correlates of Performance, and Market Impact. 325–337 in Medical Care, 40(4).
REPLY
It is crucial for healthcare businesses to concentrate on enhancing and offering patients high-quality care. In order to improve healthcare service to patients in their community, performance quality must be increased. Healthcare institutions would have to concentrate on figuring out what their facility lacks. Healthcare companies can make improvements based on patient input thanks to performance improvement, which enables them to determine the sort of care quality being offered to patients. Healthcare providers ought to be compensated according to how well they work. I believe it is crucial and necessary to assess the quality of care being given to patients. By putting an emphasis on quality over quantity of service, healthcare companies would also gain from providing the community with top-notch care. Healthcare companies should concentrate more on their methods, procedures, and policies in order to produce and promote favorable health outcomes thanks to the motivation of being compensated for providing high-quality care. While keeping the cost of care low, patients need to receive quality patient care. Because of this, it’s crucial for nursing practitioners to monitor patient satisfaction and cost savings through patient outcomes. The organization will be able to attain and enhance patient quality of care by measuring performance outcomes.
References
Healthcare Research and Quality Agency (2020).
Enhancing the quality of primary care. https://www.ahrq.gov/research/findings/factsheets/quality/qipc/index.html
REPLY
The present focus is on educating people so they can make educated decisions. You can see this in the emphasis on transparency, the Medicare Compare websites, and the required quality reporting metrics.
Health consumer informatics, according to the American Medical Informatics Association (n.d.), is a field that focuses on informatics from many perspectives or patient views. In order for consumers to manage their own health, the focus is on consumer education and health literacy through information structures and procedures.
This emphasis is evident in our own organizations. It is now lot simpler to navigate websites. Easy-to-understand patient education resources are becoming more widely available on our website. At the time of admission to an organization, patient preferences for education are evaluated.
“This shift in informatics evaluates consumers’ information demands, studies and puts into practice consumer-accessibility approaches, models and incorporates consumers’ preferences into health information systems,” according to the statement (American Medical Informatics Association, n.d., para 1).
How do you see your patients and customers using quality in their decision-making, class?
Beth
Association for American Medical Informatics (n.d.).
Health IT for consumers.
https://www.amia.org/applications-informatics/consumer-health-informatics
REPLY
The World Health Organization (2022) states that successful patient care management when necessary, safe practice of procedures to prevent damage, and person-centered care based on the patient’s preferences are all essential components of high-quality healthcare. Patients frequently base their decision about where to receive care on their own or their loved ones’ prior experiences. Depending on their unique circumstances, patients might even think about investigating other businesses and their quality ratings. Despite the fact that we have identified quality indicators, some people may decide to base their decisions on their own personal experiences rather than precise statistics, which is what the WHO considers to be a quality indicator. My observations of patients who base their decisions on quality are predicated on how they view quality in the first place.