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Colorado College US Health Care System Research Paper

Colorado College US Health Care System Research Paper

Question Description

Part 1

Allied Health professionals view the healthcare system as both users (patients) and givers (workers). You may have a unique view of the US health care environment. You may see health care problems where you work or experienced them personally. What aggravates you in your role as patient, may be the very same problem you help create as a deliverer of health care. This puts you in a unique position to understand the problems and advocate for change.

Examine problems in the US health care system.

Include the following aspects in the discussion:

  • Choose a priority population ( https://www.ahrq.gov/topics/priority-populations/index.html)
  • Identify three serious barriers for your population
  • Discuss why you consider these barriers important
  • Using your text and other course resources investigate ways to eliminate each of these three barriers

Part 2

https://www.ahrq.gov/teamstepps/instructor/videos/ts_Sue_Sheridan/Sue_Sheridan-400-300.html

In response to a seminal report that 100,000 patients die each year due to healthcare errors the Institute of Medicine (IOM) developed the 100,000 Lives Campaign.

You may have experienced a medical error or know someone who has. The error might have been the wrong medication, misdiagnosis, a preventable infection.

Analyze errors in health care.

Include the following aspects in the discussion:

  • Review the two links in this discussion
  • Summarize the errors in the Susan Sheridan Video
  • Outline the focus of the 100,000 Lives Campaign
  • Discuss what you will do to avoid errors

Part 3

https://www.healthsystemtracker.org/chart-collection/quality-u-s-healthcare-system-compare-countries/

https://www.youtube.com/watch?v=pJp-roulVsA

https://www.nationalaffairs.com/publications/detail/saving-medicare-from-itself

Medicare and Medicaid

U.S. health care infrastructure is complicated. The main reason for its complexity is that the U.S. system is fragmented. Some nations manage health care through their governments, some rely on the private market with government subsidies, and some mix government-run care for low-income residents with a private system. The United States utilizes all three of these. A further complication is that treatment of patients and payment for treatment are managed by different groups of institutions. Despite high costs, the American health system’s performance is poor, a great source of concern. Arguably, it might be acceptable to have the highest health care costs in the world if they provided the best outcomes in the world, but they do not, although in many areas we do pretty well

Watch the following CNN video: Obama Pokes Fun at ‘Don’t Touch My Medicare’ People

Explore the impact of Medicare on American Health

Include the following aspects in the discussion:

  • Summarize the major points in the Medicare analysis
  • Discuss the differences between Medicare and Medicaid

Part 4

https://www.patheos.com/blogs/dispatches/2018/10/15/study-45000-deaths-per-year-due-to-lack-of-health-insurance/

https://www.youtube.com/watch?v=iG0dJ7NgSPM

Cost and Healthcare

In a recent election, on a national debate stage, a political candidate declared that “no American has ever died for lack of health care”. It is true that hospitals are required by the Emergency Medical Treatment and Labor Act (EMTALA), a federal law to stabilize and treat all patients, regardless of their insurance status or ability to pay. It is an unfunded mandate with hospital emergency rooms bearing the entire burden of the cost. Outside the boundaries of this act, un/underinsured patients surely do die for a lack of health care.

Have you or anyone you know been in this situation? How would someone feel if they were in a position where they could not afford treatment? In the movie, “John Q”, John Quincy Archibald’s son Michael collapses while playing baseball as a result of heart failure. John rushes Michael to a hospital emergency room where he is informed that Michael’s only hope is a transplant. Unfortunately, John’s insurance won’t cover his son’s transplant. Out of options, John Q. takes extreme measures to save his son. While a compelling film, it is certainly from one point of view and sensationalized. Health care professionals must always be tasked with seeing all points of view with objectivity.

Question the impact of being uninsured.

Include the following aspects in the discussion:

  • Think of a time when you or someone you know did not seek medical care due to cost
  • What was the result?
  • Discuss if you would support paying more in taxes to have a national insurance program that covered every citizen

Part 5

The purpose of this assignment is to give you an idea of how challenging it is when health care is a scarce resource. There will never be enough money for everyone to have every health care service they may need or want. Who makes these decisions? Perhaps a government agency, perhaps an insurance company. It is easy to blame a nameless, faceless business for denying care. But what if it was you? What if you worked in that field and the burden to allocate too few resources to too many needy patients sat on your shoulders? Might you have a completely different perspective? How do payors determine what to cover? The answer is simple and complex at the same time. Payers generally do not cover anything experimental. They have clear policies for what specific plans cover. They often require preauthorization to ensure that the test/procedure is truly necessary and that it is supported by best practice showing improved quality outcomes.

In this case you are not working for an insurance company. You are a senior executive in a hospital. The hospital sets aside charity care monies each year to assist needy patients. There are always more needy patients than there are funds. When the funds are gone, they are gone. This year, you are tasked with distribution of the money.

None of the patients have insurance or any significant funds. You have 1 million dollars. It cannot be used for more than one patient.

The patients are as follows:

1.Patient A is a 70 y/o retired business executive who needs a $500,000 heart transplant and $500,000 in post care surgery (i.e. medications, rehab, follow- ups, etc.)

2.Patient B is a toddler with cerebral palsy (affect a person’s ability to move and maintain balance and posture) who needs $500,000 for ongoing care. With expert care the expected lifespan is teenage.

3.Patient C is a 32 year old mother of 2 who needs a $750,000 bone marrow transplant and $500,000 in post care surgery (i.e. medications, rehab, follow- ups, etc.).

4.Patient D is a 38 y/o athlete who needs a hepatitis C drug that costs $30,000/ month. The patient could live a normal life span as long as the drug is provided.

5.Patient E is a micro-premature baby who is costing $10,000 day with a 20% chance of survival. The hospital stay is expected to be 12 months minimum, not including any needed surgical procedures, and not including likely life-long health care needs if he survives.

Determine the distribution of health care funds

Include the following aspects in the assignment:

ØWhich patient should receive the funding and why?

ØIf the funds were available to be shared among the patients, would you have chosen differently?

ØHow did you feel having to make a choice?

ØDiscuss if this exercise has changed your view of the challenges behind paying for health care.

Part 6

You receive a fax from a local urgent care clinic describing the recent visit of a patient that has come to the primary clinic where you work. You notice this patient has been seeking care at the urgent care clinic and has not been seen by the primary care health care providers for more than a year. The manager asks you to educate patients about urgent care clinics and traditional primary care clinics.

Distinguish between two health care models.

Include the following aspects in the assignment:

ØExpand on what urgent care and primary care is.

ØDescribe the advantages and disadvantages of each

ØExplain the difference in the quality of care provided at each facility

ØHow many of each type of facilities (urgent care and primary care offices) exist in the U.S. and tell me your personal experience with utilizing them.

Part 7

There is a difference between underdeveloped, developing, and developed countries. However, many researchers refer to underdeveloped as developing countries. For this assignment, it is important to distinguish the differences between the three. Underdeveloped countries have very low Gross Domestic Product (GDP) per capita (meaning lack of financial resources or monies), and infrastructure is poorly built or non- existence (facilities/shelter); limited food/adequate water supply; healthcare access for the poor; and lower life expectancies. Developed countries have more financial resources to help with food shortages/ water supply/ facilities/shelter; and life expectancy is longer as compared to the underdeveloped countries. Developed countries GDP is very high, which means that they have access to financial resources that helps implementing technology, solid infrastructure, stable government, and access to healthcare.

For this assignment, you will

Break down the differences in global health care infrastructure.

Include each of the following aspects in the assignment:

Øan underdeveloped country (see list above), a developed country (Germany, Croatia, Greece), and the US

Øthe dominant health care delivery model for each country

Øprograms to assist with access to healthcare (if any)

Øquality improvement efforts

Øcoordinated care

Øone page paper in length

Part 8

Throughout this course you will learn about a variety of government agencies, regulations, and laws. It will help you to create a simple way of remembering the most important ones. It will also be a useful resource in future courses.

Outline major health care organizations and rules.

Include the following aspects in the assignment:

ØOccupational Safety and Health Administration (OSHA ) standards

ØThe Health Insurance Portability and Accountability Act ( HIPAA)

ØAffordable Care Act (ACA- do NOT refer to it Obamacare)

ØThe Department of Health and Human Services (HHS)

ØCenters for Medicare & Medicaid Services (CMS)

ØBriefly summarize each

ØInclude the URL (internet address) for each (example: CMS: https://www.cms.gov/)

Part 9

Health care professionals are bound by federal administrative law through the Medicare and Medicaid program rules. Affordable Care Act and Patient’s Bill of Rights contains several provisions, including ending preexisting condition exclusions and lifetime coverage limits.

Discuss how the Affordable Care Act and Patient’s Bill of Rights protect patients and health care professionals. What areas of the Affordable Care Act would you change and why?


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