What California Sutter Health Did To Fix Billing Issues In the health care field, there is an increasing issue with its inability to collect debt from the millions of underinsured or uninsured patients. Many health care organizations struggle to meet operational margins because the health care industry never treated their patients like customers. Many hospitals acquire billions of dollars in bad debts alone annually because there is an issue of patients that are truly uninsured and they can only collect a small percentage of the balance after the patients have been treated. There are many reasons as to why this happens and some of the reasons are from not gathering information from patients due to the lack of training of staff members or poor accounting practices.…
4. Major problem and secondary issues The hospital challenge is how to develop a strategic framework that it will maximize staff and patient safety, eliminate stress, save time to increase quality care performance. This measurement goal is to minimize the loss of patient valuable, improve patient experience and decrease the hospital’s liabilities for any negligence or compensation claims.…
Problem Overview HealthSouth’s former leadership engaged in unethical behavior has placed the company and its stakeholders in a position that has impacted the company’s future viability. The following analysis will provide an understanding of the negative behavior that caused the issues currently faced by HealthSouth and recommendations on the changes necessary to correct the course of the company. Analysis Idealized Influence…
Introduction: The amount of money the United States spends on health care is increasing, and the quality of health care provided to patients is not improving (Kumar, Ghildayal & Shah, 2011). In order for our society to have an effective health care system, groups of people work together to write policies to define, plan, and determine an action to provide adequate and proper care for citizens. The process is also known as the health care policy process. This process requires careful considerations of multiple variables as well as effective communication between the stakeholders and policy makers (Vogel, Oxman, Glenton, Rosenbaum, Lewin, Gülmezoglu & Souza, 2013).…
Since the program is a collaboration between Doctor’s Community Hospital and Walgreens Boots Alliance, therefore, stakeholders will be categorized by each organization. The hospital’s stakeholders include the hospital’s CEO, Board of Directors, department directors, physicians, nurses, and case managers. The hospital’s stakeholders were given seminar to highlight the importance of the project, in which it demonstrated the outcome of successful program that can affect the hospital performance through decrease readmission rate. Such decrease in readmission rate will save the hospital millions of dollars in insurance penalties as well as improve hospital’s overall rating. Walgreens Boot Alliance’s stakeholders include the project manager,…
The ability of patients to pay directly impacts the organizational structure down the bottom line regarding marketing health products or services. Broward Health could be impacted by supply and demand. When they advertise sales and promotions for offerings there can be rough financial times for patients who are unemployed or retired. Patients may choose other resources somewhere else in South Florida. With diversifying their health products it could decrease this challenge and impact their…
Patient care is vital, but it is an ethical and moral responsibility to those who place their confidence in a healthcare…
This paper will discuss the importance of accountability in the health care industry because it is pertinent that everyone involved in a patient’s health care be held accountable what his or her part in providing quality of care. Why accountability is important in the health care industry If there is no accountability in the health care industry there would be a divided line under which physicians, nursing staff, and other health care professionals would fail to adhere to the morals of using judgment and ethics along with integrity when treating patients. This would cause physicians to treat patient incorrectly, inefficiently and without malice of their actions. In health care, accountability is vital to how patients perceive physicians and…
The impact of increased government involvement has required healthcare providers to alter their business practices. They must have a clear vision of the future and develop strong strategic planning methods to ensure practicability in the new healthcare marketplaces. Healthcare organizations must continually evaluate the healthcare markets, their labor costs, and present infrastructure to ensure soundness of their business plan. This also has caused hospitals, medical practices, physicians, and other healthcare businesses to merge and unite to stay viable in healthcare marketplaces.…
In addition to ethical issues faced in healthcare organizations, are legal issues. According to Pozgar (2016), laws are enacted to regulate human behavior for the benefit of society. Laws are a basis for conduct in our society and if breached can lead to serious implications. Public policy is the principle of law that holds that no one can do that which tends to be injurious to the public or against the public good (Pozgar, 2016, p. 240). Though not directly involved with patient care, a health services administrator should enhance the overall quality of life and well being of individuals under their organizations care.…
Key Stakeholders Many key stakeholders are involved in the implementation of this project. Residents are obviously involved, as a reduction of behavioural episodes can improve quality of life (Jeon et al. 2012, p. 509). Workloads, and hence costs, for nursing and caring staff can be reduced, as well as less involvement in rectifying behavioural problems (Zeller et al. 2011, pp. 2473-2474).…
With everyone having health care coverage and the ability to choose where to go for health care needs, facilities will be competing to gain the trust and respect of the public to be the most often chosen health care provider. An organization that is dedicated to putting patients and their needs first, offers the most current and precise care, focuses on prevention, has strong leadership, and is cost-effective will stand out. A facility that is managing employees in a productive manner and having happy, skilled, and proficient caregivers who provide safe, quality care is a must for achieving the best clinical outcomes. Additionally, being focused, setting achievable goals, and meeting goals is crucial for health care providers to be successful. It helps keep employees engaged, focused on the mission and values of the organization, and contributes to advancing health care as a…
Stakeholders are those who have a vested interest in the healthcare as a whole and how the system works whether it be a patient, doctors and nurses, insurance companies, supply chain such as durable medical equipment, hospitals or skilled nursing facilities. There are many forms of stakeholders but I feel the most important one would be the patient or customer because without the patient the system would not have any one to take care of who was sick or to advise them on how to stay well (Rosenberg, Johnson, & Duncan, 2010). Each stakeholder has a role to pay in the healthcare system without each one there would be pieces of the healthcare puzzle missing such as no doctors or nurses to care for the patients, insurance companies to help the cost…
Healthcare fraud and abuse is becoming more and more common. This issue affects everyone, rather if we realize it or not. Billions of dollars are being taken from companies by the Healthcare fraud. This makes health insurance prices increase. Healthcare fraud and abuse can happen in many different ways by billing for services that did not take place.…
Case Analysis Introduction to the evaluation My experience in the sick room at my boarding school where I got saline infusion, the hospital near my boarding school where my condition was misdiagnosed as malaria, the tuberculosis department at the government hospital where the test results were negative, and finally the private hospital which cured my disease, made me observe and focus on many issues. I noticed many positive and negative issues which I would like to explain relating them to gap analysis. Gap analysis It is a method of analysing the differences in the performance of health care systems to determine whether all requirements are met and, if not, what steps should be taken to ensure they are met successfully.…