Pay-For-Performance Theory In Health Care

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The Context of Health Care Management
There are dominate factors impacting the current healthcare system both in a positive and negative manner. These issues according to Dunn (2010) include, reimbursement, the Health Insurance Portability and accountability Act (HIPPA), new breakthroughs in science and technology, a nursing shortage, and health care cost issues. Positive aspects to reimbursement is the pay-for-performance system because it is encouraging heath care facilities and providers to take a look at the quality of services they provide. I feel a negative attribute to the pay-for-performance system is in some case the providers and health care facilities are being held accountable for things that are out of their control. HIPPA has ushered in more guidelines and mandates regarding meaningful use of the electronic health record and health information technology, which has had a positive impact on transition of care across health care providers. It has had a negative impact on some health care organizations and providers, particularly the smaller ones because they cannot
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Unlike the Scientific Management Theory this theory does not believe in commanding and controlling, but like the Human Resources School Theory in that it support the employee’s ability to achieve productive and superior outcomes by their own desire. In this theory this is accomplished simplification, decentralization, establishing objectives and developing ways to measure productive or outcomes. In health care outcomes are measured on a daily basis and patients live or die according to the performance of the employee. I think this feeling of accomplishment and the satisfaction of providing high quality care is what drive the average health care worker. I feel this management theory is important to health care organizations particularly with the dominate factors that are currently facing health

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