Do you believe the case examples describe what you consider an ideal way for pat
ID: 392568 • Letter: D
Question
Do you believe the case examples describe what you consider an ideal way for patients to receive care? Why or why not?
Case Examples
Kaiser Permanente- Largest not-for-profit IDS, Group-model for HMO in the US, Contract with purchasers to finance healthcare, Hospitals arrange inpatient, extended and home health stays within Kaiser facilities, ech group is locally owned and operated.
Hill Physicians Medical Group - N. CA's largest independent practice assoc., contracts with different health plans to support members, has elected board for day-to-day operations, receives a fixed payment, reimburses on a fee-for-service program
Marshfield Clinic - Nonprofit MSGP in Wisconsin, participates in Medicare's Physician Group Practice Demonstration, sophisticated internal EMR for data collection, primary care coordination and disease-specific care management has led to significant cost savings
Group Health Cooperative - Mixed model health plan, first member-governed staff-model HMO, Washington state and northern Idaho, testing a medical home model to improve patient experience
Intermountain Health - Multihospital system serving Utah and Idaho, Self-selected community physicians to participate, used Deming's improvement principles to (1) indentify key clinical processes to focus efforts; (2) design information systems; (3) integrate clinical and operational systems; (4) use incentives that support improvement
Geisinger Health System - Founded in 1915; physician-led nonprofit IDS, rural PA, innovative architecture, team approach to change and quality improvements
Genesys PHO - Physician-hospital organization in Flint MI, Negotiates risk-based managed care contracts, pay-for-performance, participates in Medicare's Pioneer ACO program
Explanation / Answer
Answer
I do believe that these examples describes ideal ways to provide care for the patients. Kaiser facilities will provide inpatient, extended and home health stays, Hill Physicians Medical Group contracts with different health plans to support members, and arranged a board for day to day operations activities, with a fixed payment and reimburse on afee for service. Marshfield Clinic participates in Medicare's Physician Group Practice Demonstration, sophisticated internal EMR for data collection, primary care coordination and disease-specific care management. Group Health Cooperative's mixed model health plan trying to improve patient experience with testing medical home model. It is identifying clinical process to focus effort, designing information system, integrating clinical and operational system, using incentives to support improvement. Geisinger health system, a physician led non profit IDS, team helping in Changing and quality improvement. Genesis PHO, are negotiating risk based managed care contract, pay for performance, to improve the patient care.
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