Option #2: Healthcare Reform and 21st Century Healthcare Information Systems Pre

Question

Option #2: Healthcare Reform and 21st Century Healthcare Information Systems

Prepare a paper that addresses the following requirements:

Analyze and evaluate the implications of 3–5 major initiatives associated with healthcare reform on the designing and planning of 21st century healthcare information systems.
Evaluate the challenges associated with each trend and ways to overcome them.
Include an assessment on the impact the each initiative may have on the following:

Leadership, governance, and the role of a healthcare chief information officer (CIO)
Strategic health management information system (HMIS) planning and organizational culture
Characteristics and capabilities of an enterprise resource planning system

Review legislation and regulations that could influence the implementation of health information management systems.
Explain how CIOs might assess the merits of each initiative on vision, mission, and strategy.
Predict the global trends in the adoption of major standards and use of HMIS over the next five years.

Requirements:

Your paper should be 8-10 pages in length and conform to CSU-Global Guide to Writing and APA Requirements.
Include at least four scholarly references in addition to the course textbook. The CSU-Global Library is a good place to find these references.
Remember, you must support your thinking/opinions and prior knowledge with references. All facts must be supported. In-text references used throughout the assignment must be included in an APA-formatted reference list.

Reach out to your instructor if you have questions about the assignment.

Explanation / Answer

There is a important gap between the excellence of care the US health care scheme is capable of achieve and the excellence of care it at present delivers. Rather than life form the result of person providers' actions or insufficiency, gaps in the quality of mind are largely due to the breakdown of health care association to incorporate known development measures into the course of care. The 2001 (IOM) report crossing the Quality Chasm: A New Health bargain for the 21st Century asserts that the wellbeing care security and eminence problems exist since of limited infrastructure and dated care systems, which result in a round of suboptimal care being frequent throughout the many levels of care.

·  Crossing the Quality Chasm also issued a tackle for health care system development in advocate that all health care organizations, as well as expert groups and purchasers of health care, pursue 6 major aims of health care:

Patient-centeredness: give care that is deferential of and responsive to person patient preferences, needs, and principles, ensuring that enduring values guide all clinical choice. Substantial improvements are attainable in all six size of health care quality. The aim of equity is to make sure quality care benefits for all, based on person need, and to ensure that quality of care does not differ since of race, ethnicity, or other individual characteristics unconnected to the patient's state or reason for looking for care.

·         Baylor Health Care System (BHCS) has trademarked these six aims with the short form STEEEP as a means of communicate both the size and the magnitude of the confront in the health care quality development journey. While achieve development in each of these six dimensions has not been formally prioritized, it is evident from the text that achieving equitable care typically obtain less attention in the quality arena. The basis for this are likely manifold: supplier may not be aware of the health gap that exist within their patient populations, or may not have the facts collection processes in place to scan them, or may assume that by tackle the other five size of quality, equitable care will of course follow. BHCS is in the inimitable position of being able to scan the current state of fair play in a typical health care delivery coordination and to lead the way in health equity delve into.

·         BHCS is a not-for- profit included health care delivery system in Dallas–Fort Worth, Texas, counting 14 owned or leased hospitals; > 60 main care, specialty care, and senior health middle; > 400 physicians employed in the Health Texas Provider Network (HTPN); and >3000 allied physicians. HTPN has about 850,000 annual ambulatory visits, and hospital admittance and emergency department visits sum approximately 96,000 and 247,000, in that order, in 2004. BHCS does not own or function a health plan nor contribute in capitates care. It therefore represents a very dissimilar health care surroundings from staff-model health plans like Kaiser Permanente, confidential and public managed care association, and health plans that have a longer the past of formalized quality development and health equity initiative.

BHCS'S VISION OF “BEST CARE” EMBRACES EQUITY

·         BHCS has a long-standing promise to quality in general and evenhandedness in particular. The first sanatorium in the system was set up in 1903 by Dr. George W. Truett, pastor of the First Baptist Church of Dallas, as “a great caring hospital, one to which nation of all creeds and those of none possibly will come with equal poise.” Today, BHCS outlines its obligation to quality in its five core values: quality, summit the needs and striving to go over the expectations of those we serve all the way through continuous advance; integrity, maintaining an ethical and polite manner; servanthood, serving with an feelings of unselfish concern; innovation, constantly exploring, studying, and examine new concepts and break; and stewardship, managing funds in a responsible manner. Its promise to quality is also evident in its managerial vision, “to be trust as the best place to give and take delivery of safe, quality, sympathetic health care,” and in its mission, “Founded as a Christian office of healing, Baylor Health Care System exist to serve all people through very good health care, education, investigate, and group of people service.” BHCS's commerce objectives are to deliver safe, excellence, patient-centered care, hold up by education and research; to be a manager in serving our communities; to be accountable financial stewards; and to be the top place to employment and care for patients.

IMPLICATIONS OF EQUITY FOR BHCS OPERATIONS

·         Arguably, a health care system cannot assert to provide “best care”—or hope to get it—if subgroups of the inhabitants are receiving suboptimal care or care that does not convene the health care arrangement promulgated standards. For any club to pride itself on providing “best care,” bias in access, use, and outcomes of health care must be study and the critical bias they create remedied. The cumulative data of racial/ethnic differences nationally is awesome, and the persistent disparities gap raises issue about equity and fairness in health care freedom.

·         Inequities in health care heave moral, ethical, economic and, conceivably, legal issues for health care coordination operations. In a constantly varying health care location, inequities in health care pose good and ethical issues for providers who are under oath and obligated to give the best care possible but who also resist with time restriction, coordination of care, and a imperfect clinical support system, often times resultant in care outcomes that are less than for myself desirable and satisfying. Bias and favoritism claims and infringement of civil rights and patient defense regulations could have enormous legal consequence.

·         Persistent health care inequities also lift concerns regarding the generally quality of health care and may have major implications for overall health care expenditures. superior equity and answerability of the health care system is vital to a growing constituency of payers, providers, and person consumers. Businesses, who sponsor and pay for employees' health insurance, are flattering increasingly concerned about the quality of care their workers receive given the rising health expenditures and the unconstructive impact poor-quality care has on workers' productivity, attendance, and health care costs.

·         Although they have lower health care expenditures and accept fewer health care property, particularly for high-end measures such as catheterization, African Americans, Hispanics, and Native Americans have a higher encumber of chronic disease, disease complications, and disabilities. Racial and ethnic minorities, people of low SES, and other exposed assembly also enter the health care system at more difficult stages of disease and with higher unrestrained rates of treatable chronic circumstances, such as hypertension and diabetes. Furthermore, racial and ethnic minorities have greater rates of rehospitalization for very expensive conditions, such as congestive heart failure, and are more likely to be hospitalized for preventable conditions. African Americans have almost two times the rate of premature births as Whites and thus a better need for neonatal intensive care. All the above examples relate to health care scheme resource allocations and suggest opportunities for reducing needless expenditures. Furthermore, better glycolic control, prevention of CHF rehospitalization due to unrestrained hypertension, and senior rates of full-term births lead to vast medical cost reserves.

THE GOALS OF HEALTH EQUITY

·         The many dimensions of unfairness in health care include race, civilization, age, gender, social class, culture, and capability to pay. The persistent and improper gap in health care access, use, and result by race and ethnicity raises many questions regarding equity, fairness, and social righteousness given the history of discrimination in this realm and society's struggle to liberate itself of vestiges of legal and de facto separation. The racial/ethnic gap in care eminence is also a challenge and an offend to our abilities to achieve “best care.” BHCS has several goals allied to equity:

THE NEED FOR A COMPREHENSIVE STRATEGY FOR EQUITABLE BEST CARE

Views vary considerably on exhaustive strategies to get rid of unfairness in health care. However, a general accord is emerging that a comprehensive, multidimensional policy is needed to address this quandary. Furthermore, it is fetching obvious that local health care harmonization problems need local health care arrangement solutions. BHCS has a characteristic history and change from other health care system in its directorial arrangement, policies, and operations. These characteristics near unique opportunities to categorize any inequities in health care, better understand the complex usual world and causes of inequities in BHCS, and use appropriate BHCS information to design and put into practice activities future at ensuring evenhanded release of health care military. Nevertheless, the mounting body of research and quality step up initiatives as well as the sole characteristics of BHCS and its current efforts put forward a complete policy in advancing the equity quantity of STEEEP

Increasing awareness

The general public has a trivial consciousness of the nature of racial/ethnic difference and equity issues. Health care providers likewise have misperceptions of the landscape of racial and racial inequities. In a fresh national examination, two thirds (67%) of Whites indicated they believe that African Americans get the similar quality of care as Whites, and over half (59%) of Whites point toward they believe Hispanics get the equal eminence of care as they do. In contrast, 64% of African Americans and 56% of Hispanics in this inspection said they received junior quality of care than Whites.

Collecting race/ethnicity data to identify inequities and plan interventions

·         Collecting accurate race/ethnicity data is a precondition for a inclusive strategy to address inequity in health care. Not unlike BHCS, managed care plans, included health care systems, and hospitals roughly the country are taking this first step to name inequities and are using race/ethnicity data as the institution for clinical interventions to advance the quality of health care for racial and ethnic populations.

Using race/ethnicity data to target interventions

·         profitable and Medicaid managed care organizations have been active in rising programs to reflect the educational and ethnic needs of members. The programs emphasize preventive care, group of people and member health education, case organization and disease management tracking, and the use of difficult technology to analyze and organize services.

·         Medicare, Medicaid, and profitable managed care plans have been finance by the Health Resources and Services Administration (HRSA) to examine HEDIS and the Consumer Assessment of Health Plans Survey information and subsequently behavior quality improvement expression projects to reduce or eliminate inequities. Some growth toward these goals was famous in a relatively short 1-year era.

      Integrating efforts to improve quality and reduce inequities

·         Reducing inequities in health care have to be synergistically included with quality improvement. General efforts at the nationwide, regional, or local level that bring concentration to racial/ethnic inequities in health care are not predictable to eliminate the inequity gap. As in the case of high-cost surgical events among elderly Medicare beneficiaries, no data was create that Black-White differences in the unloading of coronary artery bypass grafting, carotid endarterectomy, hip and knee replacements, and five other surgical procedures misused in the 10-year period observed. On the other hand, the Black-White gap pointed significantly in seven of nine proven performance measures, and clinical piece improved in all measures, for elderly Medicare beneficiaries in managed care plans in a 7-year time as a result of home plans collecting race/ethnicity statistics and having to publicly story quality-of-care actions for breast cancer screening, diabetes care, and cardiovascular care.

Improving access to health mind

·         Persons having a usual source of care are added likely to obtain preventive, primary, and specialty care services. Certainly, cover coverage must be part of a all-inclusive strategy to reduce inequity in health care. Insurance is the solo largest contributor to Hispanic-White differences (23%–33%) and African American–White differences (24%–42%) in having a typical source of care (19). Asian Americans, Hispanics, Native Americans, and African Americans make up 52% of the uninsured in the USA. Past insurance, other financial constraints, limited ease of use of providers in some locales, long wait for appointments, and imperfect culturally appropriate services result in weak groups in rural and urban settings having a abridged level of care.

Developing broader approaches to reduce or eliminate inequities

·         Private health care systems are moreover entering the arena for plummeting/eliminating strength disparities. For example, the Henry Ford Health System has customary an Institute on Multicultural Health to improve health-related treatment outcomes and quality of life for cultural and ethnic populations within the Henry Ford Health System and the wider community. The institute undertakes together research and sensible initiatives, facilitating the release of quality care, as long as community -based services and technical help to increase health awareness, growing providers' considerate of culturally apt care, and identifying strategies to extra establish and apply culturally appropriate care to look up outcomes and unwearied satisfaction .

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