The overall goal of the Session Long Project is to examine health care delivery in the United States.
In Module 1 we studied the economic realities that may ultimately impact the healthcare industry. However despite the impending bursting of the bubble, we must still implement Obamacare. One of the important aspects of the new law is the connecting the evaluation standard of quality to reimbursement. This is a departure for our industry and might have a significant impact on how we do business. Many experts argue that quality of care is subjective but is ultimately based upon those providing the care. This will be the topic of Module 2’s SLP. Please read the article by Zallman, Ma, Xiao, and Lasser entitled “Quality of US Primary Care Delivered by Resident and Staff Physicians” and respond to the following questions.
Briefly summarize the issue being addressed as found in the “Background section.”
Identify and discuss the five categories of quality indicators.
Discuss what the researchers found when they analyzed the “Performance on Quality Indicators.” Where you surprised by their findings?
Why are there differences in the quality of outpatient care provided by resident and staff physicians? What are some possible strategies an organization can implement to remedy this problem?
California Department of Managed Care (2008). Continuity of Care. Retrieved from http://www.hmohelp.ca.gov/dmhc_consumer/br/br_continuity.aspx.
Davis, K., et al. (2006). Mirror, Mirror on the Wall: An Update on the Quality of American Health Care Through the Patient’s Lens. The Commonwealth Fund. Retrieved from http://www.commonwealthfund.org/Publications/Fund-Reports/2006/Apr/Mirror–Mirror-on-the-Wall–An-Update-on-the-Quality-of-American-Health-Care-Through-the-Patients-Le.aspx
Hoeksema, J.. (2011). Taking Steps to Control Costs in the OR. Association of Operating Room Nurses. AORN Journal, 94(6), S79-84; quiz S85-6.
Lasser, K. E., Himmelstein, D. U. and Woodlander, S. (2006). Access to Care, Health Status, and Health Disparities in the United States and Canada: Results of a Cross-National Population-Based Survey. American Journal of Public Health 96 (7); 1300.
Woolhandler, S., Campbell, T., Himmelstein, D. U. (2003). Costs of health care administration in the United States and Canada. The New England Journal of Medicine 349 (8); pg. 768.
Zallman, L., Ma, J., Xiao, L., & Lasser, K. E. (2010). Quality of US primary care delivered by resident and staff physicians. Journal of General Internal Medicine, 25(11), 1193-7.
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