ANSWER
Healthcare Policy and Economics Name of the Institution Date of the Professor
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Hollywood, Florida’s Memorial Regional Hospital is a Level 1 trauma centre that houses 981 staffed short-term care beds. Cardiovascular, emergency, cancer, orthopaedic, rehabilitative, and surgical care are among the many services the hospital provides. Additionally, it features specialised care facilities, including an adult intensive care unit (ICU) and a Level 4 neonatal intensive care unit (NICU). Memorial Regional Hospital’s performance in critical care areas when compared to other hospitals in the US is reflected in its 2-star rating on the Care Compare website, despite its extensive services.
The overall star rating of the facility
Five criteria are used to determine the hospital’s 2-star rating on Care Compare:
Deaths
Care Safety
Rates of Readmission
Experience of the Patient
Prompt and Efficient Care
These evaluations shed light on the hospital’s advantages and shortcomings. A lower grade, for example, can be the result of problems like higher-than-expected readmission rates or less than ideal patient care.
Another Source of High-Quality Information
The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey is an additional reliable source of high-quality data. Nineteen of the 29 questions in this standardised survey are about the patient experience, including:
Interaction with hospital personnel Care responsiveness
The facility’s cleanliness and noise levels
Patients’ propensity to suggest the hospital
Fair comparisons between hospitals are ensured by the remaining questions, which assist account for differences in patient demographics. Data gathering techniques that provide thorough patient input include mail, phone, interactive voice answers, and blended approaches.
Ethics in Organisations Two fundamental ethical concepts are highlighted by Memorial Regional Hospital’s mission to “heal the body, mind, and spirit of those [they] touch,” which is reflected in the facility’s mission and control:
The goal of patient-centered care is to treat patients with respect and decency while including them and their families in decision-making. For instance, the hospital offers family-centered services in its NICU to help families and guarantee the best possible results for newborns.
Accountability and Transparency: The hospital’s dedication to moral openness and ongoing development is demonstrated by its public release of its performance indicators on websites such as Care Compare and HCAHPS.
The Financial Responsibilities of Nurses
In value-based care models, nurses are essential to maintaining financial accountability. Their choices have an immediate effect on patient outcomes and hospital efficiency. Among the examples are:
Cost-Effective Decision-Making: By eliminating pointless procedures or tests and making sure patients receive the care they require, nurses help cut down on waste.
Reducing Readmissions: Nurses assist in preventing issues that may lead to readmissions by offering comprehensive discharge instructions and follow-up care. For example, teaching congestive heart failure patients how to modify their lifestyle can enhance results and reduce expenses.
Effective Resource Use: By overseeing worker workloads and making sure that supplies and drugs are used appropriately, nurses help to ensure that resources are used as efficiently as possible.
Organisational Change in Healthcare to Enhance Value-Based Care
Putting in place a care coordination programme for high-risk patients at Memorial Regional Hospital is one possible solution. This application would:
Give patients post-discharge follow-up assistance.
To address social determinants of health that could impede recovery, use case managers.
In line with the ideas of value-based care, lower readmission rates and raise patient satisfaction levels generally.
Comparison with Another Medical Facility
A regional standard for comparison is Miami, Florida’s Jackson Memorial Hospital, a Level 1 trauma centre. Important differences:
Memorial Regional Hospital has 981 staffed beds and a 2-star Care Compare rating.
Lower patient experience HCAHPS scores
Jackson Memorial Hospital has a 3-star rating on Care Compare.
More than 1,500 beds with staff
improved alignment with value-based care as indicated by higher patient experience scores.
Value-Based Healthcare Alignment
Jackson Memorial Hospital’s higher overall rating and emphasis on enhancing the patient experience show a stronger alignment with value-based healthcare. Positive patient experiences are linked to better clinical outcomes, according to research by Manary et al. (2017), which implies that Jackson’s emphasis on patient-centered initiatives has a direct effect on its performance.
Encouragement of Fair Patient-Centered Treatment
The provision of egalitarian care is another area in which Jackson Memorial Hospital shines. Hospitals that prioritise culturally sensitive methods and address social determinants of health see better results (Bethancourt et al., 2018). Jackson’s dedication to equity is demonstrated by its bilingual services and community engagement initiatives.
Sources of Quality and Financial Data for Organisational Change
Source of Financial Information: Medicare Cost Reports
Organisations can better align financial practices with value-based models by using these reports, which offer insights into hospital efficiency, expenses, and reimbursement trends.
Source of High-Quality Data: HCAHPS Survey
This patient-centered feedback tool provides actionable insights for change by highlighting areas where the quality of service and patient experience need to be improved.
In conclusion
The 2-star assessment of Memorial Regional Hospital emphasises the necessity of specific upgrades to better conform to the principles of value-based care. The hospital can improve patient outcomes and equity by putting care coordination programmes into place, utilising extra quality indicators, and attending to ethical and cultural issues. Comparisons with better-performing establishments, such as Jackson Memorial Hospital, offer useful standards for change.
Citations
Carrillo, J. E., Green, A. R., and Betancourt, J. R. (2018). Reducing health and healthcare inequities is the first step towards achieving healthcare equity. 29(4), 1158-1168, Journal of Health Care for the Poor and Underserved. 10.1353/hpu.2018.0090 https://doi.org/10.1353/
(n.d.) HCAHPS Online. in reference to the HCAHPS survey. HCAHPS Online: https://www.pc.org/
Boulding, W., Staelin, R., Glickman, S. W., & Manary, M. P. (2017). the health results and patient experience. 201-203 in New England Journal of Medicine, 368(3). NEJMp1211775 https://doi.org/10.1056
(n.d.) Medicare.gov. Compare with care. Care-compare: https://www.medicare.gov/
(n.d.) American Hospital Directory. Regional Memorial Hospital. The URL https://www.ahd.com/
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QUESTION
Healthcare Policy and Economics
Name
Institution
Professor
Date
Memorial Regional Hospital is level 1 trauma center located in Hollywood, Florida. According to the American Hospital Directory website, this hospital is a short-term care facility with 981 staffed beds and offers an array of services. These services include, cardiovascular services, emergency services, oncology services, orthopedic services, rehabilitation services, surgical services, and special care services, such as a level 4 neonatal intensive care unit and adult intensive care unit. Memorial Regional Hospital
This organization’s overall star rating from the Care Compare website is 2 stars. It is measured by how well the hospital performs on a variety of care areas compared to other hospital across the U.S. These care areas are categorized into 5 sections: mortality, safety of care, readmission, patient experience, and timely and effective care. According to the care compare website,
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Discuss the facility’s Overall Star Rating from the Care Compare website and identify how the Star Rating is measured. If the facility does not have an Overall Star Rating explain why.
· Overall star rating is 2 stars
· Measured by how well the hospital performs on a variety of care areas.
· For example, treatment of diseases, readmission rates, safety of care.
a. Identify one credible additional source of quality data on healthcare organizations.
· The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey is another source of quality data on healthcare organizations. The HCAHPS survey contains 29 questions, 19 of which are focused on the patient’s experience during their hospital visit. For example, patients are asked about the hospitals’ cleanliness and quietness, communication and responsiveness of hospital staff, and their recommendation of the hospital to others. The remaining questions focuses on supporting congressionally-mandated reports and adjusting to the mixture of different patient populations across hospitals in the U.S. Patients may receive this survey either by mail, telephone, active interactive voice response, or by mail and telephone (mixed).
5. Discuss two organizational ethics that are reflected in the type of facility and the type of control listed for this organization, including specific examples.
· Memorial Regional Hospital’s mission is to “heal the body, mind, and spirit of those [that they] touch”. Their mission is to provide patient- and family-centered care to
6. Discuss the nurse’s role in fiscal responsibility for this type of organization related to value-based care, including specific examples.
· Nurses play an important role in an organization’s budget. They are responsible for making cost-effective decisions while maintaining the quality of patient care. For example,
·
7. Describe one healthcare organizational change that could improve the delivery of value-based healthcare for the healthcare organization from part A1.
B. Compare the financial structure and data of the healthcare organization you discussed in part A with another organization listed on the AHD and Care Compare websites that is within the same or an adjacent state, including specific examples from each healthcare organization.
1. Discuss which healthcare organization from part B is more aligned with value-based healthcare, including one scholarly evidence source published within the last five years to support the discussion.
2. Discuss which healthcare organization from part B is more supportive of equitable patient-centered care, including one scholarly evidence source published within the last five years to support the discussion.
3. Discuss one financial and one quality data source that could inform organizational transformation in any healthcare organization.
References
Hcahpsonline.org
https://www.medicare.gov/care-compare/