Busi 601individual Learning Project 1

changes in the nature of running a healthcare business. Lastly, they were able to realize the

The population that FCFFHC provide medical care services to is 19,325 of rural and low-income people. The Health Center serve people of all ages from newborns to adults. Patients with insurance are require to present their insurance card before he or she receive services. Patients are expect to pay the co-payment or co-insurance. Patients without insurance at 100% of poverty level are require to pay a minimum of $30. Patients who pay for his or her services are require to pay, according to the sliding fee of $40, $50, or $60. The Health Centers’ sources of revenue are generated

The Texas Health and Human Services Commission (HHSC) is required by federal law to ensure federally qualified health centers (FQHCs) are reimbursed no less than their Prospective Payment System (PPS) rate for services provided in the Medicaid and CHIP programs (42 U.S.C. 1396a).

As a FQHC, LSCC’s mission is to provide care to underserved and uninsured residents of our service area. In Central Texas, people who lack health insurance are disproportionately poor and disproportionately racial/ethnic minorities. Because of this confluence of socioeconomic indicators, LSCC’s patient populations are more likely than other groups to experience health disparities which can negatively impact a patient’s life from the day he or she is born, through development, through adulthood, and up until the day he or she dies. Excess morbidity and early mortality are the indelible scars dealt by health disparities upon LSCC’s target populations. In light of this reality, LSCC must go beyond the mere provision of care to ensure that our

We ask our stakeholders to look into our following recommendations. Money and recruiting physicians (primary care) are the two of the biggest components that would lead to successfully turning the

One of the aims of the Patient Protection and Affordable Care Act (ACA) of 2010 is improved integration and coordination of services for primary patient care. The patient-centered medical home (PCMH) is one of the approaches by which improvements can be established. The patient-centered medical home model is particularly well-suited for people who have chronic illness. The design of the patient-centered medical home model departs substantively from traditional reimbursement policies, in that, the ACA provides for incentives and resources to enable care coordinators to be directly recognized and compensated for their care coordination work. Care coordinators are most often registered nurses who through their work that aligns with ACA engage in quality improvement work, cost-effectiveness measures, and patient advocacy. To bring the ACA model to a human scale, the authors present a case study of a care coordinator at a patient-centered medical home in rural Maine. The table provided below provides a basic textual analysis of the study as it is published in the professional nursing journal.

The enactment of the Affordable Care Act (ACA) has significantly reduced the rate of the uninsured, yet those who do not fit within the parameters of the ACA still face many obstacles in obtaining necessary healthcare. Those without insurance must rely on “locally organized [systems] of health care delivery intended to fill gaps in access to health care services for uninsured… and other vulnerable populations in medically underserved communities” (Liebert and Ameringer 2013)—understood as health care safety nets. Healthcare providers within these systems include emergency rooms, community health centers (CHC), federally qualified health centers (FQHC), and free clinics. (Liebert and Ameringer

The triad of cost, quality, and access has impacted the development of the Affordable Care Act on many levels. The Affordable Care Act aims to improve the quality of healthcare, while maintaining the cost of health care ("Quality of care," n.d.). Under the Affordable Care Act, there is more funding for each state to assist in treating people with chronic illness. The goal is for these patient populations to have high-quality services at an affordable cost (“Quality of care,” n.d.). To ensure that quality of care is provided, the Affordable Care Act requires quality measures to be met in order for organizations to receive reimbursement. Although the United States still needs improvement in providing high quality health care that is accessible

Health care in the United States is driven by a patchwork of services and financing. Americans access health care services in a variety of ways — from private physicians’ offices, to public hospitals, to safety-net providers. This diverse network of health care providers is supported by an equally diverse set of funding streams. The United States spends almost twice as much on health care as any other country, topping $2 trillion each year. (WHO.INT 2000) However, even with overall spending amounting to more than $7,400 per person, millions of individuals cannot access the health care services they need.(Foundation 2009) So when the Patient Protection and Affordable Care Act (a.k.a the Affordable Care Act or ACA) was passed in the summer

The gaps that show areas of improvement are of the nurse’s perceived service and the patient’s perceived experience based on the patient’s expectations (Dabney and Tzang 2013). A patient’s expectations are modeled by past experiences, culture, personal needs, and word of mouth from other patient experiences. If a provider does not implement a patient-centered approach to patient care the patient’s needs cannot be met due to the gap in patient expectations and perceived service (Dabney and Tzang 2013).

Even although, the cost of the health care system and the care it offers my not allow the national debt to decline to a level that will or would enhance the economy forward the cost of running a system that is backed by the government is too costly, and it will not help the deficit. , the legal responsibility of the organization is that every patron should have the same treatment for the same ailment. There are no predetermined dispositions; everyone is eligible as a government-backed facility. The funds are to assure those who have no insurance are covered. The accountable care

The main challenge with this process is to redesign the patient care model because PCMH mainly focuses on primary care services improvement models but in contrary clinical integration emphasize on the physician practices across different specialty types. Diagrammatic depiction of medical home(8)

that it will assist in decreasing costs and will allow more patients to been seen given high quality

The millions who remain uninsured will still depend on overcrowded emergency rooms for routine care.Ultimately, the ACA coverage expansion will not be sustainable until policymakers and stakeholders take meaningful steps to reduce the rate of growth in medical costs.An estimated 60 million individuals are considered medically underserved as a result of a combination of elevated health risks and a shortage of primary health-care professionals(National Association of Community Health Centers,2007). To begin to more rapidly alleviate this shortage in advance of the implementation of the health insurance coverage requirements, the Act invests in a major expansion of community health centers and the National Health Service Corps. Over the fiscal year (FY) 2011 to FY 2015 time

The trend for health care and hospitals is a movement towards a larger outpatient system of care while lowering the number of inpatient admissions. The health care system has made small changes towards this type of service for about a decade. Henry Ford Wyandotte Hospital should continue these efforts and implement the use of the Patient-centered medical home model. This model concentrates on patient care with a comprehensive, total patient care strategy, while lowering the incidence of emergency room use and lowering the number of times a patient is admitted to the hospital (Robeznieks, 2015). The health care team will evaluate the patient, monitor their condition while educating them about their specific needs and how to provide their own self-care at home.