C489 Task 3: Organizational Systems and Quality Leadership

This paper will analyze the cause of the sentinel event which occurred to Mr. B, a sixty seven year old patient which presented to the emergency room with left leg pain. A root cause analysis will be necessary in this case to investigate the causative factors which led to Mr. B’s sentinel event. The factors in this unfortunate case weather they were errors in his care, or hazards in the system will be identified. The Change theory will be used to develop an improvement plan that will be used to decrease the chances of a reoccurrence of the sentinel event that happened to Mr. B. in the scenario.

The country that I pick to compare to the U.S. healthcare system is Great Britain.

Citizens in America obtain healthcare either through an employer, Medicare, or ,for the forty-five million, out-of-pocket. The number one in healthcare, Japan, uses the Bismarck model system- healthcare through insurance. America is almost the same, except the Bismarck insurance insures everyone without making a profit. Japan has more privately owned hospitals than America. This model can be funded several different ways for cost-control. The reason we have not changed our healthcare system is because of federal debt. Half of the health care costs are paid by the government. This debt will be America's downfall, but also the healthcare reform it so desperately

1. Identify one country from the following list whose healthcare system you will compare to the U.S. healthcare system: Great Britain, Japan, Germany, or Switzerland.

In my comparison, I will use France, Japan, Sweden and Canada, which rank 1st, 10th, 23rd and 30th, respectively. France tops the WHOs list for health rankings and has universal healthcare largely financed by the Government and approximately 77% health expenditures are government funded. The most notable difference in the French system in contrast to the United States is cost regulation. In France healthcare costs are regulated by a governmental

The United States’ Affordable Care Act (ACA), better known as “Obamacare,” has allowed millions of Americans access to health insurance, that were once unable. The Affordable Care Act has helped those who were unable to obtain health insurance due to pre-existing conditions, and those unable to afford the high costs of premiums and out of pocket expenses. While it has allowed millions to obtain health coverage, the ACA has its flaws. These flaws could be greatly improved by implementing ideas and strengths from universal healthcare plans from other countries around the world. I have chosen three countries who rank higher than the U.S. when it comes to their Health Care Systems- Germany, Norway, and Japan.

The U.S. is an industrialized nation that continues to be behind on providing health care coverage to all citizens. However, the German health care system came up with a plan that ensured all citizens are provided with some form of health care coverage; nevertheless, the U.S. continues to dispute health care reform and how to provide coverage to all citizens. “Health spending per capita in the United States is much higher than in other countries – at least $2,535 dollars, or 51%, higher than Norway, the next largest per capita spender. Furthermore, the United States spends nearly double the average $3,923 for the 15 countries ("Health Care Cost," 2011, table 1)”.

Of developed nations, the United States health coverage system represents a costly, inefficient, and inadequate example of delivering medical services. Unlike other developed nations, in which basic health services are provided as a service of the public sector to all citizens, the United States system is primarily comprised of private insurance companies covering 63.9% of the population, as well as a patchwork of public sector administered programs for the poor, elderly, disabled, veterans, and government employees (U.S. Department of Commerce).

As a country we are facing currently facing a problem based on health care. Every country has their own way of doing things, but which way makes the most sense? Statistics show that Canada’s health care system is working for them, but will it work for the United States? Ezekial J. Emanuel, Holly Dressel, and together, Karen Davis, Cathy Shoen, Katharine Shea, and Kristine Haran, all address possible solutions to this problem. While Emanuel feels that America’s system is sufficient, Dressel, Davis, Shoen, Shea, and Haran believe there are better options. These authors evaluate the different systems based on quality, cost, and accessibility.

The US triumphs by spending about 17 percent of its Gross Domestic Product on healthcare, making it the largest percentage of any country in the world. The government provides assistance in healthcare to many people, whether it be Medicare or Medicaid. Employers are the main source of health insurance in the United States, many offering their own health insurance plans that the employee can choose from. The most common types of health insurance are Medicare, Medicaid, Obamacare, or a private insurance offered by employers. Today, in the United States, government programs pay about 47 percent of the healthcare costs. (Winkfield) Although healthcare in the United States assists several people, many are still uninsured due to the cost and the

This program requires all citizens to have coverage either through an employer based program or through the national program which also includes public assistance to low income households (The Commonwealth Fund, 2015). Insurance companies are not-for-profit and are mandated to cover the same services for the same price. Every two years the Japanese Ministry of Health negotiates the fixed prices and provides oversite for tight control of the insurers, approved pharmaceuticals and medical devices (The Commonwealth Fund, 2015). Citizens do not have the right to choose, but are covered by insurers in the prefecture in which they reside (The Commonwealth Fund, 2015). Premiums are determined for employer based programs and the National Health Insurance Program based on salary. An amount designated as member responsibility can be up to 30% and is also based on salary (The Commonwealth Fund, 2015). After the amount is reached care is covered in full. Private insurance is held by 70% of the population to cover out of pocket expenses, treatments not covered, and lumps sums if members are out of work due to hospitalization (The Commonwealth Fund, 2015). Access to care is open; therefore, patients can pick the provider or service. One of the issues Japan is focusing on is the distinction between primary care and specialist care. Currently, many citizens will go to clinics, hospitals, or directly to a specialist and

The high cost of Prescription Drugs is one of the significant issues in the USA for a long time and is rising much faster than the consumer inflation rate. The consumers pay two to three times more than the average cost of medications in the United States. A study by Kessekheim, Avron, and Sarpatwari (2016) shows that the major factors that affect the prices of the medications include are the manufacturer's exclusivity during the time of patents and rights to set the price of the medications. Apart from this corporate greed delayed the availability of generic drugs after the exclusivity period of the medications. Governments in most of the developed countries like Canada, UK, and Germany negotiates the price of the medications with the pharmaceuticals

Tokyo is one of the countries with the longest healthy life expectancy in the world and the lowest infant mortality rate. Tokyo has a high rate of health citizens in their population. The reason of this is due to their health care system. Their health care contains high quality service to their member patients in the community. The requirements on receiving health care accesses in Tokyo is based on the 2 factors: applying for a job/ containing one or finding the nearest community health department and registering for one.

Furthermore, prescription drug coverage in the United States is based off of the insurance plan the patient has.

The following paper is mostly focused on the self-assessment of my organizational governance and leadership ability in keeping with development of integrated budget and planning system. The entire assessment includes the reflective practice of the leadership skills, research skills, analysis ability as well as problem solving skills in the practical context. The assessment paper greatly presents an opportunity to review the leadership topics. It reflects an experience in the leadership context at the time of working at DSS Consultancy. Moreover, the experience is properly analyzed for the identification of various challenges as well as the competency of the existing ideas. It also evaluates my emotional intelligence with the help of a useful questionnaire. Also, it also recommends the ways to strengthen the emotional intelligence. It also successfully discusses critique, use along with various aspects of emotional intelligence. Furthermore, it also compares the leadership experience with the literature. It discusses the probable influence of literature on my leadership style.