Week 4 discussion response- delivery of healthcare | Management homework help

Week 4 Discussion Response- Delivery of Healthcare Lakenya86Colleague 1 Bonetta Pettiway Providence, Rhode Island, is the city and state I have researched, and where my health community is located, and the accidents that I discussed were opioid addiction. The country I would like to compare it to is Canada. In the previous assignment, the value-based care model focuses on the quality of care, provider performance, and patient experience. Canada has a decentralized publicly funded health system called Canadian Medicare. All citizens and permanent residents receive medical services, including hospital and physician care, at no cost. One improvement both places can use to help opioid addiction is to decrease the flow of illegal drugs and find ways for them not to cross state lines. For the opioid addiction, Canada has announced a Bill to strengthen the borders, appointed a Fentanyl Czar to help stop the production, and provided funds to aid in the treatment of opioids. Similarly, comparing Providence to Canada, they have developed centers to help with treatment, support prevention, and provide recovery resources. The IOM aims are the framework of healthcare that includes six aims. Being patient-centered means being respectful of a patient's preferences, needs, and values. When comparing the two locations, one improvement I suggest is learning how to connect with patients and build on their values. Providence showed a good example of providing a state-regulated facility to contain individuals who are using opioids and addressing the overdose deaths. Instead of focusing on the treatment, it was able to meet patients halfway by allowing them to use the drugs but educating them on how to save each other's lives. In comparison to Canada, they provided facilities to help with treatments by giving medications that regulate opioid addiction. The city of Providence's model of healthcare delivery is patient-centered for its communities. It focuses on the patient and their care needs, including selecting a primary physician to address all needs and specialist providers. Providence has inpatient and outpatient systems that deliver excellent care when needed. Many of the hospitals are rated five stars and have employed top doctors and nurses. Canada's healthcare delivery has not yet adopted a patient-centered approach; however, it provides healthcare to everyone at no cost, which is funded by taxes. Additionally, medically necessary conditions have access to hospitals and physicians. My community can learn from Canada by providing affordable healthcare, whether it is at no cost or with low premiums that benefit low-income families. Organizing care around medical conditions is not beneficial to patients when looking for a physician. Canada allows their Canadians to address their medical needs, and if more is needed, they would have to purchase their own health insurance. This is a negative aspect of insurance, where a country deems certain medical conditions necessary enough to warrant a physician's attention. Healthcare should be efficient and effective for all individuals.

References:

Government of Canada. (2025). Federal actions on the overdose crisis. https://www.canada.ca/en/health-canada/services/opioids/federal-actions/overview.html Britannica. (2025, December). Providence Rhode Island. https://www.britannica.com/place/Providence-Rhode-IslandLinks to an external site. Harvard Business School Institute for Strategy & Competitiveness. (n.d.). Organize care around medical conditionsLinks to an external site.Links to an external site.Links to an external site.. https://www.isc.hbs.edu/health-care/value-based-health-care/key-concepts/Pages/organize-care-around-condition.aspx Colleague 2 Keona Wilson Continuum of Care and Country Comparison This discussion board post will build on my Week 3 community profile and continuum-of-care analysis of unintentional motor-vehicle crashes in Des Moines, Iowa, and compare the local healthcare delivery model with Sweden’s coordinated trauma and injury-prevention system. Organized Care Around Medical Conditions (Value-Based Care Element) As I highlighted in my week 3 community profile report, individuals injured in motor vehicle crashes in the city of Des Moines will move through multiple settings across the continuum of care, including emergency medical services, acute trauma care, inpatient rehabilitation, outpatient specialty clinics, and prevention initiatives. While all these services provide essential care for injured patients, they primarily operate as separate components rather than as an integrated, condition-focused system. One improvement that could align with value-based care is the development of standardized, diagnosis-specific trauma care pathways that formally link these specialties to promote positive patient outcomes. According to Porter & Lee, organizing care around the patient's medical condition rather than individual care settings will improve outcomes, reduce duplication of services and tests, and enhance efficiency. (Porter & Lee, 2013). Sweden has a trauma system that exemplifies this approach by coordinating care across the injury continuum, supported by national trauma registries and regional care networks. (World Health Organization,2023) If the city of Des Moines implemented similar coordinated pathways, it could improve continuity of care and overall value. Be Patient-Centered (Institute of Medicine Aim) To better meet the IOM aim of being patient-centered, my assigned city could strengthen patient-engagement and provide post-discharge support, primarily during the transitions between acute care to rehabilitation and outpatient services. Patient-centered care defined from the Institute of Medine emphasizes that shared-decision making, clear communication, and having respect for individuals’ needs and preferences is most beneficial for healthcare departments to pose. (Institute of Medicine,2001) Evidence from the peer-based article suggested that trauma patients whose doctors communicate effective discharge methods and share coordinated follow-up plans are more likely to adhere to rehabilitation plans while improving functional outcomes. (Berwick et al.,2008) Further enhancing patient-centered practices within an existing continuum could reduce care gaps and improve patient satisfaction and recovery. Comparison with Sweden’s Healthcare Delivery Model Compared to the healthcare delivery model for Des Moines, Sweden has a system that closely aligns with the value-based care principle of organizing care around medical conditions. Sweden also has a Vision Zero initiative, which treats motor-vehicle injuries as a preventable public health issue and aims to integrate prevention efforts, emergency response, hospital care, rehabilitation, and long-term recovery into a unified system. (Vision Zero Network, 2013). This contrasts directly with the Des Moines model, to the extent that prevention efforts are led by the Iowa DOT and clinical care is delivered by the healthcare organization, resulting in a parallel system rather than a fully integrated one. Research from the OECD International Transport Forum indicated that Sweden’s coordinated approach has contributed substantially to lower traffic-related mortality rates than those in the United States. (OECD,2024). Des Moines could learn from Sweden by emphasizing system-wide coordination, standardized trauma pathways, and the integration of prevention with clinical care.

Resources:

Berwick, D. M., Nolan, T. W., & Whittington, J. (2008). The Triple Aim: Care, health, and Cost. Health Affairs (Project Hope), 27(3), 759–769. https://doi.org/10.1377/hlthaff.27.3.759Links to an external site. Institute of Medicine. (2001). Crossing the Quality Chasm: A New Health System for the 21st Century. National Academies Press. https://doi.org/10.17226/10027Links to an external site. Porter, M., & Lee, T. (2013). The strategy that will fix health care. Harvard Business Review. https://hbr.org/2013/10/the-strategy-that-will-fix-health-careLinks to an external site. Ronan. (2024, December 18). Road Safety Annual Report 2024. ITF. https://www.itf-oecd.org/road-safety-annual-report-2024Links to an external site. Vision Zero Network. (2013). What is Vision Zero? Visionzeronetwork.org; Vision Zero Network. https://visionzeronetwork.org/about/what-is-vision-zero/Links to an external site. World Health Organization. (2023, December 13). Global status report on road safety 2023. Www.who.int. https://www.who.int/publications/i/item/9789240086517

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