Week 6 discussion response- delivery of healthcare | Management homework help

Week 6 Discussion Response- Delivery of Healthcare Lakenya86Colleague 1 Bonetta Pettiway For this discussion, the city and state that I have chosen is Providence, Rhode Island. The diagnosis I have focused on is opioid addiction. The country that I am comparing it to is Canada, and its value-based healthcare system. Value-based healthcare in Rhode Island has transformed the way physicians are monitored, focusing on the quality of care and delivering exceptional service to reduce the frequency of hospital visits for patients. When Rhode Island focuses on aligning reimbursement with value, it shifts toward using alternative payment models, such as bundled payments and capitated payments. Core components of value-based reimbursement consist of patient outcomes, performance tracking and reporting, quality metrics, and a tracking system. These components will help reduce hospital readmissions, improve disease management, and increase satisfaction. (Zaporowski, 2025). One improvement that can be made by aligning reimbursement with value is the cost-effectiveness of the services rendered. Reporting how physicians are being rated by patients on how well their needs are being addressed involves spending more quality time, rather than quantity. Still, the cost is always a problem in the results of the session. There should be more ways for patients to get questions answered without making a visit and paying more for the appointment than what was actually done. The cost of healthcare has increased over the years, even as its value is being considered. Rhode Island Institute of Medicine's AIM for being safe with opioid users has developed programs for controlled substance safety. This program specifically focuses on prescribing and dispensing controlled substances through data collection and healthcare education. With this program, patients communicate with healthcare professionals about the safety of taking opioids and resources to prevent overdose deaths. One improvement to this program consists of monitoring patients' history with opioids before dispensing prescriptions to recurring patients. Medical professionals should be able to share with other facilities the information of frequent flyers of individuals who are consistently receiving prescriptions for controlled substances and tracking their dispensing of them. I am comparing Rhode Island's value-based healthcare system with Canada's healthcare system. As previously reported, Canada's healthcare is a publicly funded model, which is paid for by the taxpayers. Canada has requirements for its residents and the services they receive free of cost. Canada has not yet made its healthcare system value-based but studies the practice of doctors delivering quality healthcare to patients, rather than focusing on quantity. People in Canada receive quality healthcare at no cost, but if further services are required, they are responsible for obtaining their own healthcare coverage, which may incur out-of-pocket expenses. (Government of Canada, 2025). Although Canada has not yet implemented a value-based healthcare system, it is exploring ways to assist patients through bundled payments. A significant negative aspect of Canada's healthcare system is that its government has struggled to keep pace with the rising costs of healthcare, resulting in increasingly challenging care. In this case, Canada should examine how the United States is addressing the rise of healthcare and its transition to a value-based healthcare system.

References:

Updox. Kelsey Zaporowski. July 28, 2025. https://www.updox.com/blog/what-is-value-based-care-reimbursement/#:~:text=Understanding%20Value%2Dbased%20Care%20Reimbursement,benchmarks%20and%20positive%20clinical%20outcomes State of Rhode Island Department of Health. 2025. Controlled Substance Prescription Safety. https://health.ri.gov/medicine-and-drugs/controlled-substance-prescription-safety Government of Canada. June 25, 2025. About Canada's healthcare system. https://www.canada.ca/en/health-canada/services/canada-health-care-system.html National Library of Medicine. F. Clement. 2023. Value-Based Healthcare: Is It Just Another Buzzword. https://pmc.ncbi.nlm.nih.gov/articles/PMC10370400/ Colleague 2 Angela Smith My analysis focuses on Atlanta, Georgia, addressing the health issue of unintentional injuries (accidents), with Russia used as an international comparison for healthcare delivery. Improvement Proposal: Aligning Reimbursement with Value One improvement Atlanta’s healthcare system could make is expanding bundled payment and episode-based reimbursement models for trauma and injury-related care. Aligning reimbursement with value means paying providers based on patient outcomes and total cost of care rather than volume of services delivered (Harvard Business School Institute for Strategy & Competitiveness [HBS ISC], n.d.). For unintentional injuries, bundled payments covering emergency care, hospitalization, rehabilitation, and follow-up services would encourage coordination across providers, reduce unnecessary services, and incentivize better recovery outcomes (Shi & Singh, 2022). This approach supports prevention, efficient care transitions, and cost containment while improving patient outcomes. Improvement Proposal: IOM Aim — Be Safe To better meet the Institute of Medicine’s (IOM) aim to “be safe,” Atlanta could strengthen system-wide injury prevention and patient safety protocols, particularly in emergency and trauma settings. The IOM emphasizes reducing harm caused by care itself through standardized processes, reporting systems, and a culture of safety (Institute of Medicine [IOM], 2001). Implementing stronger reporting of near-misses, expanding trauma simulation training, and standardizing safety checklists in emergency departments could reduce preventable errors and complications related to unintentional injuries (Heslip, n.d.). These strategies directly improve patient safety and align with value-based care by preventing costly adverse events. Comparison of Healthcare Delivery Models: Atlanta vs. Russia In the United States, healthcare delivery in Atlanta emphasizes fragmented, multi-payer systems with increasing adoption of value-based programs through CMS, such as bundled payments and quality-based incentives (CMS, 2022). However, measuring outcomes and cost for every patient remains challenging due to system complexity and varied reimbursement structures. In contrast, Russia’s centralized healthcare system allows for more standardized data collection and national tracking of outcomes and costs, particularly for trauma and injury-related care. While Russia’s system struggles with resource limitations and quality variation, its centralized reporting offers a lesson in population-level outcome measurement and cost transparency. Atlanta could learn from this approach by improving interoperability and data integration across trauma centers, emergency services, and rehabilitation providers. Conversely, Russia could benefit from adopting stronger value-based incentives tied to quality and safety outcomes, an area where U.S. value-based programs are more advanced (Shi & Singh, 2022).

References

Harvard Business School Institute for Strategy & Competitiveness. (n.d.). Aligning reimbursement with value. https://www.isc.hbs.edu/health-care/value-based-health-care/key-concepts/Pages/aligning-reimbursement-with-value.aspxLinks to an external site. Heslip, N. (n.d.). Crossing the quality chasm. PolicyMedical. https://assets.hcca-info.org/Portals/0/PDFs/Resources/library/Crossing%20the%20Quality%20Chasm.pdfLinks to an external site. Institute of Medicine. (2001). Improving the 21st-century health care system. In Crossing the quality chasm: A new health system for the 21st century (pp. 39–60). National Academy Press. https://nap.nationalacademies.org/read/10027/chapter/4Links to an external site. Shi, L., & Singh, D. A. (2022). Delivering health care in America: A systems approach (8th ed.). Jones & Bartlett Learning. U.S. Centers for Medicare & Medicaid Services. (2022, March 31). What are the value-based programs? https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/Value-Based-ProgramsLinks to an external site.

• 13 days ago
• 10
• How many grams of chlorine can be produced from 96.5 g of TiCl4?
• Poster needed
• READ below very clear before you TRY TO HELP. TIMING is important to me. Honesty is amazing too.
• U. S. drug laws
• y=3x^2
• Discrimination
• LAS 432 Midterm Exam (Package for 4 Different Versions)
• Solved
• MIS 535 Week 2 Homework Quiz.....................(MIS 535 Managerial Applications of Information Technology - DeVr)y
• events planning