Role Of Cost And Quality Analysis In Healthcare
Cost and Quality Analysis
Karen Ninassi
Ethics Policy and Finance in the Health Care System
September 18, 2013
Cost and Quality Analysis Effectiveness, safety, timeliness, patient-centered, equitable, and efficient are all elements of quality (McGlynn, 2005). The Institute of Medicine noticed that only half the time patients are getting effective care, disparities in direction remain extensive, medications errors are common, and enhancement of quality and efficiency could eliminate greater than 30% of healthcare costs (McClellan, 2013).
It is estimated that in 2007 the national cost of healthcare was $2.2 trillion, or $7,500 per United States (US) resident. Health care expenditures explain 16.2 percent of the Gross …show more content…
Will increased cost result in superior care, or will superior outcomes assist in the containment of cost? Indication of the direction of quality and healthcare costs are unpredictable. Studies have shown that the link between the two is small to moderate, irrespective of whether the path is positive or negative (Hussey, Wertheimer, & Mehrotra, 2013).
Roles
The Agency for Healthcare Research and Quality (AHRQ) is a branch of the US Department of Health and Human Services. Their role is to reinforce research intended to develop the quality of healthcare, decrease its cost, improve patient safety, reduce medical errors, an expand access to vital services (“Related Public/Private,” 2008). The Joint Commission’s role is to constantly advance the safety and quality of care delivered to the public through the establishment of health care accreditation and associated services that back performance improvement in healthcare systems (“Related Public/Private,” 2008). …show more content…
One activity is the use of risk management theory by nurses. Effective risk management necessitates nurses to identify risks before they happen to the patient. Jointly with a medication database, the medication regimen complexity index tool is used for measuring numerous characteristics of drug regimen complexity to decrease adverse reactions and higher costs, which is yet another activity used by the AHRQ (“Automated Tool,” 2013).
The Joint Commission, on the other hand, has the Core Measure Solution Exchange®. This is a web-based forum devoted to communicating solutions related to improving core measure performance rates (“Hospital Resources,” 2013). The National Patient Safety Goals is a sequence of exact activities to stop medication errors , for example miscommunication between healthcare providers, unsafe use of infusion pumps, and medication mistakes (“Joint Commission,” 2013).
Both of these agencies are working together on some topics. The National Quality Measures Clearinghouse endorses extensive access to quality measures by the healthcare community (“Specifications Manuel,” 2013). It is sponsored by the AHRQ and includes Joint Commission measures.
Current and Projected
Karen Ninassi
Ethics Policy and Finance in the Health Care System
September 18, 2013
Cost and Quality Analysis Effectiveness, safety, timeliness, patient-centered, equitable, and efficient are all elements of quality (McGlynn, 2005). The Institute of Medicine noticed that only half the time patients are getting effective care, disparities in direction remain extensive, medications errors are common, and enhancement of quality and efficiency could eliminate greater than 30% of healthcare costs (McClellan, 2013).
It is estimated that in 2007 the national cost of healthcare was $2.2 trillion, or $7,500 per United States (US) resident. Health care expenditures explain 16.2 percent of the Gross …show more content…
Will increased cost result in superior care, or will superior outcomes assist in the containment of cost? Indication of the direction of quality and healthcare costs are unpredictable. Studies have shown that the link between the two is small to moderate, irrespective of whether the path is positive or negative (Hussey, Wertheimer, & Mehrotra, 2013).
Roles
The Agency for Healthcare Research and Quality (AHRQ) is a branch of the US Department of Health and Human Services. Their role is to reinforce research intended to develop the quality of healthcare, decrease its cost, improve patient safety, reduce medical errors, an expand access to vital services (“Related Public/Private,” 2008). The Joint Commission’s role is to constantly advance the safety and quality of care delivered to the public through the establishment of health care accreditation and associated services that back performance improvement in healthcare systems (“Related Public/Private,” 2008). …show more content…
One activity is the use of risk management theory by nurses. Effective risk management necessitates nurses to identify risks before they happen to the patient. Jointly with a medication database, the medication regimen complexity index tool is used for measuring numerous characteristics of drug regimen complexity to decrease adverse reactions and higher costs, which is yet another activity used by the AHRQ (“Automated Tool,” 2013).
The Joint Commission, on the other hand, has the Core Measure Solution Exchange®. This is a web-based forum devoted to communicating solutions related to improving core measure performance rates (“Hospital Resources,” 2013). The National Patient Safety Goals is a sequence of exact activities to stop medication errors , for example miscommunication between healthcare providers, unsafe use of infusion pumps, and medication mistakes (“Joint Commission,” 2013).
Both of these agencies are working together on some topics. The National Quality Measures Clearinghouse endorses extensive access to quality measures by the healthcare community (“Specifications Manuel,” 2013). It is sponsored by the AHRQ and includes Joint Commission measures.
Current and Projected