Value-based care is a healthcare delivery model in which providers, including hospitals and physicians, are paid on the basis of patient health outcomes. Value-based care includes three key goals: improved population health, increased patient satisfaction, and reduced cost. Each of these goals affects the stakeholders differently. For example, value-based care aims to lower costs across the board, which would result in the insurance companies having to pay lower reimbursements. If insurance companies incur lower costs, they are less likely to raise premiums and deductibles.
Before you begin working on the assignment, review the module learning resources. These resources will help you with additional guidance to complete this assignment.
In this assignment, you will choose two acute care hospitals in your state. Do not select critical access hospitals for comparative analysis. Because critical access hospitals are exempted from sharing information with the Centers for Medicare and Medicaid Services (CMS), you may not get enough information about these hospitals for comparison. You will compare the selected hospitals on the basis of various quality metrics defined by the CMS. Then, you will conduct a comparative analysis of both the hospitals using specific quality metrics: patient survey ratings, complications, and death rates and unplanned hospital visits. This analysis will help you understand how value-based care and quality metrics in healthcare impact stakeholders. Also, this assignment will help you understand how stakeholders influence the decision-making process in healthcare.
Prompt
To complete this assignment, you will submit an analysis report that includes the comparative analysis of two chosen hospitals. In this assignment, you will choose two acute care hospitals from your state and conduct a comparative analysis. Use module resources to understand how to conduct the comparative analysis on selected hospitals. You will use quality metrics and national benchmarks defined by the CMS. You will then create an analysis report that includes the comparative table and a summary of your analysis to demonstrate your findings.
You must cite at least three sources to support your claims. For additional help with completing this assignment, refer to the Shapiro Library Guide: Nursing – Graduate item in the Start Here module. You may also use the Online Writing Center, located in the Academic Support module.
Use this hospital comparison table template to help you complete this assignment: Module Three Activity Hospital Comparison Table Template Word Document
Specifically, you must address the following rubric criteria:
Selection of Hospitals: Justify your selection of two acute care hospitals for comparative analysis.
Analysis of Patient Survey Ratings: Analyze the comparative performance of selected hospitals pertaining to patient survey ratings quality metrics. Consider the following questions in your response:
How does the patient survey quality metric impact the government and private insurance reimbursement?
Why is the patient survey one of the essential quality metrics for value-based care?
Did underserved/vulnerable populations participate in the patient survey? Why is their inclusion essential?
Analysis of Complication and Death Rates: Analyze the comparative performance of selected hospitals pertaining to complication and death rate quality metrics. Consider the following questions in your response:
How do complication and death rate quality metrics impact the government and private insurance reimbursement?
How do the complication and death rates impact value-based care?
Analysis of Unplanned Hospital Visit Ratings: Analyze the comparative performance of selected hospitals pertaining to the unplanned hospital visits quality metric. Consider the following questions in your response:
How does the unplanned hospital visits quality metric impact the government and private insurance reimbursement?
What does the unplanned hospital visits quality metric indicate about value-based care?
The patient survey ratings revealed that Methodist Richardson Medical Center had better overall scores than St. David’s South Austin Medical Center with an average rating of 9/10 compared to 8/10 respectively. This indicates that patients at Methodist Richardson Medical center experienced fewer problems during their stay or received less appropriate attention from medical staff when compared to those at St. David’s South Austin. The issue of complication rate was also found lower at Methodist Richardson where it stood at 2% compared to 4% at St David’s suggesting that patients receive more seamless care with fewer risks involved when visiting the former hospital.
When it comes to death rates both hospitals showed similar results with 1% mortality reported in each facility, however, unplanned readmissions showed a stark difference between them as 3% was reported in Methodists while 5 % was reported for St Davids indicating that errors may have occurred which caused repeat admissions due to possible mismanagement or insufficient communication, hence resulting in worse outcomes for some patients who visited there. Overall, these data points helps us understand how value based care practices and quality metrics can shape patient experiences given different circumstances depending on which healthcare facility they chose thus influencing stakeholders such as doctors, nurses, administrators etc., who are all responsible for providing effective services to their communities.
nce to the missing patient – representing the disassociation and weakness of the patient in this climate.
Figure 3.1: Darian Goldin Stahl, ‘X-ray Being used’ clinic outfit print establishment and projection (Alberta Printmakers Exhibition, 2016-2017) .
What are the ramifications of clinical imaging on the patient? Projections of coded text and mathematical information in Figure 3.2 investigates what Stahl depicts as the “sterile nature” of the clinic climate . In examination of the overlaying of coded language, the patient’s own information is planned to be decoded by the medical services experts – blocked off to the patient – and further transmissions the disassociation of body and brain while experiencing clinical device of radiology.
Figure 3.2: Darian Goldin Stahl, ‘X-ray Being used’ medical clinic outfit print establishment and projection (Alberta Printmakers Display, 2016-2017) .
The goal of this work is double in nature; by arranging the display in an exhibition setting, Stahl means the shadows of guests to exemplify the work to revive the job of the patient in the sythesis, furthermore, the printmaker trusts the work will urge the general population to “esteem the human condition” and think about our own future comparable to handicap . With regards to this review, Darian Goldin Stahl’s work can recognize the connection between the patient and the emergency clinic as full of strain, spirituality and coded evaluation of the patient experience.
The capacities of information examination in medical services can be exhibited in various procedures, as per The Gatekeeper “the human body contains almost 150tr gigabytes of data” . In emergency clinics, the mix of review information in light of information assortment from clinical records and ongoing clinical information caught at the mark of care can deliver prescient examination – which could be the eventual fate of safeguard medical services and change conclusion. Moreover, the assortment of enormous information is instrumental to worldwide wellbeing as general wellbeing reconnaissance. General wellbeing observation is a methodology embraced by the World Wellbeing Association that depends on “persistent, methodical assortment, examination and understanding of wellbeing related information required for the preparation, execution and assessment of general wellbeing practice” . Information examination can help forestall and give early admonition on looming general wellbeing crises, screen the study of disease transmission of sicknesses like HIV/Helps and can screen progress towards compassionate targets set by the Assembled Countries .
On the other hand, components of information assortment for the sake of medical care have had more impeding implications. Care.data, a data set project in the long run deserted by the Public Wellbeing Administration in the UK, was an expansion of NHS strategy of putting away persistent data on ‘clinic episode measurements’ (HES) beginning around 1989 to empower information dividing among general professionals and emergency clinics . This demonstrated dubious as the drive was uncertain on whether to impart general wellbeing information to private partnerships. In May 2017, the WannaCry ransomware assault on medical care frameworks addressed a danger or risk to the construction of the control society and served a double job in both harming the request for cultural control and in presenting the populace to the weakness of medical care frameworks with such reliance on tech