Health Care Costs

 

 

To prepare for this discussion make sure you watch Steven Brill’s 3-minute video on rising medical costs. Then, explore the related infographic “What Makes Health Care So Expensive.” Finally, review the section on Cost Containment (p. 8-9) in the Summary of the Affordable Care Act prepared by the Kaiser Family Foundation ( links to all of these can be found within this lesson).

For your first post, choose one of the possible solutions to rising health care costs proposed in section 3 of the infographic – or describe a solution that you would suggest – and, based on the information in this lesson, discuss the rationale for your choice. The possible solutions cited in the infographic include:
Control prescription drug costs (save $94 billion)
Regulate hospital costs and/or tax their profits (save $84 billion)
Reduce duplicate or excessive tests and procedures (save $74 billion)
Regulate fees and/or tax the profits of outpatient clinics and labs owned by doctors (save $50 billion)
Bring gross margins of medical device makers down to 50% (save $30 billion)
Use comparative-effectiveness evaluations to guide decision-making for prescription drugs, tests and medical devices (save $28 billion)
Finally, respond to two of your classmates’ posts, commenting on both the pros and cons of the solutions they have proposed, and how their solutions may be impacted by the ACA.
https://healthland.time.com/2013/02/20/what-makes-health-care-so-expensive/

 

 

 

Sample Solution

 

This bit of work will examine and assess procedures on change plan for the First Response Team. It will portray the statutory work in the First Response Team and the speculations that support the work practice around there of kids’ administrations. Also, utilizing the speculations of progress the board and reflection, this paper will portray a zone of training that I consider could be changed. It will additionally recognize obstructions to change which may should be survived.

The First Response Team is the ‘front way’ to the Buckinghamshire County Council Children Services, whose essential capacity is to take phone, email, fax, postal and in person referrals and request from individuals from the general population, accomplice offices and associations. It is one group split more than two locales, in Aylesbury (North) and another in High Wycombe (South) – it includes a Team Manager, Assistant Team Managers, Business Support Administrators, Domestic Violence Specialist and Social Workers.

The group is another improvement inside the administration and it is a piece of the reaction to an audit of procedures, focussing on the youngster’s voyage and advancements the nation over after the Munroe Review. The group is a solitary purpose of contact though referrals to social couldn’t care less and for counsel on shielding worries for kids and youngsters. There is one phone number and one secure email address for experts and the overall population to contact social consideration.

A referral is an enquiry to Social Care in connection to a named kid, who is accepted to be a ‘kid out of luck’ or in danger of enduring ‘huge damage’. New referrals to social consideration, incorporating kids with inabilities, are handled by this group; they are answerable for screening and surveying every single imaginable referral, regarding whether the case meets the limit as characterized by Section 17 and Section 47 of the Children Act 1989. Also the group survey the reality and desperation of the worries, guaranteeing the referral arrives at the proper group inside characterized timescales.

Nonetheless, those not meeting the limit for evaluation of kids’ social consideration are signposted by the group to the early help arrangement, all inclusive administrations or other authority administrations. This model is the initial phase in progressing in the direction of a Multi-Agency Safeguarding Hub (MASH) which, it is proposed will be worked on a multi-organization premise and will incorporate multi-office data sharing and recording game plans.

Because of aggressive behavior at home, the First Response Team work in association with the police consistently, inspecting abusive behavior at home reports where a kid is a piece of the family unit or engaged with the episode. In any case, where data in the report shows a youngster might be out of luck or in danger of damage, the First Response Team will pursue the referral system and record as a referral on ICS.

Data about the referral, enquiries and prescribed results are recorded in the ICS referral record. A director will at that point total the referral authorisation arrange on ICS, recording the choice made with reasons. The obligation supervisor is dependable with surveying activities required, dispensing the case to a Social Worker and mastermind the kid to be seen quickly in the event that it is a segment 47.

This paper will examine the enactment, strategies, techniques and speculations that supports the training in the First Response Team.

Under the segment 17 of the Children Act 1989 neighborhood specialists have a general obligation to give a range and level of administrations suitable to the kids in their general vicinity who are ‘out of luck’ in order to protect and advance their welfare, and, so as far is reliable with that point, advance their childhood by their families (DoH, 1989). Also, segment 17 of the Children Act 1989 states that a youngster or youngster is out of luck on the off chance that he/she is; ‘probably not going’ to accomplish or keep up, or have the chance of accomplishing and keeping up, a sensible standard of wellbeing or advancement without the arrangement for him/her of administration by the nearby position (Holmes and McDermid, 2012). The legitimate meaning of damage under the Children Act 1989 is abuse (counting sexual maltreatment and non-physical types of abuse), or the hindrance of wellbeing (physical or mental) or advancement (physical, intellectual,emotional, social or conduct) (Brammer, 2007).

The assemble for expert to work all the more viably on the bleeding edge developed emphatically in the administration Green paper Every Child Matters (2003), which was distributed nearby the administration’s proper reaction to Lord Laming investigation into the heartbreaking demise of Victoria Climbie (Garret and Lodge, 2009). Cheminais (2010) states that Every Child Matters is an administration activity intended to address the prosperity and necessities of the entire kid in connection to guaranteeing that all kids and youngsters are sound, safe, appreciate and accomplish, make a positive commitment and accomplish financial prosperity.

The Children Act 2004 gives the statutory premise to the foundation of the Children’s Trust by setting out an obligation for every single ‘applicable accomplice’s to collaborate in arranging and giving administrations to youngsters and youngsters in a nearby power (Garret and Lodge, 2009). These accomplices are locale committees, police, probation board, youth irritating groups, instruction, wellbeing, learning and abilities Council (in the same place). The Working Together to Safeguard Children (2013) plans to enable experts to comprehend what they have to do, and what they can expect of another, to shield youngsters. It further tries to stress that powerful defending frameworks are those where the youngster needs are ‘fundamental’ – all experts share data in an auspicious manner and furthermore all experts add to anything that activities are expected to protect and advance a kid’s welfare (HM Gov, 2013).

The Framework for the Assessment of Children in Need and their Families (DoH, 2000), built up an essential piece of the ‘Quality Protects’ program, giving a methodical method for comprehension, examining and recording what is befalling kids and youngsters inside their families and more extensive setting of the network in which they live (Horwath, 2001). Likewise, the structure gives a reasonable guide to undertaking appraisals of kids out of luck and their families which ought to guarantee that experts, chiefs and policymakers keep up a youngster center, regardless of how the universe of the kid changes and creates after some time (in the same place).

The ‘frameworks’ approach stresses Social Workers to look past the youngster’s exhibiting issues, evaluating the complexities and between relationship of the kid’s life circumstance (Zastrow, 2010). Furthermore, it empowers Social Workers to consider how the elements are continually modifying as every part manages life both inside and outside the family (Walker, 2012). The group ‘biological’ approach includes considering the formative needs of the kid, yet in addition of the parent or carer’s capacity to react to these necessities, the child rearing issues that may affect child rearing limit and the family, and ecological components that impact both the kid and family (Cleaver et al. 2009). A biological model attempts to improve adapting designs with the goal that better match can be achieved between the youngster’s needs and the attributes of their condition (Walker, 2012).

The group practice a ‘youngster focused’ approach whereby evaluations perceive kids and youngsters as people with rights, remembering their entitlement to take part for choices about them in accordance with their age and development (Munro, 2011). Moreover, Munro Review brings up that despite the fact that the focal point of work is frequently on helping guardians with their issues, it is essential to continue evaluating whether this is prompting adequate improvement in the limit of the guardians to react to every one of their youngsters’ needs (in the same place).

This article will keep on talking about the sorts, causes, advantages and boundaries of progress the board – I will likewise portray a zone of training in the group that I think could be changed.

The Oxford English Dictionary (2013) characterizes change as making or getting extraordinary; substitution of one for another, assortment. As indicated by Singh (2005) change is an adapting procedure of moving from the present state to an ideal express that people, gatherings and associations attempt because of dynamic interior and outside components that adjust current substances. Change can fill in as a way to address numerous significant difficulties, for example, those identified with approach, administration, rule of law, theory, and dissemination of data, rights, and assets, difficulties of proficiency, adequacy, quality, and aggressiveness, and difficulties pivoted of shared qualities, comprehension, and participation (Lewis, 2011). These difficulties length crosswise over numerous segments of society, including private division associations whereupon we depend for merchandise, administrations, and the premise of our economy; open segment associations that run our networks, state, national and worldwide administration; and non-legislative or non-benefit associations that advance network and relaxation movement just as accommodate various helpful, logical, proficient, social, and social administrations (on the same page). The three kinds of progress are transitional change, formative change and transformational change (Anderson and Anderson, 2010).

As per Anderson and Anderson (2010) formative change is the improvement of existing authoritative methods for working, for example, improving aptitudes, expanding correspondence and making a business procedure progressively proficient. Formative change doesn’t request that individuals modify their current method for working, however it triggers fewier human elements that change and doesn’t influence the aorganisation’s way of life (on the same page).

Transitional change happens when an issue is perceived in the current reali

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