Preparing the changes so that the efficiency of healthcare delivery is not compromised.

 

 

 

 

Scenario

You are the newly appointed director of the Center for Medicare and Medicaid Services (CMS). With healthcare costs continuing to soar, the Medicare Modernization Act (MMA) rollout and Medicare Prescription Drug Improvement Plan in place, and the possible changes of the Affordable Care Act in progress, you are confronted with potential increases in payments for Medicare and Medicaid programs.

You are trying to understand how to best prepare the agency for the changes so that the efficiency of healthcare delivery is not compromised. As a courtesy, the Director for the Administration on Aging continues to send you data about the predicted rise in the number of older people and those with disabilities. Data is also sent on the forecasted needs of such persons for comprehensive care, not just acute care.

Instructions
Create a trends forecast outlining the possible changes (trends) that may affect efficiency and delivery in primary, secondary, and tertiary care in the U.S. healthcare delivery system over the next 10 years.

The trends forecast should be in the form of a report used by such agencies as CMS, OIG, DHHS and include a Table of Contents, Introduction/Background, Appendices (if applicable), Executive Summary, Charts/Graphs (if applicable), and References. Be sure to include at least 5 references (e.g., government websites or scholarly articles) and cite your sources using APA format. Your trends forecast should include (at a minimum, but not limited to) the criteria below:

Outline the organizations and institutions that deliver care across the continuum including primary, secondary, and tertiary care providers that will be impacted over the next 10 years by changes in the U.S healthcare delivery system.
Appraise and describe how well primary, secondary and tertiary care providers deliver care to patients using preventative medicine, based on the current climate in healthcare.
Detail the impact of the changing consumer demographics will have on long-term care.
Explain how this focus will impact providers operationally.
Detail how CMS can expect facilities to focus on quality and outcomes relating to long-term care, based on the statistics from the Director of Administration on Aging.
Describe how these changes will impact the delivery of long-term care.
Explain what policies you would develop and/or consider using as the Director of CMS to address the predicted changes.
Detail what regulatory measures you would create and/or enforce as the Director of CMS to address the predicted changes.
Detail what additional long-term strategies you would pursue to make national resources meet the nation’s need for chronic care.

 

 

Sample Solution

The upcoming 10 years will likely bring a range of changes to the U.S. healthcare system that could affect efficiency and delivery in primary, secondary, and tertiary care. One trend that is already beginning to emerge is an increase in the number of older people and those with disabilities, as well as their need for comprehensive care (Kamal et al., 2018). This has been predicted by data from the Administration on Aging and is likely to cause a strain on resources available both medically and financially (“Health Care Trends: 2020-2030”, 2021).

Another potential trend over this time period is the continued rise in healthcare costs which could have direct implications for Medicare/Medicaid programs (Hoyert & Alba 2019). Although these plans strive provide coverage for individuals who may not otherwise be able afford medical treatment they also must account rising expenses associated with providing such services–meaning those utilizing them may end up paying more out pocket than before.

Finally, technological advances are expected bring major advancements within industry that could potentially reduce cost overall while also making it easier deliver quality care patients (Starr et al., 2020). The introduction automated systems or artificial intelligence technologies can allow providers access patient information quickly so decisions related treatments can made efficiently–allowing them save time money simultaneously. Additionally such tools would help automate administrative tasks thus freeing clinicians perform actual medical duties instead.

Overall , over next decade various aspects U.S health care system will experience transformation due increased demand from aging population along with rise associated costs. Although difficult predict exact impact all trends discussed here may have on current systems one thing certain—it’s essential steps taken now order ensure any transition goes smoothly possible so best outcomes achieved when implementing new policies or procedures related delivering medical services.

 

“The uncommon exhaustiveness of Kautilyas’ work, its prominent inductiveness and viable character, its resolute rationale, lack of regard of extrinsic good or religious standard and its extensive variety of subjects and interests gave it a remarkable blend of features..”[1]

– D.R.Bhandarkar

In Indian history, the hundreds of years to come and that cruised by, are recorded numerous incredible people and amazing characters who molded time through their exceptional deeds and their perfection in each ability. However, among of them, Kautilya might be the just a single identity who has been regarded and acknowledged as a splendid individual by Indian researchers as well as western Scholars as well. Kautilya was incredible political logician and mastermind. We have been portrayed as an extraordinary educator, canny statesman, dedicated nationalist, profound mastermind, merciless head, ace strategist, benevolent parsimonious, perfect savant and genuine saint.[2] He is called all-rounder since he got dominance in every one of the parts of learning. He was knowledgeable in business, fighting, Politics, Economics and Vedas. He lived around the third century B.C. however, even today his thoughts and standards demonstrate importance and pertinence in the present day society. He is an authentic achievement really taking shape of India. Kautilya is the best individual with astuteness and information. He is respected pioneer in the field of Economics. The credit of foundation of Mauryan Empire goes to the prescience and learning of Kautilya. He was a key counselor and councilor of Chandragupta Maurya, the originator of Mauryan Empire. “This realm was not simply made out of various irrelevant locale united under single sceptra; it was a genuine unit dependent on normal government which wherever settled the lord’s position as well as people in general good.[3] Kautilya was boss modeler of his ascent to control so he is called kingmaker as well. A man brimming with vision; he was constantly arranged for the most noticeably bad. He had the guts to talk his heart out even before the rulers. He himself lived such a real existence, rejecting all enhancements, empathy towards poor people and insidiousness to trickery when required which demonstrates a portion of his great attributes of nature. Kautilya was an educator at the University of Takshashila which is situated close Peshawar in Pakistan. He was the primary man to imagine the principal Indian Empire by unification of the different little kingdoms in the Indian subcontinent.

His noticeable works are Nitishastra, Chanakya Niti and Arthashastra. Among these, Arthshastra was generally vital. He thought about financial movement as main impetus behind the working of any political activity. Kautilya was a genuine scholar who crossed over any barrier among information and vision. For Kautilya, great administration was preeminent.

LIFE SKETCH OF KAUTILYA –

Lamentably There isn’t certainity about the day and age of the Kautilya So, subtleties of his introduction to the world and life are not reliable and we need to depend on convention. The normal time of the Kautilya is from 350-283 B.C.E. There are not very many genuine chronicled realities about his introduction to the world and demise with the exception of that he caused Chandragupta to mount the honored position, to fortify his domain and to join the

Indian states for battling against Alexander of Macedonia around 327 B.C.E. Chandragupta Maurya built up the Mauryan Empire in the year 321 B.C.E. Kautilya was likely conceived around 350 B.C.E. This demonstrates Kautilya was junior contemporary of Aristotle (384-322 B.C.E.). There is no evidence that Kautilya was influenced by Aristotleâ€ÿs thought. A few students of history have “addressing about Kautilyaâ€ÿs presence”. His place of birth isn’t guaranteed. Some state that he got the name Chanakya on the grounds that he was conceived in China. The Buddhist notices his origination as Takshashila while Jaina sacred text notice his origin as Chanak in Gola area of South India. As per one adaptation, origin of Chanakya was Dravida so one of the Chanakyaâ€ÿs different names was Dramila. Some trusts his origin was Patliputra. Be that as it may, Kautilyaâ€ÿs origin will keep on residual a debate. Kautilya had two other two names – Chanaka and vishnugupta. As he was conceived in the town of chanaka, he was called chanakya , Dr. Ganapati Shastri is of the conclusion that he was conceived in the ‘ kutala’ gotra. Consequently he was named as Kautilya. His folks gave him the name of Vishnugupta at ‘namkaran’ ceremony.[4]

At the point when Kautilya was conceived, he had favored with the full arrangement of teeth, which demonstrated that youngster will move toward becoming lord or sovereign.

Rishi Chanak was a Kautilya’s dad who was found out Brahmin. He was an educator instructor so he knew the significance of training. He began showing his child Kautilya in his initial age.

In his initial age, Kautilya was knowledgeable in Vedas; however he remembered them totally at early age, At that old time, the Vedas were considered as the hardest sacred text to think about. He was likewise shown arithmetic, geology and science alongside religion. Ideal from his youth, Kautilyaâ€ÿs insight and smarts was noticeable and successful. His most loved subject was Politics. Kautilya had seen extremely troublesome conditions from his youth. His father,Chanak was savvy, better than average and self regarded Brahmin. He restricted bad form or everlasting deeds. The false and haughty lord Dhannanda disliked him normally. The ruler disparated the rightness of Chanak so he bugged Chanakâ€ÿs family for phony reasons. Chanak was placed in jail by the ruler. He kicked the bucket in jail. Nobody raised a voice against the unfairness with Chanak. Kautilya was an almost no kid that time. He was to a great degree miserable due to his fatherâ€ÿs passing and foul play occurred with his family. After his fatherâ€ÿs demise, his life was likewise in threat. So he left Patliputra by taking a promise that he would return and battle against shamefulness and deliver retribution against Dhannanda. Kautilya had his training at a popular college of Takshashila which was exceptionally rumored one around then.

Being a Brahmin of solid assurance anf solid will, he thought to render retribution from Nanda – King of Patliputra. He left the capital mortified and he went to scan for a warrior. On his way, he ran over the youthful Chandragupta. He found in the last a promising young fellow and began the battle for his establishment on the position of authority of Magadha. Their First endeavor Proved to be a disappointment. Anyway in the long run, Chandragupta regrouped his powers, overpowered the borderstates and propelled assault on the capital. The underhanded ruler Dhannanda best of Nanda administration wa gifted in 322BC. Accordingly another tradition Maurya was built up with Chandragupta Maurya enthroned as the lord of Magadha in 321 BC and ruled upto 298 BC.

The credit for this triumph goes to kautilya broadly acknowledged name whose conciliatory aptitude and all encompassing information of organization empowered Chandragupta, his understudy not exclusively to triumph against the Nandas yet additionally merge his empire.[5]

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