DQ3-2.docx

DQ 3-2

1.

The biggest need driving the development of IDS systems are patient satisfaction and patient needs. IDS strives to provide a seamless patient experience when a person moves through the network, whether from primary care to specialty care, or from an inpatient hospital stay to home (Rothman, n.d). This directly benefits allied health care services because it forces them to have better communication among different interpersonal teams. One limitation is the focus on evidence-based medicine rather than what a medical personnel learned in medical school. I think IDS should equally focus on the use of evidence-based medicine and the experience of a doctor to treat patients. 

 References

Rothman, P. B. (n.d). An Integrated Health Care Delivery System. Retrieved from Johns Hopkins Medicine: https://www.hopkinsmedicine.org/leading_the_change/articles_columns/an_integrated_health_care_delivery_system.html

2.

There are so many people living with chronic conditions that lead to many medical visits, the need to coordinate care grows when multiple conditions are involved.  The integrated health care delivery system is a way to provide this continued to care, to make the transition between providers one with less disconnect. "An IDS is an organized, coordinated, and collaborative network that links various healthcare providers to provide a coordinated, vertical continuum of services to a particular patient population or community." (Enthoven, 2009)

 

Allied health professionals work in all medical settings in all areas of patient care, they are able to work as a team in patient centered care for better patient outcomes.  "This alliance of essential health care partners has demonstrated improved health outcomes wherever it is utilized. In the country’s rural areas, a distinct lack of allied health services may limit appropriate patient care that can increase mobility and independence." (Augusta University, 2014) With the current system and shortage of health care professionals this team can't function as well as expected without the full team.  Allied health professionals are necessary members of the health care team, there needs to be an influx of new people entering the field especially with IDS to work to its full extent.  Improvements in education for young people regarding careers in healthcare and repayment programs for school loans are just two examples that may help.

 Augusta University (2014) The Role of Allied Health Professionals in Providing High Quality-Care.

https://www.augusta.edu/gov/documents/ahp.pdf

 

 

Enthoven, A.C. (2009) Integrated delivery systems: the cure for fragmentation. PubMed.gov

An IDS is an organized, coordinated, and collaborative network that links various healthcare providers to provide a coordinated, vertical continuum of services to a particular patient population or community. 

3.

The IDS is a great way for patients who come in with a variety of problems which require different departments of healthcare. The benefit of this is a patient has confident in the organization and doesn’t require to be working with different facilities. Progression can be seen through the organization with the patient and certain measures can be set if there are setbacks. A single physician cannot handle all treatments processes as they usually specialize in one area such as orthopedic surgeon, cardiologist, pediatric, and so forth. Having a variety of IDS helps patients to be treated correctly.

The downfall which can be seen of IDS is what Megan shared of patients living in extreme rural areas. Facilities will not be equipped for all areas which a patient may need to be diagnosed or treated. Therefore, they must travel and it makes it an inconvenience for the patients. Integrating systems to share medical histories, create interdisciplinary medical teams and update doctors on the latest medical research findings could trim healthcare costs while improving patient care (Laplante, 2005)

Laplante, A. (2005). Integrated systems improve medical care, control costs, according to Enthoven. Standord News. Retrieved from https://news.stanford.edu/news/2005/october26/enthoven-102605.html.

4.

What are the needs driving the development of integrated health care delivery systems (IDS)? What benefits directly apply to the provision of allied health care services? What limitations exist at present that could be improved, and how so?

The needs that drive the IDS are those put forth with the Affordable Care Act. The need for doctors and health care facilities to strive to work together to ensure better outcomes of patient care. To adopt value-based care where the success of the patient outcome can actually bring in more profits for both. Finding alternatives to hospitalizations that can task over worked systems. (Learn)

One of the challenges to IDS is the insurance companies themselves slowing care to patients with red tape and bureaucracy . A physician can order care for a patient but when the care is given is dictated by the insurance companies. The physician feels the care is given, but in fact it has not. The facility providing care must communicate to the physician to make them aware of such a delay, to ensure better outcomes in the patient care and payout for the care.

 

Reference

 “Learn.” Healthcare Delivery System - Doctors for America , www.drsforamerica.org/learn/policy-center/healthcare-delivery-system.