Week 5 Discussion Response- Delivery of Healthcare

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Week 5 Discussion- Managerial Finance

The health community I have chosen is Los Angeles, California, my diagnosis is traumatic brain injury due to a motor vehicle crash, and my comparison with Sweden.

Los Angeles may enhance the value-based aspect of outcome and cost measurement of each patient by developing a unified traumatic brain injury registry and dashboard tracking each individual throughout the entire episode of care. The Week 3 continuum already shifts patients out of emergency medical services and trauma care into inpatient treatment, inpatient rehabilitation, and outpatient follow-up, therefore, allowing leaders to standardize the same outcome and costing domains at every transition. By combining these variables into value-based reimbursement, Eriksson et al. (2024) demonstrate that it can visualize variation in terms of patient-reported outcomes at 1 year and patient-level episode costs. Los Angeles is required to provide functional status, emergency revisits, readmissions, and total episode cost of all traumatic brain injury patients.

The Institute of Medicine's goal of being effective can be better achieved in Los Angeles by ensuring that evidence-based multidisciplinary rehabilitation is accessible on time and enhancing the support of transition following discharge. Multidisciplinary care offers the benefits of enhanced functional recovery and improved quality of life, and it reduces subsequent dependence on care when care is provided promptly in the post-recovery period (Lorenz & Doonan, 2021). Inpatient rehabilitation and outpatient specialty follow-up are already established on the continuum; therefore, leaders can set targets for therapy and audit compliance in these settings.

Los Angeles tends to calculate outcomes and costs in distinct systems, as responsibility is distributed among a group of payers, whereas Sweden tends to match registries to payment regulations within a specific episode. Eriksson et al. (2024) document a program in Sweden in which they followed the cost at the patient level through a 1-year episode and tracked the patient volume changes, demonstrating both the benefits and the unintended effects to be anticipated by the planners. Los Angeles is able to connect data and incentives between the organizations and track the utilization patterns and equity influences.

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