Week 6 Discussion Response- Delivery of Healthcare

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Week 6 Discussion- Delivery of Healthcare

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Week 6 Discussion- Delivery of Healthcare

The health community is located in Los Angeles, California, the diagnosis is traumatic brain injury associated with a motor vehicle crash, and Sweden is the selected comparison country. An area of improvement connected to value-based reimbursement in Los Angeles is expanding bundled payment models throughout the traumatic brain injury continuation of care. Existing fee for service reimbursement isolates emergency care, inpatient treatment, rehabilitation and outpatient follow-up, which may decrease coordination and effectiveness. Bundled payments tied to patient outcomes like functional recovery, fewer complications, and fewer readmissions would motivate providers to collaborate across environments and focus on long term value. According to Shi and Singh (2022), payment systems have a strong influence on provider behavior and integrated reimbursement models facilitate quality and cost management of complex conditions. The Harvard Business School Institute of Strategy and Competitiveness (n.d.) also highlights that the best and easiest method of payment of the best results is through bundled payment in health care.

To solve the IOM Aim of being safe, Los Angeles can reinforce standard practice of safety when transitioning care of traumatic brain injury patients. Cognitive impairment puts these patients at a higher risk of medication error, missed follow-up and, complications to occur after discharge. The Institute of Medicine emphasizes that patient safety relies upon the dependability of systems, and not on the endeavors of individuals (Institute of Medicine, 2001). Standardized discharge protocols, medication reconciliation, and follow-up appointments should be implemented early in order to reduce harm that may result in a safer recovery.

Sweden has a greater focused value congruency of reimbursement with global budgets and outcome based payment systems compared to Los Angeles. Swedish providers are motivated not to create complications but invest in rehabilitation in the deal to receive funding that depends on the overall patient outcomes and not the volume of services (Eriksson et al., 2022). Los Angeles may take the example of Sweden with its focus on integrated care and result responsibility. Nevertheless, the centralized model of Swedish healthcare can restrict flexibility and patient choice, which is why it is essential to scale the value based strategies to the population of various cities.

References

Eriksson, T., Levin, L., & Nedlund, A. (2022). The introduction of a value‐based reimbursement programme—Alignment and resistance among healthcare providers. The International Journal of Health Planning and Management, 38(1). https://doi.org/10.1002/hpm.3574

Shi, L., & Singh, D. A. (2022).  Delivering health care in America: A systems approach (8th ed.). Jones & Bartlett Learning.

Harvard Business School Institute for Strategy & Competitiveness. (n.d.).  Aligning reimbursement with value . https://www.isc.hbs.edu/health-care/value-based-health-care/key-concepts/Pages/aligning-reimbursement-with-value.aspx

Institute of Medicine. (2001).  Improving the 21st-century health care systemLinks to an external site.. In  Crossing the quality chasm: A new health system for the 21st century (pp 39–60). National Academy Press.