Certification Affecting the Healthcare Innovation Initiative Essay Assignment Paper

Get nursing paper writing help on Certification Affecting the Healthcare Innovation Initiative Essay Assignment Paper from Nursing Academic Writers

Certification Affecting the Healthcare Innovation Initiative Essay Assignment Paper

Certification Affecting the Healthcare Innovation Initiative

 

The Healthcare Innovation Initiative will see Tennessee move from a quantity based primary care payment and delivery system to one based on value and the people. The goal of this endeavor is covering 80% of lives with a value-based payment. This initiative, a multi-payer effort, will supplement the population-based models that are currently underway, which includes the existing patient-centered medical homes (PCMH) programs. The population–based models provide rewards to care givers who maintain or improve the health condition of their patients over time. These Primary Care Providers (PCPs) are also acknowledged for giving care to all their patients and proactively assisting patients who suffer from high-risk conditions. The main problem in the healthcare system us the certification process for any initiative are very long and very

The payment system in Tennessee currently rewards numbers instead of quality and caregivers who manage to maintain the health of their patients over time. The fixed scheduling of appointments only allows for the maintenance of the patient’s health, which makes the system more inclined to treating disease rather than maintaining wellness. In addition, there is no reimbursement of efforts made by healthcare providers; apart from traditional office visits or follow-up visits by other service providers on a patient’s care team (Dickinson and Mannion, 2011). It is argued that if preventive activities were well coordinated, there would be a reduction in demand for healthcare services, which would negatively affect the income of care providers. Nonetheless, this would allow for the provision of coordinated quality healthcare. The healthcare Initiative will focus in the payment system and process and identify areas of leverage, which can ensure there is quality delivery of services as well as reimbursement processes.

When the incentives are not aligned to the current system, it is an indication that there has been a substandard investment into information technology, transformation process and personnel, which is essential for desired outcomes and the wellbeing of patients over time (Tn.gov, 2014). Primary care providers do not have any source of information in regards to patients who seek medical care from the fragmented healthcare system. Thus, they are not notified when their patients are hospitalized or discharged (Robson and Baek, 2009). In early 2013, the State conducted pilot projects before rolling out a Directed Exchange based model. To facilitate its adoption the state set up health information service providers for the state government departments, which provide medical care to over 1 million Tennesseans annually. The state also created a financial incentive program for service providers to encourage the adoption of new technology with over 3,000 licenses available.

Healthcare informatics refers to the method used in the optimization of health information of acquisition, storage, use, and retrieval. The tools used by health informatics include ICT systems and clinical guides. They are applied in various areas in the practice of medicine such as nursing, occupational therapy, and clinical care, among others. Clinical informatics can simply be defined as including health care information in the medical services by clinicians (Tn.gov, 2014). Their responsibilities include carrying out analyses, evaluating the design of the communication system and seeking ways of improving healthcare, while at the same time strengthening the relationship between the patient and the clinician. Other categories under healthcare informatics include community health, nursing and medical informatics.

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