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HEALTHCARE HCM 550 Healthcare Policy Analysis and development

HEALTHCARE HCM 550 Healthcare Policy Analysis and development

Module 8: Portfolio Project Abstract The Triple Aim has been a buzz word in the health care community since 2007. Part of the difficulty in implementation is the history of health care delivery and many have their own definition and vision of what achieving the Triple Aim could be. The crucial focal point of this work is the necessity of population health. The Triple Aim is attempting to redefine health care and to control the costs associated with health management. Bellin Health in Wisconsin is an example of an organization that is working to effectively implement a system to achieve the Triple Aim in the communities it serves. We will explore the definitions of Triple Aim, population health, the measures used to define success and to determine if the system can be implemented universally. The Triple Aim In October 2007, the Institute for Healthcare Improvement defined the Triple Aim initiative which was designed to help health care organizations improve the health of a population patients’ experience of care (including quality, access and reliability) – while lowering – or at least reducing the rate of increase in – the per capita cost of care (The Commonwealth Fund, 2010). While these goals seemed to be well intentioned and aimed at solving the problems facing health care related costs, the difficulty remains as to who is interpreting the definition of the goals. When the IHI interpreted the initial results of the Accountable Care Organizations, what they found was that population health was proving to be the most impactful of all the initiatives that were being trialed. In looking at the big picture, it can be easy to become overwhelmed at the thought of challenging the entire system of healthcare
Module 8: Portfolio Project from patient, to provider to payer. So, we will start at the bottom with evaluating the difficulties of the Triple Aim. The Triple Aim is challenging to implement for varying reasons. Primarily, fee for service has been the standard for decades. Providers have come to expect to be paid based on the service they provide – or perhaps the service they document and code – and that is going to be a tough hurdle to make. Changing behaviors is difficult for anyone, let alone a medical professional. Many professionals will tell you that they spend more time documenting to meet coding standards than they do actually providing a service to the patient. This is not only a disservice to the patient, but also to the provider who is wanting to provide a higher level of service. For those who are really just in it to make money, challenging the production model and MGMA is also a big mountain to cl

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HEALTHCARE HCM 550 Healthcare Policy Analysis and development
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