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Policy Research and Organizational Analysis Report

Policy Research and Organizational Analysis Report

University of Colorado Hospital

Lesly  Ovilmar

Southern New Hampshire University

June 4, 2017

University of Colorado Hospital

Policy Research and Organizational Analysis Report

The aim of this research is in University of Colorado Hospital as an innovation center, where quality care is given to the patients of all walk of ages. According to analysis we are going to tackle or look at the financial and economic policies ,how the hospital allocate it’s resources whereby will carry analysis of the market price which will reflect on the economic values of the used resources which the hospital has been using in patient care.

                  Economic Theories and Principles

The microeconomic principles

Management is the primary microeconomic principle. Management engages in making plans, staffing, organizing, coordinating and directing capabilities. These functions have to be dealt with cautiously to lessen expenses and decorate efficiency.  Customers /sufferers are important to a clinic; those establishments exist to serve those people. The choice of Health Care Corporation usually determines eventual revenues and costs with private entities charging better expenses. Employees are every other microeconomic thing; they allow those centers to function and consist of physicians, nurses and other aid body of workers. A poorly staffed facility is probably overwhelmed by means of the quantity of patients compromising patient care.

Distribution channels/suppliers are also underneath this criterion. For facilities to feature seamlessly then inbound logistics is a vital feature. If these institutions are not able to obtain remedy or health care device then it is able to cause loss of life of the patient. Investors fund health care centers therefore represent micro environmental factors; they make certain better affected person care is supplied by means of financing health care facilities. Product/provider is some other microenvironment detail; in health care, provision of better offerings and patient care is the ultimate purpose. Poor service transport can affect general health of the citizens in Colorado university hospital.

Microeconomic principle

Legal concepts have an awesome impact on health care. A brilliant instance is Obama care legislation whose foremost emphasis becomes improving affected person care through encouraging American residents to take in coverage schemes. Insurance schemes in maximum times have eased the get right of entry to healthcare for most people. Political factors in particular recognition on the stability of a nation as well as how federal management impacts this region.  Developing nations are more vulnerable to this precept because they may be confronted by elements together with violence or ethnic wars which affect aspects of healthcare such as the delivery of medical resources.

Demographic ideas give attention to populace and its dynamics; nations like the China or India have very high populations which might also compromise patient care due to inadequate fitness care providers. Other elements within demographic principle like age dynamics are impactful as well. For example, Japanese health providers are continuously put below pressure because of the nation’s getting old population

Social-cultural standards are several and encompass; schooling, income/career, religion and geographic vicinity. Individuals with low earnings degrees are much less likely to afford sure health care privileges because of high value until they may be on insurance programs. Technological ideas constitute the final place; it is a dynamic region that affects affected person care. For instance, imposing database management systems will improve patient confidentiality as well as expediting the manner of registering patients.

The second part will discuss on the home based care services

The control of this centers help in making plans affected person care and the way the practitioners can provide higher care at homes. They typically lease qualified and ready medics who’ve experienced within the discipline to make certain their patients get the great care. Since their sufferers are attended to at their area of house, scientific elements ought to be in accessible as well as a green logistics application to satisfy location utility. Most of these facilities are normally privately funded hence commitment by means of traders could be very critical. Investors are a part of the microeconomic surroundings and playing a massive role in funding of home care entities.

Like all clinical facilities, legal ideas affect them, as an example, to maximize revenues, avoid default however on the equal time ensure the legal guidelines are observed to the latter, those institutions have strategies to address sufferers funded by way of third events consisting of insurance entities. Managing of revenues has end up very difficult with the advent of coverage applications. If directors don’t create a comprehensive plan to ensure patients supported by third party insurance coverage, corporations ultimately pay their payments then the employers might also run into bankruptcy. 

 In demographic phrases, home care centers are established for this reason doesn’t reach targeted group within a company. However, programs are designed basing according to the patient care. For example the elderly will require more attention. Many institutions practice personal care as a result they target patients with moderate to high income profits, tiers this will help in reducing on the hospital bills. Private care tend to be very expensive and costly; if selection makers are to goal low income earners then the ones considered must have coverage regulations to reduce instances of unpaid payments.  Home care based patients normally require special care; this necessitates the intervention of superior generation for example the use of chemotherapy equipment’s. The functions of this equipment have helped into play several dynamics, they encompass; high initial expenses and high administrative costs. High administrative prices are because of enlisting offerings of the high-quality workforce. To make certain revenues exceed fees then the directors need to set their expenses excessive. Higher sanatorium charges are synonymous with excessive income degrees.

Economic Disparities

In term of economic disparities, it can be seen in the case of education which has been linked to health inequality and policies which have been used in early childhood education in health education. This strategy has helped in generating income which has been used in purchasing heath care and distributing incomes within countries leading to high mortality rate. The disparities in health sector have contributed to an increase in insurance policy in the private sector. The health care department should come up will a solution in eradicating disparities which will change on the economy and decreasing the burden on health related issues. This will create opportunities in the improvement of health through expansion of health care coverage and in supporting health care forms in healthcare delivery.

Economic Theories and Principles

Economic theories are an important aspect in understanding how resources have been used in the care of the patient within the hospital. This will help the hospital in determining the market price which will reflect on the economic value of the resources used. Economic principles can be in the analysis of health and healthcare issues, observing the economic resources by putting a limit on the quantity to be used. These principles will enable the health care organization in documenting on their strategic plans and how they will be progressing regarding the current issues they are facing with and creating a solution which they can implement in the near future. For long term planning they can decide on increasing on professional skills whereby the resident physicians will be able to keep up to date through conducting training and ensuring they recruit staff who are highly trained professionally, introducing rewarding programs and promotions for those staff who have performed well.

For-Profit and Nonprofit

Financial differentiation for profit health care organization can be seen in their structure of governance and how they contribute towards the public. These organizations in most cases they come up with a strategy on how they can retain their patients from being lured away by their competitors this will make their cost of services to rise on the other hand the insurance will be holding the line on the reimbursement. The patients will be taxed in different ways depending on the services being provided within the health care facility. While the taxes of the non-profit health organization are being paid by donors so the patient are not taxed in any foam. For non-profit organization the patient receives cheap and quality services and the patient will be charged a moderate fee for the services received, buy doing this the organization can remain in the market for a long period of time.

The university of Colorado university hospital conducts it work mainly on the interest of the patient and the community rather than profit making, whereby they do not discriminate anybody in terms of color, race, age, and/or sexual orientation. The hospital provides free medical services to the patient with disability. For profits and non-profit hospitals have the same mission which are designed in fostering and supporting the value based on the care regarding the tax status. For the case of profits hospitals they are paying for property and income taxes while in non-profit hospital they normally do not pay tax. According to the health economic principles, which are used in the analysis of health and healthcare services and in decision making of individuals, health providers and the government in relation to healthcare? Health economics has helped in the analysis methods which are applied in the good services that result from the economy.

Finance and Market Demand

The health care organization has come up with a way in improving and providing high quality care which will not put their client in debt and leaving customers satisfied.  The organization has to come up with a long term business’ ways so that whenever they are handling their patients or clients. To generate their finances they work as a team by building relationship with co –workers, customers, and stakeholders together with the community, this will help them to build a firm foundation and setting corporate strategies in tackling business challenges.

Market behavior impact has an effect on the financial statements of health care organization some time the business can experience higher sales in certain season making it significant gain during the peak seasons and they can as well incur losses during off peak seasons.

How to determine the impact of economic legislative changes in healthcare policy?

Patient should be aware on the informed about healthcare choices; this will help in focusing on patient, disease prevention, and in the management of chronic diseases. The current healthcare market has allowed patients in taking charge of their own healthcare in a modern way.

The relationship between healthcare and economic policy changes

The health care and economic policy changes are interlinked whereby the rich countries have healthy population. The income of the nation has a direct impact on the development of healthcare systems through insurance coverage. The countries which have weak health care system and lack of education they are facing with difficulty in sustaining the economic growth.

How do healthcare utilize economic and financial theories guides in strategic planning.

The nature of healthcare competition can be based on the new technologies and innovation which has helped to reduce on the cost of healthcare costs, when using market principles in allocating resources. The health care provides financial and insurance, and health care plans whereby those people who are purchasing insurance plan they should have the knowledge concerning various prices and they should be able to make informed choices when they are deciding on what care plan they would like to buy.

Economic and Legislative Changes

Ethical laws which are enforced by the Supreme Court, the legislature executes orders which governs the health organization, these laws are there to deal with morality practices. Some laws protect the healthcare, patient and also the insurance companies against potential risks which may be incurred in the healthcare or health expense of other people.

Policy Changes and Impact

This can be seen on economic legislative changes whereby there is cost shifting in the policy implications. Hospitals tend to have different prices for different payers in response to cost shift. The cost shifting normally has an effect on market because rising prices above the cost will limit some patient from accessing the services they may be in need of, so the healthcare provider will have to put price consideration in some services which are being offered. The price reduction in Medicaid and Medicare and uncompensated care burden are partially absorbed by the high prices which are being paid by the private payers.

Statement Impact

In term of statement impact, itwill enable the health care organization to determine the incentives which are being used in Medicare and Medicaid in limiting the cost and taking the responsibility in the management of quality of care that a patient gets. This can be seen in Medicare cost sharing rules, shifting the cost with home care as well as the nursing homes.

Potential disparities

 Legislature can change the cause of disparities in health care organizations when the court put heavy charges on the offenders people will be more careful on the way they handle and do things.

Conclusion

In conclusion, this planning will be recommended because it enables one in identifying the mission in educating and learning the community and also applying knowledge on how to improve health and well-being of Colorado and other health care organizations.  In order for the healthcare organization to achieve, to offer quality and safe health care services, they will need to implement programs that will promote the safety on the use of equipment’s, which will help in minimizing cross infections in the hospital. To make this plan successful, the medical staff will be required to undergo training so that they can well conversant with the advancing technology.

References

Mankiw, N. G. (2014). Principles of macroeconomics. Cengage Learning.

Baumol, W. J., & Blinder, A. S. (2015). Microeconomics: Principles and policy. Cengage Learning.

National Partnership for Action (NPA) to End Health Disparities (2014).  Retrieved from:

            http://www.ucdenver.edu/research/CCTSI/community engagement/resources/Documents/         National Partnership for Action to End Health Disparities.

Bernanke, B., Antonovics, K., & Frank, R. (2015).

 Principles of macroeconomics. McGraw-Hill Higher Education.

University of Colorado, Economic Impact (Bliss, T., 2017). Retrieved from:

http://www.ucdenver.edu.

Krahn, G. L., Walker, D. K., & Correa-De-Araujo, R. (2015). Persons with disabilities as an unrecognized health disparity population.

American journal of public health, 105(S2), S198-S206.

Bedoya, M. (2016). The Medicare Home Health Benefit’s Need for Reform in Accordance with the        Affordable Care Act.

DePaul J. Health Care L., 18, 57.

Bolton, P., Santos, T., & Scheinkman, J. A. (2016). Cream‐Skimming in Financial Markets.

            The Journal of Finance.

 
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Final Project Milestone Two: Policy Research

Final Project Milestone Two: Policy Research

University of Colorado Hospital

Lesly  Ovilmar

Southern New Hampshire University

May 16, 2017

Policy Research

University of Colorado Hospital

According to the final project milestone one, “the University of Colorado Hospital has a care innovation center and the Colorado University School of medicine with extensive clinical capacity and deep expertise of service provider as well as qualified researcher. This center enables the hospital to develop test and at the same time put transformative solutions to health care” (Hunger et al. 2005). The center is welcome innovators to join the in the quest to obtain good health care resolution for both the hospital and world at large.

The financial wellbeing in healthcare market means that the hospital can allocate its resources and analyze the market price which reflects on the economic value of the used resources in the care of the patient. In order to make this a reality, the University of Colorado Hospital allocates and invests some money in various programs such as research, facilities, subsidies to the community they serve to enabling them to attain major goals and objectives.

The economic principles are important when applied in health care reason being that these principles are used in the analysis of health and healthcare issues in cases of health service research. Why these principles are used is to observe the economic resources by limiting the quantity at the point of use. In term of the economic growth, the University of Colorado is advancing the economy, health, and culture of Colorado and beyond.  On the state standpoint, this organization continues to be a major locomotive on the state economic growth by creating tones of jobs, attracting millions in research dollars, and contributing more than $ 3 billion to the Colorado economy.  Because of this tremendous growth, the state of Colorado is ranking 48th in the nation per capita state funding for higher education.

The health care organization uses strategic planning to create documents which indicate the way they are planning to make progress regarding the current situations to the desired future solutions. The strategies can be used in long term planning in increasing professional skills competition whereby the resident physicians are able to access and update their knowledge by doing this or that type of training. They are ensuring that their staff is and will be highly qualified and trained professionals within the large cities.

The strategic planning for nonprofit can be identified in a healthcare by noting the companies’ strengths, weaknesses, opportunities and the threat which they are likely to face in business. For profits the healthcare system can fundamentally reshape their market and governance structures in order to make profits and to contribute to the good of the public. For them to achieve this they should be able to harness innovation for the good of the public and their patients by creating new innovation in order to respond to the patients’ needs and social expectations, value of creating and sustainable growth.

In the case of non-profit organization they will ensure that they provide cheap and quality services whereby the patient will be charged a moderate fee for the service provided. They will create value so as to remain in the market for a longer time.

Practically, the University of Colorado Hospital combines the strengths of the region’s best academic and community hospitals, along with access to clinics throughout the Front Range, to improve the lives of patients and their families in Colorado and beyond.  As a non-profit organization, its strategic plan is based on the University’s priorities which is identified their mission statement that’s included diverse teaching and learning community, and applies knowledge to improve the health and well-being of Colorado and the world. One of the key strategic plans that have been developed is to enhance the university’s world-class health care programs to achieve recognition as one of the best academic health centers in the nation.

For profit healthcare organization they will be spending most of their time fighting on how to retain their patients from being lured away by their competitors so their cost of delivery will continue to rise while the insurance will be holding the line on the reimbursement or at time reducing them.

The economic difference for profit and non-profit organization in terms of policies and legislation are as followed. For profit organization they will tax their patients in different ways depending on the healthcare system, while for the non-profit organization it will be handle by being offered with tax incentives from their donors so the patients are no taxed in any form. The hybrid organizations in the case of the nonprofit organizations will need to stabilize their income and for the case of profit healthcare they will be in apposition to give back something to their community. And that’s what happening in the University of Colorado Hospital.
The other way in which the hospital has proven not to rely on profit making is through innovation to improve the value of service they offer. The facility has gone through numerous upheavals in the past one fifty years and this has changed the way they view as well as treat diseases. For example, the germ theory gave room for expansion of the health care and on the other hand discovery of antibiotic penicillin promote the utilization of medicine in the treatment of diseases. The university of Colorado hospital is working in close ally with academic research as well as clinical care system to meet the seismic shift of innovation for vision 2020.

The relationship between economic policy and disparities in care is that in both cases education has been considered to be the key of health inequality, policies which were used to support early childhood education in health education. They have helped to increase incomes by providing alternative means of purchasing health care and also to distribute incomes within countries and states which had cases of high   mortality rate.
Research showed that in year of 2009 alone, health disparities among Africans and Hispanics cost private insurers and additional $5.1 billion, which fall eventually to higher insurance rates in term of businesses. In order to have a good stability in the economic, eradicating health care disparities is the right and intelligent things into practice.  Health disparities are forcing a sudden charge on the economy and a huge burden on health related issues, which is slowing the efficiency of the countries’ citizens.

The economic policy differs with disparities care in the treatment and diagnosis of chronic diseases this is seen in racial and ethnic minorities who tend to get sub standardized quality of care than the nonminority’s. The disparities cares are faced with the risk of being uninsured and lack of access to health care this mostly affect people of color and low income group. On the other hand, economic policies that have shown massive impact on this disparity are creation of job opportunities and setting up of insurance policies.  Creation of job opportunities has raised the income levels increasing accessibility while insurance policies have made care affordable.

In term of the impact of legislative changes on healthcare economic policy, the private insurers, federal and state initiatives are also affected with the technology which has caused the reallocation of fiscal resources in the healthcare market. The Medicare Modernization Act had established a medical therapy management plan which had enhanced the Affordable Care Act regulations in the reimbursement of health care services. The legislative and the judicial has influenced the healthcare system by ensuring that individuals contribute to the expansion of healthcare system where by the state had allowed the citizens to purchase health insurance and failure to do so they will be required to pay penalties. The Affordable Care Act (Obama care) legislations whose main emphasis was to improving patient care through encouraging American citizens to take up insurance schemes. Insurance schemes in most instances have eased the access to healthcare for most individuals. Political factors mainly focus on the stability of a nation as well as how federal administration affects this sector.  Developing nations are more susceptible to this principle since they may be faced by factors such as violence or ethnic wars which affect aspects of healthcare such as the delivery of medical supplies (Bernanke, Antonovics & Frank, 2015).

The disparities of care which are factored in healthcare strategic planning has helped increasing opportunities in improving health through expanding health care coverage and also supporting healthcare forms in healthcare deliveries. For example the Medicaid insurance has served a diverse population with health problems for a long period of time by addressing social determinants of health delivery and payment initiatives. Social determinants have an impact on the health outcomes in terms of conditions where people have been born, grow, lived and worked. This factors such as education, employment or social support network has helped in the access in healthcare.
“Health disparities adversely affect groups of people who have systematically experienced greater social and/or economic obstacles to health and/or a clean environment based on their racial or ethnic group; religion; socioeconomic status; gender; age; mental health; cognitive, sensory, or physical disability; sexual orientation or gender identity; geographic location; or other characteristics historically linked to discrimination or exclusion”(National Partnership for Action, 2008). 
The University of Colorado Hospital understands the problems that would cause by the health disparities to the community, that is why they are accentuating on reducing the high rate of mortality and morbidity suffered by the poor and require immediate interventions that can achieve the greatest improvement in health. This is another words one of the key priorities.

References

♦ Bernanke, B., Antonovics, K., & Frank, R. (2015). Principles of macroeconomics. McGraw-Hill Higher Education.

♦ Cowell, F. A. (2006). Microeconomics: principles and analysis. OUP Catalogue.

♦University of Colorado, Economic Impact (Bliss, T., 2017). Retrieved from:

http://www.ucdenver.edu

♦Global Health and Health Disparities (Dr. Stallones, L., 2017). Retrieved from: 

♦ Ahhqi. (2014). The future of home health care projects. Retrieved from: http://www.ahhqi.org/images/pdf/future-whitepaper.pdf

♦ National Partnership for Action (NPA) to End Health Disparities (2014).  Retrieved from: 

http://www.ucdenver.edu/research/CCTSI/community- engagement/resources/Documents/        NationalPartnershipforActiontoEndHealthDisparities

 
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Propose Organization for Analysis:

Propose Organization for Analysis:

University of Colorado Hospital

Lesly Ovilmar

Southern New Hampshire University

April 23, 2017

The facility (University of Colorado Hospital) is not a profit driven organization. The hospital focuses on improving the lives of its patients as a key priority. To achieve this, they work towards moving from just a health care provider to health provider. Integrity, excellence and priority to patient for the core values of this organization but not profit making. They also focus on doing this in a unique way compared to other facilities in order to outstand. They work towards promoting the health of the community as well as individuals without leaving unanswered question along. It is their individual facility that motivate or propels them to optimize as well as improve health care. In addition, the service providers in the university of Colorado hospital understand the state of the world healthcare, how it is changing and it is this kind of change, which propels them to work very much a head of the curve. Their providers are always available to address their patients’ needs. The cares they give to their patients are superior and delivered with great commitment indicating the honor they hold to both the individual patients and community at large. Their staff works together to push boundaries in the world of medicine through research as well as innovation in order to attain the facility’s greatest objective.

University of Colorado health facility capitalizes on the best academic as well as community hospitals in the region to meet the best commitment to community. They also access clinics throughout the Front Range in order to ensure the improvement of lives of the patients in Colorado and beyond.

University of Colorado Hospital combines the strengths of the region’s best academic and community hospitals, along with access to clinics throughout the Front Range, to improve the lives of patients and their families in Colorado and beyond. They also allocate or invest some money in various programs, research, facilities, subsidies to the community they serve all to enable them attain their main goals and objectives. In their effort to moving form health care to health providers, they capitalize on three initiatives. First, they make care accessible to the community that they serve. This is achieved by subsidizing the cost of care as well to the community as well as increasing the number of access points of care. Second, they build community connections by supporting nonprofit programs, educating the community as well as creating job opportunities to the community (Lindquist et al. 2012). Finally, the facility move care forward. This is done through excellent medical research, offering training to the next generation as well as improving the care quality.

The facility is nonprofit based. Many things prove that their work leans most on its key objective or vision rather than on profit making. First is their non-discrimination value. The university of Colorado hospital and the contractors it own does not exclude or deny any benefit or even discriminate against anybody. Discrimination always occurs on the grounds of color, race, age, sex and sexual orientation, language, national origin mental and physical disability, gender expression as well as identity, socioeconomic status amongst other. Neither of this aspect is practiced by the facility. To prove this, the facility provides free aid as well as free service to patients who have disabilities to effective communication. To achieve this, the hospital has qualified interpreters of sign language to enable those who cannot speak their problems. The facility also offers written information in various formats or alternative formats such as audios, large print, electronic and other formats. In addition, the hospital has free language interpretation to patient who primary language is not English. This is achieved through qualified interpreters and written information available in other languages.

The other way in which the hospital has proven not to rely on profit making is through innovation to improve the value of service they offer. The facility has gone through numerous upheavals in the past one fifty years and this has changed the way they view as well as treat diseases. For example, the germ theory gave room for expansion of the health care and on the other hand discovery of antibiotic penicillin promote the utilization of medicine in the treatment of diseases. The university of Colorado hospital is working in close ally with academic research as well as clinical care system to meet the seismic shift of innovation for vision 2020. This partnership is geared towards designing as well as producing next generation of medicine as well as treatment therapies. In addition, the health facility has a care innovation center and the Colorado university school of medicine with extensive clinical capacity and deep expertise of service provider as well as qualified researcher. This center enables the hospital to develop test and at the same time put transformative solutions to health care (Hunger et al. 2005). The center is welcome innovators to join the in the quest to obtain good health care resolution for both the hospital and world at large.

(To be continued in part 2).

References
♦ Ahhqi. (2014). The future of home health care projects. Retrieved April 22, 2017 from:

http://www.ahhqi.org/images/pdf/future-whitepaper.pdf

♦ Lindquist, K. A., Wager, T. D., Kober, H., Bliss-Moreau, E., & Barrett, L. F. (2012). The brain basis of emotion: a meta-analytic review. Behavioral and Brain Sciences, 35(03), 121-143.

 
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effect of Certificate of Need (CON

What are the factors that make long-term care unique compared to a hospital? List at least 4-6 factors

What is the effect of Certificate of Need (CON) on the economics of long-term care economic decision making and how is this different from that of a hospital? Please be specific 

 
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