mandates and cost discussion 1
FOR BARBARA MAKAYLA
It appears that everyone is a bit slow to respond to the Week 3 DQ #1 so I thought I would give you some information that may help you with the DQ this week. You are including really good background information on the measures. However, I am not seeing which data sources you would use or how you would use one of the models. Simply listing the model is not enough. The three items below need to be in your post. I have included an example below for your review. There is still time to add to your posts to make sure you receive credit for answering all aspects of the question.
1. Child immunization is the HEDIS Measure
3. Quality Improvement Model: PDSA
P: planning would include the gathering of data from the registries, health insurance claims, and the review of patient’s chart. If data shows that the patient did not receive the vaccination and there wasn’t a parent waiver, a letter to the parent needs to be sent to inform the parent of the need for vaccination. Follow-up may be necessary, which may include a phone call to the parent as a reminder. Evaluation process will include the results as well as determining if there were any barriers to ensuring all children were vaccinated.
D: Registered nurses would be utilized for chart review. All charts of children under the age of 18 would be reviewed. State registry vaccination records and patient claims would also be gathered. Results are obtained.
Mandates and Cost
The Department of Health and Human Services has oversight of several agencies (i.e., FDA, CDC, AHRQ, NIH, CMS) that regulate health care in the United States. Regulation encompasses insurance plans, cost, research, safety, all in the name of delivering quality care in a cost effective manner. These agencies are responsible for monitoring compliance and enforcing legislative mandates. However, the debate continues on government regulation and its effect on ensuring quality care. After completing this week’s reading, review the following articles listed below, which were published 11 years apart. Analyze the cost-quality paradigm noted in the articles. Considering the many governmental mandates and regulations to reduce costs and ensure the delivery of quality care that have been implemented over the years, discuss your opinion regarding why costs have continued to rise without improving quality. List two examples that illustrate your point.
Your initial post should be 250-300 words and utilize at least one scholarly source from the Ashford University Library that supports your point. Cite all sources in APA format as outlined in the Ashford Writing Center.
Guided Response: Choose two classmates and respond to this question: Do you agree or disagree with their rationale for the disparity between cost and quality in health care. Explain your answer. List at least one scholarly source that justifies your statements.