NURS 6053 Review of Current Healthcare Issues

NURS 6053 Review of Current Healthcare Issues

Sample Answer for NURS 6053 Review of Current Healthcare Issues Included After Question

If you were to ask 10 people what they believe to be the most significant issue facing healthcare today, you might get 10 different answers. Escalating costs? Regulation? Technology disruption? 

These and many other topics are worthy of discussion. Not surprisingly, much has been said in the research, within the profession, and in the news about these topics. Whether they are issues of finance, quality, workload, or outcomes, there is no shortage of changes to be addressed. 

In this Discussion, you examine a national healthcare issue and consider how that issue may impact your work setting. You also analyze how your organization has responded to this issue. 

To Prepare: 

  • Review the Resources and select one current national healthcare issue/stressor to focus on. 
  • Reflect on the current national healthcare issue/stressor you selected and think about how this issue/stressor may be addressed in your work setting. 

By Day 3 of Week 1 

Post a description of the national healthcare issue/stressor you selected for analysis, and explain how the healthcare issue/stressor may impact your work setting. Then, describe how your health system work setting has responded to the healthcare issue/stressor, including a description of what changes may have been implemented. Be specific and provide examples. 

By Day 6 of Week 1 

Respond to at least two of your colleagues on two different days who chose a different national healthcare issue/stressor than you selected. Explain how their chosen national healthcare issue/stressor may also impact your work setting and what (if anything) is being done to address the national healthcare issue/stressor. 

Click on the Reply button below to reveal the textbox for entering your message. Then click on the Submit button to post your message. 

A Sample Answer For the Assignment: NURS 6053 Review of Current Healthcare Issues

Title: NURS 6053 Review of Current Healthcare Issues

Description of National Health Issue (High Cost of Care)

U.S healthcare cost is the highest globally, although the U.S is rated high regarding patient-centered care. The continuous upward cost of U.S healthcare costs has created economic hardship for some families in America (Lyford & Lash, 2019). Many quality issues are noted within the healthcare system. For example, medical errors have been attributed to several thousands of leaks per year in America, lack of transparency leading to fraud is noticeable in the U.S healthcare system, coding system has caused clashes between healthcare providers and insurance companies, and the policyholders have become the bargaining chips.

Up code is a way providers extort money from insurance companies, and insurance companies, on the other hand, may introduce higher premiums to the employers. There are also challenges in getting competent Doctors; health consumers need access to information about doctors’ credentials and accomplishments, making it difficult to make an informed decision. In America, the high cost of healthcare is linked to new technology, and money is pumped into training and managing new Electronic Health Records and Electronic Medical records. Most of these expenses come from the operational and staff cost required to be in charge of these new systems. In America, prescription drugs and diagnostic tests are so exorbitant. Increasing transparency is synonymous with reducing costs. For example, Drug companies never affix any price to their product when advertising it on TV. A significant way to facilitate transparency is by asking drug makers to disclose the cost of their products in media advertisements (Garness, 2019).

Various steps the government has taken to reduce the cost of healthcare have proven futile. Providing healthcare consumers with necessary and adequate information to better their health and teaching consumers about preventive screenings will reduce the risk of preventable conditions and save the cost of healthcare services.

When consumers are well educated about their health, it brings down demands for health services, potentially lowering healthcare service prices. Healthcare professionals are restructuring care to facilitate positive patient outcomes in combating the high cost of healthcare services. Healthcare professionals face the problem of creating new ways to restructure care and create systems that make providers liable for standard, cost, and patient care outcomes (Ricketts & Fraher, 2013).

How High Costs of Care May Impact My Work Settings

I work in a hospital. Many people in America either delayed or did not get healthcare services for cost reasons. Costs of healthcare services are the most debilitating factor to healthcare access. People with lower income and uninsured have difficulties affording healthcare costs. The rich and those with healthcare insurance also pay a very high price for healthcare services. The high price of healthcare can either make the patient skip or delay pursuing healthcare services.

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The increase in the cost of healthcare services is linked to the quantity, not quality, of services. The advent

NURS 6053 Review of Current Healthcare Issues
NURS 6053 Review of Current Healthcare Issues

of new technologies is driving the cost upward. There needs to be more information regarding medical services, and cost implication is also responsible for high costs. Doctors are scared of malpractice lawsuits and engage in defensive medicine; this leads to the prescription of irrelevant tests, and this practice drives up the cost. Some studies have shown that some patients spent more on healthcare services than their income could support.

In my hospital, patients are suspending care services because of healthcare costs. Most canceled healthcare appointments or procedures are traceable to the high cost, and appointments get canceled when patients receive high estimates. Even though patients know that untreated medical condition can aggravate, resulting in worsening symptoms, when a patient postpones care, cancel, or delay, it causes workflow disruptions. Revenue is lost, necessary clinician time is wasted, and it leads to a lack of inefficient care delivery.

The patient is shopping for providers that guarantee a positive patient payment experience. Without any doubt, when patients receive surprise bills, they will be tempted to search for different providers. This is a nightmare for healthcare providers. When patients switch providers, such providers will lose revenue and may be unable to meet their financial obligations. For a healthcare provider to maintain a competitive edge, such must offer a better payment experience. The increase in healthcare services costs is affecting healthcare organizations’ revenue generation. For providers to stay afloat, they must provide the best financial experience.

My hospital cuts jobs and reduces services in my workplace due to increasing costs and strain budgets. As the execution of the U.S Affordable Care Act moves, several healthcare systems seek considerable changes in how the healthcare workforce is sorted out (Pittman & Scilly-Russ, 2016). Also, the COVID-19 pandemic has put a strain on the hospital budget. Our hospital is paying high wages to healthcare workers due to shortages, and this is driving the cost of healthcare upward.

As a result of this shortage, my organization scaled back services. In the hospital I worked, we have been experiencing low procedure volumes and supply chain issues post-pandemic. Hospital payroll has gone above the ceiling. The cost of healthcare delivery had made my healthcare organization cut executive compensation and readjusted workloads. Contract workers were switched to full-time employees, and existing staff were retained at a minimum wage increase. Some patient do not mind travelling for healthcare services to reduce the cost. As a way of increasing profitability, my workplace has resulted in reducing nurse staffing. The nursing staffing ratio directly relates to the quality of patient care outcomes. Reducing staffing has contributed to nurse burnout as nurses ended up working long, and nurse’s burnout has been the cause of high nurse turnover. Increased nursing turnover has been the source of an increase in overtime pay. Nurse burnout affects staff morale and productivity, as nurse turnover affects the nurse-patient ratio.

Social Determinant that Most Affect High Cost of Care

Social determinant of health includes stigma, disparity, poverty, racism, and lack of education. Social determinant of health are the situations in the surrounding where people work or live, and social determinant plays a vital role in quality-of-life outcomes. Health disparities, education discrimination, literacy, etc., contribute to arrays of health disparities and inequities. Socioeconomic factors encircle many several social determinants of health. Poverty can inhibit access to quality healthcare. Social determinant of health is not a medical factor, but they impact health outcomes. In this case, poverty and lack of education are social determinants that most affect the high cost of care.

How My Health System Work Setting Has Responded to the High Cost of Health Services

Because there are intermediaries between healthcare providers and patients, many sick patients are paying a high price to get treated. My health system implemented cost containment, and this facility designs effective cost-containment strategies to alleviate the cost of care without compromising high-quality care. Cost containment has led to the creation of new payment models and revamped care delivery (Palumbo et al., 2017).

My health system work setting responded to the high cost of healthcare through cost containment. Promoting comprehension of organizational costs, encouraging engagement throughout the hospital, having frequent meetings with the stakeholders, stressing the correlation between labor costs and productivity, and making available powerful tools for data-directed decision-making.

Using generic medicines, and asking the patient to do a routine health screening, enables the detection of health problems early, and if diseases are treated early, it saves cost. To alleviate the cost on the side of the patient, patients are advised to use in-Network Health care providers to save money. The management first communicates the plan to implement cost containment around all hospital departments. Essential expenditure and revenue data are passed to all stakeholders, so they must learn the rationale behind cost containment.

The appropriate authority can translate data and expose clinicians to insights into the system’s financial operations. Stakeholders such as doctors and nurse practitioners were provided with adequate financial data to enable them to make appropriate adjustments as they could potentially drive-up costs. Exposing cost data to frontline decision-makers in the healthcare system is a difficult decision. The reason for high healthcare costs can be linked to advancements in medical technology, the aging population, and the cost of labor.

To lower the cost of healthcare services, our hospital utilizes Telehealth, which has brought meaningful saving substantial financial savings to the hospital. The patient is seen virtually by doctors. These strategies were initiated at the inception of the COVID-19 pandemic. These strategies help the hospital to save money, and the patient does not have to make unnecessary trips to the emergency department which can make the patient cough out thousands of dollars per visit. Hospitals throughout the nations are adapting to these changes using the theory of complex adaptive systems. Complex Adaptive Systems theory is considered one feature of complexity science that describes how an organization adapts to an ever-evolving environment (Marshall & Broome, 2021).

References

Garness, K. (2019). The Challenge of High Drug Prices in America: Cost Disclosure in Direct-to-Consumer Advertising May Offer a Solution. American Health & Drug Benefits, 12(5), 254–255.

Lyford, S., & Lash, T. A. (2019). America’s Healthcare Cost Crisis: As the costs of U.S. healthcare continue to escalate, three commonsense reforms could reverse this unsustainable trend. Generations, 7–12.

Marshall, E. S., & Broome, M. (2021). Transformational leadership in nursing (3rd ed.). Springer Publishing Company.

Palumbo, M., Rambur, B., & Hart, V. (2017). Is health care payment reform impacting nurses‘ work settings, roles, and education preparation? Journal of Professional Nursing33(6), 400–404. https://doi.org/10.1016/j.profnurs.2016.11.005

Links to an external site.

Pittman, P., & Scully-Russ, E. (2016). Workforce planning and development in times of delivery system transformation. Human Resources for Health14(1). https://doi.org/10.1186/s12960-016-0154-3

Links to an external site.

Ricketts, T. C., & Fraher, E. P. (2013). Reconfiguring health workforce policy so that education, training, and actual delivery of care are closely connected. Health Affairs32(11). https://www.proquest.com/docview/1458313016?accountid=14872%26forcedol=true

Hello Sunday, I agreed and support your points about the important of educating our patients with necessary and adequate information to better their health and teaching consumers about preventive screenings will reduce the risk of preventable conditions and save the cost of healthcare services. Stay healthy! Not needing health care is perhaps the surest way of spending less money on it, both yours and societies.(Palumbo et al., 2017). Teaching our patient that smoke about the detrimental effect of smoking at the long run ways by which they can get help quitting if necessary. A good diet (replacing refined starches with whole grains and lots of fruit and vegetables), Exercise helps with — well, you name it. Sleep is fast becoming the third pillar of wellness. Research studies have shown that averaging eight hours a night may prevent colds and keep arteries open.(Marshall & Broome, 2021). All these will help healthcare consumer and hopefully lower their cardiovascular risks and healthcare cost.

References

Marshall, E. S., & Broome, M. (2021). Transformational leadership in nursing (3rd ed.). Springer Publishing Company.

Palumbo, M., Rambur, B., & Hart, V. (2017). Is health care payment reform impacting nurses‘ work settings, roles, and education preparation? Journal of Professional Nursing33(6), 400–404. https://doi.org/10.1016/j.profnurs.2016.11.005Links to an external site.

Pittman, P., & Scully-Russ, E. (2016). Workforce planning and development in times of delivery system transformation. Human Resources for Health14(1). https://doi.org/10.1186/s12960-016-0154-3Links to an external site.