The option to improve the health care system is the Health care / system redesign. Health care / system redesign involves making changes in primary care practices to improve the effectiveness of patient care, improving the quality and efficiency of medical institutions.
System redesign includes the following:
- Engaging all clinic staff to propose and help actualize successful changes.
- Receiving systems for changing a practice to enhance quality, lessen expenses, and better fulfill the needs of patients and families.
- May include practice "coaches" or facilitators to help with the procedure of health care update.
- Consolidating preventive services and self-management backing into maintenance.
-Consolidating leadership for change and permanent quality consideration.
AHRQ work in health care redesign includes the following areas of work:
- Health literacy and cultural competency. Health literacy is a good opportunity to understand the structure of services, information for decision-making in a redundant system of health care.
- Patient-centered medical home. The PCMH there is promising model for the conversion of primary care in the health system.
- Practice facilitation. Practice facilitation may be provided by creating permanent trust relationships between the external facilitator and primary health care. This practice will help to provide more effective preventive services.
- Health risk assessment. Health risk assessment allows to collect information on the health of the patient, to identify the main risks to the health of the patient. This system will allow to develop a personalized plan for each patient. Health risk assessment will help to improve the practice of preventive services for the patient and make it as safe as possible.
- Practice-based research networks. Practice-based research networks (PBRNs) is based on the work of a team of doctors, which together address issues and find the most effective answers. This practice is provided as training for other physicians and allows them to improve the quality and efficiency of services provided.
Use of health care redesign should be granted the following steps:
1. Getting started. The first step is to select the team for the work that will explore options for improving quality. The team should consist of senior management, physicians and administrative staff.
2. Review data and set priorities for improvement. The second step is to collect information to determine the priorities of the team. After gathering information command defines the basic, operational, clinical and business goals.
3. Redesign care and business systems. In the third stage, the responsibilities of each team member. The care team offers options for improving and assessing the impact of such improvements.
4. Continuously improve performance and maintain changes. The last step consists in constant monitoring activities and adjusting the process of service delivery.
Use of Health Care / System Redesign will greatly improve the efficiency of the health system and the provision of preventive health services to patients. Chronic diseases such as heart disease, stroke, cancer and diabetes are among the most common among patients. Providing quality prevention research will significantly improve the health of Americans.
Another way to improve the health insurance system in USA is the Health Information Technology Integration. Health Information Technology Integration includes a variety of electronic methods that are used to control the health of individual patients and groups of patients and health of the entire population.
AHRQ in health care information technology is part of the strategy of the country, for that would use IT to work throughout the health system of the country. Integration of information on the health of patients in primary care provides a variety of electronic methods are used for the management of information about health and health care of the population.
Use of IT in primary care includes the following:
- Clinical decision support.
- Computerized provider order entry.
- Electronic medical record systems (EMRs, EHRs, and PHRs).
- Telehealth.
- Computerized disease registries.
- Consumer health IT annexes.
- Electronic prescribing.
AHRQ's National Resource Center for Health IT is a link between doctors and experts who use advanced IT technologies. The National Resource Center encourages the use of health IT in medical practice and provides the best tools, technologies and research results from a unique laboratory.
Health IT resources include:
- Health IT Tools and Resources
- Workflow Assessment for Health IT Toolkit
- Health IT Literacy Guide
Health IT allows to accelerate the use and sharing of information about the health of the patient between doctors. This technology allows us to develop personal safety records for all Americans, and allows to receive health information in electronic form, in any place where it is needed. Besides technology will help improve the quality of medical services provided to customers and is a cost effective tool in health care.
With the help of health IT, the doctors will have access to:
- Complete and accurate information about the health of the client. Thus, doctors will be able to provide the best possible care for the health of a patient during a medical emergency or during the next visit.
- Doctors will be able to securely share health information with the patient by the patient or his family through the internet. This means that families of patients will be able to participate more fully in decision-making on the treatment of the patient.
- Ability to adjust better medical care provided to the patient. This is particularly important if the customer requires serious treatment.
- Provides information for early diagnosis of health, reduce medical errors and helps to provide safe patient care at a lower cost.
Another way to improve the health insurance system in USA is the Primary Care Practice-Based Research Networks (PBRN). In PBRN involved a group of doctors that provide services to primary health care. They work together for that would find the best answers to medical questions based on the opinions of a group, and then use the solutions obtained in practical situations. PBRNs engage highly qualified doctors for what would improve the health of all Americans.
Also one of the suggestions for improving health insurance system in USA is Clinical-Community Linkages. Clinical-Community Linkages allows health authorities, community organizations and health care providers to significantly improve patients' access to preventive services and patient care.
Building effective, sustainable relationships between hospitals and the community will improve patient access to health services for the prevention and care of the patient.
The objectives of clinical-community include:
- Coordinating public health, health care delivery, and community-based action to promote healthy conduct.
- Forming relationships and partnerships among community, clinical, and public health institution to fill ruptures in needed services.
- Promoting patient, his family and their active participation in the activities of the public in the planning and improvement activities.
Types of clinical-community linkages involve coordination in one location or between multiple locations or clinics, and provide ways for client access to health services. Clinical-Community Linkages involves collaboration between clinics, community and Health Organization. This cooperation brings the maximum benefit for all parties.
Through the use of Clinical-Community Linkages all aspects of the system reach the following objectives:
- Clinics receive help in providing customers with services that they cannot provide themselves.
- Patients get more assistance in changing unwell behaviors.
- Participants receive assistance system in attracting new customers, which are intended for their services.
In order to construct and improve the communication of the various organizations of the private and public health, it is important to find the gaps in health care services provided and by using the strengths and capabilities of the participating organizations to fill these gaps.
Works Cited
Agency for Healthcare Research and Quality. Health Care/System Redesign n. pag. Web. 20 nov 2014.
Clinical-Community Linkages. Health Care/System Redesign n. pag. Web. 21 nov 2014.
Health Information Technology Integration. Health Care/System Redesign n. pag. Web. 21 nov 2014.
Primary Care Practice-Based Research Networks (PBRN). Health Care/System Redesign n. pag. Web. 21 nov 2014.
Self-Management Support. Health Care/System Redesign n. pag. Web. 21 nov 2014.
“Why do I need health insurance?”. Blue Cross and Blue Shield of Minnesota, n.d. 16 Nov. 2014.
“Key Facts about the Uninsured Population”. n. p. Kaiser Family Foundation. 29 Okt 2014. Web. 16 Nov. 2014.
“Why health coverage is important”. HealthCare. n.d. Web. 16 Nov. 2014.
“Why do I need health insurance?”. Blue Cross and Blue Shield of Minnesota, n.d. 16 Nov. 2014.
Stephens, Jessica. Artiga, Samantha. Paradise, Julia. “Health Coverage and Care in the South in 2014 and Beyond.” Kaiser Family Foundation. n. pag. Web. 19 jun 2014.
