Florida State University Value Based Care Challenges Articles Summaries Papers

User Generated

zbnyzhfyrz

Health Medical

Florida State University

Description

View the PowerPoint slides. Then, open the word document attached. There are 5 links to five different articles. Summarize the 5 articles briefly. Each summary should be no less than 200 words.

Article 1: 200 words or more

Article 2: 200 words or more

Article 3: 200 words or more

Article 4: 200 words or more

Article 5: 200 words or more

Unformatted Attachment Preview

Here are the links to the 5 reading articles about value-based care challenges: https://academic.oup.com/jamia/article/24/5/1036/3072328 https://www.managedhealthcareexecutive.com/view/top-5-barriers-value-based-care https://www.milliman.com/en/insight/six-challenges-to-successful-adoption-of-value-based-care-inthe-middle-east http://www.chqpr.org/downloads/WhyVBPIsNotWorking-ExecSummary.pdf https://www.medicaleconomics.com/view/independent-practices-face-toughest-challenge-and-mostgain-value-based-care ValueBased Care Challenges FROM A HEALTH INFORMATION SYSTEMS PERSPECTIVE Barriers to Value-Based Care According to Managed Health Care Executives Difficulty collecting and reporting patient information Shifting policies and regulations Financial risk and unpredictable revenue streams Technology interoperability challenges Lack of resources (staffing and software tools) Barriers to Value-Based Care According to AMIA Researchers Today’s health information technology infrastructure remains largely a collection of systems that are not designed to support a transition to value-based care Many providers still use fax and phone to communicate health information. Most providers do not provide patients with access to health information electronically or a means to contribute standardized health information electronically. Lack of standardized APIs limits clinician access to external data and knowledge, advanced analytics, and decision support tools to provide patient-specific cognitive assistance integrated into the clinical workflow. Barriers to Value-Based Care According to Milliman (for the Middle East) Regulatory structure (unifying policies for public and private payers) Data and coding standardization (not being captured consistently) Obtaining quality data for baselining and analysis (not being captured consistently) Provider classification system (e.g., urban/rural, patient acuity, socioeconomic status) Creating a quality outcomes framework (Clinical outcomes, Patient Safety, Patient Experience, Efficiency) Provider reimbursement structure that is linked to value (eg, bundles, capitation, reduced readmissions) Problems with Shared Savings/Risk According to the Center for Healthcare Quality & Payment Reform Does not ensure that services delivered are appropriate, high-quality, and achieve the promised results, and they can actually reward lower-quality care. Models are unlikely to fully align payments with the cost of delivering quality care May not enable providers to deliver services that are not paid under Fee-for-Service. Does not enable patients and payers to determine the total amount that will be paid for all services to treat a particular condition, or to compare costs across providers prior to the delivery of care. Providers could be paid more by not helping patients with their problems. Providers could be harmed financially for serving patients with greater needs. A provider’s payment does not depend solely on things that the provider can control. Providers do not know how much they will be paid before services are delivered. Questions for Independent Practices According to Medical Economics Will Value-Based Care fade away like other fads? Are incentives stable or reliable enough to replace fee for service revenue? Are the right patients attributed to my practice? How do I do data analytics, risk stratification and care coordination? How do I engage patients who don’t come to the office or are high risk? What workflow redesign is required? What new staffing roles do I need?
Purchase answer to see full attachment
User generated content is uploaded by users for the purposes of learning and should be used following Studypool's honor code & terms of service.

Explanation & Answer

Attached. Please let me know if you have any questions or need revisions.

1

Crossing the Health IT Chasm
Student's Name
Institution/Affiliation
Professor
Date

2

Crossing the Health IT Chasm: Considerations and Policy Recommendations to
Overcome Current Challenges and Enable Value-Based Care
The article by Adler Milstein et al. states that the current health information
technology infrastructure has continuously been a large area with a group of approaches that
are not made to back up a shift to value-based care. Further, the success of value-based care
whereby there is better care and better services, and good results at a low cost puts a different
need on the healthcare providers sector that the information technology resources should get
backing. The authors identified a group of objectives and related near-term actions that can
be achieved that are essential to pursue to enhance the healthcare information technology
ecosystem to meet the high need for the current healthcare delivery.
The ideas compounded by the authors emerged from the discussions that happened in
the year 2015 American Medical Informatics Association Policy Invitation Meeting. To
explain the discussion and initiate the suggested findings, the researchers made a vignette
from the multiple stakeholder's observation points of patients and their healthcare providers
and innovators/researchers. The study described an ideal case whereby an integrated health
Information technology environment supports every stakeholder's requirements. The authors
identified the gaps preventing such a reality currently related policy recommended, which
serves as a blueprint for the crucial action that will initiate across the present health
information technology through using system and information to routinely delivering better
care.

3

Reference
Adler-Milstein, J., Embi, P. J., Middleton, B., Sarkar, I. N., & Smith, J. (2017). Crossing the
health IT chasm: considerations and policy recommendations to overcome current challenges
and enable value-based care. Journal of the American Medical Informatics
Association, 24(5), 1036-1043.

...


Anonymous
Awesome! Made my life easier.

Studypool
4.7
Trustpilot
4.5
Sitejabber
4.4

Similar Content

Related Tags