NURS 8100 Technology and Cost Containment
The challenge of containing healthcare costs is undoubtedly a complex issue with various factors at play. You mentioned that the cost of medical equipment and medications, as well as reimbursement rates, are significant challenges. It’s indeed concerning that the price of prescription drugs in the United States is significantly higher than in other countries, and this can put a strain on both patients and healthcare providers. Additionally, the discrepancy in reimbursement between private insurance and Medicaid can create financial challenges for hospitals, especially in communities with high Medicaid rates. The connection between reimbursement and the quality of healthcare services highlights the delicate balance that policymakers need to strike in cost containment efforts.
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You also pointed out that technology, specifically robotic surgeries, is being explored as a means to reduce costs in healthcare. Robotic surgeries can be more efficient, less invasive, and cost-effective, which aligns with the idea of using technology to enhance the healthcare system’s efficiency.
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Your view on whether you agree or disagree with policymakers on reducing healthcare costs underscores the importance of collaboration between policymakers and healthcare providers. The example you provided from Colorado, where there was an attempt to reimburse hospitals at Medicare and Medicaid rates, illustrates the complexity of healthcare policy decisions. Balancing cost containment with fair reimbursement rates for healthcare providers is a challenging task, and it’s essential for policymakers to consider the input of those involved in healthcare delivery to find viable solutions.
The concept of patient-centered medical homes (PCMHs), as described by Rosenthal et al. (2010), represents a popular approach to healthcare delivery. PCMHs aim to provide coordinated care to reduce inefficiencies and ensure that patients receive comprehensive, well-organized care. This model acknowledges the need for various specialists and care providers while ensuring that one provider oversees and coordinates the patient’s care.
In summary, your perspective highlights the intricacies of the healthcare cost containment issue and the need for collaboration between policymakers and healthcare professionals to find solutions that balance cost reduction with quality care and fair reimbursement for providers. The concept of PCMHs also aligns with the goal of improving healthcare coordination and efficiency.
References:
Bodenheimer, T., & Grumbach, K. (2020). Understanding health policy: A clinical approach. McGraw Hill.
The Colorado Independent. (March, 2020), Update: Colorado’s public/private healthcare option clears first hurdle. Retrieved at https://www.coloradoindependent.com/2020/03/12/colorado-public-option-healthcare/
Rosenthal, M., Beckman, H., Forrest, D., Huang, E., Landon, B., & Lewis, S. (2010). Will the patient-centered medical home improve efficiency and reduce costs for care? A measurement and research agenda. Medical Care Research & Review, 67(4), 476-484.
Your discussion about the challenges of containing healthcare costs and the role of technology in addressing them is insightful. It’s true that technology plays a significant role in healthcare, and while it may come with some added costs, it can also be a solution to some of the challenges faced by the healthcare system.
The issue of unnecessary emergency room (ER) visits is indeed a significant contributor to healthcare costs. These visits can often be avoided if patients receive appropriate care in less costly settings, such as outpatient clinics. The reasons for these visits can be multifaceted, including patients not having access to primary care, not understanding when they need urgent care, or healthcare providers opting for ER visits due to underpayment. Technology can help address this issue by improving access to healthcare information and decision-making.
Your mention of the Chesapeake Regional Information System for our Patients (CRISP) in Maryland is an excellent example of how technology can provide crucial information to healthcare providers, especially in the emergency room. Access to a patient’s medication history and other relevant data can help clinicians make informed decisions and reduce unnecessary tests or treatments. This not only improves patient care but also saves time and resources, contributing to cost containment.
Your perspective on the long-term positive impact of technology on healthcare quality, safety, and efficiency aligns with the growing consensus that technology can be a valuable tool in improving the healthcare system. While there may be initial costs associated with training and implementing technology, the long-term benefits in terms of better patient care and cost savings can outweigh these challenges.
In conclusion, your discussion highlights the importance of leveraging technology to address healthcare cost containment challenges, particularly in the context of unnecessary ER visits. This aligns with the broader trend of using technology to enhance the efficiency and quality of healthcare services.
References
Centers for Medicare & Medicaid Services. (December, 2021). National Expenditure Data https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/NationalHealthExpendData/NationalHealthAccountsHistorical
Fereydon ,E., Roghayeh, S., Ahmad, J., & Mohsen, S. (2020). The Use of Health Information Technology by Nurses in Healthcare. Preventive Care in Nursing and Midwifery Journal, 9(1), 36–39.
Lyons, T. W., Olson, K. L., Palmer, N. P., Horwitz, R., Mandl, K. D., & Fine, A. M. (2017). Patients Visiting Multiple Emergency Departments: Patterns, Costs, and Risk Factors. Academic Emergency Medicine, 24(11), 1349–1357. https://doi.org/10.1111/acem.13304
Ojetti, V., Covino, M., Brigida, M., Petruzziello, C., Saviano, A.,Migneco, A., Candelli, M & Franceschi, F. (2020). Non-COVID Diseases during the Pandemic: Where Have All Other Emergencies Gone? Medicina, 56(512), 512. https://doi.org/10.3390/medicina56100512
Rubin, R. (2021). The Costs of US Emergency Department Visits. JAMA, 325(4), 333. https://doi.org/10.1001/jama.2020.26936
Walden University, LLC. (Executive Producer). (2011). Healthcare policy and advocacy: Cost containment. Baltimore: Author.
Your discussion about the challenges of nurse turnover in the healthcare industry and the role of technology in addressing this issue is well-informed and highlights the importance of technology in healthcare management and improving the work environment for nurses.
Nurse turnover is indeed a significant challenge in healthcare, not only in terms of human resource issues but also the financial impact on hospitals and the quality of patient care. Your mention of the high cost of nurse turnover and the average hospital losses due to turnover provides a clear understanding of the financial burden it places on healthcare organizations. The impact on patient care, including decreased trust and satisfaction, is an essential aspect to consider.
The integration of technology, as you discussed, can play a crucial role in mitigating nurse turnover. The use of electronic medical records (EMRs) and other technological tools can improve workflow and documentation, making it easier for nurses to manage patient care efficiently. Telehealth, artificial intelligence, and other technologies have the potential to reduce the burden on nurses, making it possible for them to see more patients and alleviate the shortage of clinicians.
Your mention of blockchain credentialing and its ability to streamline the verification of nurses’ credentials is an excellent example of how technology can simplify administrative tasks, allowing nurses to focus more on patient care. The use of mobile staffing apps and staff augmentation can help optimize staffing based on patient volume, improving efficiency and reducing the workload on individual nurses.
Your agreement with policymakers on the need to introduce technology as a mainstream component of healthcare is well-founded. The multifaceted approach you mention, including electronic scheduling tools and social media for job recruitment, demonstrates the importance of embracing technology in nursing and healthcare management to address the challenges of nurse turnover.
In conclusion, your discussion underscores the significance of technology in addressing nurse turnover and improving the overall healthcare system. It aligns with the evolving landscape of healthcare, where technology is becoming increasingly essential for providing efficient and high-quality care while managing the workforce effectively.
References:
Agbo, C. C., Mahmoud, Q. H., & Eklund, J. M. (2019). Blockchain Technology in Healthcare: A Systematic Review. Healthcare (Basel, Switzerland), 7(2), 56. https://doi.org/10.3390/healthcare7020056
Cohen, J. K. (2019). Tech helping to alleviate nurse shortage, experience gaps. Modern Healthcare, 49(32), 14.
Dewanto, A., Wardhani, V. (2018). Nurse turnover and perceived causes and consequences: a preliminary study at private hospitals in Indonesia. BMC Nurs 17, 5. https://doi.org/10.1186/s12912-018-0317-8
Haddad, L. M., Annamaraju, P., &Toney-Butler, T. J. (2022). Nursing Shortage. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK493175/
Lockhart, Lisa. (2020). Strategies to reduce nursing turnover, Nursing Made Incredibly Easy: March/April Volume 18 – Issue 2 – p 56 Doi: 10.1097/01.NME.0000653196.16629.2e
Mayer, M. A., Rodríguez Blanco, O., & Torrejon, A. (2019). Use of Health Apps by Nurses for Professional Purposes: Web-Based Survey Study. JMIR MHealth and UHealth, 7(11), e15195. https://doi.org/10.2196/15195
Moore P. (2000). Perspectives. How can we help to alleviate the nursing shortage? ONS News, 15(5), 14.
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