Discussion: Organizational Policies and Practices to Support Healthcare 1ssues
The delivery of quality, affordable, optimal and accessible care is often encapsuatleated in overall goals of healthcare systems. however, due to limited resources, the overall goals in healthcare are not fully achieved. The healthcare needs tend to compete with limited resources. healthcare leaders, such as nurses often find themselves at cross roads as they thrive to match competing healthcare needs amidst limited resource settings. This paper will discuss healthcare versus quality. Many often could argue that limited resources are often linked to low quality healthcare delivery. Healthcare costs versus quality is a critical stressor in healthcare delivery. Others believe that efficient use of sources and some interventional approaches would reduce healthcare costs and improve overall quality of care by optimizing health outcomes.
The limited resources for healthcare is no longer an imagination, but it is a reality. With increasing population, emerging chronic and communicable diseases and slow socio-economic or political progress, the sources allocated for healthcare delivery system will continue be inadequate. Despite such limited resources, critical question must be asked. Does expensive healthcare imply quality, accessible and affordable healthcare? Already healthcare is expensive. Substantial portion of the population can no longer access quality healthcare services. however, the practices in healthcare could be the critical reason behind ever-rising healthcare costs.it is upon policymakers and healthcare leaders such as nurses to advocate for practices that support prudent utilization of available resources to deliver quality healthcare services. The factors underpinning rising healthcare costs include fragmentation, unsustainable costs, suboptimal outcomes and healthcare disparities (Salmond & Echevarria, 2017). According to Salmond, S. W., & Echevarria, M. (2017), cost and quality concerns alongside changing social and disease-type demographics culminates in an urgency for change. The Affordable Care Act includes as encapsulated in the Centers for Medicare & Medicaid Services aiming to improve quality and control cost. Affordable Care Act should be used by nurse as a leverage to advance effective cost utilization policies that not only keeps the cost of healthcare under control but also enhance the delivery of better health outcomes. Healthcare policymakers and leaders should develop and support formworks that facilitate greater coordination of care amongst providers across all healthcare settings. Such coordinated care should be geared towards reducing healthcare costs by improving health outcomes and reducing healthcare costs by limiting underserved hospitalization, discouraging unnecessary and repeated diagnostic tests, improving primary healthcare and disease prevention and supporting secondary prevention of disease. Nurses are well positioned to contribute to and lead the transformative agenda that improve quality of healthcare and keep costs under control by adopting interproffesional strategy that is provider-driven and patient centered care across the continuum that provides seamless, affordable, and quality care. Nurse constitutes essential component of interdisciplinary team that is providing patient care in fast paced and sophisticate healthcare environment. Nurse play a broader role in patient-centric care that is marked by satisfactorily access, safety and quality.
When nurses deliver quality healthcare, such as ensuring proper delivery of care to bedridden patients, such patient might haven better health outcomes because they are not likely to develop advise prognosis such as bed ulcers, that would increase hospital length of stay and possible readmission sin future. Nurse leaders and nurse ought to be bold enough to push for polices that enhance care, promote health and prevent disease.it is quite challenging task to maintain costs noting that the most practical approaches to resolving huge healthcare costs require intense collaboration and policy support to guarantee quality and keep the healthcare costs under control to improve access. In addition, nurse leaders may be expected to advocate and promote healthcare polices that seek to reduce health disparities and inequities. Such step would ensure that the most vulnerable population access quality healthcare serves in a timely manner to avoid disease progress or reduce risks. Registered nurses (RNs) are constantly challenged to provide quality nursing care while resources are chipped away, sometimes along with their energy, pride, and ability to provide holistic patient care, and are encourage to overcome their sense of powerless ness to alter the existing circumstances (Kelly & Porr,2018).
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