Value-based care is a healthcare delivery model in which providers, including hospitals and physicians, are paid on the basis of patient health outcomes. Value-based care includes three key goals: improved population health, increased patient satisfaction, and reduced cost. Each of these goals affects the stakeholders differently. For example, value-based care aims to lower costs across the board, which would result in the insurance companies having to pay lower reimbursements. If insurance companies incur lower costs, they are less likely to raise premiums and deductibles.
Before you begin working on the assignment, review the module learning resources. These resources will help you with additional guidance to complete this assignment.
In this assignment, you will choose two acute care hospitals in your state. Do not select critical access hospitals for comparative analysis. Because critical access hospitals are exempted from sharing information with the Centers for Medicare and Medicaid Services (CMS), you may not get enough information about these hospitals for comparison. You will compare the selected hospitals on the basis of various quality metrics defined by the CMS. Then, you will conduct a comparative analysis of both the hospitals using specific quality metrics: patient survey ratings, complications, and death rates and unplanned hospital visits. This analysis will help you understand how value-based care and quality metrics in healthcare impact stakeholders. Also, this assignment will help you understand how stakeholders influence the decision-making process in healthcare.
Prompt
To complete this assignment, you will submit an analysis report that includes the comparative analysis of two chosen hospitals. In this assignment, you will choose two acute care hospitals from your state and conduct a comparative analysis. Use module resources to understand how to conduct the comparative analysis on selected hospitals. You will use quality metrics and national benchmarks defined by the CMS. You will then create an analysis report that includes the comparative table and a summary of your analysis to demonstrate your findings.
Selection of Hospitals: Justify your selection of two acute care hospitals for comparative analysis.
Analysis of Patient Survey Ratings: Analyze the comparative performance of selected hospitals pertaining to patient survey ratings quality metrics. Consider the following questions in your response:
How does the patient survey quality metric impact the government and private insurance reimbursement?
Why is the patient survey one of the essential quality metrics for value-based care?
Did underserved/vulnerable populations participate in the patient survey? Why is their inclusion essential?
Analysis of Complication and Death Rates: Analyze the comparative performance of selected hospitals pertaining to complication and death rate quality metrics. Consider the following questions in your response:
How do complication and death rate quality metrics impact the government and private insurance reimbursement?
How do the complication and death rates impact value-based care?
Analysis of Unplanned Hospital Visit Ratings: Analyze the comparative performance of selected hospitals pertaining to the unplanned hospital visits quality metric. Consider the following questions in your response:
How does the unplanned hospital visits quality metric impact the government and private insurance reimbursement?
What does the unplanned hospital visits quality metric indicate about value-based care?
Sample Solution
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of starting capital in unfamiliar convertible cash makes the stage for infusion of unfamiliar funding to animate monetary turn of events (Tetteh, 2014). Unfamiliar possessed banks structure around 52% of the absolute number of banks as at September 2016. Consolidating innovation in help conveyance eliminates running backs of getting to banking administrations and offers a plenty of media, for example, web and portable banking, constant settlement and ATMs for banks to improve items and administrations and extend client base (Domeher, Frimpong and Appiah, 2014). Kumar (2011) prescribed that organizations with an objective to patch up client certainty should focus on improving items to meet client assumptions. The Ghanaian government intends to reward liabilities to the Mass Conveyance Organizations which thusly acquired assets from business banks adding to the expanding non-performing credits of the business. Diminishing the openness of banks to the energy and utility area is supposed to enhance the resource nature of the area (Swamp, 2016). The revelation of oil in business amounts presents immense functional and speculation amazing open doors for Ghanaian banks (Mawutor, 2014; GBS, 2011). Dangers Unnecessary contest from liberation and all inclusive financial practices can incite bankruptcy and insecurity of the business as banks succumb to moral danger, data lopsidedness and seek after less secure techniques to activate more stores. World Bank (2014) demonstrated that with Gross domestic product of USD 38.62 billion and populace of 26.79 million, Ghana could flaunt 29 widespread banks while Nigeria had Gross domestic product of USD 568.5 billion, populace of 177.5 million and 22 all inclusive banks. Beck (2008) and Claessens (2009) believed the need of limiting rivalry in the financial framework to support dependability since unjustifiable contest could bring about weakness to fundamental gamble (Allen and Hurricane, 2004; Carletti and Hartmann, 2003). The energy emergency that plagues Ghana unfavorably influences monetary development coming full circle in expanding functional expenses, declining business pay and productivity (Adom, 2011; Anane, 2015; Andersen and Dalgaard, 2012; CEPA, 2007). The 2012-2016 energy emergency added to decrease in genuine Gross domestic product development rate from 8.8% in 2012, 7.3% in 2013, 4% in 2014 to 3.9% in 2015. Banking industry working resources dropped to 19% in 2015 from 38% in 2014 (Anane, 2015, PwC, 2016). Increasing normal expansion rates from 9.1% in 2012, 11.5% in 2013, 15.5% in 2014 to 17.1% in 2015 combined with deterioration of the cedi and awkward nature in other macroeconomic factors block advancement of the financial area. Athanasoglou, Brissimis and Stores (2005), Kosmidou, Pariouras and Tannz (2005), Kutsienyo (2011) and Sibindi and Bimba (2014) recorded exact proof of Gross domestic product development influencing decidedly on the financial area and rising expansion antagonistically influencing banking area development. IMF (2011) detailed the chance of unfortunate resource nature of Ghanaian banks ought to the macroeconomic imbalanced wait on. The 70% development on non-performing credits from 2015 to 2016 is unwanted for b>
