Healthcare transformation a guide for the hospital board member part 10 study guide 2023

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Healthcare transformation a guide for the hospital board member part 10 100% VERIFIED Study guide Download this document to enjoy the best study guide from this document TRANSFORMER Reforming t... he payment system is not a panacea to improved healthcare; however, it is necessary. The healthcare executive’s approach to payment reform must include four major elements: 1. Assess: The current misaligned payment system needs to change. It is imperative to assess where the current payment system falls short or even has perverse incentives to “do the wrong thing.” Identify areas where improved quality could negatively affect financial health. Consider how your organization can mitigate these areas or acknowledge them and continue forward with quality improvement. 2. Evaluate: With the glut of payment redesign programs, the organiza- tion must evaluate the potential impact of different programs on the financial bottom line. Through simulation of data or scenario plan- ning, calculating how various programs will affect the organization is useful in identifying opportunities for improvement. 3. Design and test: Considering the assessment and evaluation, design payment reform models that reflect your improvement opportuni- ties and priorities. It is important to recognize that no perfect system can be designed; focus rather on developing a system that is simple and easy to understand and set up to test specific elements of pay- ment reform. 4. Learn: In today’s environment, payment reform can be considered experimental. We do not know the best answer or have the clear methods to get there. However, we can design multiple experiments well so that we can learn and improve on them. A critical component of payment reform design and implementation, learning is essential in transformation. [Show More]

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