Quality Health Care and Insurance Research Paper:
Provision of quality health care is one of the most important of aspect of raising a productive community and largely a nation that is able to build on the economic, social and political expectations. Health care institutions, governments and medical regulatory authorities are required to guarantee provision of timely, effective and quality health care services to all patients. McLaughlin and Kaluzny (2006) note that there are many challenges facing the provision of quality health care leading to poor delivery of services. Such challenges need to be addressed by all relevant stakeholders to ensure that the patients are satisfied by the various services that facilities provide. However, Josh et al (2014) cautions that the need for quality by patients should not give health facilities a basis to increase various fees for services. Essentially, health care services should remain affordable so that all individual are able to access proper and desired health care services (Lloyd, 2004).
There are many challenges and problems facing urgent health care center in their process to remain competitive and providers of required quality medical care. The nature of these centers requires promptness in all their processes, a property that may not be possessed by most of the staff and stakeholders. This has resulted to increased complaints from patients especially on time wasted on long queues to get registered and logged to get services. Understandingly, time is very precious in urgent health care centers thus wastage makes the cost high for the facility and the patients with the extra costs landing on the latter. Urgent health care centers must invest in new and modern patient registration centers that are able to cater for all patients that visit the centers.
The expansion plans should also include development of staff force, examination and treatment facilities including wards and other necessary rooms. Through such steps, less time will be taken to login in patients to the centers as well as quick service because there is availability of enough nurses, doctors and rooms to provide medication. This will reduce the complaints from patients on wasted time in queues and eventually make the cost of health care services affordable.
On the other hand, poor access and presentation of information on patient medical history during their visits is another significant challenge in provision of quality health care in urgent centers. Most centers may not have proper systems to organize patient information leading to inadequate, loss or incomplete patient data. Notably, availability of correct, timely and complete information is vital in provision of quality services thus inadequacy in patient information compromises the services the centers provides. Additionally, the cost of tracing patient information is very high both in time consumption and resource utilization.
Ultimately, the costs for collating information must be recovered from the patients making the services expensive to the patients. Health care information management system is an important application that all urgent health care providers must implement to ensure that patient information is well received, organized and stored. With the system, retrieval, update and management of information become easier. The systems also allow restrictions on access thus most confidential patient data is highly protected from unauthorized access.
Further, urgent health care centers have limited number of insurances accepted thus patients are forced to use extra when they get services in these centers. This is the main reason, services in the centers are considered expensive compared to other providers who have an array of insurance covers. The urgent centers must engage with health insurance providers to sign agreements that cover all the necessary services. Notably, health insurance providers require medical care providers to meet certain quality aspects before reaching an agreement. This indicates that the more insurance types an urgent care has, the quality the services rendered by the facility.
Quality in the urgent health care center will largely depend on expansion plans of facility, equipments, staff and process. While the center cannot internally sustain such expansions, funding from United State’s Medicare program will be used to start, run and manage all expansions and renovations needed in the center. Sadeghi et al (2012) agrees that sustaining the quality of service provision in any health care facility must involve external source of funds and expertise. On one hand, Medicare offers flexible repayment terms relating to time period and interest rates.
On the other hand, the program is specifically involved in health insurance thus as an urgent health care, we will not only benefit from the financial resources but also the expertise from the program on improving quality of services and satisfying our patients. Additionally, Medicare and other financial and expertise health care providers have been successfully involved in other similar care centers that needed expansion and provision of expertise in streamlining their processes and procedures. That notwithstanding, ensuring provision of quality services rests entirely on the management of the urgent care center and not Medicare or other financial providers. Regular surveys to establish the levels of customer fulfillment will aid the management in devising methods to improve on quality of services.
Josh, M. et al (2014). The healthcare quality book: vision, strategy, and tools. New York: Health Administration Press
Lloyd, R. (2004). Quality health care: a guide to developing and using indicators. Sudbury: Jones & Bartlett Learning
McLaughlin, C. & Kaluzny, A. (2006). Continuous quality improvement in health care: theory, implementations, and applications. Sudbury: Jones & Bartlett Learning
Sadeghi, S. et al (2012). Integrating quality and strategy in health care organizations. Burlington: Jones & Bartlett Learning