The healthcare industry is experiencing frustration and worry among its stakeholders. Regulatory mandates for hospitals, physician practices and other entities are causing challenges to the system, as these mandates are linked to reimbursement for said stakeholders. The targets of regulations include, but are not limited to, quality of care, the patient experience, safety issues, care coordination, communication, discharge planning, unnecessary admissions, and end of life support.
Federal and state governments, commercial insurance companies, accreditation bodies, and quality improvement organizations have set standards that healthcare providers need to meet in order to receive monetary incentives and favorable public ratings that can allow them to increase their profiles and images to consumers and buyers of healthcare services. When they fall short, penalties occur. As a result, health care leaders are working furiously to educate and empower their teams to be conscious of both how their departments are run and how outcomes are achieved.
Are these mandates working? Is healthcare more transparent? Are costs being contained? Are consumers satisfied with their care and with their healthcare providers? Is the country healthier? It’s hard to say. In a recent article, Patrick Conway the Center for Medicare and Medicaid’s chief medical officer said, “These programs are driving what we want in health care.” Most hospitals have improved since the programs began. However, even some hospitals that have gotten better are still losing money because they are not scoring as well as others. As a result, there is a renewed effort from organizations to ensure that they have people in place with the expertise to build better systems for analyzing performance and delivering better services in order to achieving better outcomes. Organizations, large and small, cannot afford to miss signs that impact their scores, as this impacts their reimbursements.
Organizations that are showing positive outcomes have two things in common–first, they recognize the need to keep the patient and caregiver at the center of the healthcare team. Second, they understand the importance of self-reflection and evaluation. They are taking the time to assess their core purpose and make sure their strategies and organizational culture sync up with their mission.
Hospital leaders, physicians, and other healthcare entities who want to stay relevant (and in business) need to better understand patients. These patients are their customer, and patients are the proprietors of their own health and health care. As a result, there is a renewed effort to keep the consumer involved in matters of cost, quality, and access.
In addition, healthcare leaders are taking the time to reexamine their purpose and ensure that the strategies they put in place are meeting the needs of patients. I would encourage you to take time this week to exam your organization’s as well as your professional purpose. Are you working in line with what is important? At your next staff meeting, ask your colleagues if you, as a team, are meeting your mission through the services you provide and the work you are doing? Are you satisfied with the work you are doing? If not, what do you need to do to improve? Reflection allows you to be part of the solution and not continue the status quo.
In continuing with the thread of improving the patient experience, next week I will highlight some of the innovative programs organizations are implementing to ensure they are utilizing patients to strengthen the healthcare system. If you have a best practice you would to share, please email me at [email protected]
Please share your thoughts and your insights on how you see our healthcare system functioning. Are you happy with it? Is it worth the dollars being spent? If not, what are you doing to address shortfalls?
To assist you in your reflections, I have shared articles that address value-based purchasing and how these strategies are working to improve our healthcare system. I embedded the links into the titles so you can just click on the title read the articles.
- The Connection to Purpose: Why it Matters
- Achieving the Triple Aim: Summaries of Success
- Health Reform Monitoring Survey
- More Hospitals to get bonuses than penalties in 2015 under Value Based Purchasing
- Healthcare Trends to Watch in 2016
- Don Berwick on the Ghost of Health Care’s Past, Present and Future
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Have a good week!