Health System and Innovation Case Study

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CEO

Identification of innovative approaches to improving health system quality, controlling costs and maximizing access to care

Pursuant to your request, this memorandum describes a series of innovative ideas that can be used to meet improvement goals concerning cost, quality and access. A discussion concerning which innovation is the most critical to ensure the health system achieves its goals is followed by an analysis concerning which innovation will be the most difficult to achieve and why. Finally, a description concerning why the implementation of these innovative ideas will improve health system performance is followed by a summary of the research and important findings in the memorandum's conclusion.

Five innovative ideas that the health system could implement to meet improvement goals around cost, quality, and access

Five innovative ideas that our organization can use for these purposes are as follow:

A. Hospital Value-Based Purchasing (VBP) Program.

B. The Pioneer Accountable Care Organizations (ACO) Model.

C. Health Information Technologies (HITs).

D. Comparative Effectiveness Research (CER):

E. Targeting Specific Patient Populations and Clinical Areas:

2. What innovation or innovative idea is the most critical to ensure the health system achieves its goals?

At present, HITs including electronic medical records (EMRs) represent the most critical innovation that is needed to ensure the health system achieves it goals (Fox, 2013).

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3. What innovation will be the most difficult to achieve? Why?

There are a number of legal impediments involved in implementing a Hospital Value-Based Purchasing (VBP) Program that make implementation difficult to achieve due to differences in state and federal laws (Clairorne & Hesse, 2009). There are also some ethical issues involved in physician referrals to health care organizations in which they hold a vested interest unless they satisfy certain legal exceptions (Clairorne & Hesse, 2009).

4. Why will the implementation of these innovative ideas improve health system performance?

A. Hospital Value-Based Purchasing (VBP) Program. This innovative idea introduces changes concerning the manner in which Centers for Medicare & Medicaid Services (CMS) pays health care organizations by linking payment to value to provide higher-quality care for all patients (Blum, 2011).

B. The Pioneer Accountable Care Organizations (ACO) Model. This model is intended to enhance the effectiveness of private payer programs by aligning reimbursements with provider incentives to improve the quality of health care services and reductions in Medicare costs for patients (Blum, 2011).

C. Health Information Technologies (HITs). A growing body of evidence indicates that….....

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