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Healthcare Qs
1. What do you believe is the most important factor in a change?
There are a number of factors that can contribute to change within the healthcare system, but I believe that the most important factor is political momentum. In order for any meaningful change to occur, it is necessary to build up a critical mass of support within the executive and legislative branches. This can be a difficult task, as there are often strong interests opposed to change. However, I believe that it is imperative to have this political support in order to create lasting change within the healthcare system. Once this momentum is established, it will be much easier to implement other changes, such as improving quality care or increasing access to care. Without this essential ingredient, any other efforts are likely to be fruitless.
2. What political strategies could leverage facilitators and constraints into political momentum to move an issue forward?
In order to build political momentum around a healthcare issue, it is important to understand the facilitators and constraints that exist. Facilitators are those factors that make it easier to bring about change, while constraints are those factors that make it more difficult (Raymore, 2002). By understanding both of these factors, it is possible to develop a political strategy that can maximize the chances of success.
One potential strategy is to focus on the facilitators and work to increase their influence. This could involve building coalitions with groups that have a shared interest in the issue, mobilizing grassroots support, and raising awareness through media campaigns. Another strategy is to work to diminish the power of the constraints by lobbying against them, raising public awareness of their negative impact, and finding ways to work around them. Ultimately, the most successful political strategies will take both facilitators and constraints into...…it may also lead to potential reductions in the quality of care if providers choose to cut corners in order to save money. Ultimately, there is no single perfect solution for designing healthcare payment and delivery models. The best approach may vary depending on the specific needs of the healthcare system.
5. Discuss the fundamental strategies of public reporting, performance measurement, and value-based payments that policymakers are leveraging to drive the high-value healthcare agenda?
Public reporting makes information about provider performance readily available to consumers, while performance measurement allows for the quantification of quality and cost outcomes. Value-based payments tie provider reimbursement to measures of quality and cost, giving providers an incentive to deliver high-value care. Together, these strategies are designed to promote transparency, improve quality, and reduce costs in the healthcare system. While each strategy has its own strengths and weaknesses, together they offer a powerful toolbox for driving the delivery of…
References
Andreoli, S. P., Brewer, E. D., Watkins, S., Fivush, B., Powe, N., Shevchek, J., &Foreman, J. (2005). American Society of Pediatric Nephrology position paper on linking reimbursement to quality of care. Journal of the American Society of Nephrology, 16(8), 2263-2269.
Raymore, L. A. (2002). Facilitators to leisure. Journal of Leisure research, 34(1), 37-51.
Taft, W. H. (1915). Boundaries between the Executive the Legislative and the JudicialBranches of the Governrnent. Yale LJ, 25, 599.
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