Forces empowerment patient prevailing current healthcare reform movement has met with Yin-Yang forces healthcare-provider quality-of-care responsibilities. Two forces are increasing in momentum and have a significant impact on both patients and health professionals.
In patients end healthcare continuum, are forces patient empowerment is driven concepts of patient engagement and patient-centered care, which are predicated on the assumption that a greater focus on the patient and the patient’s greater involvement in the health care process will improve the quality of health care and lower costs.
Patient-centered care is based on the concept of patients rating and judge health care providers based on the quality of health care delivered, how care was delivered and results management. Patient satisfaction data are generated with regard to the perceived quality of a patient’s provider / patient relationship, the doctor empathy, communication and networking. The Patient-Centered-Care Home is a model-of-care spinoff from patient-centered-care concept, which focuses on coordination and communication with health care between primary care physicians and specialists, such as changing health care “what patients want it to be.”
Central to the concept of patient-centered care and patient-centered-Care- Home Care model is the concept of shared decision-making, a process in which patients and health professionals working to determine the specific treatment implementation when there are various options. In addition to weigh medical evidence, the decision process also takes into account the value of patients and preferences.
The health-care provider end of the continuum are forces that tend to keep at bay the forces that drive empowerment of patients. Those forces to ensure that patient-Empowerment forces do not run amok and that patients receive fair, quality and safe health care.
Standards health set out guidelines evidence-based-medicine, State Medical Boards hospital-quality-assurance committees, insurance-company-QA monitoring committees, and the courts are some of the well-established party oversee the delivery of fair quality and safe healthcare healthcare.
Some new parties that govern physician quality-of-care responsibilities, which are offshoots healthcare reform, include doctors Quality Reporting System (PQRS), value-based modifiers and accountable care organizations (Acos).
The medical-Quality-Reporting System will set repayment penalties physician groups of 100 or more that do not meet certain quality-of-care-measures in the treatment of patients with Medicare beginning in 2015, and will put sanctions on all physicians who treat Medicare and Medicaid patients but not meet the standards beginning in 2017.
Warranty care organizations (Acos) are groups of suppliers and health professionals including doctors, hospitals, and other entities engaged in coordinating care and providing quality care to patients at a reduced cost. They have special agreements with insurance companies that include reimbursement incentives for cost savings, but receive reimbursement reduction if there are excess runs in treating patients members. Quality measures such as patient-centered care, shared decision-making and treatment results also factor in the repayment by the contractual provisions of the organization.
Yang forces followed the empowerment of patients bestow certain benefits to patients who have previously been victims of Yin forces doctor-centered health care system where many of their desires and wishes were ignored and communication was low or virtually non-existent. On the other hand, yang forces oversee hand accounting counterweight Yin forces patient empowerment with opposing unrestrained patients participating resulting unwanted behavior such as medical deviate from established standards of quality care in exchange for favorable patient satisfaction ratings or just to appease patients.
Obviously, patient empowerment, health is not all yin or all yang but is a union of both. On the other hand forces within health care are in balance with the forces of empowerment of patients, so as to facilitate quality improvement in health and reduction in health care costs.