Providing cost effective care without limiting access
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Providing cost effective care without limiting access
Providing cost effective care is a professional aspect of the Advance Nurse Practitioner’s role when caring for clients. Diagnostic testing can aid in therapeutic decision making, but contributes substantially to the cost of medical care. Testing is necessary in most cases, and if used improperly can cause significant cost and not lend much to diagnostic accuracy.
Write a 4 page APA formatted paper on the need to provide cost effective care without limiting access to care.
Discuss:
• Why this is an important aspect of providing care to patients
• How care can be made more affordable without limiting access to necessary care
• How to maintain cost effectiveness and still get the needed information for a diagnosis without ordering unnecessary diagnostic exams
Assignment Requirements
The finished Assignment should be a 4-page descriptive and critical/evaluative essay, excluding the title page and references. The viewpoint and purpose of this Assignment should be clearly established and sustained.
Before finalizing your work, you should:
• utilize spelling and grammar check to minimize errors; and
• review APA formatting and citation information found online, or on APA manual
Your Assignment should:
• follow the conventions of Standard American English (correct grammar, punctuation, etc.);
• be well ordered, logical, and unified, as well as original and insightful;
• display superior content, organization, style, and mechanics; and
• use APA 6th edition format for organization, style, and crediting sources including:
• properly formatted header
• 12-point, double-spaced, Times New Roman font
• use of in-text citations
• title page and reference page
• use of headings (if applicable)
Resources
Choosing Wisely: Knowing the Costs of Health Care (Dana Frank, MD)
Choosing Wisely: The Impact of Rising Costs on Health Care (Joe Marine, MD)
Choosing Wisely: The Need to Simplify Health Care (Ann Morrill, MD)
Please visit and view these sites:
Choosing Wisely
Following-up on Diagnostic Tests
(Go to Medscape©.com to view these articles.)
SAMPLE ANSWER
Providing Cost Effective Care without Limiting Access
Introduction
Providing affordable care is a professional characteristic of (APN) Advanced Nurse Practitioner’s responsibility when taking care of clients. Diagnostic procedures in most of the time assist in making therapeutic decision-making. However, these procedures can contribute substantially to the expenditure of medical attention. Testing is crucial in medication, but if used improperly, it can bring considerable expenditure and not lend much for diagnostic accuracy. Therefore, the following discussion will indulge in discussing the importance of enhancing care that is cost-effective without restraining access. In addition, paper will discuss how care can be made more affordable. The paper concludes by suggesting ways on how to maintain cost effectiveness in the provision of cost-effective care without ordering unnecessary diagnostic exams.
Discussion
Providing care that is cost-effective without restraining access has a number of considerable benefits. Considering that the cost of health care services in the U.S. is increasing every year, government and other health stakeholders are looking for ways on how to health care affordable. One importance noticed by Greene (2015) is that cost-effective care will automatically relieve the heavy burden carried by health providers. For instance, health organizations can fight turnover costs of their nurses. This is because saved costs are usually used in motivating and retaining nurses. Persad (2015) argues that this will save the health organization the costs of advertising, and the overall costs employed to market nursing positions in the effort to recruit and employ nurses to take the turnover vacancies. This importance leads to another importance of increased productivity, which is one of the main agendas for the existence of a health organization as a business. Another importance regarding providing cost-effective care without limiting access is an improvement in providing quality healthcare. This is because cost effective care ensures that there is enough money saved to revolutionize medication administration, communication improvement, facilitate intensified and extensive follow-up, as well as client engagement (Greene, 2015). Considerably, affordable care without limited access facilitates coordination of patient care to decrease unneeded assessment and processes. Besides, a health facility can work effectively with other health providers such as case managers to ensure that there is safe and well-timed hospital discharge. Finally, transparency is witnessed when there is cost effective care (Persad, 2015). When cost effective care is put on the ground, nurses and medical practitioners do not find it necessary to direct a client to unnecessary diagnosis or procedures. Rather, the practitioners inform the patients all matters in black and white and involve other professionals in it.
Health care expenditures remain a key challenge to most Americans in accessing quality health care in the U.S. Greene (2015) argues that although such Act as the Affordable Care Act strives to make every American get affordable care, there has been limitation in accessing the health care services. One method to get affordable health care, Greene (2015), for instance, is by patients avoiding scheduling non-medically illustrated labor instructions before thirty-nine weeks. This is meant to reduce the use of unnecessary imaging assessments, for example, early utilization of MRI or CT for mild complaints that will automatically disappear on their own. Dana (2011) continued to assert that most unnecessary tests and procedures expose a patient to radiation and unwanted surgery.
Ann (2011) who added that the inaccessibility to affordable care is because of the complexity of health care echoes Dana’s argument. Ann (2011), an endocrinologist at Maryland Medical Center, argues that the only affordable care that can be made available to Americans is patient-centered care. In other words, Ann (2011) calls for an absolute simplification of the processes involved in mediation in the interest of the patients. Ann (2011) continued to assert that many patients give up in the quest for affordable health due to inconveniences of bureaucratic procedures in accessing health care. However, Joe (2011), a cardiologist at John Hopkins Bayview, appears on the realm of this discussion about affordable health care by attesting that the reason behind inaccessibility to affordable health care is the continued rising costs of health care. Greene (2015) echoes this statement by arguing that patients have to be assisted financially to access health care.
Another alternative to making care affordable is by empowering non-physician providers. This empowerment will ensure that non-physicians such as advanced-practice nurses practice entirety of their training (Persad, 2015). Progressively, these providers will expand the workforce, which will necessarily lower prices to make health care affordable. Making medical insurance cover cheaper will also aim at making health care affordable. Health insurance exchange plans are reasons behind unaffordable health care (Greene, 2015). These costs make makes it hard to make health care affordable.
By fostering efficient communication between health care providers and patients, cost effectiveness can be maintained, and make doctors acquire the required data for a diagnosis without ordering pointless diagnostic assessments. Contributing in the Choosing Wisely, Ann (2011) argued that poor communication between the two parties hinders accessibility for affordable health care. When there is coherent communication between providers and patient, Greene (2015), there is a better discussion about tests and procedures, and the patient will be able to make the decision about his or her condition. For instance, when a man is suffering from prostate cancer is fed with information regarding the treatment of the disease he might not seek medication. Persad (2015) argues that this is because the condition is unlikely to affect him before he dies due to other causes. Therefore, the patient will not go for testing and scanning, as they become unnecessary. Although health care resources are abundant, they are however utilized improperly. Dana (2011) who argued that nurse practitioners do not know the costs of health are procedures gave this statement. He also added that many billions of money is wasted each year through unnecessary services such as fraud and excessive administrative expenditures. Therefore, Persad (2015), the physician ends up recommending unnecessary diagnostic procedures. Thus, there is need to educate the physician about the cost of the health care procedure, which they will be using to reevaluate their decisions before prescribing unwanted medical procedures and tests. In addition, nurse practitioners need to be supplied with comprehensive copies of the cost of each test. According to Dana (2011), this will assist them in getting back to the list and evaluate whether it is effective to carry out a diagnostic test.
Summary
In conclusion, it can be deducted from the above discussion that nurse practitioners can unintentionally result in unnecessary medical testing and procedure. This leads to misuse of resources leading to cost-ineffectiveness. However, this can be averted if there is established good communication between providers and patients to reduce the numbers of unnecessary procedures and tests. Altogether, affordable care will be made available to the patients if medical insurance premiums are made affordable and the workforce of nurse practitioners expanded.
References
Ann, M. (18 Aug, 2011). Choosing Wisely. The Need to Simplify Health Care. [You Tube]. Retrieved on 10 July, 2015 from:
https://www.youtube.com/watch?v=-5UDzxC–r4
Dana, F. (18 Aug, 2011). Choosing Wisely: Knowing the Costs of Heath Care. [You Tube] Retrieved on 10 July, 2015 from:
https://www.youtube.com/watch?v=4t-G6AkCDu8
Greene, S. (2015). A survey of emergency medicine residents’ perceptive of the choosing wisely campaign. American journal of Emergency Medicine, (6), 853.doi:10.1016/j.ajem.2015.03.067
Joe, M. (18 Aug, 2011). Choosing Wisely: The Impact of Rising Costs on Health Care. [You Tube]. Retrieved on 10 July, 2015 from:
https://www.youtube.com/watch?v=2ktWxEKUBYc
Persad G. (2015). The Medical Cost Pandemic: Why Limiting Access to Cost-Effective Treatment Hurts the Global Poor. Chicago Journal of International Law, 15559.
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