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HEALTHCARE REFORM CHRONIC DISEASE, PREVENTION & QUALITY

Keller Graduate School Of Management

Professor: Dasantila Sherifi

Group C: Shanise Thornton, Melinda Williams and Christopher Owens

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OVERVIEW OF THE HEALTHCARE REFORM INITIATIVE

Main objective: To provide affordable,

quality healthcare for all Americans to reduce the growth in healthcare spending

http://youtu.be/18oOTfepAI0

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STRENGTHS OF HEALTHCARE REFORM American families and small business owners will

be in control of their own health thru the following: Middle class tax cuts Reduced premium costsNew competitive health insurance marketEnd of discrimination via health condition

Prohibits dropping people from coverage

Reduce deficit

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Eliminate lifetime limits and restrict annual limits

College adults will stay on parents coverage until the age of 26

Medicare prescription drugs… closing the “donut hole”

STRENGTHS OF HEALTHCARE REFORM

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WEAKNESSES OF HEALTHCARE REFORM

Reducing benefits

Increasing premiums

Establishing waiting list

Violators will be subject to a tax penalties of the following: $695 annual fine per person $2000 per worker for employers with more than 50

employees

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CHRONIC DISEASE

What is Chronic Disease?A disease or conditionPersist for long periods to timeMay be progressiveContributes to disabilitiesLinked to death

Most common chronic illnesses:AsthmaCancerDiabetes

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CHRONIC DISEASE More common chronic illnesses:

Heart DiseaseHypertensionObesity

Behaviors that contribute to chronic disease:The use of tobaccoLack of physical activitiesPoor eating habits

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HOW IS CHRONIC DISEASE ASSOCIATED WITH THE HEALTH CARE REFORM?

2010 The Affordable Care Act also known as the Health Care Reform Bill: Control and reduce costsProvide affordable quality care

Title IV – Prevention of Chronic Disease and Improving Public Health:Change delivery of servicesReduce incidences of illnessesInvesting in American people

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COSTS OF HEALTHCARE

What drives healthcare costs?

In 2009, $2.5 trillion spent on health care expenditures

17.6% of GDP or an average of $8,086 per person

Hospital care and physician services rendered were 51% of health care costs

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THE EFFECTS OF CHRONIC DISEASE

Costs of United States healthcare effects:ConsumersEmployersEconomy

Global effects:Higher health care costsProductivityDisabilityMortality

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MANAGEMENT AND PREVENTION Chronic disease is preventable:

Change the way we think about our healthPrevention programs to managed illnessEat healthy & exercise

Interest in wellness and quality:Demand better treatment and servicesCommunicatePatient satisfaction

Empowerment:EducationSelf management

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QUALITY…

What does it mean? Why is it needed?

Quality can be defined as a degree or standard of excellence, especially high standards.

IOM DEFINTION:

IOM aims to improve access of care that among the following: Safe Timely Effective Efficient EquitablePatient Centered

•The degree to which health services for individuals & populations increases the likelihood for desired outcomes• Also consistent with current knowledge.

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STANDARDS, STANDARDS, STANDARDS

JCAHO The Joint Commission on

Accreditation of Healthcare organizations: Regulates and sets standards

for accreditation Accredits more than 19,000

healthcare organization within the U.S.

Independent non-profit

NCQA The National Committee of

Quality Assurance: When compared, is believed to

have a better performance measures

Symbol of excellent Independent 501,3c

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AFFORDABLE CARE ACT & QUALTY

Improving transparency of information on long term care facilitiesNursing home compare Medicare websiteImproving staff trainingPreventive training

Physician payments

Fee for service Quality Bonus

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HEALTH REFORM & QUALITY OF CARE

President of The Joint Commission, Dr. Mark R. Chassin, speaks at the Student Group's Eighth Annual Conference, Dallas, Texas, October 19, 2010

http://youtu.be/1BYkexRSPsg

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QUESTIONS…