One of the ways that the research and content presented in this course inform or relates to my individual Doctoral Study is with the article on fixing healthcare (Porter and Lee, 2013). In the article, the authors discussed how healthcare providers should position value to be their overall goal in providing care. My Doctoral Study topic is on value-based healthcare, which also is focused on value for care. One topic from Porter and Lee (2013) that presents a strategic analysis was the discussion on how the transformation to value-based care is not a single, one-time step, but involves an overarching strategy. The steps to this strategy, and how they may translate and become implemented across various healthcare organizations could be useful in answering one of the questions that I posed – how to best deliver value-based care. The steps provided in the article could provide a research framework that could verify the utility in implementing a value-based healthcare system based upon these steps. For my individual research, these steps have been a reinforcement in that I am including implementation strategies that successfully implement a change from a fee-for-service system to a value-based system.
I was exposed to new sources of data in this course that will be useful in my Doctoral Study. The article by Mathews (2015) was one such source. In it, Mathews discusses the effect that the Hospital Readmission Reduction Program has had on some healthcare facilities. According to the article, some of the tenets of the program were deemed unfair by some healthcare facilities, with several reasons given as to why that was the case. The data in the article showed that healthcare facilities reported that it was unfair for them to be penalized for results that were outside of their control, that they were concerned over the potential increase in fraud and abuse, and that there was no opt-out option for them. The Mathews (2015) article contained data on the impact that an arguably value-based healthcare program has had on healthcare facilities. For my Doctoral Study topic, this is valuable information that can help to present the best pathways that can be taken to best implement a value-based healthcare system, or in the case of this article, perhaps what is not the best path to take.
In light of the topics covered in this seminar course, I view myself as a global change agent who can present information and data that will help to make the transition to a value-based healthcare system become smoother and more organic. All of the topics presented in this course are valuable, and I have now included more elements to my Doctoral Study because of these topics. I, as a global change agent, believe that the transition to value-based healthcare can be one that results in better health outcomes for patients, with a system that allows healthcare managers to better manage costs (Ray & Kusumoto, 2016). The specific topics in this course that will be helpful for me as a global change agent are a fraud and abuse, compliance, and the legal and ethical challenges of healthcare. By including these topics I believe I will become more well-rounded and complete in my approach and as such will have a better impact upon the industry.
Mathews, C. (2015). The hospital readmission program: Fraud and abuse concerns. DePaul
Journal of Health Care Law, 17(1), 31-46.
Porter, M.E., & Lee, T.H. (2013). The strategy that will fix health care. Harvard Business
Review, 91(10), 50-70. Retrieved from https://hbsp.harvard.edu/tu/1e7ffa01
Ray, J., & Kusumoto, F. (2016). The transition to value-based care. Journal of Interventional
Cardiac Electrophysiology, 47, 61-68. doi:10.1007/s10840-016-0166-x
Respond to two or more of your colleagues’ postings in one or more of the following ways:
Ask a probing question.
Share an insight from having read your colleague’s posting.
Offer and support an opinion.
Validate an idea with your own experience.
Make a suggestion.
Expand on your colleague’s posting.
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