1. How should the federal government participate in supporting health care for all when the constitution does not include health care as a federal responsibility?
The participation of the federal government in support of health care provision with the constitution excluding health care as a federal responsibility should involve supplemental private sector indirectly. This is to ensure the provision of medical coverage’s to patients in need of health care. This should be designed to ensure there is provision of insurances including supplemental coverage to assist with additional expenses in health care provision.
2. In the course text, on the bottom of page 30, there is a reference to the Donabedian classification when evaluating quality of care. What three other categories would you add and why? Justify your response.
(i) Structure
Structure refers to the healthcare physical plants facilities, testing and laboratory facilities, geographic location, supplies and medical equipments, telecommunications system, information systems technology, certification, personnel qualification, certification, procedure and policies stated in manuals and treatment protocols. The high quality structure ensures the accessibility of quality care process that results to outcomes of quality care. The four significant structure characteristics supported in indication of quality includes:
• Guidelines in clinical practice
• Monitoring of outcomes and care of patients
• Disease management
• Referral of patient’s structure to advanced care facilities
(ii) Outcome measures
Quality essence is through the coordination and the proper procedural application of care for the achievement of possible best outcomes. Patient-based outcome measures should be distinguishable from the measures of laboratory rottenly assessed in the investigations of clinic inclusive of injection, neurohormonal status or aerobic capacity.
(iii) Process
A process measure is a considerable aspect in quality assessment. This especially in emphasizing in general medical interventions, patient’s accessibility of quality care as a quality indicator involves the receiving of proper vaccinations against specified infections.
(iv) Outcomes
Outcomes are considerably the fundamental measure of patient care success. The measure includes readmission, mortality, resource consumption, care satisfaction and health status. The development of improvised risk-stratification model is a vital aspect in the accessibility of patient outcome.
General agreement on the basic aspects that constitute the quality care accessibility constitutes quality care process codified and embodied in the clinical practice procedural guidelines in patient care. The provision of proper care has no variance in delivery with quality as an aspect since personal characteristics including ethnicity, gender, socioeconomic and location reasons are reputed. Patient centered care provision is reputable and responsive with preferences in ensuring that the values of the patient guide the clinical decisions.
3. In the course text, read case 4 -1 on pages 98 (bottom) to 101. On page 102, what is your response to discussion question #4? Justify your response.
4. What would you change about these regulations if you were in charge at the U.S. Department of Health and Human Services
To enhance ethnically and linguistically suitable distribution of all requirements, I will offer sound training and guarantee each staff member wellness with consumers. Effective services and assurance of timely service delivery will be my main concern .The changes on the regulations are to enhance the effectiveness of the law with efforts to ensure there is accuracy in the served purposes. Both the aging and women’s health are areas to be equal on the services rendered. These regulations should be on the right directive and culture. All this sectors have health specifics that when not equally distribute affects the other. The preventive service regulations should address specific health needs to women with filling of gaps in the existing guidelines.
4. In the course text, read case 6-1, pages 171 through 175. What is your response to discussion question #5?
5. How might state and national governments respond to this expanding phenomenon?
The state and national governments response to the expanding phenomenon with reflect upon issues including employer-sponsored programs in health insurance plans. There will be an expansion resulting from direct wage controls imposed in the offering of fringe benefits. The government will also introduce a number of medical plans including HDHP (high-deductable healthiness plan). This primarily provides coverage for involving catastrophic illness. The deductibles ensure there is provision of coverage to the expenses. The introduction of limited assistance plan enables the provision of limited benefits to pay for the routine care. The application of discount medical card is also significant due to the provision of accessibility to discounts from the healthcare providers participating.
