個案資料
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Pleasant Bluffs Home Based Hospital Care
內容大綱
In the late 1990s, home-based hospital care started to be introduced in the United States and worldwide. This initiative seemed to lower costs, improve quality of care, and have a generally positive impact on patients. In early March 2014, the director of performance improvement at a major U.S. hospital was asked to develop a proposal, including a business case and an outline of a pilot program, for a version of home-based hospital care for the hospital's patients. The director was expected to present his proposal at the monthly session of the health system leadership team on April 30, 2014. He knew that his proposal would have to take into account various factors such as location, medical condition coverage, patient eligibility, the critical data that needed to be collected, the appropriate means of data collection, and the length that the pilot study would need to last. He also knew that his proposal would have to include projected costs and the potential benefits of such a program -- the program had to make financial sense.
學習目標
This case provides the opportunity for students to learn about some of the various issues related to delivering health care in the United States, including overcrowded emergency departments, cost control, pilot programs, and assessing costs and profits of providing care. After completion of this case, students should be able to:<ul><li>Understand the industry and market situation for healthcare providers in the United States in the wake of the Affordable Care Act.</li><li>Assess the need for hospitals to consider the triple aims of cost, quality, and patient satisfaction.</li><li>Understand Medicare Shared Savings Programs, Accountable Care Organizations, and the importance of 30-day readmissions.</li><li>Create a business case and calculate return on investment.</li><li>Evaluate performance improvement programs.</li><li>Implement change management strategies</ul></li>