Reducing the Cost Burden of Diabetes

Reducing the Cost Burden of Diabetes:

The Potential Impact of the Accountable Care Organization

Provisions of the Patient Protection and Affordable Care Act

Ataa Nyamekye

Innocent Ogbue

Mabel vonGoins

New York Medical College

School of Health Sciences and Practice

Capstone, Spring 2013

Executive Summary

I will not edit this until you are finished with your final draft. This will then be rewritten obviously

In regards to President Obama’s Patient Protection and Affordable Care Act (Public Law 111-148, 2010) or ACA, the goal is to offer all Americans affordable health care, health insurance reform, improve patient resources and reduce hospital and operation cost.

The goal of this project is to ensure that Gotham Hospital continues to operate efficiently while meeting President Obama’s new ACA criteria and continue to provide quality care to its patient community. The team plans to offer several recommendations that will ensure Gotham is in compliance with ACA/ACO, as well as compare and analyze the effects of Pre and Post ACA hospital operations and elaborate on the hospital’s concern about how it can reduce the cost of chronic diseases particularly diabetes using its disease management program.

The project outcome is simple; to increase enrollment/utilization of the diabetes disease management and prevention at Gotham Hospital taking into account its diverse uninsured/underinsured population. The team will assess the current diabetes program at the hospital, offer recommendations and design a proactive program that will help increase utilization of diabetes care services at the Gotham Hospital.

Table of Contents

Executive Summary Page 2

Introduction Page 4-35

Methodology Page 35-55

Recommendation Page 55-70

Conclusion Page 70-72

References Page 72-82

Appendix Page 83-92

Introduction

Healthcare cost in the United States (U.S) has been increasing steadily. One of the major contributors to the rising costs [this is plural throughout your paper] of healthcare is chronic diseases. Addressing this growing burden continues to be a major policy priority. The Affordable Care Act (ACA) signed into law by the Obama Administration on March 23, 2010 was aimed at controlling the cost of health care.

The ACA represents the first major piece of social legislation toward comprehensive reform of the U.S. healthcare system since 1965 with the enactment of the Medicare Act. Components of these enacted reforms seek to change aspects of both private and public health insurance programs by expanding affordable coverage without exclusions, exceptions, or community rating (Manchikanti, Caraway, Parr, Fellows & Hirsch, 2011). The legislation is intended to curb the current trend of national medical spending and decreasing the national debt. More specifically, the essential element of the act seek to provide quality and affordable healthcare for all Americans; expand the role of public programs to increase access to people living at or below the federal poverty line; improve the quality and efficiency of healthcare through evidence based health outcomes; prevent chronic diseases through public health and community health programs; emphasize primary care through the education of the current and future healthcare workforce; increase the transparency and accountability of healthcare providers; improve access to innovative medical therapies and procedures; provide community living assistance and support services; and revenue provisions that seek to promote cost efficiency. (Manchikanti, Caraway, Parr, Fellows & Hirsch, 2011). The reform act, it is estimated will provide access to care to 34 million uninsured Americans (Sharamitaro, 2011).

Please explain the difference between telemedicine and telehealth

Please see attached. Original work only. Please cite sources using APA format. 150 word minimum.

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Please explain the difference between telemedicine and telehealth.  Please elaborate on the patient focus and the points, which have the ability to revolutionize health care with respect to rural care, patient care, and cost containment.
I provided a link to assist with researching the topic or you might elect to conduct independent research. Please develop a response of >150 words and include a supporting reference.
http://www.beckershospitalreview.com/healthcare-information-technology/3-future-trends-for-telehealth.htmlhttp://www.beckershospitalreview.com/healthcare-information-technology/3-future-trends-for-telehealth.html Please see attached. Original work only. Please cite sources using APA format. 150 word minimum.

Please explain the difference between telemedicine and telehealth.  Please elaborate on the patient focus and the points, which have the ability to revolutionize health care with respect to rural care, patient care, and cost containment.
I provided a link to assist with researching the topic or you might elect to conduct independent research. Please develop a response of >150 words and include a supporting reference.

http://www.beckershospitalreview.com/healthcare-information-technology/3-future-trends-for-telehealth.htmlhttp://www.beckershospitalreview.com/healthcare-information-technology/3-future-trends-for-telehealth.html

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How Safe Is Your Hospital?

Writing Assignment:
Instructions: Read and respond to the following three readings:
1. Consumer Reports (2012); How Safe Is Your Hospital?
2. Institute of Medicine report entitled To Err is Human; Executive Summary
3. Hammerling’s A Review of Medical Errors in Laboratory Diagnostics and Where We Are Today.
Your essay should address the laboratorians’ obligation to eliminate errors.
(2012). How Safe Is Your Hospital?
http://www.consumerreports.org/cro/magazine/2012/08/how-safe-is-your-hospital/index.htmhttp://www.consumerreports.org/cro/magazine/2012/08/how-safe-is-your-hospital/index.htm
Institute of Medicine (2000). To Err is Human – Building a Safer Health System.pdf
http://www.nap.edu/openbook.php?record_id=9728&page=5http://www.nap.edu/openbook.php?record_id=9728&page=5
Hammerling, J. A. (2012).
http://labmed.ascpjournals.org/content/43/2/41.fullhttp://labmed.ascpjournals.org/content/43/2/41.full
Adhere to the guidelines found in the syllabus if references other than the required readings or lectures are used, they must be cited according to APA format.
Free from plagiarism. Be sure to use proper sentence structure and correct grammar and spelling in your posts.
Postings must be own words; it is not permissible to “cut and paste”
Answers neither from websites nor to copy materials
400 words limit

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pet medicine industry

This is an INDUSTRY ANALYSIS .
Our industry is pet medicine industry.
Our location is Spokane in Whshington state in US.
Analysys should be based on our location.
I attached the guide line ad ppt related to this for the paper.
I need 8~9 gages report.

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Ch. 12 PPT.ppt Professional Sports: Buyer Power Television networks and sports cable systems compete with each other for broadcasting rights In negotiations regarding broadcast rights leagues have the upper hand against television networks local television and radio. Five-Forces Analysis of Professional Sports Leagues Copyright Š 2010 John Wiley & Sons, Inc. All rights reserved. Reproduction or translation of this work beyond that permitted in section 117 of the1976 United States Copyright Act without express permission from the copyright owner is unlawful. Requests for further information should be addressed to the Permissions Department, John Wiley & Sons, Inc. The purchaser may make back-up copies for his/her own use only and not for distribution or resale. The Publisher assumes no responsibility for errors, omissions, or damages caused by the use of these programs or from the use of the information herein.  Cooperative Interactions Among Firms Setting industry standards that facilitate industry growth Lobbying for regulation or legislation that favors the industry Cooperation with buyers/suppliers to improve product quality to improve productive efficiency to improve inventory management The Value Net Concept The value net consists of Suppliers Customers Competitors and Complementors (producers of complementary goods and services) The value net complements the five forces approach by considering opportunities posed by each force. The DVD Hardware Market: A Five-Forces Analysis Internal rivalry was intense. Brand name was the main source of differentiation It was easy for consumer electronics firms to enter. Satellite TV could be a substitute. Streaming over the internet was another possibility. Movie studios (upstream) and big retailers (downstream) had power. DVD hardware makers, according to this analysis, had reason to be pessimistic. DVD format’s success can be attributed to firms working…

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