HEALTH CARE

ASSIGNMENT DUE SUNDAY……. 3 PAGES APA FORMAT

The predominant model for the delivery of health care in the United States and other parts of the world is fee-for-service. A new model gaining in popularity is known as pay-for-performance, or P4P. In the P4P model, providers are paid for how well they provide care, not how much care they provide. There are rewards for high quality, efficient and effective care and penalties for wastefulness and medical errors. Whether or not P4P can raise the standards of care and/or lower its cost is a matter of some disagreement.

To prepare for this Assignment:

Review the Learning Resources for this week that discuss pay-for for-performance.

Find two additional reputable sources (i.e., news sources, accreditation and health care agencies, peer-reviewed journal articles, etc.) that address the challenges of adopting a pay-for-performance approach for ensuring quality and safety in health care.

To complete this Assignment, write a 3-page paper that addresses the following:

Summarize and analyze the challenges discussed in the two sources you selected.

Select the two most significant challenges to the successful adoption of a P4P approach, and explain why.

Your written assignments must follow APA guidelines. Be sure to support your work with specific citations from this week’s Learning Resources and additional scholarly sources, as appropriate. Refer to the Essential Guide to APA Style for Walden Students to ensure your in-text citations and reference list are correct.

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RESOURCES

Required Readings

Introduction to healthcare quality management

Chapter 2, “Quality Management Building Blocks” (pp. 13–26)

Pear, R. (2007, August 19). Medicare says it won’t cover hospital errors. New York Times.

Pear, R. “Medicare says it won’t cover hospital errors” Copyright 2007 by the New York Times. Reprinted by permission of the New York Times via the Copyright Clearance Center.

Epstein, A. (2006). Paying for performance in the United States and abroad. New England Journal of Medicine, 355(4), 406–408.

Note: Retrieved from Walden Library databases.

Paying for performance in the United States and abroad. New England Journal of Medicine, 355(4) by Epstein, A. Copyright 2006 by the MASSACHUSETTS MEDICAL SOCIETY. Reprinted by permission of MASSACHUSETTS MEDICAL SOCIETY via the Copyright Clearance Center.

Wachter, R. (2010). Patient safety at ten: Unmistakable progress, troubling gaps. Health Affairs, 29(1), 165–173.

Note: Retrieved from Walden Library databases.

Note: This article was also assigned in Week 1. For this week, read it again and focus on how regulation and accreditation agencies, along with reporting systems, have affected patient quality and safety goals.

Patient safety at ten: Unmistakable progress, troubling gaps. Health Affairs 29(1) by Robert M Wachter. Copyright 2010 by PROJECT HOPE/HEALTH AFFAIRS JOURNAL. Reprinted by permission of PROJECT HOPE/HEALTH AFFAIRS JOURNAL.via the Copyright Clearance Center.

O’Reilly, K. (2008). Medicare’s no-pay events: Coping with the complications, American Medical News. Retrieved from http://www.amednews.com/article/20080714/profession/307149968/4/

Centers for Medicare & Medicaid Services (CMS) Office of Public Affairs. (2006, May 18). Eliminating serious, preventable, and costly medical errors—Never events. Retrieved from http://www.cms.gov/apps/media/press/release.asp?Counter=1863

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