Healthcare Delivery and Quality Case Study

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Healthcare Delivery and Quality Case Study
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Healthcare Delivery and Quality Case Study
Insurance companies (that are considered payers) should pay or reimburse for injuries,
extended costs, readmissions, or death from a hospital-acquired infection or medical error.
One of the major ethical principles that insurance companies are required to adhere to is
fairness. Insurance companies are responsible for ensuring that patients do not have to bear
the burden of extended costs, readmissions, or death regardless of whether it is from a
hospital-acquired infection or medical error. According to the principle of nonmaleficence,
patients should not have to pay for avoidable harm caused by hospitals (Kachalia, Mello,
Nallamothu, & Studdert, 2016). Consequently, insurance companies ought to play a pivotal
role in augmenting accountability and motivating hospitals to take responsibility for their
errors by covering the supplementary expenses associated with unfavorable incidents. By
paying for the injuries, extended costs, readmissions, or death from a hospital-acquired
infection or medical error, insurance companies ensure that patients continue to receive
healthcare services.
There are various ways in which healthcare quality can be improved to help reduce
errors and improve patient safety. Among these initiatives is ensuring effective
communication and collaboration among healthcare practitioners. Numerous research studies
indicate that inadequate communication with the healthcare system can lead to medication
errors, low patient compliance, and inadequate comprehension, all of which pose a risk to the
patient’s safety (Lee, & Doran, 2017). Communications within healthcare institutions should
be characterized by transparency, accuracy, and urgency to ensure quality healthcare and
patients' safety. Effective communication with patients is also a critical factor when it
pertains to diagnosing and maintaining quality care. Proper communication and collaboration
among healthcare practitioners are also critical to identifying sources of errors that
compromise patient safety.

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Another way of improving healthcare quality to help reduce errors and improve
patient safety is by ensuring continued assessment of the healthcare techniques and
approaches being used. Whenever errors occur, healthcare providers have to ensure that they
identify the major contributing factors and adjust their approaches to prevent future
occurrences. The medical field has grown quickly, focusing more on scientific observations.
It is increasingly expected that healthcare providers use interventions that are backed by
scientific data. It is imperative to continuously assess the scientific evidence about the
impacts, hazards, and costs of healthcare methods in order to identify areas that require
modification. Without ensuring constant assessment of the techniques and approaches being
used by healthcare providers, it is impossible to combat medical errors and ensure quality
care. The assessments should also include healthcare technologies that continue to be
integrated into hospitals. While such technologies are important, they are prone to errors if
not properly assessed and improved.
Creating incentives for providers can help improve quality and reimbursements for
services or care. Healthcare providers are usually described as committed people who adhere
to a code of ethics and have a fiduciary duty to provide their clients with high-quality
services. While it is rare to see these professionals make deliberate mistakes or endangering
their patients, mistakes can arise from time to time, as does "unacceptable" behavior (Einav,
Finkelstein, & Mahoney, 2018). When such mistakes and unacceptable behaviors arise, it is
expected that the responsible parties are severely punished to discourage repetition. However,
such a system that punishes errors should also be expected to reward productivity. Offering
incentives to healthcare professionals encourages them to work hard and meet quality
performance goals, which lowers the amount of medical errors and malpractice incidents.
Incentives, therefore, can serve as an appreciation and encouragement for continued
improvement of quality and reimbursement for services or care.

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References
Einav, L., Finkelstein, A., & Mahoney, N. (2018). Provider incentives and healthcare costs:
Evidence from long‐term care hospitals. Econometrica, 86(6), 2161-2219.
Kachalia, A., Mello, M. M., Nallamothu, B. K., & Studdert, D. M. (2016). Legal and policy
interventions to improve patient safety. Circulation, 133(7), 661-
671.https://doi.org/10.1161/CIRCULATIONAHA.115.015880
Lee, C. T. S., & Doran, D. M. (2017). The role of interpersonal relations in healthcare team
communication and patient safety: a proposed model of interpersonal process in teamwork.
Canadian Journal of Nursing Research, 49(2), 75-93.
https://doi.org/10.1177/084456211769934

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Healthcare Delivery and Quality Case Study

extended costs, readmissions, or death from a hospital-acquired infection or medical error.

the burden of extended costs, readmissions, or death regardless of whether it is from a

hospital-acquired infection or medical error. According to the principle of nonmaleficence,

errors by covering the supplementary expenses associated with unfavorable incidents. By

communication and collaboration among healthcare practitioners. Numerous research studies

be characterized by transparency, accuracy, and urgency to ensure quality healthcare and

compromise patient safety.

patient safety is by ensuring continued assessment of the healthcare techniques and

not properly assessed and improved.

Incentives, therefore, can serve as an appreciation and encouragement for continued

improvement of quality and reimbursement for services or care.

Evidence from long‐term care hospitals. Econometrica, 86(6), 2161-2219.

interventions to improve patient safety. Circulation, 133(7), 661-

communication and patient safety: a proposed model of interpersonal process in teamwork.

Canadian Journal of Nursing Research, 49(2), 75-93.

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