Epidemiology peer response

i need one answer to each peer, 200 words each

Madonna:
Delivery Model

Value-based healthcare is a healthcare delivery model or a process in which the providers, including hospitals and physicians, are paid based on patient health outcomes. It is one of the alternative models that offer value as well as has the potential to transform and improve healthcare delivery in each and every region. In this care delivery model, the goal is to allow patients and communities to aid themselves and access the best treatment choices available (DelveInsight, 2021). The providers are rewarded for helping patients in improving their health, reducing the effects and incidence of chronic disease, and also assisting them to lead healthier lives in an evidence-based way. Value-based care has a different approach from a fee-for-service where providers are paid based on the number of healthcare services they deliver. Value-based healthcare is a healthcare delivery framework that incentivizes healthcare providers to focus on the quality of services rendered, as opposed to the quantity. Clinicians who actively participate in the value-based care agreements are then rewarded for promoting healthy patient outcomes, helping their patients live healthier lives through evidence-based medicine, and also reducing the chronic disease burden. Value-based healthcare programs are vital to a larger quality strategy to reform how healthcare is delivered and paid for. Also Engen, Bonfrers, Buljac-Samardzic (2022), asserted that Healthcare systems are increasingly moving toward value-based healthcare (VBHC) aiming to further improve quality and performance of care as well as the equitable, sustainable, and transparent use of resources.

Risk Mitigation Strategies to Prevent or Reduce Adverse Health Outcomes

Clinical risk management is the process of investigating sentinel events and other medical errors in a healthcare institution. The risk managers investigate the events and identify root causes otherwise known as root cause analysis. They make recommendations to prevent these errors from happening again. According to Dignity Health (2023), people make mistakes even in the most risk-aware organization. The risk management team, led by a chief risk officer is responsible for mitigating the impact. Depending upon the severity of the error, the repercussions can be significant. An organization with protocols in place to manage adverse events will have a better chance of learning from it and moving beyond it. On the other hand, an organization that is reactive or mismanages a situation can further damage its reputation or be impacted financially.

The University of Scranton (2021) asserted that there are key risk management concepts in healthcare and that there should be main factors of concern when creating a risk management plan. Challenges faced by administrators that should be addressed in a risk assessment plan include:

Patient safety

Mandatory federal regulations

Potential medical error

Existing and future policy

The role of a healthcare manager involves addressing current challenges and preparing for future situations. Neglecting to have comprehensive risk management plans in place can compromise patient care, increase liability risks, and result in financial losses.

References

DelveInsight (2021). Evaluating the Essential Factors Building the Value-Based Healthcare Model. Retrieved from, https://www.delveinsight.com/blog/value-based-heal…

Engen, V. V., Bonfrers, K., Buljac-Samardzic, M (2022). Value-Based Healthcare, From the Perspective of the Healthcare Professional: A Systematic Literature Review. Frontiers in Public Health. 9:800702. doi: 10.3389/fpubh.2021.800702. PMID: 35096748;

Dignity Health (2023). Risk management in healthcare: What it is and why it matters. Retrieved from, https://dhge.org/about-us/blog/risk-management-in-…

The University of Scranton (2021). The Purpose of Risk Management in Healthcare. Retrieved from, https://elearning.scranton.edu/resources/article/p..

gigi:Care Delivery Model

A health care delivery associated with a health outcome within my community would be Team Nursing Method. This method takes advantage of the mix of skills of several members on the nursing teams. It implements a philosophy where a leader leads a group of people. It is a philosophy where all team members are familiar with patients’ needs and or problems. The two fundamental pillars associated with this method are leadership in the planning and evaluation of care delivery to each patient and effective communication to ensure continuity of care. (Parreira P, Santos-Costa P, Neri M, Marques A, Queirós P, Salgueiro-Oliveira A, 2021). A big health outcome in my county would be access to healthcare and mental healthcare services. Great Salt Plains is a federally qualified health center it offers a mobile health clinic to travel to make home visits to those who cant come to the clinic and need to be seen by a providers. This act takes a whole team to be efficient. The provider, nurse, and scheduler all work together to ensure patients are seen. The Physician is the leader that leads the staff in the direction the mobile clinic should go, instructing which patients should be seen first and a protocol to be followed to make sure the best care is given.

Risk Mitigation

Risk mitigation aims to prevent harm and reduce its effects through the assessment of the patient, staff, security, and organizational risk and safety events. It consists of strategies that are enforced in advance, regardless of whether a risk has occurred. (McGowan J, Wojahn A, Nicolini JR, 2023) Many medical errors can occur with a mobile health clinic. It takes the effort of all team members by implementing policies and practices. They must be executed day to day in patient care. In my community and using mobile clinics there must be a protocol when patients must be directed to the Emergency room versus urgent care, and when an ambulance should be called. The physician and the team must work under certain procedures to prevent sentinel events from happening.

McGowan J, Wojahn A, Nicolini JR. Risk Management Event Evaluation and Responsibilities. [Updated 2023 Feb 6]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK559326/

Parreira P, Santos-Costa P, Neri M, Marques A, Queirós P, Salgueiro-Oliveira A. Work Methods for Nursing Care Delivery. Int J Environ Res Public Health. 2021 Feb 21;18(4):2088. doi: 10.3390/ijerph18042088. PMID: 33669955; PMCID: PMC7924841.