NUR 508 Cost And Quality Analysis

Question: In a paper describe the relationship between health care cost and quality. Address the following: 1. Select one public agency and one private agency and differentiate their roles and major activities in addressing cost and quality in health care. See Topic 4 readings for sources regarding health care agencies. 2. Analyze current and projected initiatives to improve quality while simultaneously controlling costs. Describe any unintended consequences. 3. Synthesize implications for staff nurses and advanced practice nurses, including evidence-based practice, relative to cost and quality. Answer: Introduction Healthcare in the United States is one of the most expensive as compared to other developed countries. Despite being a very costly adventure, the life expectancy still ranks very low as compared to other developed countries with cheap costs of healthcare contrary to our expectations. It is widely expected that an expensive commodity or service should at all time be of the highest quality (Ogrinc et al., 2015). As the case of the costs of healthcare in the United States of America however, this is the contrary. This therefore leads to an interesting debate of how the quality versus the cost of health relate (Epstein et al., 2014). In this essay, the relationship between health cost and its quality will be described. Roles Of Public And Private Agencies In Controlling Cost And Quality Of Healthcare In Usa There are numerous agencies in the United States that are working hard to achieve the balance between the cost and the quality of healthcare. The agencies in question include both the public and private sectors (Sikka, Morath, & Leape, 2015). The department of Health and Human services is the public agency that seeks to control the cost and quality of healthcare in the United States of America. This public agency has several roles. First and foremost, this agency conducts a regular audit to all the healthcare providers as well as their business associates and subjecting fines to those that do not comply (Jennings, Clifford, Fox, O’Connell, & Gardner, 2015). Auditing will ensure accountability in healthcare and this will reduce wastage of the resources. The general outcome is that there will be lower costs of health but of very high quality .The Food and Drug Administration is another public agency that manage health IT. It evaluates the risk the equipment could pose to the users so that consumers don’t extra money seeking treatment again (Swan, Ferguson, Chang, Larson, & Smaldone, 2015). Agency for healthcare Research and Quality is the private agency that controls the quality and cost of healthcare in the United States of America .The role of this agency is to simply demand the quality of healthcare that their customers spends millions towards coverage. Current And Projected Initiatives In Improving Quality While Reducing Cost Of Healthcare In Usa There are certain initiatives in place geared towards improving quality as well as controlling the costs of healthcare in the United States of America. One such intervention is targeting of specific patient populations and clinical areas. This is a very good initiative. According to multiple research in the United States of America, it has been established that particular groups such as those with multiple chronic diseases but are low income earners are very vulnerable though they might benefit so much from such an initiative (Conti, Padula, & Larson, 2016). Majority of low income earners but with this medical conditions rarely get the best services despite being insured as they are eventually offered to high earning individuals. Targeting specific medical conditions will however eliminate bias and will generally improve the quality but at a lowered cost. I therefore strongly advocate for such an initiative. Implications Of Nurses In Relation Of Cost And Quality Of Healthcare In Usa Nurses have a crucial role in attempts to establish balance between the cost and the quality of healthcare in the United States of America. According to studies, majority of the USA citizens purchase the healthcare using a lot of funds. However, most of this funds are underutilized thus there is no significant improvement in the quality of the healthcare. In case there is a balance between cost and quality of healthcare, nurses are set to reap big since a significant amount will be channeled directly to the hospitals where relevant nursing equipment will be bought as well as improved remuneration to the nurses. Nurses in return will be really motivated to work hard. The welfare of the nurses is generally set to improve significantly in case the balance between cost and the quality of healthcare is finally achieved. Conclusion Healthcare in the United States of America remains to be one of the most expensive as compared to other developed countries. We therefore expect it to be of best quality. This is not the case however since it is ranked 26th in terms of life expectancy. This implies that there is no balance between cost and quality. There are agencies that play crucial roles in ensuring US citizens rightfully get what they pay for .The federal government should work hard and offer quality healthcare to meet the amount of money being paid by the citizens. References Conti, R. M., Padula, W. V., & Larson, R. A. (2016). Changing the Cost of Care for Chronic Myeloid Leukemia: The Availability of Generic Imatinib in the USA and the EU. Hematologic Malignancies, 231-255. doi:10.1007/978-3-319-33198-0_15 Epstein, A. M., Jha, A. K., Orav, E. J., Liebman, D. L., Audet, A. J., Zezza, M. A., & Guterman, S. (2014). Analysis Of Early Accountable Care Organizations Defines Patient, Structural, Cost, And Quality-Of-Care Characteristics. Health Affairs, 33(1), 95-102. doi:10.1377/hlthaff.2013.1063 Jennings, N., Clifford, S., Fox, A. R., O’Connell, J., & Gardner, G. (2015). The impact of nurse practitioner services on cost, quality of care, satisfaction and waiting times in the emergency department: A systematic review. International Journal of Nursing Studies, 52(1), 421-435. doi:10.1016/j.ijnurstu.2014.07.006 Ogrinc, G., Davies, L., Goodman, D., Batalden, P., Davidoff, F., & Stevens, D. (2015). SQUIRE 2.0 (Standards for QUality Improvement Reporting Excellence): Revised Publication Guidelines From a Detailed Consensus Process. The Journal of Continuing Education in Nursing, 46(11), 501-507. doi:10.3928/00220124-20151020-02 Sikka, R., Morath, J. M., & Leape, L. (2015). The Quadruple Aim: care, health, cost and meaning in work. BMJ Quality & Safety, 24(10), 608-610. doi:10.1136/bmjqs-2015-004160 Swan, M., Ferguson, S., Chang, A., Larson, E., & Smaldone, A. (2015). Quality of primary care by advanced practice nurses: a systematic review. International Journal for Quality in Health Care, 27(5), 396-404. doi:10.1093/intqhc/mzv054

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