Nursing home is a care facility that provides for a critically ill care recipient. It offers 24 hours nursing care, supervision, rehabilitation programs, and social activities (Horan, 2008 p. 310). The level of health care offered in nursing home health care facility can either be
nte ermediat skilled. Skilled care is given to those patients who need a 24-hour care supervision, skilled nursing and rehabilitation to seriously mentally distorted patients (Horan, 2008 p. 312). On the hand, intermediate care is given to those patients who do not need constant nursing care but only need assistance in their daily living and low level of nursing supervision.
I chose this health care facility due to the rising care of patients who needs serious and constant attention from skilled nurses for them to recover from their medical conditions (Horan, 2008 p. 315).
In healthcare, services are rendered then later the payment is made for the expenses incurred during the patients” healthcare, unlike car dealership where you pay for the car before driving it off the lot.
For this reason, the mode of payment here is reimbursement that refers to
repayment or compensation for already provided health care services (Woolhandler, 2003 p.
769). The proposed nursing home care facility is going to use several methods of reimbursement for compensating service providers that include fee-for-service (FFS) and episode-of-care
reimbursement. Fee-for-service reimbursement is a method where service providers receive payment for every service they render. Episode-of-care reimbursement is a healthcare payment method where a single provider is paid for all the services he rendered during a defined episode of care (Woolhandler, 2003 p. 772).
The disadvantage associated with fee-for-service is that, they have high deductibles than other types of health insurance. The advantage of fee-for-service is that providers are paid on completion of a single service in that he does not wait to provide care services before he is
reimbursed. For the case of the health care facility, fee-for-service method impacts it in that the costs incurred are uncertain (Woolhandler, 2003 p. 774). The costs of reimbursement are unknown since the services received by patients are uncertain, and increased costs if service
providers raise the service fee and patients receive more than stipulated services (Woolhandler, 2003 p. 775). Episode-of-care method corrects eliminates individual’s charges thus correcting faults in fee-for-service method. This impacts the healthcare facility in that, cost may have been incurred through fee-for-service is eliminated thus reducing expenditure.
Use of electronic health records transforms the way healthcare is delivered and compensated and ensures that information is available when needed and for whatever it is needed for. An electronic health record helps improve the accuracy of the health outcomes and exact
diagnosis of patient’s health condition and improves quality and expediency of the care of the patient (Linder, 2007 p. 1403). Also, it helps in reducing costs incurred during daily healthcare vice provision and also practice utilization of resources. Studies show that, the cost of
implementing an EHR is about 162USD and 8550OUSD additional for maintenance expenses on the first 1year (Linder, 2007 p. 1407). Despite the advantages that are brought by EHR, security issues such as sniffing and unauthorized access to information belonging to patients (Linder, 2007 p. 1408).
The accreditation body that is going to provide accreditation to my new healthcare facility is the Health Resources and Services Administration (HRSA) which contracts with two national organizations to provide survey services under the Accreditation Initiative. Ethical
responsibilities include the professionals of health care are to dedicate time and resources to attentiveness. Health care professionals are supposed to uphold their pledge for duty to care. Based on legal requirements, the health care facility should conform to laws and regulations as stipulated by the certification bodies and abide by the agreement they made during the certification process. They should offer services that are safe to the patients (Ottenberg, 2011 p. 212).
Quality of health care is a field in which organizations are looking for ways to improve it and to make information more consistent and relevant. Two major ways of measuring quality exist which include consumer rating and clinical measures (Kramer, 2011 p. 42). Clinical
measures evaluate the performance of health care providers during their operations. It includes conforming to established guidelines of clinical practice according to existing scientific evidence. Consumer ratings identify what people thinks about the services they get from the
health care facility that are based on the views of individuals. A benchmark for clinical measures is the measure for access to heart attack care service that a patient must be given an aspirin on arrival at the hospital. A benchmark for consumer ratings are programs to conduct surveys to see how customers are satisfied by the care and services they get since its the survey is needed for improvement (Kramer, 2011 p. 47).