Skip to main content

Challenges Faced While Implementing Integrated Healthcare System

 

DEFINITION

An Integrated healthcare system is also mentioned as interprofessional healthcare, which is an approach that describes a high degree of collaboration and communication among health professionals. What makes integrated health care unique is that the sharing of data among team members associated with patient care and therefore the establishment of a comprehensive treatment decide to address the patient’s biological, psychological and social needs. This interprofessional healthcare team includes various groups of members which consist of physicians, nurses, psychologists and other health professionals, looking forward to the requirements of the patients.


The Need for Integrated Health Care

The health care literature offers wide coverage of integration models, showing consistent benefits. Division, decentralization, and specialization can hinder effectiveness and efficiency. The reduced fragmentation of health care providers lowers barriers to access, waste, and inefficiency while avoiding duplication and contradictory decisions.Integrated care holds prospect to scale back overtreatment, waste, and redundancy, eliminating inefficiencies and controlling costs, while providing higher-quality coordinated care. Given the massive and growing burden of noncommunicable diseases globally, an  integrated healthcare solutions approach targeted at patients with multiple noncommunicable diseases has significant potential and is of growing need. Three overlapping groups of patients are identified within the literature who may experience the best enjoy integrated care: multimorbid patients with two or more chronic diseases (for example, within the management of diabetes, hypertension, and ischaemic heart disease) patients with moderate or severe psychological state conditions, and elderly patients. These groups are consistently demonstrated within the literature to consume the very best amount of health care resources and need the foremost coordinated care and, as such, pose a high economic burden. Specific cutoffs vary from system to system, counting on local demographics, the prevalence of the disease, and implemented cost structures.


Challenges Faced While Implementing Integrated Healthcare System

Analyzing Management Strengths and Weaknesses

Risk management professionals are often helpful in evaluating the strengths and weaknesses of every network component that supports the managers' credentials, past performances, commitment, attitude, and leadership skills. Suboptimal performers and persons tired of being team members are often replaced with personnel with stronger skill sets if it's determined that their performance isn't likely to vary. From a risk management point of view, it's important to recollect that even high performers may feel threatened by uncertainty and alter and can be apt to perform at a subpar level. This emphasizes the critical need for open lines of communication and ample dissemination of data to put workers comfortable to the best degree possible so as to avoid accidents. Advantages physicians may enjoy include cost-effective administration, improved access to other providers and support systems, access to a broader range of support services, financial strength and security, increased customer satisfaction, access to educational resources, ownership potential, increased market share, increased access to data and knowledge systems, group purchasing discounts, strategic planning, and enhanced image within the community.

 

Financial Integrity

The historic financial experiences of every part of the integrated health systems healthcare delivery system should be taken into consideration during the due diligence, financial forecasting, and budgeting processes. Premiums, products, managed care enrollments, a mixture of services, and provider and customer shifts then got to be analyzed and adjusted within financial reporting systems. The danger manager should take an interactive role in identifying and analyzing risk factors that would follow the implementation of strategic imperatives. Unchecked, these areas of potential liability could negatively impact rock bottom line.

 

Checking Capabilities to Exchange Information

Lack of knowledge may be a significant obstacle to the event of a sound risk management program. Outlined below are several of the functions that information systems within IDSs should be designed to perform so as to yield information that will subsequently help to preserve financial assets and promote patient and practitioner satisfaction. Internal, incompatible, or duplicate information systems can pose risks within organizations that provide healthcare services. Analyzing information systems and their ability to succeed in and serve IDS components is an awesome and expensive task but one that's critical for the system to work optimally from financial, quality, and utilization standpoints.

Comments

Popular posts from this blog

What is the Medical Coding System & Its Benefits?

What is Medical coding system? The clinical coding software solution is defined as a simplified transformation of diagnosis, clinical procedures, treatments, and instrumentation into ICD-10 writing. This medical encoding is nothing but a translation engine that interprets the information of the clinical procedure into predefined codes. This process is also known as medical coding solutions which do the work of ensuring that the medical codes are applied correctly during the billing process. The data that it consists of the patient’s condition, the doctor’s diagnosis, a prescription, and whatever procedures the doctor or healthcare provider performed on the patient, and turn that into a set of codes. Coding systems in healthcare also permit uniform documentation between medical facilities. The code for the raw throat is the same in Arkansas as it is in Texas. Having similar knowledge allows for efficient analysis that government and health agencies use to trace health trends way more ...

What is the Medical Coding System & Its Benefits?

What is Medical coding system:- The clinical coding software solution is defined as a simplified transformation of diagnosis, clinical procedures, treatments, and instrumentation into ICD-10 writing. This medical encoding is nothing however a translation engine that interprets the information of the clinical procedure into predefined codes. This process is also known as a clinical coding solutions which do the work of ensuring that the medical codes are applied correctly during the billing process. The data consists of the patient’s condition, the doctor’s diagnosis, a prescription, and whatever procedures the doctor or healthcare provider performed on the patient, and turn that into a set of codes Medical billing and coding solution also permits uniform documentation between medical facilities. The code for the raw throat is the same in Arkansas as it is in Texas. Having similar knowledge allows for efficient analysis, that government and health agencies use to trace health trends w...

Denial Management in Medical Billing

Denial Management deals with unpaid claims and is considered an essential aspect of revenue cycle management. It can swiftly pinpoint why the shares are being denied to prevent mistakes again. The rising issue of Patient Responsibility is causing more rise in claim denial management . High deductible health plans for the patients who share responsibilities for payments cause more pressure. Value-Based Care denials influence the profitability of Revenue Cycle Management. The rework which is done to the denial claims and appeals hinders the revenue cycle improvement initiatives.