- HIM FPX 4670 Assessment 1 Triple Aim Health Care Reform.
Triple Aim, HIM, and Health Care Reform
Introduction
Are you aware that the US of America healthcare system is one of the most expensive on the planet? Besides, the sector is more privatized and constrained by private institutions. A larger population is without functional health insurance coverage, meaning they are not part of the Medicare and Medicaid programs.
Addressing these challenges is crucial in the context of HIM FPX 4670 Assessment 1 Triple Aim Health Care Reform. Despite running the most expensive system, the USA’s health care is ranked last compared to the other six industrialized countries. This ranking was ‘on health system quality, productivity, access to care, equity, and healthy lives’ (Fleming et al., 2020).
Nevertheless, the US government spends almost twice the typical nation’s share of its economy on health yet trails behind with the highest suicide rates and lowest life expectancy in these first-world countries. The nation is presently suffering a colossal load of constant illness.
Improving US Healthcare System
Consequently, everybody needs to think of a way to leverage such an ineffective system and bring sanity to the industry. The Institute of Healthcare Improvement (IHI) is mandated to avert the ongoing situation and harmonize the US healthcare system.
The Triple Aim Model
What is the Triple Aim?
Improving and changing the ongoing status of the US healthcare system needs immediate pursuit. IHI discerns that an alternate three-dimensional model should be used to offer Americans a more universal healthcare system. The ‘Triple Aim’ framework, launched in October 2007, focuses on improving the patient’s insight, lowering the local area’s per capita share, and improving health. This model takes into account the payment and care models within the country. The stakeholders focus on designing a care conveyance system with the client in the middle. Individuals should engage with information, transparency, and innovation to foster health.
What are Its Goals?
The primary goals of the Triple Aim framework are to foster the health of the US population further, decrease the per capita cost of health care, and improve the experience of care.
These goals are achieved through a strategy that entails enrolling apparent citizens, establishing an integrator organization responsible for the aims of the selected population, and requiring the universality of all members. These measures would achieve a formal system that caters to the general population’s health, lessens healthcare costs, and improves healthcare insight.
HIM and the Triple Aim
Relevance of Triple Aim Model to HIM Workforce
The Triple Aim structure of healthcare aims at three primary objectives, all important to the information management workforce. These three objectives rely on health IT and EHR systems and technologies.
Therefore, the model’s significance depends on the strategies to achieve the three objectives. The HIM workforce ensures clients get fortunate, safe, and patient-focused care, which requires them to embrace evidence-based practices.
Advancing Healthcare Through Innovation
The model suggests an infrastructure for healthcare innovation and reform (Verma & Bhatia, 2016). It will require the involved stakeholders to take a strategic initiative to reduce healthcare costs through a change in the payment system.
The HITECH Act incited the quick adoption of EHR innovation in the medical sector. The Triple Aim patient-focused care system follows suit. It will ensure optimal utilization of health service providers to achieve quality and accessible healthcare.
HIM’s role in the Triple Aim
The successful implementation and execution of the Triple Aim model depend on the HIM workforce. In improving patient care insight, the HIM workforce protects both patients and their data to achieve a patient-focused viable healthcare system.
HIM FPX 4670 Assessment 1 Triple Aim Health Care Reform
He works towards reducing health care costs by developing a system that requires patients to pay depending on the quality and result of the services offered. This aligns with the objectives outlined in HIM FPX 4670 Assessment 1 Triple Aim, HIM Health Care Reform, which emphasizes improving healthcare delivery while managing costs. Besides, proof-based practice makes it easy to keep information used during medical visits.
The workforce plays a significant role in improving the population’s health through the progress of a strong healthcare system with all the variables of population identification. Such information is used in vital health-related decision-making processes.
Specific Contribution of HIM to the Triple Aim’s Goals
The HIM serves as the workforce source for the creation and implementation of the Triple Aim by providing the authority, skills, and information required. These individuals ensure that the patient’s medical data is accurate, advantageous, and complete. They also manage and maintain the health systems’ databases.
Triple Aim goals rely on data and information application. The HIM offers a protocol for acquiring tasks and new teams to protect and analyze traditional and medical information crucial to quality patient care. Furthermore, the Triple Aim goals assessment is based on an individual’s medical records, procedures, diagnoses, symptoms, and outcomes. So, HIM ensures that the healthcare systems created must meet medical, ethical, and medical standards.
The Affordable Care Act and the Triple Aim
How does ACA support the achievement of the Triple Aim’s goals?
ACA has three primary goals: reforming the private premiums market, changing the technique of medical decision-making, and expanding Medicaid to those with low income. On these three, the ACA advocates for more excellent, lower-cost, and more accessible healthcare in the US. These three goals align with the Triple aims of further developed population health, decreased healthcare costs, and better care for individuals (Bryan & Donaldson, 2016). The ACA has dramatically diminished the expense of healthcare in the US healthcare industry. The Act sought to regulate the exceptionally privatized market by limiting the charges patients have to pay.
HIM FPX 4670 Assessment 1 Triple Aim Health Care Reform
The ongoing regulation of the insurance market has greatly favored individuals, and small-pack charge purchasers have made insurance services more available to these disadvantaged groups. This means that these individuals do not have to be denied health-related services, and they can now use the insurance package to pay for them. Individuals, families, and these small groups do not have to be left less fortunate in case their friends and family become sick. The exact impact has been achieved through the expansion of Medicaid. Lower cost of healthcare premiums leads to the enlistment of additional individuals who readily access the treatment options. This leads to additional individuals visiting to access medical care, resulting in superior population health. Besides, insurance and decreased healthcare costs make even complex healthcare affordable and accessible. Patients can appreciate personal care from the best specialists in the best facilities.
How does ACA hinder the achievement of the Triple Aim’s goals?
Challenges in Achieving Triple Aim
Patient Experience: ACA has failed the Triple Aim because medical coverage, including Medicaid, does not provide enough patient experience. Besides, this Act somewhat drove coverage disruptions and increased subsidy shortfalls (Bhavan, Agrawal, and Cerise, 2016).
Per Capita Cost—The decrease approach used by the ACA to bring down the cost of health care does not provide a suitable strategy to ensure that costs decrease. The Act did not consider the suggested Triple Aim approaches in taxes, administration costs, and healthcare organizations’ pharmaceutical and other service expenses.
Population Health—Although healthcare quality and outcomes are key indicators of population health, the ACA never considers the welfare of vital stakeholders and service providers (Fox & McCorkle, 2018). The focus is on patients’ health.
Effectiveness of ACA in addressing all parts of the Triple Aim
The ACA has encouraged millions of US citizens to have access to insurance coverage. Making healthcare more accessible has helped save thousands, if not millions, of lives. The legislation has also enhanced the US health care system.
ACA has been life-transforming for individuals who have low incomes, were previously not under any insurance coverage, have terminal or preexisting conditions, and other groups (Schmittdiel et al., 2017).
Population health: ACA has facilitated diabetes care and cancer screening, among other preexisting conditions.
Per capita cost: The ACA has facilitated physician payments, ED visits, potentially avoidable hospitalizations, and low-acuity ED visits and hospitalizations.
Experience of care—The ACA has incited ideal health care access, after-hours access, and a considerably more patient-focused approach.
Conclusion
Healthcare remains an essential service restricted by exaggerated costs that most individuals may not afford. As highlighted in HIM FPX 4670 Assessment 1 Triple Aim, HIM Health Care Reform, much needs to be done to achieve equitable access to quality healthcare. Access in this setting refers to favorable health policies that promote enlistment in universal healthcare systems and the availability of exceptional facilities with the necessary assets and workforce.
Triple Aim and the Affordable Care Act are designed strategies that, if totally and legitimately executed, would make healthcare more accessible. The public authority should focus more on developing ACOs and other fundamental healthcare models that address the healthcare sector’s loopholes in general. Furthermore, stakeholders should collaborate and support the Triple Aim and ACA strategies to achieve the desired result.
References
Bhavan, K. P., Agrawal, D., & Cerise, F. (2016). Achieving the triple aim through disruptive innovations in self-care. Jama, 316(20), 2081-2082.
Bryan, S., & Donaldson, C. (2016). Taking Triple Aim at the Triple Aim. HealthcarePapers, 15(3), 25.
Fleming, M. D., Shim, J. K., Yen, I., Thompson-Lastad, A., & Burke, N. J. (2020). Patient Engagement, Chronic Illness, and the Subject of Health Care Reform. Medical Anthropology, 1–14.
Fox, K., & McCorkle, R. (2018). An employee-centered care model responds to the triple aim: improving employee health. Workplace Health & Safety, 66(8), 373–383.
Verma, A., & Bhatia, S. (2016). A Policy Framework for Health Systems to Promote Triple Aim Innovation. HealthcarePapers, 15(3), 9.
Schmittdiel, J. A., Barrow, J. C., Wiley, D., Ma, L., Sam, D., Chau, C. V., & Shetterly, S. M. (2017). Improvements in access and care through the Affordable Care Act—the American Journal of Managed Care, 23(3), e95.
