NR Week 5 TD
506 Week 5 TD
Select two drivers (for example quality, cost, and access) of high
performance healthcare systems and apply it to your current work situation.
The application could demonstrate the presence of the driver in a positive
manner or it could acknowledge the presence of a concern.
The drivers of healthcare include access to care, the cost of care, and the quality
of care. Access refers to one being able to obtain quality yet affordable care. Access to
care includes its accessibility in geographical terms and in affordability. The cost of
healthcare is probably the biggest healthcare issue in America today. Quality of care is an
issue all healthcare providers have or do experience. Quality of care includes providing
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adequate interventions to ensure patient’s issues are addressed appropriately and safely
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(CCN, 2016).
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It seems as if every president and every person running for president tries to
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reform healthcare. Unfortunately, accessibility to affordable healthcare has become worse
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and worse over the years. John McCain had some good ideas back when he ran against
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Barak Obama. In an article John McCain wrote (2008), he describes what he would do
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for healthcare if he became president. In regards to affordability, McCain (2008), said he
would give all Americans a refundable tax credit that could be used specifically for health
insurance. In regards to access, McCain said he would increase competition by opening
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the market to competition nationwide; he explained that this would alleviate state
regulations that do not allow for competition and therefore increase the price of insurance
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(2008). For quality, big insurance companies influence care delivered by dictating what
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medical professionals have to do in order to get paid. Doctors and other healthcare
professionals are basically forced into ordering and performing tests that are unnecessary
and repetitive just to cover themselves and prevent lawsuits in this sue happy world we
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live in. This impedes a doctor’s ability to truly care for each individual patients. McCain
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wanted to reform Medicare and Medicaid, making it so they pay for outcomes, not the
number of tests or procedures done (McCain, 2008). By no way is McCain’s plan perfect
but I do believe our healthcare system would not be in such a disarray had he won.
Unfortunately, I have seen the effect of The Affordable Care Act personally and
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professionally. I have Obamacare and it is anything but affordable. As an ICU nurse, one
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example of how the lack of access and cost to quality care is evident but the increase in
DKA patients. These patients are labeled as non-compliant however, when you are able to
speak to them, you realize the issue is they cannot see their doctor or afford their
medicine. In the ICU, quality of care is not lost but I believe because of the lack of access
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to it outside, we are seeing an increase of patients that could have avoided the hospital
had then been able to be managed correctly outside the hospital. I do not think there will
ever be a perfect plan to solve all the issues but the current situation is not working.
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