Dec 17, 2020 in Case Study Examples
 
  1. United Healthcare Strategy
  2. Organize and Integrate Practice Units
  3. Measurements of Outcomes and Costs for Every Patient
  4. Integrated Care Delivery Systems
  5. Integrated Care Delivery Systems
  6. Expansion of Geographical Scope
  7. Building an Enabling Information Technology Platform

Introduction

The recent observations have shown that the healthcare sector had the adequate facilities to enable the execution of different duties, as required for patients care and other health operations. At times, it has been found that the lack of quality and proper facilities has led to the decline of several cases or referred to other hospitals. If there were strategic organizations to curb these deficiencies, the healthcare sector would offer the adequate services. Different measures, thus, need to be taken in order to remedy the situation as it stands. There is a need for concerted efforts to make sure that this vacuum is filled. The existing gap suggests that the deficiencies within the nursing sector should be solved for the purpose of redeeming healthcare organizations to support the different patients needs.

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The inadequacy of proper facilities prompted the workers in the 20th century to establish the medical cooperatives and clinics, so as to solve the issues, like racial and gender favors in medical facilities and discrimination of patients who are suffering from AIDS, disabilities, and cancer. Such experiences make the victims have a high opinion that their prospects can only be realized if their access to healthcare could be universal. In this sense, a fundamental shift of services should be implemented, where patient satisfaction should be the reform motivation. With a properly working system, issues like nurse staffing, networking between professionals in the healthcare sector will suffice. Also, there is an urgent need to address the issues of resource management and planning in any healthcare organization, as it is recommended by United healthcare. United healthcare aims at promoting the efficiency of services delivered and ensuring that patients are also fully satisfied.

United healthcare is an organization that endeavors to safeguard the citizens and ensure that they receive quality care for an affordable cost by making sure that the customers are well informed about it. It provides the society with information about its provision, guidance and proper tools to help them come up with the rational decisions. This is not only realized in the United States, but it is realized worldwide, so that its strategies have a diverse impact.

United Healthcare Strategy

United healthcare lays a strategy that focuses on reducing the costs and coming up with new payment models. It mainly targets on improving patients outcomes, so as to keep their market shares at equilibrium (Porter and Lee 2013). The strategy also focuses on improving efficiency and promote good healthcare services, so as to gain strength and position and acquire more contracts, hence increasing their value and gain a competitive advantage by the use of value transformation.

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Organize and Integrate Practice Units

The practice units comprise of clinical and non-clinical personnel who work to provide healthcare to patients. Apart from offering treatment, medical personnel also takes care of patients and their families through counseling, education, encouraging adherence, supporting the needed behavioral changes and all kinds of prevention procedures. This optimizes the patients overall results, as efficacious because the unit coordination reduces time wastage and resources. Patients are involved in virtual interactions and group visits. Using this form of collaboration promotes efficiency and customer satisfaction. The strategy has been adopted for patients with high costs and those with a high risk of survival. The pharmacists in the team ensure proper medication. The strategy has helped to reduce the number of strokes, amputations, and emergency department visits, which have not only improved quality but also enhanced patient satisfaction.

Measurements of Outcomes and Costs for Every Patient

Measuring the results significantly helps to predict the issues in management, especially the ones in the healthcare industry. The measurement tracks mortality, safety and enhanced quality measurement that is in compliance with the practice guidelines. It is done through a Healthcare Effectiveness Data and information set that monitors clinical indicators that deviate from the expected outcomes (Porter & Lee, 2013). The outcome is measured by medical condition and not on specialty or eye examination because they cover full cycle care for the status and tracks the patient health condition on the completion of health care process. The process is done to sufficiently meet the needs of the patients. The technology used to execute the procedure has greatly advanced and adopted the use of tablet computers, and web portals, which enhance networking, and interactive telephonic systems for cardiac surgery and chronic conditions, like diabetes.

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To determine the cost of care, the total cost of medication required is measured, including the expenses involved in treating the condition over the full cycle of attention. The process calls for a better understanding of resources used during the care, the cost of supplying for each resource and other supportive costs, like IT and administration (Enthoven & Vorhaus, 2007). It is done by a method called Time Driven Activity Based Costing, which, when applied, reduces the amount of costs without negatively affecting the results. Instead of the facts, surveys confirm that savings of up to 25% or more have been made by edging into opportunities, like better capacity utilization, better matching of personnel skills, more standard processes and cost effective type of facility, resulting in a useful tool for resource management.

Integrated Care Delivery Systems

Integrated care delivery systems are systems to be adopted when healthcare organizations need to make definitions and scope of their services. For instance, these systems could be implemented in a way that concentration of volume is in fewer locations, where they are successfully applied. The choice of the location is also important because the integration needs to be in sync with the patient care needs. Also, the cost of the integrated systems should be conveniently structured in order to minimize community costs. According to Porter and Lee (2013), the above arrangements improve costs because of the concentration of the systems on fewer locations that is result driven. By adopting this system, organizations are likely to reap the huge benefits, so there will be a slow regulatory change.

Expansion of Geographical Scope

Expanding the geographical space will focus on the improvement of value in caring for the patients. With an expanded area of operation, patients accessibility is eased, which leads to more patients getting the needed services. Besides, it is the number of satisfied patients, which will create the value in the integrated systems of approach. Through covering a large geographical area thereof, there are two principles of operations that can be adopted (United Healthcare, 2009). The first and hub model is common in leading the cancer centers.

Through the delivery of complicated care, complex cases can be appropriately dealt with. Additionally, this system is fitful because it helps to deal with the cases that would otherwise be avoided for various reasons. Agricultural reach will also be a significant undertaking, which will make sure that there is the adequate management of patients in a need of a specialized care. For instance, complications may sometimes arise, where the patient will need the specialized care. With the requisite facilities within the reach of these patients and available equipment, the case can be quickly solved. Furthermore, there are proper management practices, which can be used as satellite facilities for the cases discussed above. One way of dealing with this is through a partnership with local communities for local solutions. If implemented, the geographical reach will have improved the healthcare capacity of these areas, unlike in traditional approaches, where only a few individuals could have benefited from it.

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Building an Enabling Information Technology Platform

Through building an enabled IT platform, different parts of IPU networks foster one another to enable the measurements, and tie the parts of a well-structured system together. The platforms also have six essential elements; the platforms are centered on patients, use common data definitions, encompass all types of patient data, the medical record is accessible to all the parties involved, and the system architecture makes it easy to extract the information.

Conclusion

United healthcare has the best strategy, as an organization that addresses the healthcare needs of different individuals. They have especially solved the issues concerning networks, nurse stuffing, resource management and patient satisfaction. The advancement has been achieved through the integrated practice units, integrated care delivery systems, expanded geographical reach, and building an enabling information technology platform. United healthcare comprises distinguished nursing operation procedures, whose great contribution in the health care field results to a great improvement. The organization provides a good benchmark for the upcoming health sectors.

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