What is a stakeholder and what role do they play in our healthcare system? A stakeholder is a person or group that has interest or concern in an organization. They can affect actions or be affected by the organization’s actions, objectives and policies. In order to qualify as a stakeholder, an entity must have a claim or interests in the firm and the ability to influence it. In the role of healthcare this would include the hospitals, physicians, insurance companies and the drug companies.
I think it was said best by McLaughlin and McLaughlin when they said “If everyone is in charge? then no one is in charge. In this paper I will discuss the hospital’s position on healthcare reform and why they take these positions. Education remains of importance for community-based nonprofit hospitals struggling to be able to manage the working costs of healthcare reform in a hard-hitting economy. The reform has caused a decrease in federal compensations to hospitals, and at the same time profits have declined, patient’s outstanding debts have started to pile up and the costs are up due to the increased use of the emergency room.
Hospitals have had to lay off more than 23,000 employees, to reduce their costs and try to increase success. In the years ahead working together in health care will become a main concern. Professionals are estimating more hospitals coming together, partnerships and developments to happen. Providers will also have to fight to get their portion of the 30 million new patients expected to come in the health care system in the next five years. On Dec. 9, The Chicago Tribune reported that health providers nationwide “are spending hundreds of millions of dollars on buildings, marketing and new partnerships to position themselves” to interest the future new patients created by the reform of healthcare. Healthcare reform means that hospitals will have to do more for less money, it also puts an importance on quality care by examining issues like the multiple need for patient readmissions and infections by relating payments to improvements. The biggest change is the yearly decrease to Medicare ayments, this is money that many local hospitals count on to remain in the black. Eventually, Medicare payments will be tied to productivity, meaning they will only get paid for what they actually do for the patient. These changes will put pressure on cash-strapped hospitals already fighting to stay open, forcing them to cut costs and improve the quality of services they offer. Those changes will put pressure on cash-strapped hospitals already fighting to stay in the black, forcing them to cut costs and improve the quality of services they offer.
By following lines A – C on the chart below you can see how your hospital’s rate is compared to the national rate, which gives you your hospital’s “readmission rate. ” On line D, if it is greater than 1. 0, then your readmission factor is above the expected and an “estimated excess payment” is calculated (lines E- F). Total estimated excess payments (line G) are the totals of the excess payments in line F. The uncapped payment adjustment factor is G/H. For this time period this is capped at 1%, so if your payment factor exceeds 1% it will be capped at 1% (lines I and J). % is then multiplied times the FFY 2012 Medicare inpatient operating payments for the hospital to give the final penalty amount (J * K). (hospital case management ™ / July 2012) According to the CMS the calculation for readmission with in a 30 day period looks The health care system in the United States is a linked system of patients, physicians, hospitals, insurers, and employers. Hospitals are facing a major cut in the amount they will be reimbursed from Medicare, so we know that ultimately other insurance companies will follow.
Hospitals are handling on average 5,000 patients a day and that does not include the outpatient facility or the emergency room. Hospitals have always had to worry about their bottom line when it comes to patient care, staff, and overall expectations of keeping a hospital running, however now they will be doing more for less profit. Hospitals are our life line to healthcare and people need to know that they can still count on them when they are in need. References A Stakeholder Approach to Community Health Management; E. Jose Proenca, Widener University,2003