Health Care Quality in UAE
Instructions:
we discussed various frameworks for defining quality (IOM, Triple Aim, Value Based). ‘’Attached same 3 file in order no.142930’’
(1) Discuss the similarities and differences between these approaches. Consider where they overlap and how.
List at least 3 similarities and 3 differences. Also, identify and explain where there is or is not overlap. You should create a table for similarities and differences (see below).
(2) In addition, write ~ ½ – 1 page on the overlap between these frameworks.
(3) Last, create your OWN framework, based on the integration of these and/ or your own ideas, to define quality.
Solution.
Health Care Quality in UAE
National Rehabilitation Center and Redesigning of Quality Care
According to Bloom (2002), the US health care system requires some redesigning after the initial reports by the Institute of Medicine (IOM) that most patients in the US receive inadequate care delivery. The article further outlines the strategic steps that the US health care system must undertake to boost patient quality. The same can be applied to my organization, National Rehabilitation Center in Abu Dhabi-UAE so that they can improve the patient quality system. This essay will review NRC’s laid down strategies to improve on its services regarding patient care. Furthermore, it will focus on how NRC applies information technology to improve care delivery.
First, as a rehabilitation center, NRC have put effective programs such as outpatient clinics, inpatient departments, adolescent substance abuse services, female-based treatment as well as social service section services that are fine-tuned to foster ultimate rehabilitation. As Bloom (2002) suggests, that the US healthcare must implement the ten rules for redesigning US’ health care system, NRC has already put this in practice where they view a patient as the primary source of control. Also, the facility ensures that care is based on the continuous treatment relationship through the introduction of conventional technologies where patients have can receive care at their disposal(NRC, 2016).
Additionally, NRC can apply evidenced-based care to health care delivery. Such a strategy is escalated by the formation of the Research Section in the year 2011(NRC, 2016). The Research section coordinates with the Research Ethics Committee delivers evidence-based data to improve health care delivery for UAE citizens. Also, it disseminates institutional knowledge in participation in events abroad and within the country. Lastly, the committee catalyzes addiction-based research in partnership with public health sectors and academic institutions. For example one of the remarkable projects includes the “Demographic Data of NRC Patients” published in an international journal and the current “Primary Care Survey Project.” Additionally, there is a recent collaboration with the Khalifa University of Science, Technology and Research on researching a project named “NRC Patient Genes’.
Conclusively, MRC is not left out regarding
improved information and technology through availing themselves at any time
either on telephones, websites, sending emails and brochures online that can
help focus on their treatment of their patients. This introduction of
information technology has also improved their functioning as per their quality
policy.
UAE and the Triple Aims
According to Berwick, Nolan, and Whittington (2008), the US healthcare system has to pursue the three aims so as improve the health situation in the country. The article suggests that improving the experience of health care, enhance the health of the country’s populace and reducing per capita cost of health care are one of the fundamental aims that will foster the overall improvement of the health status in the US. On the other hand, UAE has stipulated some of these objectives with their objectives to improve the overall healthcare issues in the country. This essay will review how UAE are fairing on with the “Triple Aims” with its impact on health care quality.
First, the country has put in efforts in improving the healthcare care through maximum coordination of the five governmental health regulators. The integration focusses on the overall improvement of the health care quality through partnerships with institutions such as Cleveland Clinic Abu Dhabi, Ge Healthcare, John Hopkins, and Children”s National Medical Center. The government evidently enables a favorable environment for both the public and the private investments.the introduction of the seven-point health strategy is focussed on the addressing the most crucial issues experienced by both patients and healthcare professionals in the country(Oxford Business Group Bloomberg Terminal Research, 2016). Additionally, there are increasing emphasis on the preventive care, expansion of specialty care and emergency preparedness. This strategy, in turn, helps to reduce outbound medical tourism and forecasts the future of private medical improvement within the country.
Secondly, the country has also seen some improvement in the health of its population through ensuring quality care and adherence to the seven-point strategy.Notably, the health sector in the country has shown improvements in the recent past. According to a report by HAAD, the mortality rates have declined steadily, infant mortality rates have reduced from twenty-two to seven per a thousand live births between the years 1990 and 2011. Also, the number of hospital beds have risen by twenty-one percent between the years 2009-2013. Additionally, further reports suggest that patients are satisfied with the current healthcare delivery as a report in 2015 on 38,806 surveys state that 80% of all patients are satisfied as 9902 patients conclude that quality of care, emergency services and communication needs some further improvements(US-UAE Business Council, 2016).
Lastly, the country experienced increased medical
costs that have risen from 5% to 10% per annum which has resulted in higher
costs of insurance premiums. The country is focussing on giving out medical
grants to private sectors so that the cost of care can be reduced and patients
in the UAE can receive ultimate care.
Addiction Center and Value Evaluation
Porter (2010) suggests that “value” must be realized in any healthcare system. He states that patients are the overarching objective in healthcare delivery. Also, he defines value in healthcare as the heath outcome that is attained per any dollar spent. Value is a major factor in the health care system since it does not scrutinize any party involved in the health care delivery process be it the patient, the health providers, payers or suppliers. Most healthcare professional base their definition of value as a form of cost reduction, but conventionally, value entails the patient outcomes as a significant when utilizing Porter’s concepts.
As a health professional working with an addiction sector at NRC, I believe that value is essential because the outcomes of care must equate to the cost of care. At the addiction center within NRC, the organization is ‘high-value”. My department focusses on rehabilitating addicts and improving their quality of life. It is not a matter of patients or care providers spending less on delivering care but is is a question of a patient experiencing a total change in the initial addiction lifestyle.
According to Porter, outcomes can be measured in a
stepwise method. I can conclude that my area of expertise is a “high-value” as
it focusses on patient outcome. First, survival is important in the addiction
center since the patient has to live a healthy life. Secondly, Porter suggests
that the degree of recovery is essential(Porter, 2010). For addiction, one
must be able to return to his typical of attending to task and work. Thirdly,
we have to evaluate the disutility of the intervention process by choosing the
best intervention that suits a given type of addiction. Lastly we have to assess
the sustainability of recovery and nature of recurrences as well as the
long-term consequences of a given therapy. After all this value can be calculated.
For addiction, patient recovery from addiction is what makes the organization a
high value.
References
Berwick, D. M., Nolan, T. W., & Whittington, J. (2008). The triple aim: care, health, and cost. Health Affairs, 27(3), 759-769.
Bloom, B. S. (2002). Crossing the quality chasm: a new health system for the 21st century. JAMA: The Journal of the American Medical Association, 287(5), 646-647.
NRC. (2016). Resaerch and Studies. Retrieved October 1, 2016, from Natinal Rehabilitaion Center: http://www.nrc.ae/Service.aspx?Lang=EN&SectionID=2&RefID=50
NRC. (2016). Treatment Services. Retrieved October 1, 2016, from National Rehabiliation Center: http://www.nrc.ae/Service.aspx?Lang=EN&SectionID=2&RefID=50
Oxford Business Group Bloomberg Terminal Research. (2016). Oxford Business Group. Retrieved October 1, 2016, from Abu Dhabi boosting quality of health care: https://www.oxfordbusinessgroup.com/overview/expanding-coverage-development-comprehensive-health-strategy-boosts-services-and-quality-care
Porter, M. E. (2010). What is value in health care? New England Journal of Medicine, 363(26), 2477-2481.
US-UAE Business Council. (2016). Helathcare Report. Retrieved October 1, 2016, from US-UAE Business: usuaebusiness.org/wp-content/uploads/2016/09/Healthcare-Report-Final.pd