The Positives And Negatives Of Pay For Performance Nursing Essay

The Positives And Negatives Of Pay For Performance Nursing EssayThe purpose of this research essay bequeath reason aspects concerning the effects of pay-for-performance policies on step improvement. The pay-for-performance policies are continually a debated issue concerning quality of pity. This inducing program could open doors in a positive or negative way, but P4P, may lead to results of improving the quality of wish well which the research in this essay will assess and analyse these military positions. Also, reflect on pay-for-performance programs will be a polar aspect in the paper. Furthermore, the results that would show the successfulness of these programs, as well. In additional, do the P4P programs meet their goals and how effective they are will be share in the research essay. Other components, that will be mention such as the impact on quality improvement, unintended or negative consequences, and implications for cost containment.IntroductionThe purpose of this re search essay is to discuss aspects of pay for performance from a positive and negative perspective. As the health sector, prevent to move toward a positive path, in efforts to improve the quality of care. This quality issue has and will sustain to affect many Americans patients nationwide in a positive or negative way, based on, the quality care they are receiving. Therefore, health care providers and managed care organizations (MCO) are encouraged by the monetary incentive programs, in order to give prestige quality of care (Anderson, Rice, Komininski, 2007 Laureate Education, 2009). The strong components of retribution policies, such as pay-for-performance (P4P) are aspects of health care function and the influence of patients choice in which led to quality chess openings (Hillman, 1991). In addition, the factors will help to assess the need of care for patients, and the health organization, which is a positive advantage of quality initiatives. For instances, an intention o f the incentives program like (P4P) would reward high-quality of care and permit growth in the way of becoming more efficient and effective when avail clients with their care needs (Teitelbaum Wilensky, 2007). Also, this quality initiative will help providers to figure out what they need to do in order to continue to improve quality care procedures on a proficient level.The next step in the pay-for-performance (P4P) policy will permit health organizations JCI (2010) to benefit in aspects of financial incentives by means of organizational principles. Therefore, the organizational leaders would produce documents to offer a reliable outline to carry out these accountabilities. For instances, health care organizational leaders moldiness examine the national and worldwide norms that consist of human-beings right, quality initiatives, and professional principles when forming the framework. This pay for performance quality initiatives of work for patients, could JCI (2010) examine acces s, convey, patient-centred, discharge regulations correctly bill for services and help in resolution of conflicts, which financial incentives and defrayments mea reliables maybe negotiation in patient services (JCI, 2010).Pay-for- performance programs quality initiatives were organized by governmental Young, Conrad, and Fallot (2007) excessively the private ownerships and organizations, in which support the aspects of quality performances. Author suggests at that place are over 100 incentive programs that focus on quality initiatives and preventive care for consumers (Young, Conrad, Fallot, 2007). Research suggests the centres for Medicare and Medicaid services (CMS) are one of organizations that started the pay-for- performance programs (Anderson, Rice, Kominski Teitelbaum Wilensky, 2007). Author suggests there is a lot of evidence, which implies the pay-for-performance incentive program has improved the overall quality of care initiative (Kuhmerker Hartman, 2007). Also, ther e is evidence that Jarlier and Charvet-Protat (2000) pay- for-performance quality initiatives, are profitable and can save in the long term for all health care services.Nevertheless, there will always be various negatives issues of barriers that hinder the quality care Datz, (2012) Galvin (2006) progress and growth of stronger incentives for quality advantage. The approach of the pay-for-performance has features that involve the amount of the incentive payment that result into, additional incentives such as of education, patient satisfaction, organizational information technology abilities, health providers level of performance, and diagnostics sources (Young, Conrad, Fallot, 2007). Furthermore, special interest groups seemed to be a particular alarm about the barriers that relates to the less effective method of (P4P) incentive programs, which have to do with the lack of those who do not invest in the continue quality initiatives for the delivery of health care (Young, Conrad Fal lot, 2007 Dudley Rosenthal, 2006). Pay-for-performance impacts vary stakeholders, which involves all parties such as, health organizations, government, payers, medical providers, public, and private sectors, so the investment in the aspects of quality initiatives is crucial to the care process.Research suggests some payment incentives programs like (P4P) purpose is for cost containment (IOM, 2001). Also, the negative aspect of the pay-for-performance there is no clear intention concerning making sure quality care initiatives, or improvement plan, in which relates to this program. Also, there should be some initiatives developed, such as perspectives and goals, in order to improve the aspects of the incentive payment of the health care services which to provide IOM (2001) higher quality care and to focus on cost containment (IOM, 2001).In summaryThe positive aspect of health care delivery service can certainly be more effective through the pay-for-performance incentive programs. Nev ertheless, the effectiveness of sustainability through this incentives program it has to be a constant arrangement, in which rewards quality of care effectiveness. In addition, all parties involved must be willing to help improve quality policies and make this initiative one of the focal points for the (P4P) programs. These arrangements could consist of fair adequate payment for excellence managerial services and that applies to the care process which relates to financial incentives. Furthermore, to make sure that (P4P) programs meets its accompanied goals is to have other primary sources for recognizing and assessments for the performance initiatives, such as the Joint Commission, National Committee for quality assurance, and other agencies (Dudley and Rosenthal, 2006). A priority focus is to do and promote standards and firmed bylaws, in order to continuous to improve and maintain the quality of care initiatives through aspects of accreditation and licensure, in which would be a great addition to the perspective of the (P4P).SourcesAndersen, R. M., Rice, T. H., Kominski, G. F. (2007). Changing the U.S. health care system Key issues in health services policy and management (3rd ed.). San Francisco, CA Jossey-Bass.Classen, D. C., Pestotnik, S. L., Evans, R., Lloyd, J, F., Burke, J. P. (1997). Adverse Drug Events in Hospitalized Patients overindulgence Length of Stay, Extra cost, and Attributable Mortality. JAMA. 277(4), 301-306.Clemmer, T. P., Vicki, J. S., Thomas, A. O., Susan, D. H. (1999). Results of a Collaborative Quality Improvement Program on Outcomes and Costs in a Tertiary Critical criminal maintenance Unit. Crit. 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