HEALTHCARE REFORMCHRONIC DISEASE, PREVENTION & QUALITY          Keller Graduate School Of Management  1                Pro...
OVERVIEW OF THE HEALTHCAREREFORM INITIATIVE Main   objective:     To provide affordable,   http://youtu.be/18oOTfepAI0  ...
STRENGTHS OF HEALTHCAREREFORM American  families and small business owners will be in control of their own health thru th...
STRENGTHS OF HEALTHCAREREFORM Eliminate   lifetime limits and restrict annual limits College adults will stay on parents...
WEAKNESSES OF HEALTHCAREREFORM   Reducing benefits   Increasing premiums   Establishing waiting list   Violators will ...
CHRONIC DISEASE   What is Chronic Disease?     A disease or condition     Persist for long periods to time     May be ...
CHRONIC DISEASE   More common chronic illnesses:     Heart Disease     Hypertension     Obesity   Behaviors that cont...
HOW IS CHRONIC DISEASEASSOCIATED WITH THE HEALTHCARE REFORM?   2010 The Affordable Care Act also known as the Health    C...
COSTS OF HEALTHCARE   What drives healthcare costs?       In 2009, $2.5 trillion spent on health care        expenditure...
THE EFFECTS OF CHRONIC DISEASE   Costs of United States healthcare effects:      Consumers      Employers      Economy...
MANAGEMENT AND PREVENTION   Chronic disease is preventable:     Change the way we think about our health     Prevention...
QUALITY…What does it mean?           Why is it needed? Quality can be defined as a degree or standard of excellence, espec...
   IOM aims to improve access of care                             that among the following:IOM DEFINTION:                ...
STANDARDS, STANDARDS, STANDARDS              JCAHO                                   NCQA   The Joint Commission on      ...
AFFORDABLE CARE ACT & QUALTY   Improving transparency of information on long term care    facilities     Nursing home co...
16
HEALTH REFORM & QUALITY OFCARE   President of The Joint    Commission, Dr. Mark R.    Chassin, speaks at the    Student G...
QUESTIONS…             18
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Healthcare Reform And Disease Management2[1][1]

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  • Create a stable budget and economy by reducing the deficit more than $100 billion over the next ten years Reducing the deficit more than $100 billion over the next ten years
  • Put American families and small business owners in control of their own health by doing the following: Provide the largest middle class tax cut for health care in history Put American families and small business owners in control of their own health by doing the following: Reduce premium costs for tens of millions of families and small business Sets up a new com petitive health insurance market End discrimination against Americans with pre-existing conditions Prohibits preexisting conditions exclusions periods for children in all new plans Therefore, if a child has a pre-existing condition he/she will not be denied for care anymore. Prohibits dropping people from coverage when they get sick in all individual plans. This will allow all adults to be able to receive care without having to pay too much out of pocket or being uncertain if they will be covered. Trying to create a stable budget and economy by reducing the deficit more than $100 billion over the next ten years
  • Eliminate lifetime limits and restrict annual limits on benefits on all plans Patients will not have to worry about their care and coverage being dropped mid way through the treatment. Allow college adults to stay on their parents coverage until the age of 26 Closing the Medicare prescription drug “donut hole” coverage gap by the year 2020. Strengthening the Senate bill provisions that make insurance affordable for individuals and families and increase protections for out of pocket costs.
  • If the secretary estimates for any fiscal year that the total amounts available for payment of expenses of the high-risk pool will be less than the amount of the expenses, Secretary shall make such adjustments as are necessary to eliminate such deficits, including reducing benefits , increasing premiums , or establishing waiting list In 2014, all citizens and legal residents must have insurance and violators will be subject to a tax penalty for: $695 annual fine per person a fine of $2000 per worker for Employers with more than 50 employees
  • Health Care Reform Act was signed into policy by President Obama in 2010 There are 10 provision under the new reform, one of which is Prevention of Chronic Disease and Improving Public Health. The provision addresses issues of cost and what we all need to do as Americans to change the way we deal with chronic disease, wellness, and prevention.
  • Healthcare Reform And Disease Management2[1][1]

    1. 1. HEALTHCARE REFORMCHRONIC DISEASE, PREVENTION & QUALITY Keller Graduate School Of Management 1 Professor: Dasantila Sherifi Group C: Shanise Thornton, Melinda Williams and Christopher Owens
    2. 2. OVERVIEW OF THE HEALTHCAREREFORM INITIATIVE Main objective:  To provide affordable, http://youtu.be/18oOTfepAI0 quality healthcare for all Americans to reduce the growth in healthcare spending 2
    3. 3. STRENGTHS OF HEALTHCAREREFORM American families and small business owners will be in control of their own health thru the following:  Middle class tax cuts  Reduced premium costs  New competitive health insurance market  End of discrimination via health condition Prohibits dropping people from coverage Reduce deficit 3
    4. 4. STRENGTHS OF HEALTHCAREREFORM Eliminate lifetime limits and restrict annual limits College adults will stay on parents coverage until the age of 26 Medicareprescription drugs… closing the “donut hole” 4
    5. 5. WEAKNESSES OF HEALTHCAREREFORM Reducing benefits Increasing premiums Establishing waiting list Violators will be subject to a tax penalties of the following:  $695 annual fine per person  $2000 per worker for employers with more than 50 employees 5
    6. 6. CHRONIC DISEASE What is Chronic Disease?  A disease or condition  Persist for long periods to time  May be progressive  Contributes to disabilities  Linked to death Most common chronic illnesses:  Asthma  Cancer  Diabetes 6
    7. 7. CHRONIC DISEASE More common chronic illnesses:  Heart Disease  Hypertension  Obesity Behaviors that contribute to chronic disease:  The use of tobacco  Lack of physical activities  Poor eating habits 7
    8. 8. HOW IS CHRONIC DISEASEASSOCIATED WITH THE HEALTHCARE REFORM? 2010 The Affordable Care Act also known as the Health Care Reform Bill:  Control and reduce costs  Provide affordable quality care Title IV – Prevention of Chronic Disease and Improving Public Health:  Change delivery of services  Reduce incidences of illnesses  Investing in American people 8
    9. 9. COSTS OF HEALTHCARE What drives healthcare costs?  In 2009, $2.5 trillion spent on health care expenditures  17.6% of GDP or an average of $8,086 per person  Hospital care and physician services rendered were 51% of health care costs 9
    10. 10. THE EFFECTS OF CHRONIC DISEASE Costs of United States healthcare effects:  Consumers  Employers  Economy Global effects:  Higher health care costs  Productivity  Disability  Mortality 10
    11. 11. MANAGEMENT AND PREVENTION Chronic disease is preventable:  Change the way we think about our health  Prevention programs to managed illness  Eat healthy & exercise Interest in wellness and quality:  Demand better treatment and services  Communicate  Patient satisfaction Empowerment:  Education 11  Self management
    12. 12. QUALITY…What does it mean? Why is it needed? Quality can be defined as a degree or standard of excellence, especially high standards. 12
    13. 13.  IOM aims to improve access of care that among the following:IOM DEFINTION:  Safe•The degree to which  Timelyhealth services for  Effectiveindividuals &  Efficientpopulations increases  Equitablethe likelihood fordesired outcomes  Patient Centered• Also consistent withcurrent knowledge. 13
    14. 14. STANDARDS, STANDARDS, STANDARDS JCAHO NCQA The Joint Commission on  The National Committee of Accreditation of Healthcare Quality Assurance: organizations:  When compared, is believed to  Regulates and sets standards have a better performance for accreditation measures  Accredits more than 19,000  Symbol of excellent healthcare organization within  Independent 501,3c the U.S.  Independent non-profit 14
    15. 15. AFFORDABLE CARE ACT & QUALTY Improving transparency of information on long term care facilities  Nursing home compare Medicare website  Improving staff training  Preventive training Physician payments  Fee for service  Quality Bonus
    16. 16. 16
    17. 17. HEALTH REFORM & QUALITY OFCARE President of The Joint Commission, Dr. Mark R. Chassin, speaks at the Student Groups Eighth Annual Conference, Dallas, Texas, October 19, 2010 http://youtu.be/1BYkexRSPsg 17
    18. 18. QUESTIONS… 18

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