DQ 3-2 Integrated health care delivery systems (IDS) was developed to initiate excellence health care access and quality of care to entire populations and community by collaborating and coordinating diverse healthcare professionals. Main driving force of IDS is patient centered care by using resources such as collaborating care from physicians and allied health care professionals to construct continuum of care, to deliver care in the most cost-effective way, utilize trained and competent providers by utilizing evidenced -based practice and combine innovation such as EHR (Electronic Health Records) system and team work to produce improved healthcare system. Excellence in care is attainable by incorporating allied healthcare professional, as high quality care is possible when coordination is unified and covers all areas of responsibilities. For an example-combining resources and coordination of care by involving physicians, dietitian, physical therapy or occupational therapy to work with patient diagnosed with obesity by promoting teamwork approach and ultimately delivering endurance in care and utilizing various resources. Barriers to IDS can be a huge block in delivering quality care. Among many one limitation is physicians not participating in integrated healthcare system, which disconnect physicians from team based approached by deterring continuous quality improvement (essentialhospitals.org, n.d). This is because, system such as EHR or new innovative quality assurance programs are time consuming  and overwhelming, thus decline in physicians support in IDS programs. By implementing user friendly system approach, enforcing focused based care and accepting the necessity of evidenced based practice can improve these barriers. Hence, increasing clinical expertise to produce better service and quality of care in integrated delivery system. Essentialhospitls.org (n.d). Retrieved from: http://essentialhospitals.org/wp-content/uploads/2013/12/Integrated-Health-Care-Literature-Review-Webpost-8-22-13-CB.pdf Dq 3-1 1. In the US, there is not one type of health care system but rather a subset of systems, some of them catering to specific populations. These subsystems include managed care, military, and vulnerable populations. Managed care is a health care delivery system that seeks to achieve efficiency by integrating the basic functions of health care delivery, employs mechanisms to control utilization of medical services, and determines the price at which the services are purchased and how much the providers get paid, military health care system is available free of charge to active duty military personnel and covers preventative and treatment services that are provided by salaried health care personnel and this system combines public health with medical services, and vulnerable population subsystem offers comprehensive medical and enabling services targeted to the needs of vulnerable populations and government health insurance programs provide.

1. DQ 3-2
Integrated health care delivery systems (IDS) was developed to
initiate excellence health care access and quality of care to
entire populations and community by collaborating and
coordinating diverse healthcare professionals. Main driving
force of IDS is patient centered care by using resources such as
collaborating care from physicians and allied health care
professionals to construct continuum of care, to deliver care in
the most cost-effective way, utilize trained and competent
providers by utilizing evidenced -based practice and combine
innovation such as EHR (Electronic Health Records) system and
team work to produce improved healthcare system.
Excellence in care is attainable by incorporating allied
healthcare professional, as high quality care is possible when
coordination is unified and covers all areas of responsibilities.
For an example-combining resources and coordination of care
by involving physicians, dietitian, physical therapy or
occupational therapy to work with patient diagnosed with
obesity by promoting teamwork approach and ultimately
delivering endurance in care and utilizing various resources.
Barriers to IDS can be a huge block in delivering quality care.
Among many one limitation is physicians not participating in
integrated healthcare system, which disconnect physicians from
team based approached by deterring continuous quality
improvement (essentialhospitals.org, n.d). This is because,
system such as EHR or new innovative quality assurance
programs are time consuming and overwhelming, thus decline
in physicians support in IDS programs. By implementing user
friendly system approach, enforcing focused based care and
accepting the necessity of evidenced based practice can improve
these barriers. Hence, increasing clinical expertise to produce
better service and quality of care in integrated delivery system.
Essentialhospitls.org (n.d). Retrieved from:

2. http://essentialhospitals.org/wp-
content/uploads/2013/12/Integrated-Health-Care-Literature-
Review-Webpost-8-22-13-CB.pdf
Dq 3-1
1.
In the US, there is not one type of health care system but rather
a subset of systems, some of them catering to specific
populations. These subsystems include managed care, military,
and vulnerable populations. Managed care is a health care
delivery system that seeks to achieve efficiency by integrating
the basic functions of health care delivery, employs mechanisms
to control utilization of medical services, and determines the
price at which the services are purchased and how much the
providers get paid, military health care system is available free
of charge to active duty military personnel and covers
preventative and treatment services that are provided by
salaried health care personnel and this system combines public
health with medical services, and vulnerable population
subsystem offers comprehensive medical and enabling services
targeted to the needs of vulnerable populations and government
health insurance programs provide vulnerable populations with
access to health care services (Jones & Bartlett Learning, n.d).
These deliver systems are similar to what is happening today
with health care reform. Health care reform strives to provide
better access to health care for vulnerable populations and is
taking control of how the providers are being paid through
patient feedback. One change that needs to happen is the
increase in health care personnel such as physicians and nurses
because there is currently an ongoing shortage due to the surge
in the population now being insured.
References
Jones & Bartlett Learning. (n.d). Major Characteristics of US
Health Care Delivery. Retrieved from Jones & Bartlett
Learning:

3. http://www.jblearning.com/samples/0763763802/63800_CH01_
Final.pdf
2.
Establishment of ACA was a huge step in Healthcare reform in
the United States and thought to bring better future in health
delivery system. However, some of the enactments that were
implemented to deliver quality service to people created more
concerns and question to system itself. According to the
National Scorecard on U.S. Health System Performance (2011),
indicators displayed a significant drop in the performance
benchmark compare to 2008 outcomes. Indicators such as
insurance premiums were higher than wages in insured
population making medical bills and deductibles relatively
higher than their incomes. Lack of preventive services were
overlooked such as vaccine shortage or care provider
consultation were missed. Quality of care was red flagged as
the rates of readmission and rehospitalization were rising
(Commonwealthfund.org, 2011).
Every modification in system takes time and some new
implications and improvements are required. Healthcare
delivery system has many indicators, in which some are working
for the system and some are not working as anticipated. Hence
among all, I think patient should be the main focus in any
reform or policy modifications in the healthcare system. Hence,
patient-centered care should be improved by modifying the
culture of quality care, reinforcing skilled -motivated healthcare
workforce and most importantly encouraging and reinforcing
team based approach by involving patient, physicians and
respected professionals to participate in delivering quality care.
Commonwealthfund.org (2011). Why not the best? Results from
a National Scorecard on U.S. Health System Performance.
Retrieved from:
http://www.commonwealthfund.org/publications/fund-
reports/2011/oct/why-not-the-best-2011
3.
Our health care delivery system is faced with serious quality

4. and cost challenges, according to Crossing the Quality Chasm
(IOM, 2001). The United States health care sector consists of
clinicians, hospitals and other health care facilities, insurance
plans, health care purchasers, that all work in various
configurations of networks, groups, and independent practices.
These various entities are collectively called the health care
delivery system. This system with all of the different entities
involved, has created a convoluted system where insurance
plans and providers scramble to keep up with the ever changing,
highly competitive market.
Even though the system is convoluted, the direction of health
care is moving toward quality care, which is the entire essence
of health care in itself. It is providing ways to encourage and
confirm the quality of care by using penalties and fees, or non
payment for services when the quality of care that is expected is
not met. The system is trying to move forward in ensuring that
all Americans have access to quality health care.
The delivery of health care can be improved by moving to a
single payer system that will eliminate much of the confusion
and additional costs of so many separate entities. Savings in
removing entities such as profit-oriented, multiple insurance
payers will provide the funds for the program. High premiums
would disappear, Co-pays and deductibles would no longer be a
financial barrier for patients, and the public would gain free
choice of Doctors and hospitals. PNHP suggests that 95% of all
households would experience savings if this were to happen
(PNHP, 2016).
References:
What is Single Payer? (n.d.). Retrieved December 20, 2017,
from http://www.pnhp.org/facts/what-is-single-payer
Read "The Future of the Public's Health in the 21st Century" at

5. NAP.edu. (n.d.). Retrieved December 20, 2017,
from https://www.nap.edu/read/10548/chapter/7
4.
There are many options for health care delivery in the U.S. Our
pediatric population requires so much of this care thankfully
there are many places to receive care. Childrens MN offers
many services for children that includes 2 hospital campuses
and many clinic settings. Their services cover birth through
young adultood, from the premie population to the child living
with a chronic condition. Another and vital health care delivery
system for kids is home health. Children should not be forced
to live their lives in the hospital setting, to give them the ability
to get home they need the services of a home care company.
Pediatric home care is very specialized and requires staff that
are not only comfortable working in home care but understand
the special needs of children. "Home health care is usually less
expensive, more convenient, and just as effective as care you
get in a hospital or skilled nursing facility." (What is home
health care, 2017)
Home health care like hospitals and clinics utilizes allied health
professionals. With the current shortage and the new influx of
patients this shortage will continue to be an issue. Pediatrics
requires a group of professionals that want to work with kids
and their special needs. The ACA has made it possible for all
age groups to not be denied care due to pre-existing conditions,
this is fantastic but exacerbates the shortage of health care
providers to patients needing care. We need to focus on an
increase of people entering the medical field, building programs
that will encourage people to enter this very rewarding field.
What is home health care (n.d.) Retrieved December 20, 2017
from
https://www.medicare.gov/what-medicare-covers/home-health-
care/home-health-care-what-is-it-what-to-expect.html

6. DQ 3-2
1.
The biggest need driving the development of IDS systems are
patient satisfaction and patient needs. IDS strives to provide a
seamless patient experience when a person moves through the
network, whether from primary care to specialty care, or from
an inpatient hospital stay to home (Rothman, n.d). This directly
benefits allied health care services because it forces them to
have better communication among different interpersonal teams.
One limitation is the focus on evidence-based medicine rather
than what a medical personnel learned in medical school. I think
IDS should equally focus on the use of evidence-based medicine
and the experience of a doctor to treat patients.
References
Rothman, P. B. (n.d). An Integrated Health Care Delivery
System. Retrieved from Johns Hopkins Medicine:
https://www.hopkinsmedicine.org/leading_the_change/articles_c
olumns/an_integrated_health_care_delivery_system.html
2.
There are so many people living with chronic conditions that
lead to many medical visits, the need to coordinate care grows
when multiple conditions are involved. The integrated health
care delivery system is a way to provide this continued to care,
to make the transition between providers one with less
disconnect. "An IDS is an organized, coordinated, and
collaborative network that links various healthcare providers to
provide a coordinated, vertical continuum of services to a
particular patient population or community." (Enthoven, 2009)

7. Allied health professionals work in all medical settings in all
areas of patient care, they are able to work as a team in patient
centered care for better patient outcomes. "This alliance of
essential health care partners has demonstrated improved health
outcomes wherever it is utilized. In the country’s rural areas, a
distinct lack of allied health services may limit appropriate
patient care that can increase mobility and independence."
(Augusta University, 2014) With the current system and
shortage of health care professionals this team can't function as
well as expected without the full team. Allied health
professionals are necessary members of the health care team,
there needs to be an influx of new people entering the field
especially with IDS to work to its full extent. Improvements in
education for young people regarding careers in healthcare and
repayment programs for school loans are just two examples that
may help.
Augusta University (2014) The Role of Allied Health
Professionals in Providing High Quality-Care.
https://www.augusta.edu/gov/documents/ahp.pdf
Enthoven, A.C. (2009) Integrated delivery systems: the cure for
fragmentation. PubMed.gov
An IDS is an organized, coordinated, and collaborative network
that links various healthcare providers to provide a coordinated,
vertical continuum of services to a particular patient population
or community.
3.
The IDS is a great way for patients who come in with a variety
of problems which require different departments of healthcare.
The benefit of this is a patient has confident in the organization
and doesn’t require to be working with different facilities.
Progression can be seen through the organization with the
patient and certain measures can be set if there are setbacks. A
single physician cannot handle all treatments processes as they
usually specialize in one area such as orthopedic surgeon,

8. cardiologist, pediatric, and so forth. Having a variety of IDS
helps patients to be treated correctly.
The downfall which can be seen of IDS is what Megan shared of
patients living in extreme rural areas. Facilities will not be
equipped for all areas which a patient may need to be diagnosed
or treated. Therefore, they must travel and it makes it an
inconvenience for the patients. Integrating systems to share
medical histories, create interdisciplinary medical teams and
update doctors on the latest medical research findings could
trim healthcare costs while improving patient care (Laplante,
2005)
Laplante, A. (2005). Integrated systems improve medical care,
control costs, according to Enthoven. Standord News. Retrieved
from https://news.stanford.edu/news/2005/october26/enthoven-
102605.html.
4.
What are the needs driving the development of integrated health
care delivery systems (IDS)? What benefits directly apply to the
provision of allied health care services? What limitations exist
at present that could be improved, and how so?
The needs that drive the IDS are those put forth with the
Affordable Care Act. The need for doctors and health care
facilities to strive to work together to ensure better outcomes of
patient care. To adopt value-based care where the success of the
patient outcome can actually bring in more profits for both.
Finding alternatives to hospitalizations that can task over
worked systems. (Learn)
One of the challenges to IDS is the insurance companies
themselves slowing care to patients with red tape
and bureaucracy . A physician can order care for a patient but
when the care is given is dictated by the insurance companies.
The physician feels the care is given, but in fact it has not. The
facility providing care must communicate to the physician to
make them aware of such a delay, to ensure better outcomes in
the patient care and payout for the care.

9. Reference
“Learn.” Healthcare Delivery System - Doctors for America ,
www.drsforamerica.org/learn/policy-center/healthcare-delivery-
system.