1. HEALTHCARE REFORM
CHRONIC DISEASE, PREVENTION & QUALITY
Keller Graduate School Of Management
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Professor: Dasantila Sherifi
Group C: Shanise Thornton, Melinda
Williams and Christopher Owens
2. OVERVIEW OF THE HEALTHCARE
REFORM INITIATIVE
Main objective:
To provide affordable, http://youtu.be/18oOTfepAI0
quality healthcare for
all Americans to
reduce the growth in
healthcare spending
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3. STRENGTHS OF HEALTHCARE
REFORM
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. STRENGTHS OF HEALTHCARE
REFORM
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”
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5. WEAKNESSES OF HEALTHCARE
REFORM
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. 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
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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
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8. HOW IS CHRONIC DISEASE
ASSOCIATED WITH THE HEALTH
CARE 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. 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
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10. THE EFFECTS OF CHRONIC DISEASE
Costs of United States healthcare effects:
Consumers
Employers
Economy
Global effects:
Higher health care costs
Productivity
Disability
Mortality
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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. QUALITY…
What does it mean? Why is it needed?
Quality can be defined as
a degree or standard of
excellence, especially
high standards.
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13. IOM aims to improve access of care
that among the following:
IOM DEFINTION: Safe
•The degree to which Timely
health services for Effective
individuals & Efficient
populations increases
Equitable
the likelihood for
desired outcomes Patient Centered
• Also consistent with
current knowledge.
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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
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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
17. HEALTH REFORM & QUALITY OF
CARE
President of The Joint
Commission, Dr. Mark R.
Chassin, speaks at the
Student Group's Eighth
Annual Conference,
Dallas, Texas, October
19, 2010
http://youtu.be/1BYkexRSPsg
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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.
