That is true, with the cost of health care per patient is
rising with no end in sight, hospitals are now turning towards home care to
help reduce cost. A recent article in the Kaiser Health News network reported “More
than 13 percent of all federal spending goes toward Medicare. Two thirds of
that spending goes to the sickest 20 percent of Medicare beneficiaries, the
ones with multiple chronic health conditions” (Schultz, 2012). These statistics
are staggering, health care in the United States cannot continue down this path
without any intervention. With pressure
mounting, health care leaders; doctors, hospital administrators, and
researchers came up with a solution to rein in cost, by focusing patient care in
their own home, hospitals can then reduce their liabilities versus having patient’s
being cared for in the hospital.
Dr. Bruce Leff, a geriatrician and health
researcher at Johns Hopkins University published a study showing how medical facilities
can reduce cost by implementing six models of caring for seniors. The most
popular model is called “Nurses Improving Care to Health system Elders, or
NICHE, allowing nurses to take on a more proactive role towards focusing on
common complications seniors would encounter; catheter infections or delirium. In
contrast, another model called “Hospital at Home” did not garner much praise
because unfortunately, Medicare does not pay hospitals for taking care of patient’s
at their home as of yet, the system of revenue is still filing up hospital beds.
Dr. Leff stated “Right now hospitals make money by filling beds, if I go to the
hospital president and say, I’ll do a patient’s care at home, and Medicare
doesn’t pay for that. It’s hard for them to give up revenue in that way” (Schultz,
2012). The results from his study have shown a reduction in cost and better patient
outcomes, if this country is serious about lowering health care cost then all viable
options should be utilized and antiquated laws amended, this country cannot afford
inaction when there are helpful ideas out there.
Bibliography
Schultz, D. (2012, June 4). To Curb Spending On
Elderly, Hospitals Try New Business Models. Retrieved June 5, 2012, from
KaiserHeatlhNews:
http://capsules.kaiserhealthnews.org/index.php/2012/06/to-curb-spending-on-elderly-hospitals-try-new-business-models/
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