Question

Read the document “Organizing the Health Care Delivery System for Performance” and the 6 attributes they feel are necessary for high performance. Choose one of the models of organizing for high performance and describe strategies that have proven effective in creating an integrated high performance health system within that model.

Answer 1

The healthcare delivery system requires the policy recommendations and analyses the fragmentation of payment reform, and the regulatory changes. The model 3: Private Networks of Independent providers such as independent practice association(IPA) and virtual network.

This model includes that the independent providers should deliver the healthcare services to one or more insurers under contract. It includes hills physician medical group. The health plans cover more than 300,000 patients in HMOs, Medi-cal, and Medicare Advantage plan, California Medicaid program. 40% of Hill patients are involved in the care of hill patients and doing a high performance in treating of hill patients.

A physician-led Organization involve in pay for performance programs of health plans and negotiates the contracts of managed care on behalf of Genesys Regional Medical Center (GRMC). Around 150 community-based primary physicians are practised in the network. It provides high-performance services in Michigan and Flint. The group practice of GIGP Performs to meet the goals and quality care.

Rural North Dakota healthcare providers arrange for sharing resources such as Mobile MRI service, development of community health centres, rural tele-pharmacy network, rural mental health services, and local access to quality care. It provides a continuum of care across the Dakota and also supports the satellite clinics in the local communities.