The Quadruple Aim provides broad categories of goals to pursue to maintain and improve healthcare. Within each goal are many issues that, if addressed successfully, may have a positive impact on outcomes. For example, healthcare leaders are being tasked to shift from an emphasis on disease management often provided in an acute care setting to health promotion and disease prevention delivered in primary care settings. Efforts in this area can have significant positive impacts by reducing the need for primary healthcare and by reducing the stress on the healthcare system.
Changes in the industry only serve to stress what has always been true; namely, that the healthcare field has always faced significant challenges, and that goals to improve healthcare will always involve multiple stakeholders. This should not seem surprising given the circumstances. Indeed, when a growing population needs care, there are factors involved such as the demands of providing that care and the rising costs associated with healthcare. Generally, it is not surprising that the field of healthcare is an industry facing multifaceted issues that evolve over time.
For this Assignment, you will consider in more detail the healthcare issue/stressor of cost. You will also review research that addresses the issue/stressor and write a white paper to your organization’s leadership that addresses the issue/stressor of cost.
To Prepare:
• Identify and review two additional scholarly resources that focus on change strategies implemented by healthcare organizations to address your selected national healthcare issue/stressor.
The Assignment (3-4 Pages):
Analysis of a Pertinent Healthcare Issue
Develop a 3- to 4-page paper, written to your organization’s leadership team, addressing th national healthcare issue/stressor on cost and how it is impacting your work setting. Be sure to address the following:
• Describe the national healthcare issue/stressor you selected and its impact on your organization. Provide a brief summary of the two articles you reviewed from outside resources on the national healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other organizations.
• Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected. Explain how they may impact your organization both positively and negatively. Be specific and provide examples.

Free Essay Sample

The Cost of Healthcare
The impacts of the souring health cost are affecting everyone involved from the caregivers, the providers, and even the patients. According to Keehan et al. (2016), the expenditure on healthcare in the US has increased by about $933.5bilion from the year 1996 to 2013. The areas of healthcare that have contributed to this increase include the outpatient, inpatient, emergency services, prescriptions, dental care, and nursing facilities. From the study of these factors, it emerged that there is a rise in the price of services, more spending on specific conditions, and outpatient treatment. With such an increase in the cost of healthcare, the patients are bound to suffer more. However, there is a group that is experiencing the pressure that is often overlooked. The rising cost has a severe impact on the work environment.
The impact of high healthcare cost on workforce
The increase in the price of healthcare is equally felt in the workplace as the employees try to come up with strategies that can mitigate the high costs. According to Tozzi (2018), the premiums for insurance that are employer-sponsored increased by 5 percent in the year 2018. The rise in the value of the bonus is directly passed down to the deductions that employee are charged. The study further states that while the family premiums continue to increase the wages remain unchanged (Keehan et al., 2016). While employers try to seek other methods to deal with the rising inflation, the most practical approach is either to increase deductions or as well reduce the number of employees. The employees are thus at the receiving end when it comes to the increase in the cost of healthcare (Tozzi, 2018). Therefore, the healthcare cost seems to have a considerable impact not only to the patients but also to the healthcare workers.
The impact of the cost of healthcare is directly felt within the nursing practitioner. The cost has led many of the health facilities to scale down their operations in terms of reducing the number of staff. The understaffing of these facilities has resulted in staffing burn out. Many of the nurses are forced to work extra hours with no or little pay. Eventually, most of the practitioners in the field opt to leave their jobs and try out other ventures. The few that remain within the healthcare have pointed out that they experience high rates of burnout. The same problems spill over to the patients since the quality of services that the practitioners offer to the patients is reduced. Therefore, the cost of healthcare has a ripple effect on the organization. While it leads to the high rates of turnover, it also leads to the reduction in the quality of services that the facilities offer.
Summary of articles
In the article by, Kim et al., (2015), the author looks at the impact of the aging population on the cost of healthcare in the country. One of the aspects that the author points out is that the aging population might reduce the price on an element such as pregnancy and infertility. However, their impact on other issues, such as chronic conditions would still go up. The overall conclusion is that the cost of healthcare would increase as a result of the aging population.
The focus of the article by Sambamoorthi et al., (2015) is to look at the factors that are leading to an increase in the cost of healthcare in the US. Some of the factors that the author point to includes the increasing in the aging population, wastage in healthcare, and poor general health.
Approaches to dealing with the high cost of healthcare
Some organizations are focusing their efforts on using healthcare data to drive strategies. Healthcare data plays a center stage in making strategic health plan decisions making. However, the focus is not only limited on the access to data but also understanding how to apply it in decisions making and implementation of strategic changes. While there is plenty of robust research data on nursing and healthcare practice, there are little efforts to applying it. Therefore, there is a current shift to utilizing the data in healthcare because it helps in minimizing waste, misdiagnosis, and accidents, thus reducing the cost of healthcare.
There is also a focus on consumer-driven plans. The focus of such projects is on health savings accounts (HAS) or Health reimbursement account (HRA). The programs offer benefits for both the employer and the employee. These plans also seek to provide education to the employees so that they can become smatter consumer of healthcare, thus saving money for both parties.
The last focus is on promoting employee health and wellness. The benefit of the approaches is that it has a direct impact on lowering cost and increasing productivity. Many organizations are focusing on creating comprehensive programs that focus on specific health condition and also adding the dependents in the plans. Besides, some organizations are focusing more effort on the incentives offered to participants. These approaches are proving to be effective in providing better healthcare and thus reducing the cost.
In summary, these approaches seek to make employees smatter consumers and thus reducing the cost of healthcare for employers. There is also a focus on the wellness of employees that ensures that the amount spends on healthcare is lower. The effect is that it provides the rate of productivity is higher, thus reducing wastage costs. These plans have a positive impact on an organization since they ensure that the employees are a part of the solution to the reduction of cost.

References
Keehan, S. P., Poisal, J. A., Cuckler, G. A., Sisko, A. M., Smith, S. D., Madison, A. J., … & Lizonitz, J. M. (2016). National health expenditure projections, 2015–25: economy, prices, and aging expected to shape spending and enrollment. Health Affairs, 35(8), 1522-1531.
Kim, S. H., Tanner, A. H., Foster, C. B., & Kim, S. Y. (2015). Talking about health care: News framing of who is responsible for rising health care costs in the United States. Journal of Health Communication, 20(2), 123-133.
Sambamoorthi, U., Tan, X., & Deb, A. (2015). Multiple chronic conditions and healthcare costs among adults. Expert review of pharmacoeconomics & outcomes research, 15(5), 823-832.
Tozzi, J. (2018, October 18). Employees’ Share of Health Costs Continues Rising Faster Than Wages. Retrieved from https://www.insurancejournal.com/news/national/2018/10/08/503575.htm

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