Improving the Quality and Efficiency of Health Car

Title: Improving the Quality and Efficiency of Health Care

To improve the efficiency and quality of the act christened Affordable Care and Patient Protection that avails guidelines as outlined in the subtitles.

Creation of a link between Quality outcomes to the payment

To improve the efficiency and quality of the act christened Affordable Care and Patient Protection that avails guidelines as outlined in the subtitles.

when using the Medicare Program

The Act supports the creation of a hospital purchasing program that is value-based by the secretary (Lochner, 2013). Value-based incentive payments should be disbursed to all the hospitals that have displayed compliance with the standards of performance as provided in the same Act in every fiscal year.

 Improvement of Medicare for both the providers and the patients

The Act outlines the guidelines to be adhered by the Secretary to ensure that all the beneficiaries of Medicare have access to the care offered by the physicians as well as other health services (Lochner, 2013). The holding of harmless should also be extended to include all the sole community hospitals in the US. The Act further calls for the technical correction regarding critical access services in the hospital (Ward, 2013).

Enhancement for MA-PD plans and Prescription drugs plans

Affordable Care and Patient Protection statute outlines that, every drug manufacturer must be part of the program of Medicare coverage gap discount. In the establishment of the drug discount program, it is the duty of the secretary to engage the manufacturers in the development of models that are acceptable to them (Lochner, 2013).

Making sure Medicare is sustainable

There should be a review of certain market basket updates as well as ensuring that the productivity improvements are incorporated in the market basket updates that have not yet adopted the improvements. The Act also anchors the independence of a Medicare Advisory Board that has different responsibilities to ensure sustainability (Ward, 2013).

Strategic Framework for Multiple Chronic Conditions

The vision that catalyzes the development of the Strategic Framework for recurring acute health conditions forms that urge to make the quality better and achieve optimum health for all the people that are living with a variety of chronic conditions (Lochner, 2013). The framework that has been designed to specifically help people living with MCC is made up of four goals that are overarching.

As Lochner (2013) states, one of the goals purposes to bolster wellbeing of people affected by recurring acute health conditions by promoting changes in healthcare as well as in the healthcare system. The goal recognizes that revamping the wellbeing of MCC diagnosed patients’ needs well-organized coordination of complicated psychosocial and longitudinal care. According to Ward (2013), the other goal in the MCC framework is maximizing on the utilization of self-care management as well as other available services by the people who are living with multiple chronic conditions. The goal came out of the realization that even if individual living with MCC receive the best healthcare services, the health outcomes are not a guarantee because the individuals need motivation and must be engaged as partners in their health (Ward, 2013). The third goal is the provision of advanced information and tools to healthcare, social service workers, and public health workers that are involved in care delivery. For the health workers to deliver the care, they need to access accurate and relevant information. The fourth goal deals with the facilitation of research and covers the existing knowledge gaps related to interventions as well as systems beneficial to individuals with MCC (Ward, 2013).

 Primary Objectives

According to Parekh, Goodman, Gordon and Koh (2011), one of the principle objectives for directing chronic condition management in the US purposes to pinpoint evidence-anchored models for people who have contracted recurring acute health conditions to fine-tune care coordination. The objective has led to care that is patient-centered, multidisciplinary and one that underscores on provider communication (Parekh et al., 2011). Another primary objective is the facilitation of home services that are community founded. Society founded as well as Home based services that are pivotal in ensuring that the individuals with MCC work and live without problems in the communities and attain an independent life.


Parekh, A. K., Goodman, R. A., Gordon, C., & Koh, H. K. (2011). Managing multiple chronic conditions: a strategic framework for improving health outcomes and quality of life. Public health reports, 460-471.

Ward, B. W. (2013). Prevalence of multiple chronic conditions among US adults: estimates from the National Health Interview Survey, 2010. Preventing chronic disease10.

Lochner, K. A. (2013). Prevalence of multiple chronic conditions among Medicare beneficiaries, United States, 2010. Preventing chronic disease10.

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