Essay on External and External Influences in Health Care

Abstract External and internal influences are relevant in health care. These influences continue to affect the total operations of a health care facility. I will summarize the insights I have gained into the external influences of the new health care reform policy and quality initiatives. The recent health care reform legislation was passed in the house and senate this year. The senior vice president, that I have interviewed, states that health care reform is an â€Å"unknown† for organizations. In addition, I will research the quality improvement initiatives and how these external influences include implications for organizations and health care administrators. Introduction The Health Care Reform legislation passed on†¦show more content†¦Mr. Lease states, that the hospital will not increase full-time equivalents (FTEs) or begin any major construction projects in the next fiscal year because of the â€Å"unknown† of health care reform. Mr. Lease indicates that illegal immigrants will not be permitted to participate in health insurance. He states if private payers and providers lower costs to make up for public payers, the reimbursement will be much less than the hospitals costs. Mr. Lease indicates that quality in health care is another external influence in the delivery of health care services. The integration of medical services into larger payment groups, when using value-based purchasing and improving coordination of care would increase productivity in health care; making medical services much more affordable and increasing the quality of care (W. Lease, personal communication, July 23, 2010. Pay-for Performance Initiatives The three significant pay-for-performance (PFP) initiatives in the United States are the Leap Frog Group’s Hospital Rewards Program, Bridges to Excellence and the Medicare PFP initiatives. 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