Inpatient Prospective Payment System and Outpatient Prospective Assignment

Inpatient Prospective Payment System and Outpatient Prospective Payment System - Assignment Example The OPPS, on the other hand, involves yearly deductibles and copayments (CMS, 2010) by the patient to cover the overall cost. Both the systems, and especially the OPPS, are designed to have an overall profiting effect on the Medicare; they save Medicare the money expended on patients. This is because, for example, in the OPPS, the patient is expected to meet the costs in two ways; the yearly deductible, and the copayment that he has to pay as an outpatient (CMS, 2010). It is evident that this results in an overall money-saving for the Medicare as opposed to if Medicare had to meet the complete cost without any contribution from the patient. It is not feasible to have only one system for both the inpatient department and the outpatient department. This is because of the different needs of the two departments and the different factors that influence their payment scales. Inpatient usually requires complex procedures (CMS, 2011) and prolonged hospitalization, so the net cots incurred by the hospital are considerably greater than those incurred by the outpatient department because that mostly involves routine checkups, drug administration, and minor surgeries (CMS, 2010). The number of cases per department may also vary greatly.

Practicum Experience Journal Essay Example | Topics and Well Written Essays - 250 words - 2

Practicum Experience Journal - Essay Example AzHHA (2011) stated that SBAR creates a shared mental model for effective information transfer by providing a standardized structure for concise, factual communications among health care providers. It is indeed essential in a nursing home setting as the condition and needs of each patient must be properly addressed by any personnel at the time of his/her duty. Hence, there is a need to strengthen the communication pattern in the nursing home and in any clinical and medical field where the lives of the patients depend on the reliability and credibility of the evaluation of the situation. During the period of my practicum, I observed that there was a discrepancy in the transfer of clinical information and patient’s data from one shift to another which is something that must be strictly observed by all health practitioners. A systematic approach in passing a patient’s record is a must as it will be the basis of the next health provider’s action. Specifically, the method being used in this turnover of patient’s clinical information/record was not that efficient or somewhat too lenient in my practicum. It is vital for a health care provider to supply all the information to whoever will take his/her duty in an inter shift mode. In my opinion, employing The SBAR method is a great solution for the communication problem in the nursing home. It is a more orderly and systematic approach of transferring information. If utilized, interpersonal interaction among the health care providers would be more dynamic and communication errors would be avoided. As a consequence, these medical professionals will be more focused on the well-being of the