BHS450 Health Care Delivery Systems

The rapid change in pace of today’s health system to improve patient experiences and effectiveness of medicine is overwhelming for those who provide aid to public and private populations. The challenges of new value-based reimbursement models and providing more integrated care, creates new hurdles for health care management teams to overcome. New populations and new communities require transformation to emphasize vulnerable populations, the integration of technology to prevent care gaps, and creating a multi-provider delivery system.

The two main objectives of the U.S. health care delivery system are to (1) Enable all citizens to access health care services and (2) Provide services that are cost effective and meet established standards of quality.

The four key components of the health care delivery are (1) Financing (2) The care team (3) Insurance (4) The payment.

Case Assignment

After completing the required readings, you should have a basic understanding of the characteristics and components of the United States health care delivery system. Understanding how the health care system works and evolves provides health care administrators and leadership with awareness of the position of their organization and facilitates compliance with health regulations.

1. Discuss in detail each component of the U.S. delivery system, its function, and how it supports the delivery of care.
2. Describe three external forces that affect health care delivery.
3. Discuss and expound on five characteristics of the United States health care delivery system that differentiate the U.S. from other countries.
4. View the National Health Security Preparedness Index for your state. You may access the health care delivery tab by 1) Selecting the link below 2) Selecting “By State” at the bottom of the page 3) Select 2019 4) Select the state in which you reside 5) Scroll down and select health care delivery. Describe if your state's overall score is: 1. Above national average 2. Meets national average 3. Below national average in accordance with the key noted. Discuss three areas under the health care delivery tab that need improvement and provide suggestive remediation efforts to improve each.
5. Length: Submit a 3- to 4-page paper, not including the cover page and the reference list.

Nation's ability to manage health emergencies rises. National Health Security Preparedness Index. (2020). https://nhspi.org

Resquired reading

Brady, M., & Teooer, N. (2021). Biden reopens ACA enrollment, will revisit Medicaid work requirements. Modern Healthcare (1976), 51(5), 6. Available in the Trident Online Library.

Campbell, A. L., & Shore-Sheppard, L. (2020). The social, political, and economic effects of the affordable care act: Introduction to the issue. RSF: Russell Sage Foundation Journal of the Social Sciences, 6(2), 1-40. Available in the Trident Online Library.
Gallen, T. S., & Mulligan, C. B. (2018). Wedges, labor market behavior, and health insurance coverage under the Affordable Care Act. National Tax Journal, 71(1), 75-6. Available in the Trident Online Library.
Lotven, A. (2021). Health care executives order kick off ACA policy making spree. InsideHealthPolicy.Com’s Health Exchange Alert, 9(5). Available in the Trident Online Library.
Pollina, L. D., Guessous, I., Petoud, V., Combescure, C., Buchs, B., Schaller, P., . . . Jean-Michel Gaspoz. (2017). Integrated care at home reduces unnecessary hospitalizations of community-dwelling frail older adults: A prospective controlled trial. BMC Geriatrics, 17. Available in the Trident Online Library.
Saravanan, S. (2024). Revolutionizing healthcare delivery with blockchain technology. Big Data and Computing Visions, 4(3), 227–235. https://doi.org/10.22105/bdcv.2024.482121.1211 (8 pgs). Available in the Trident Online Library.
Shi, L., & Singh, D. A. (2017;2019). Delivering health care in America; A systems approach (7th ed.) Jones & Bartlett Learning, LLC. Available in the Trident Online Library.
Shi, L. & Singh, D. A. (2017). Chapter 1: Major characteristics of U.S. health care delivery. Essentials of the U.S. health care system (4th ed., pp. 1-26). Burlington, MA: Jones & Bartlett Learning, LLC. Available in the Trident Online Library.
Shi, L. & Singh, D. A. (2017). Chapter 3: Historical overview of U.S. health care delivery. Essentials of the U.S. health care system (4th ed., pp. 53-77). Burlington, MA: Jones & Bartlett Learning, LLC. Available in the Trident Online Library.
Stuck, A. R., Crowley, C., Killeen, J., & Castillo, E. M. (2017). National survey of emergency physicians concerning home-based care options as alternatives to emergency department-based hospital admissions. Journal of Emergency Medicine, 53(5), 623-628.
Swan, H., Shin, S. W., & Borges do Nascimento, I. J. (2024). Wearable digital health technologies in clinical care. The New England Journal of Medicine, 390(22), 2153–2154.(2 pgs). Available in the Trident Online Library.
Zsilinszka, R., Mentz, R. J., DeVore, A. D., Eapen, Z. J., Pang, P. S., & Hernandez, A. F. (2017). Acute heart failure: alternatives to hospitalization. JACC: Heart Failure, 5(5), 329-336.