Introduction
In our Caribbean health care, the honeymoon days are over. Across the borders, every country's health care system is struggling with the uneven quality of care and rising costs, regardless of the hard work of well trained and well-intentioned clinicians like me. Our government through policymakers have put all efforts to countless fix numerous shortcomings in the health sector. They have tried to attack frauds in the health sector, enforce practice guidelines, reduce errors, implement electronic recordings, offer patients better care but to no avail (Mortley, 2016). Thus, I saw it wise to fundamentally introduce a new strategy that can fix all these shortcomings thereby improving the patients well being. In my day to day management of the health sector, I had to come up with a game-changing activity that impacted our Caribbean health sector completely. To be successful in this health sector, I had to move from the traditional way of doing things into a transformational system of value-based health care system (Lee & Porter, 2013). Thus, this paper will be focusing on my game changer strategy of a transformational system of value-based health care in the Caribbean.
There is no longer doubt on how the value of healthcare is going to be increased. The challenge that existed sometimes on how the sector was to be a value-based country has been overtaken by time since the transformation is real (Kurji, Shaheen & Mithani, 2015). The transformation has stemmed from the physicians to service providers. The established interdependent steps that I put in place to improve this system have ultimately achieved their principal target of offering value on the predetermined medical practice in the Caribbean. The implementation of my game-changing activity has been fruitful because I have prioritized on the strategic agenda components in a manner which is not radical nor theoretical.
I can ascertain that my success in implementation of this transformational system of value-based health care system was due to the following features no other health personnel ever tried to implement. I had to organize the entire personnel into integrated practice units (IPUs). The IPUs was a way of changing the manner in which our clinicians were organized to deliver health care (Adams et al. 2014). I had to restructure and organize all the clinicians centering them around patients and their needs. Initially, the delivery care was into a patient's medical condition care, but I have changed it into a siloed organization under specialty departments that take care of the patients (DeCarvalhoet al. 2018). The structure is composed of dedicated nonclinical and clinical personnel that provides full cycle care to the patients. Secondly, I introduced a way of measuring the costs and outcomes of every patient. I introduced this measure since I knew that every field is obliged to measuring results. Most teams excel and improve their results by tracking their progress over a period (Ledwith & Springett, 2010). After recording their day to day results, they can compare it with the performance of other peers outside or inside other health organizations. Measuring outcomes entail three tiers. The first Tier involves measuring health status, thus, far achieved. The second tier outcome recount on the nature of the recovery and care cycle. Lastly tier three outcome ascertain the sustainability of health care systems and structures (Sanda, 2010).
Measuring the cost of health care gives a precise cost of information in health care. I have prioritized that the hospital cost accounting systems be patient based thus designed in such that any billing transactions can be reimbursed beneath fee for service rendered only (Storeng & Behague, 2014). Lastly, under my transformational system of value-based health care system I had to move the payment system to a bundled payments that center on care cycles.
Conclusion
All in all, service providers of health care in the Caribbean or other countries who have stuck to the old broken systems of operation are dinosaurs. They should know that reputations founded on perception and not definite outcomes will fade. Any of their trials in improving the health care systems using the old structures will be untenable. Only those medical personnel that will embrace a transformational system of value-based health care system agenda will be rewarded with satisfied patient contentment and financial viability like me and the Caribbean .
References
Adams, K., Snyder, J., Crooks, V., & Hoffman, L. (2014). Medical tourism in the Caribbean: a call for cooperation.
DeCarvalho, H., Lindner, I., Sengupta, A., Rajput, V., & Raskin, G. (2018). Enhancing medical student diversity through a premedical program: A Caribbean school case study. Education for Health, 31(1), 48.
Kurji, Z., Shaheen, Z. Z. S. P., & Mithani, Y. (2015). Review and analysis of quality healthcare system enhancement in developing countries. JPMA. The Journal of the Pakistan Medical Association, 65(7), 776.
Ledwith, M., & Springett, J. (2010). Participatory practice: Community-based action for transformative change. Policy Press.
Lee, T., & Porter, M. (2013). The strategy that will fix healthcare. Harvard business review.
Mortley, N. (2016). Building and evaluating research capacity in healthcare systems: case studies and innovative models. IDRC, Ottawa, ON, CA.
Sanda, M. A. (2010). Impact of value-based transformational leadership in privatizing government institutions in a developing economy: A case study. Business and Management Quarterly Review, 1(3), 1-13.
Storeng, K. T., & Behague, D. P. (2014). "Playing the Numbers Game": Evidencebased Advocacy and the Technocratic Narrowing of the Safe Motherhood Initiative. Medical Anthropology Quarterly, 28(2), 260-279.
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