In the United States of America, acute care is a phrase that refers to a level of healthcare in which a patient ailing from a specified condition is treated for a brief severe episode of illness. This may include conditions that result from traumatic experiences and diseases as the patient recovers from surgery. Psychiatric, rehabilitation and specialized hospitals are key groups under acute care hospitals. The two main examples of acute care hospitals used for comparison are New York Presbyterian and Cleveland Clinic Main Campus. The New York Presbyterian Hospital is also called Weill Cornell Medical center, with a definitive ID of 541974 and a relative native price of more than $5.73 billion. The acute care healthcare in mention has a total of 2455 beds (Vogenberg & Santilli, 2019).
Cleveland Clinic Main Campus is a hospital, a non-profit American medical center. It is based in Cleveland, a federal region in Ohio, United States of America. The cooperation has 1325 staffed beds with a definitive ID of 3120. From research, the health center has accumulated a total revenue of $5.241 billion (Khullar & Chokshi, 2019). The two acute care units make a great comparative analysis because they have differences in the revenues and definitive ID. Based on the two hospitals presented, patient survey quality greatly impacts private and government insurance reimbursement. Precisely, Cleveland Clinic center is a non-profit cooperation just like NewYork-Presbyterian. They mainly aim at providing good services to their patients and not making profits. Generally, a hospital with affluent patient satisfaction scores will receive more reimbursements from private agencies and the government. The more satisfied a patient becomes after visiting a specified healthcare center, the greater the hospital reimbursement rates. The New York Presbyterian health center has been ranked among the top 4 hospitals offering its services to patients without considering their profits (Chakravarthy et al., 2019). As a result, it receives more customers who are mostly satisfied with its services. This automatically increases their reimbursement rates, which range from $7000 to $10000. (Vogenberg & Santilli, 2019).
The patients are the main stakeholders who receive treatment and care from the health officers and professionals. Contextually, they are considered to be the main individuals who can share their experiences while reviving treatment and care. This scenario makes value-based care stand as a substantial survey of patients’ experiences, becoming an essential metric in evaluating healthcare units. It is through the patient that the government and other stakeholders understand the services provided by any health center. According to Glassdoor research software, Cleveland Clinic has been rated 3.7 out of 5 (5000), unlike NewYork-Presbyterian center, which has been rated as 4.0 (3113) (Vogenberg & Santilli, 2019). From the ratings, NewYork-Presbyterian is more appreciated by its customers, who are patients, as compared to Cleveland Clinic. From all the acute care units, the vulnerable population has been included in the survey because their scores matter when it comes to the final analysis. Similarly, the underserved population answers questions frankly and truthfully without favoring sides.
The average mortality rates of hospital patients have been ranked high across the US. From research, increased death rates in hospitals and clinics reduce the rates of reimbursements by the governments and private supporters. For instance, Cleveland Clinic in Ohio recorded relatively low death rates of in-hospital patients. However, it has recorded a ratio of 187.2 death rates of out-patients with heart diseases, automatically reducing their government reimbursement rates (Khullar & Chokshi, 2019). On the other hand, NewYork-Presbyterian hospital in the US has recorded 178.8 as the ratio of patients who die annually because of chronic diseases like pressure and heart failure. This rate is low compared to the national average mortality rate interfering with their reimbursement rates, but they get more than Cleveland.
Similarly, the death rates and complication interferes with patients’ value-based care. Increased death rates in hospitals may demoralize the patients making them lose hope in their treatment. However, the professionals in the mentioned hospitals work extra hard to ensure they reduce the death rates and complications in their sectors, establishing hope for patients.
In most cases, researchers have stated that unplanned care greatly impacts the quality provided to patients. Some of the negatives conveyed by unplanned care in hospitals include increased risks of healthcare infections and disturbance of patient lives. Contextually, the reimbursement rates may be impacted by unplanned hospital visits based on location and hospital type. For instance, the two acute care hospitals presented are among the largest healthcare providers in their states, implying that they have a ready plan that can tackle any unplanned care around their environment (Vogenberg & Santilli, 2019). Private insurance may reimburse funds to healthcare centers to make them better. Consequently, the hospitals offering high-quality services and care keep their patients from returning, lowering the length of their stay on the occasions when they return. The new York-Presbyterian center gives their patients quality services, hence using less time when they return for the same services.
The value-based care is a key aspect for all the stakeholders of a healthcare clinic or center. It is the source of quality services that patients get from the hospitals because most professionals work towards achieving positive clinical outcomes. The value-based quality care unites all the stakeholders in a healthcare setting by indirectly lowering the costs of patient treatments, reducing the occurrence of medical errors, and increasing patient satisfaction rates. This sums up the presentation of an acute care unit. Both NewYork-Presbyterian and Cleveland Clinic embrace the mode of value-based care, hence managing their patients with high quality (Chakravarthy et al., 2019). Conclusively, value-based care quality applies to all populations, including vulnerable members. The CMS qualities most favor the latter population since they aim at assuring quality for the undeserved beneficiaries through public disclosures and accountability—the ratings of the vulnerable population’s increases and private insurance and reimbursements rates. The two comparative hospitals provide quality services to their patients, which has strongly improved the reimbursement rates.
References
Chakravarthy, V. B., Yokoi, H., Coughlin, D. J., Manlapaz, M. R., & Krishnaney, A. A. (2019). Development and implementation of a comprehensive spine surgery enhanced recovery after surgery protocol: the Cleveland Clinic experience. Neurosurgical Focus, 46(4), E11. https://thejns.org/focus/view/journals/neurosurg-focus/46/4/article-pE11.xml
Khullar, D., & Chokshi, D. A. (2019). Immigrant health, value-based care, and emergency Medicaid reform. Jama, 321(10), 928-929. https://jamanetwork.com/journals/jama/article-abstract/2727435
Vogenberg, F. R., & Santilli, J. (2019). Key trends in healthcare for 2020 and beyond. American Health & Drug Benefits, 12(7), 348. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6996619/
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