Feasibility Study on how the US Department of Health can Increase Healthcare Coverage for Illnesses that require Specialised Care

Feasibility Study on how the US Department of Health can Increase Healthcare Coverage for Illnesses that require Specialised Care

Table of Contents                                                           

  1. General Information
    1. Purpose
    1. Scope
    1. Overview
    1. Assumptions and Constraints
    1. Approach
    1. Evaluation Criteria
    1. References
    1. Points of Contact
  2. Considerations
    1. Objectives
    1. Time and Resource Costs
    1. Areas of Feasibility
  3. Recommendations
    1. Recommendations
    1. Approval
  1. General Information
    1. Purpose

The primary purpose of undertaking this feasibility is to determine how the US Department of Health can increase the health coverage of patients who need specialized medical attention in the United States. Moreover, special medical attention requires specialist who have long years of special training and experience. Over the years, there has been rapid increase of the diseases brought about by rapid changes in the lifestyle of people particularly in the food and diets people consume.These diseases include diabetes, cancer and obesity conditions. According to the American Diabetes Association (2013), people diagnosed with diabetes are an economic burden as more resources have to be dedicated to the treatment of the disease thus leading to increase in the usage of health resources and productivity of the works is lost.

Perry, Dellon, Lund, Crockett, Bulsiewicz & Shaheen (2012) argue that the gastrointestinal disease which is caused by obesity leads to high rates of death, morbidity and lowers workers’ productivity hence must be adequately addressed to prevent further losses in the future. Healthcare coverage for specialty care might be particularly pertinent for the populations that are vulnerable to the vagaries of life such as the elderly, the poor, handicapped people, the unemployed and many others. The US Department of Health has achieved major strides in the healthcare coverage of primary care and is seeking to replicate the same in the coverage of specialty care. Gaskin & Richard (2012) argue that excruciating pain caused by conditions such as arthritis take up huge medical costs in US ranging from US$261-US$300 billion and reduces the productivity of the labour force.

  1. Scope

The scope of this feasibility study is to examine the critical factors that will influence the successful implementation of the plan that aims at increasing the coverage of speciality care. This paper will analyse the key strengths and weaknesses of the internal factors. The internal factors include the number of personnel available, the availability of the necessary medical infrastructure and equipment for treatment of patients and the availability of capital that is finance. This paper will examine the following areas of feasibility: technical, economical, legal and operational.

  1. Overview

The US department of Health is the responsible organization behind initiating the project that aims at increasing the coverage of specialty care in the United States of America. The name of the project is Coverage of Specialty care with the code 000895. The project is still under development and is at its nascent stages of development. The project has to be properly differentiated in the public sector so as to attract a huge number of subscriptions to the care plan. Murray, Abraham, Ali, Alvarado, Atkinson, Baddour & Gutierrez (2012) argue that vivid comprehension of major problems arising in healthcare and how the evolution over periods of time particularly in the United States of America is critical in formulating a comprehensive policy for national health.

  1. Assumptions and Constraints

There is a broad range of information and reference resources available in the public domain particularly in the form of internet journal publications. Additionally, the information can be accessed from government, higher education institutions and internet libraries. The operational time of the proposed project is expected to be as long as possible as long it is proven sustainable. Currently, there are no alternatives for the project and it has to be implemented successfully to be fully operational. The major constraint likely to be faced is of inadequate financial resources, medical personnel and equipment required.

  1. Approach

Data was collected from medical institutions which majority of them have digitized their records. There are very many public hospitals and private healthcare facilities in the United States of America that have stored a huge amount of data for their patients. The legal requirements for accessing medical records were adhered to as medical data is classified as very sensitive information. The data was modelled using various regression analysis techniques. Furthermore, the data was simulated using various machine learning techniques to predict future incidences of the diseases. There was extensive data collation and analysis to ensure concise and precise information was collected for effective decision making.

  1. Evaluation Criteria

This involved taking the model or decision that had least cost to be incurred. The most critical factor in the implementation of the project was the cost to be involved. Elimination of high costs in medical plan involved eliminating wastes using the A3 Thinking Process which is model widely used in lean management or Kaizen approach. Berwick & Hackdarth (2012) bring forward that eliminating wastes along the healthcare chain would provide an immense opportunity in reduction of healthcare costs. This waste arises from cases of overtreatment, complex administrative procedures, failure in pricing healthcare, cases of fraud and abuse of office, poor coordination in the delivery of care and poor execution of healthcare processes.

  1. References

The references used in my project will be provided in the Works cited section of the article. According to Mariotto, Yabroff, Shao, Feuer& Brown (2011), the cost of treating cancer-related ailments increases gradually in the United States thus necessitating proper planning and investments in additional healthcare resources. This is result of many people being diagnosed with cancer-related ailments. Furthermore, Smith, Cokkinides &Brawley (2012) put forward that early screening for cancer patients may be crucial in helping reduce harsh effects later thus calling for investment in cancer equipment.

  1. Points of Contact

The main points of contact in this research project include the US Department of Treasury, The American Association of Pharmaceutical Companies, American Association of Doctors and US Bureau of Statistics. The Cancer Research Institute also contributed immensely.

  • Considerations
    • Objectives

The primary objectives in the proposed project will include reducing the costs involved in delivering speciality care, eliminating wastes along the medical chain and utilizing the number of available specialist personnel effectively instead of increasing expenditure in training more specialist doctors. Furthermore, there is a greater need of adopting Information Technology in order to improve on the specialty care delivery. Involvement of the private sector was also put into consideration.

  • Time and Resource Costs

The project will be implemented in tandem with the current Obamacare plan being implemented across the nation. This will critical in order to provide the much needed services to the population. This project will be implemented over duration of three years in order to reach all corners of the country. There will little required training of medical personnel who will act as a contingent plan. The amount of funding will in the range of four to five billion US dollars.

  • Areas of Feasibility

The amount of technical personnel required is available and much will be trained. There is a great need for medical specialists such as oncologists and urologists who play a crucial role in delivering the care. Additional technical personnel for operating the medical equipment will be added along the way. The US Department of Health will secure funding for the whole project from the US Department of Treasury that funding is well catered for and hopefully no financial constraints will arise along the way. The US Department of Health will cooperate with the US Attorney General’s Office to ensure all the legal hurdles are effectively met. There tasks and timelines to be met will be properly scheduled to ensure they are effectively implemented. The crafted specialty care program will play a key role in solving the challenges that American citizens face in the wake of specialty medical care and reduce the number of patients traveling abroad to seek specialty care particularly on cancer.

  • Recommendations
    • Recommendations

The findings of the proposed project should be implemented with immediate effect effectively. This is because it meets the cost viability and does not have major hurdles along the path.

  • Approval

References

American Diabetes Association. (2013). Economic costs of diabetes in the US in

2012. Diabetes care36(4), 1033-1046.

Berwick, D. M., &Hackbarth, A. D. (2012). Eliminating waste in US health

care. Jama307(14), 1513-1516.

Gaskin, D. J., & Richard, P. (2012).The economic costs of pain in the United States. The

Journal of Pain13(8), 715-724.

Mariotto, A. B., Yabroff, K. R., Shao, Y., Feuer, E. J., & Brown, M. L. (2011). Projections of

the cost of cancer care in the United States: 2010–2020. Journal of the National Cancer Institute.

Murray, C. J., Abraham, J., Ali, M. K., Alvarado, M., Atkinson, C., Baddour, L. M.,&

Gutierrez, H. R. (2013). The state of US health, 1990-2010: burden of diseases,

injuries, and risk factors. Jama310(6), 591-606.

Peery, A. F., Dellon, E. S., Lund, J., Crockett, S. D., McGowan, C. E., Bulsiewicz, W. J., &

Shaheen, N. J. (2012). Burden of gastrointestinal disease in the United States: 2012 update. Gastroenterology143(5), 1179-1187.

Smith, R. A., Cokkinides, V., & Brawley, O. W. (2012). Cancer screening in the United

States, 2012. CA: a cancer journal for clinicians62(2), 129-142.