The State Of Texas, Its Citizens, And Its Businesses Involvement In Solving Health Care Problems (Essay Sample)

The State of Texas, its Citizens, and Businesses Involvement in Solving Healthcare Problems
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Abstract
The health care quality services fissure better described as fault for parts of the population in the United States and the world at large. Taxes being one of the states facing the problem, in 2001, Texas became the first state with a state regulated Community Health Workers, (CHW) reforms. Over the years, Texas came up with additional laws in her constitutions for certification of CHWs and compensation for their services. Besides, state health agencies use certified CHWs, from recognized institutions, represented by a number of different regional CHW associations and provide services to the greatest extent possible in health outreach and education programs for Medicaid for states citizens. The State of Texas does not have a standardized curriculum regarding Health Profession, rather the instructor has the manipulation to develop curriculum based on a standardized competency-based framework that meets community needs and desire, thus creating variations between programs in accordance to medication.
The Certification for CHWs, instructors, and training programs approximated to two years, and continuing education is required for renewal for CHWs and instructors must subscribe to the norms. Most CHWs paid through short-term public or philanthropic grants or through core budget funding, or by local governments such as in Fort Worth situation in the state and the departmental. Additionally, Texas obtained an approximated §1110 waiver, which in effect moved almost all Medicaid recipients into managed care organizations of the States. Under the Medicaid waiver, Texas funded projects to incentivize hospitals and other providers to transform service delivery practices to improve quality, health status, patient experience, coordination, and cost-effectiveness. Projects included expanding the use and integration of the CHW workforce in the Texas health care delivery system units. Several of the state’s Managed Care Medicaid and Children’s Health Insurance Program (CHIP) health plans employ CHWs to improve access to medical homes, health homes, and to decrease emergency department visits for non-acute care and several other mechanisms in place. Moreover, Medicaid contracts with MCOs to allow for CHW reimbursement as administrative costs.
Introduction
The U.S, Texas, in particular, the healthcare providers and policy makers struggle to improve Americans’ health and to contain costs. The social determinants of health increasingly being recognized as vital drivers of population health outcomes. Lately, the researchers had it that an approximation of about 70% of the variation in hospital readmission rates attributed to the characteristics of the society surrounding the hospital and its environs. Additionally, the lower class of the socio-economic ladder experience deaths that are more premature, a heightened disease burden such as diabetes, heart disease, cancers, and a disproportionate share of disabilities and mental illness among others. The Patient Protection and Affordable Care Act (ACA) and the Centers for Medicare & Medicaid Services (CMS) have created opportunities to alleviate the country’s overburdened primary care system that is currently ill equipped to address these social determinants of health issues. In addition, new federal grant initiatives are creating momentum for pursuing a community health agenda that will critically resolve the menace. Furthermore, The Jewish Healthcare Foundation (JHF), in collaboration with the Network for Excellence in Health Innovation (NEHI) convened a daylong meeting in October 2014 focusing on CHWs (the “October CHW Summit”). Another meeting received support from the Rose Community Foundation and the Association of American Medical Colleges (AAMC) had three purposes:
(1) To elaborate the current models of the CHW involvement in health care delivery services
(2) To check the substantial CHW roles in improving quality and reducing costs in late payment reforms and healthcare delivery models too properly.
(3) To obtain one of JHF’s goals in convening the October CHW Summit and to glean information and best practices from national experts to inform the development of a strategy to advance the healthcare workforce provisions of the ACA in Pennsylvania had the effect of health care resolutions.
A special section provides an in-depth look at opportunities to involve CHWs in the community-based care of frail seniors – particularly in Pennsylvania where the elderly population is large and growing. By reporting on demographic trends and the supply and distribution of health professionals by geographic region, researchers, lawmakers, and state planners may better understand and influence access to health care services by Texan. Individuals unable to access health care services receive poor health outcomes, poor quality of life, decreased productivity in the workplace, and contribute to a greater burden of health care costs. The state of the health care providers plays a vital role in delivering adequate and effective health care services. In order to meet increasing healthcare demands and address changing demographics, the supply and geographic distribution of health care workers must be significantly increased and diversified. In addition to the overall supply of healthcare professionals, the capability and effectiveness of the workforce are paramount. The systems of service delivery and structures can also play an important role in improving access to quality healthcare. Interdisciplinary and coordinated care models and designs that adopt holistic approaches to wellness and illness maximize improved access to and benefit from health services provided. Given my introductory case of the health’s state and key providers, my research as to elaborate on what the state must do based on the state government and the law provides in solving healthcare issues in the state.
The Current State Funding for Medicare
The Regulatory boards allocate funds to support the collection of health workforce supply and demand data in the Health Professions Resource Center and to support needed research based on these data. The agent issue facing the Nationals and Texas is the needed formula funding to support graduate education. The Nurse Practitioner profession gets about 75% more support for the funding without any sure procedure for the differences. It is the burden state has, but it seems that the nursing shortage and graduate practitioner receives state funding endeavors. The PA programs located in the Schools of Health Professions receive the base of the formula funding for the health professions.
Medicaid
The telemedicine commission planned to make changes designed to boost the use of these current services and make them easily accessible. Besides, reimbursing for more types of medical services provided through telemedicine, expanding the number of cleared patient- site health care providers, removing limitations on telemedicine providers, and reimbursement of facility fee payable to the patient site. The HHSC is also increasing its ability to track telemedicine utilization and distinguish between patient and distant sites, thereby increasing the ability to analyze the use of telemedicine in Texas Medicaid. Lastly, to reinstate general revenue funds in support of the Medicaid drawdown of federal funds for graduate medical education to biennial levels as a way of maintaining physician supply.
Funding of Education for Health Professionals
Educational Preparation Advances in technology, respiratory therapeutics, and drug delivery methods have resulted in an expansion in the scope of practice and the training requirements for respiratory therapists. The profession is planning an increase in the educational requirements for entry into the profession. Currently, the minimum is the associate’s degree, but the profession and the sponsoring organizations have been developing the list or professional competencies needed for future practice and anticipate a change to the bachelor's or master’s degree. The Texas Higher Education Coordinating Board should develop and implement field of study curricula for additional health profession programs and require the adoption of these curricula by public educational institutions to encourage and promote a seamless transition and career mobility within the professions domains.
Country Based Healthcare and Mental Healthcare
Mental Health Workforce Shortage a cardinal issue affecting mental health professions is ever increasing and demand for mental health services. Overall, health care needs are growing, the demographics of the state are changing, and funding is perpetually scarce for mental health services. The demand is rising at a much faster rate than the supply of an adequately trained mental health workforce. The Texas state should Support a resolution to encourage insurers to expand the definition of telemedicine coverage for medical services to include interactive audio, video, and/or other media for diagnosis, consultation, and/or treatment for reimbursement. The state should also adopt a strategy that uses a holistic approach to healthcare service delivery including substance abuse and mental health services.
Leadership, Legislature, and the Executive Branch involvement in Health Problem
The Texas legislators and medical schools have responded to the growing physician demand by rapidly expanding enrollments at levels projected to reach the national-recommendation. The rural physician training tracks and rural receptor programs prep...