Health Services Management for PH/GPM - Board Review Course 2023-Health Services Management for PH/GPM (Recording)

Video Transcription

Video Summary

In his detailed presentation on health services management, Mirza Ramin, the chief safety officer at Organon, outlines the complex structure of the American healthcare system, emphasizing its goals of providing quality care, accessibility, and cost efficiency. According to the Institute of Medicine, ideal healthcare should be safe, effective, patient-centered, timely, efficient, and equitable.<br /><br />Ramin highlights the benefits of a systems approach in healthcare, which leverages a broad range of skills and resources for improved efficiency and cost control. While the American healthcare system comprises a diverse array of hospitals, clinics, insured and uninsured individuals, and different payment methods, it is often criticized as a fragmented patchwork rather than a cohesive system.<br /><br />The federal government plays multiple roles in healthcare: as a regulator, purchaser, provider, researcher, and educator, with various agencies like the FDA, NIH, and CDC involved in different capacities. Medicare, Medicaid, and the ACA are pivotal programs funded and regulated by government mechanisms, impacting millions of Americans.<br /><br />Ramin also touches on the financial structure of healthcare, where public and private entities share responsibility, and the significant challenge of managing ever-increasing costs. Strategies such as managed care and utilization management aim to contain costs while maintaining quality. He underscores various healthcare models, including primary, secondary, and tertiary care, and elaborates on financial management, emphasizing cost containment and quality assurance measures.<br /><br />This presentation encapsulates the intricate interplay between different elements and levels of the U.S. healthcare system, highlighting ongoing efforts to align with strategic goals while addressing challenges like cost management and equitable service delivery.

Keywords

health services management

American healthcare system

quality care

accessibility

cost efficiency

systems approach

federal government roles

Medicare Medicaid ACA

cost containment

managed care

equitable service delivery