HMO Models (Staff, Group, And Network)
Discuss the various HMO model and justify the answer
The HMO consists of various models that include staff, group, and network based on the analysis. Staff is the most influential people in an HMO because they deliver health services through salaried experts and physicians. The HMO employs them to take care of the HMO enrollees. The HMO characterizes the staff, and they are said to serve the HMO’s membership. For example, the physician who takes care of a patient’s health is said only to take care and see patients in the HMO’s facility. The patients are told to receive services only through a limited number of experts and physicians.
The group is considered a model in the HMO, making them one of the essential parts. The HMO is said to offer compensation to groups to offer contractual services at a negotiated rate. The group is said to be responsible for giving compensation to their physicians and offering contracts to hospitals to care for their patients. The group practices many works with the HMO that is it provides services to the non-HMO patients. It helps the non-HMO patients to attain the service they require. The group is a speciality that provides care and services to the HMO’s members.
Network in HMO models pertains to offering contracts to only one physician group to take care of the patients. The HMOs may contract a multi-speciality group or other health care workers to provide them with physicians who will take care of the patient. It can be said that HMOs that have networks contract more than one physician to provide care to their patients. The network may involve a single large group or a multi-speciality group. The employed physician may decide to offer services to both the HMO members and the non-HMO members because it is allowed by the HMO. According to the analysis, the staff and network are the most suited models required in the region. The reason is that they provide physicians who take care of the HMO members and the non-HMO members. They offer more than one physician who takes care of the patients.
Discuss the vital and application of levels of emergency department trauma care
Trauma is categorized according to different states. Consequently, there are various trauma care levels. Level 1 pertains to the regional resource that offers central trauma system care. For example, Leve I is said to provide care for all injuries through rehabilitation. There are various factors in the level I trauma centre. The factors include providing a continuation of education to trauma team members, providing leadership on public education to the community, and offering referral resources to communities in the neighbouring regions.
Level II is said to establish definitive care for wounded patients. Various factors are associated with level II. The factors include providing trauma prevention education to staff, offering a quality assessment program, and offering 24-hour immediate coverage to the general surgeons. In addition, level III provides evaluation, recovery, surgery, intensive care, stabilization to all wounded patients and stabilization in the emergency operations. In level III, various factors are associated with this level. The factors include providing backup care to rural ad community hospitals, continuing education on nursing, and offering quality evaluation programs. Level IV has provided advanced life support during the transfer of patients to a higher-level trauma centre. It has also provided evaluation, stabilization, and diagonalization on injured patients. The level factors include providing patients with surgery and critical-care services, a quality evaluation program, and improved transfer agreements for patients requiring care. Lastly, level V offers stabilization and diagnostic capabilities. It also prepares patients who require transfer to higher-level care. This level includes providing surgery and agent care services to patients, providing trauma nurses and physicians required by emergency patients, and offering basic emergency department facilities. Finally, the critical Access Hospital is provided to rural hospitals that are centres for Medical care and medical services. Congress established the Critical Access Hospital through the Balanced Budget Act. Critical Access Hospital was selected due to the concern of medical reimbursement and accreditation.
References
American Trauma Society, (2017). Trauma centre levels explained. Retrieved from: http://www.amtrauma.org/?page=traumalevels
American College of Surgeons. (2017). Verified trauma centres’ FAQs. Retrieved from: https://www.facs.org/qualityprograms/trauma/vrc/faq
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