Select
a major HMO that owns and operates its own outpatient clinics (staff model) and
complete the...

Question

Select
a major HMO that owns and operates its own outpatient clinics (staff model) and
complete the following:

How does a patient get admitted
 to a hospital from the HMO?
 Which departments are involved
 with any aspects of the decision to admit a patient to a community
 hospital?
 Who determines the length of
 stay?
 Who, by annual percent, are the
 major insurers of admitted patients?
 What role will costs play in
 determining the optimum performance of this major HMO in the future?
 Which healthcare delivery model
 is likely to prevail in the future, keeping in mind the costs and patient
 accountability for this major HMO?
 Which professional associations
 should be invited to participate in a fact-finding task force to provide
 suggestions for the optimum performance of this major HMO in the future?
 Why?
 How can the major HMO’s
 management be used to support changes within the industry?

Submit your brief as a 3-
to 4-page Microsoft Word document

David · Accepted Answer

1 | P a g e
Kaiser Permanente is an incorporated and integrated care group, based in Oakland, 
California, United States. Kaiser Permanente is made up of three diverse collections of 
bodies: Kaiser Foundation Hospitals; autonomous regional Permanente Medical Groups and 
the Kaiser Foundation Health Plan and its regional operating subsidiaries. The performance 
of the organisation is accredited to three performs: First, KP sets a robust importance on 
protective care, dropping costs later on. Another, its physicians are waged rather than paid 
per service, which eliminates the chief inducement for physicians to execute needless events. 
Thirdly, KP endeavours to minimalize the time patients devote in high-cost clinics by 
prudently forecasting their stay and by moving the focus to outpatient clinics. This 
preparation effects in lesser costs per participant, cost savings for KP and better doctor care to 
patients. A contrast to the UK's National Health Service established that patients spend 2-5 
times as much time in NHS hospitals as related to KP clinics.
Outpatient services are health techniques or checks that can be done in a medicinal center 
devoid of an overnight stay. Numerous measures and examinations can be done in a limited 
period. Outpatient facilities include: 
 Wellness and preclusion, such as advising and weight-loss packages 
 Identification, such as lab assessments an MRI Scans 
 Cure, such as some operations and chemotherapy 
 Restoration, such as drug or alcohol rehab and physical therapy.
Outpatient facilities typically cost lesser amount, because patients don't need to stay 
overnight. Staff associates at outpatient centres are well qualified in the provision they 
deliver. Mostly, these centres concentrate on one kind of cure or practice. Frequently all the 
care that is needed can be delivered at single place.

Select a major HMO that owns and operates its own outpatient clinics (staff model) and complete the following: How does a patient get admitted to a hospital from the HMO? Which departments are...

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