Change Proposal Summary Report Your Full Name 436245

Change Proposal Summary Report Your Full Name (no credentials) Capella University NURS-FPX6218 Leading the Future of Health Care

Identify an aspect of a local or regional health care system or program that should be a focus for change. Define each desirable outcome you wish to examine, including who will pay for care and factors limiting achievement of those outcomes. Use a comparative analysis of outcomes in two non-U.S. health care systems that offer insight into your proposed change, comparing each with your local U.S. system. Analyze outcomes in the two non-U.S. systems, choosing options that contrast systems at either ends of the spectrum or that employ innovative approaches. Explain why specific changes will lead to improved outcomes, considering financial and health implications of making or not making these changes. Summarize your analysis and rationalize your proposed change, integrating data and evidence-based reasoning.

Paper For Above instruction

The pursuit of effective healthcare reforms remains a critical objective worldwide, and selecting appropriate strategies requires a comprehensive understanding of diverse health systems. This paper focuses on a specific aspect of the local healthcare system—improving chronic disease management—and compares it with two non-U.S. health systems to identify potential improvements and insights. The chosen aspect addresses the need for enhanced coordination and patient-centered approaches to chronic disease care, aiming to improve outcomes such as reduced hospitalizations and better quality of life.

In examining two non-U.S. systems, I selected the United Kingdom’s National Health Service (NHS) and Australia's Medicare system. These systems exemplify contrasting and innovative approaches toward chronic disease management. The NHS emphasizes centralized planning, early intervention, and integrated care, while Australia's Medicare employs a mixture of public and private sector collaboration, innovative telehealth services, and a focus on community-based care. Comparing outcomes reveals notable differences, providing lessons applicable to the U.S. system.

The NHS demonstrates superior outcomes in reducing hospital admissions for chronic diseases through its focus on preventive care, health promotion, and comprehensive primary care integration. Its strengths include universal access to primary care, coordinated multidisciplinary teams, and robust disease registries. Conversely, Australia's system emphasizes patient engagement through health literacy programs and technology-driven strategies, which have led to improved access, especially in rural areas, and better management of chronic conditions. However, both systems outperform the U.S. in terms of patient satisfaction and population health metrics related to chronic illnesses.

Within the U.S., there is significant variation in chronic disease outcomes, often hindered by fragmented care, limited access, and health disparities. The U.S. system tends to focus on acute care rather than prevention, contributing to higher hospitalization rates and healthcare costs. The comparative analysis indicates that adopting the NHS’s emphasis on coordinated primary care and early intervention, combined with Australia's telehealth innovations, could significantly improve U.S. outcomes. Implementing multidisciplinary care teams, expanding telehealth, and establishing integrated data systems may address existing gaps.

The rationale for the proposed change hinges on evidence that coordinated, patient-centered models improve clinical outcomes and reduce costs. For example, integrating care teams and adopting proactive screening can diminish preventable hospital admissions. These improvements align with health policy goals emphasizing value-based care and reducing disparities. Financially, the initial investments in infrastructure and provider training are offset by long-term savings achieved through decreased hospital stays and emergency visits, along with enhanced population health.

If the U.S. fails to adapt by integrating some features from these international systems, it risks further escalating healthcare costs, exacerbating disparities, and missing opportunities to enhance patient outcomes. Conversely, adopting proven strategies from the NHS and Australia could foster a more sustainable, equitable healthcare system. Implementing these changes involves addressing barriers such as policy reform, funding reallocation, and provider education, but promises substantial benefits in health outcomes, patient satisfaction, and cost savings benefits.

In conclusion, by learning from international examples such as the NHS and Australia's Medicare, the U.S. can advance toward a more coordinated, preventive, and patient-centered model. Such transformation is vital for improving chronic disease management, reducing healthcare costs, and achieving equitable health outcomes. Strategic implementation of integrated care models and health technology can serve as pivotal steps toward this goal, ensuring the future resilience and effectiveness of the U.S. healthcare system.

References

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