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Related Concept Videos

Health Information Technology and Healthcare Information System01:30

Health Information Technology and Healthcare Information System

Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Integrated Healthcare System01:20

Integrated Healthcare System

An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
Introduction To Health Care Delivery System01:18

Introduction To Health Care Delivery System

The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Secondary Healthcare System01:11

Secondary Healthcare System

Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...

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Related Experiment Video

Updated: May 10, 2026

The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time
06:05

The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time

Published on: February 19, 2021

Payment system reform: one state's journey.

Billy Millwee1, Norbert Goldfield, Richard Averill

  • 1y@millweeconsulting.com

The Journal of Ambulatory Care Management
|June 11, 2013
PubMed
Summary

Texas Medicaid

Area of Science:

  • Health Services Research
  • Healthcare Policy
  • Quality Improvement

Background:

  • Texas Senate Bill 7 (2011) mandated a Medicaid quality-based outcomes payment program.
  • The program aims to incentivize providers to reduce potentially preventable events (PPEs).
  • PPEs include preventable admissions and readmissions, leading to increased costs and patient risk.

Purpose of the Study:

  • To propose a payment system design for Texas Medicaid.
  • The design aims to meet the objectives of Senate Bill 7.
  • Focus on administrative simplicity, financial incentives, and minimal provider intrusion.

Main Methods:

  • The proposed system uses risk-adjusted comparisons of PPE rates.
  • Compares individual provider systems to an empirically derived performance standard (e.g., state average).

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Improving IV Insulin Administration in a Community Hospital
12:08

Improving IV Insulin Administration in a Community Hospital

Published on: June 11, 2012

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Last Updated: May 10, 2026

The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time
06:05

The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time

Published on: February 19, 2021

Improving IV Insulin Administration in a Community Hospital
12:08

Improving IV Insulin Administration in a Community Hospital

Published on: June 11, 2012

  • Focuses on outcomes rather than mandated processes or protocols.

    • Main Results:

    • The proposed design facilitates a quality-based outcomes payment program.
    • It incentivizes delivery system improvement by adjusting payments based on PPE reduction.
    • The system is designed to be administratively simple and non-intrusive.

    Conclusions:

    • The proposed payment system design aligns with Texas Medicaid's goals.
    • It offers a framework for improving healthcare quality and efficiency.
    • Emphasizes outcome-based adjustments for provider performance.