WK1A1: Please use APA format and list and site all sources and references: Ident
ID: 121999 • Letter: W
Question
WK1A1:
Please use APA format and list and site all sources and references:
Identify two different types of hospitals (remember that Profit, Not for Profit are a tax status not types of hospitals) Identify two Hospitals in Michigan.
Identify what area of each hospital is of a high risk for uncompensated care and explain why. Make certain that the hospitals you select to discuss are actual facilities so you may adequately research the questions.
Please use APA format and list and site all sources and references:
At least one Page in APA format.
Explanation / Answer
Two hospitals in Michigan identified for the discussion are UP health system portage and Hurley Medical Center in Flint. In Michigan, the result of the ranking of hospitals showed 26 received an 'A' grade;13 with 'B' grade, 37 got a 'C' grade, 3 with 'D' and 1 received an 'F' (Ellison,2016). The criteria for ranking were "prevention of infections, bed sores, falls and embolisms; leaving of objects in a patient's body during surgery, broken stitching, computerized medication prescribing, staff handwashing, nurse-to-patient ratios and effectiveness of leadership in preventing such errors" (Ellison,2016). Hurley Medical Center in Flint received a D grade and UP health system portage received an F grade.
In a study by Dranove,Garthwaite,& Ody (2017), it was found out that the burden of uncompensated care fell sharply in expansion states between 2013 and 2015.The largest reductions in uncompensated care were found for hospitals in expansion states that care for the highest proportion of low-income and uninsured patients. Legislation that scales back or eliminates Medicaid expansion is likely to expose these safety-net hospitals to large cost increases.
Expansion of medicaid led to the drop in patient care especially in the hospitals which received poor grading. For many years most of the hospitals in Michigan have written off the cost of hundreds of millions of dollars' worth of health care every year, after caring for people who didn't have health insurance (Gavin,2017). After the expansion of medicaid, there is a dip in the uncomepnsated care in most of the hospitals.
References
1.Dranove,D.,Garthwaite,C.,& Ody,C.(2017).The Impact of the ACA’s Medicaid Expansion on Hospitals’ Uncompensated Care Burden and the Potential Effects of Repeal. The Commonwealth Fund.
2. Ellison,G.(2016).Which Michigan hospitals are tops in patient safety, and which aren't. Michigan News. Retrieved from http://www.mlive.com/news/index.ssf/2016/04/michigan_hospital_safety_score.html.
3. Gavin,C,K.(2017). Unpaid bills, charity care dropped by nearly half at Michigan hospitals soon after Medicaid expanded. Michigan News,University of Michigan. Retrieved from http://ns.umich.edu/new/multimedia/videos/24504-unpaid-bills-charity-care-dropped-by-nearly-half-at-michigan-hospitals-soon-after-medicaid-expanded
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