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HSERV 512 Health Systems and Policy For Chronic Diseases

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1.Name five health care delivery system and discuss there organization role ?

2. what are the dominos of leadership effectiveness and leadership efficacy?

3. describe the classification types of health service system

4. describe the goverming body structure of US health service organization and their responsibilities ?

5. explain healthcare outcomes in relation to systems issues and management ?


The five healthcare systems are hospitals, ambulatory surgical center, doctor’s office, urgent care clinic and nursing home. Their organizational role is to provide healthcare services to the patients through an array of options that would provide them the best quality of care. They are aimed at meeting the healthcare needs of the people. These healthcare systems also addresses the issues related to the management of chronic diseases, access to healthcare services and capacity to serve the population by providing public healthcare (Drummond et al., 2015).

The leadership has a cause and effect relationship on the performance of an organization and its success. An effective leadership and leadership efficacy includes the culture, leadership values employee motivation and tolerance to change. Through their effective execution, an organization is able to achieve their goals and bring about organizational success. It also helps to maximize the benefit of the people in an organization that enhances organizational performance and with better outcomes (??can, Ersar? & Naktiyok, 2014).

There are four types of healthcare systems like The Beveridge Model, Bismark model, National Health Insurance model and out-of-pocket model. In the Beveridge model, the government is responsible for providing and financing the healthcare to the people through taxes. The Bismark model uses the sickness funds of the private insurance agencies. The National Health Insurance model is a combination of the above two models, however, it is privately run by the payments made by the citizens in a government program. The industrialized and developed countries adopt the out-of-pocket model that provide the best quality of care to the rich people and poor people die due to lack of proper medical care (Collins & Varmus, 2015).

The healthcare system in United States is undertaken by the health care sector that assures nation’s health. The healthcare sector comprises of the hospitals, clinics, insurance plans and purchasers of healthcare services operating in configurations like independent practices and networks. Some of the healthcare systems are also independent in nature like private sector (Visser et al., 2014).

The healthcare system issues comprises of the poor healthcare services, quality of care, service delivery and patient satisfaction. It also affects the doctor-patient relationship from the perspective of healthcare delivery system. The structural barriers, process inefficiencies and system failures also bring about many healthcare issues like poor quality of care for the patients. There is delay in the diagnosis, treatment and plan of care that results in poor health outcomes due to healthcare system issues and management.

The return on investment is the measure of loss or gain that is generated on an investment that is relative to the amount of money that is invested. It is generally applicable to financial decisions, company’s profitability and efficacy of investments made. For the quality efforts and customer satisfaction, the quality should be measurable and should have a cause and effect relationship that exists between the financial results and quality. In this way, the return on investment is utilized to get maximum quality benefits (Rackley, 2015).

The best practice principles for engagement of global health partnerships are ownership, alignment, harmonization and accountability. It is the respect for the country’s partner leadership and strengthens their capacity to exercise to implement the national strategies for consultative processes in terms of ownership. The alignment is to support the partner countries in national development in executing their health sector plans and procedures. Harmonization in terms of funding, monitoring, disbursement, evaluation and reporting on the global health partnerships at the country level. The accountability for clear, timely or comprehensive information on the assistance, decisions and processes to the partner countries that requires GHP support. The partnership activities should take place with consistent and regulatory framework with governance arrangements.

The key elements of strategic planning in the management of healthcare include development of the mission, vision, goals and objectives that area required and reviewed on a continuous basis. The strategic planning of information technology, business and operational analysis is also a part of the strategic planning. The development and selection of strategic options, establishment of strategic objectives, execution plan, resource and budget allocation and execution review are the other key elements in strategic planning (Hallstedt, Thompson & Lindahl, 2013).

In delivering high quality of care, the overall goal of the healthcare delivery system is to provide the high quality of care to the clients. The goal of the healthcare delivery system is fulfill the needs of the patients and clients. They are also intended to fulfill the interests of the clients that improves their experiences and with better outcomes. The economic sustainability is increased that would benefit the suppliers, providers and payers.

The healthcare practitioners use the recommended guidelines and treatment plans that are intended to treat the population affected with a specific illness, disease or injury. Another example of population based care delivery is the screening process undertaken by the healthcare professionals that is population focused health care. The education is a critical concept in the economic and social development that has an impact on the population health. The health benefits are linked to education in terms of skill development, environmental related health outcomes and in the social context. All these factors contribute to the health outcomes, health cares system and provision of care. 


Collins, F. S., & Varmus, H. (2015). A new initiative on precision medicine. New England Journal of Medicine, 372(9), 793-795.

Drummond, M. F., Sculpher, M. J., Claxton, K., Stoddart, G. L., & Torrance, G. W. (2015). Methods for the economic evaluation of health care programmes. Oxford university press.

Hallstedt, S. I., Thompson, A. W., & Lindahl, P. (2013). Key elements for implementing a strategic sustainability perspective in the product innovation process. Journal of Cleaner Production, 51, 277-288.

can, Ö. F., Ersar?, G., & Naktiyok, A. (2014). Effect of Leadership Style on Perceived Organizational Performance and Innovation: The Role of Transformational Leadership Beyond the Impact of Transactional Leadership–An Application among Turkish SME's. Procedia-Social and Behavioral Sciences, 150, 881-889.

Rackley, J. (2015). Return on Investment. In Marketing Analytics Roadmap (pp. 71-85). Apress.

Visser, S. N., Danielson, M. L., Bitsko, R. H., Holbrook, J. R., Kogan, M. D., Ghandour, R. M., ... & Blumberg, S. J. (2014). Trends in the parent-report of health care provider-diagnosed and medicated attention-deficit/hyperactivity disorder: United States, 2003–2011. Journal of the American Academy of Child & Adolescent Psychiatry, 53(1), 34-46.

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