Outline Roots of Organizational Policy

Outline Roots of Organizational Policy
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Institution
Outline Roots of Organizational Policy
Organizational policy in healthcare management is essential for developing regulations that are necessary for driving more efficient, accountable, and effective care at all levels. The first policy is the Alternative Payment Model (APM) policy that seeks to offer value-based payment to cater for the medicare beneficiaries. The APM policy is founded on the Primary Care Enhancement Act of 2017 (PCEA 2017, H.R. 365) Bill that aims at enabling the Health Saving Account Holders to purchase direct patient care (Ganguli et al., 2017). The metrics for the policy include lowered cost of healthcare. The legislation has no pending change.
The second policy is the Health Insurance Exchange policy that is based on the Affordable Care Act (ACA). The health insurance exchange policy allows patients to compare and purchase individual health plans. The main metric for the evaluation of the program is the number of the uninsured. Possible pending changes include the inclusion of flexible exchanges (Reisman, 2015). The third policy that is also based on ACA is aimed at establishing an accountable care organization (ACO). ACO policy requires the organization to be accountable for the cost and quality of care offered to the direct patients. Performance indicator is the extent of patient satisfaction. There are no pending changes to the policy.
The fourth policy is the Quality Management Policy that is founded on ACA that require the organization to continuously improve the quality.

Measurement is undertaken in the determination of the number of sentinel events (Kessell et al., 2015). There are no pending changes to the policy. The fifth policy is the emergency program that seeks to comply with the Emergency Medical Treatment and Active Labor Act (EMTALA) (Matevosyan, 2015). EMTALA provides that a hospital should provide emergency health services to any patient in need. The metric entails the assessment of the compliance of the procedures for handling the emergency patients. The Act has no pending change.
References
Ganguli, I., Souza, J., McWilliams, J. M., & Mehrotra, A. (2017). Trends in use of the US Medicare annual wellness visit, 2011-2014. Jama, 317(21), 2233-2235.
Kessell, E., Pegany, V., Keolanui, B., Fulton, B. D., Scheffler, R. M., & Shortell, S. M. (2015). Review of Medicare, Medicaid, and commercial quality of care measures: considerations for assessing accountable care organizations. Journal of Health Politics, Policy and Law, 40(4), 761-796.
Matevosyan, N. R. (2015). Emergency Medical Treatment and Active Labor Act (EMTALA).
Reisman, M. (2015). The Affordable Care Act, five years later: policies, progress, and politics. Pharmacy and Therapeutics, 40(9), 575.