NURS-FPX6612: Health Care Models Used in Care Coordination

Capella University

Instructor Name

July 2024

Cost Savings Analysis

Effective care coordination is increasingly essential in the modern healthcare landscape, where financial sustainability and quality patient outcomes are paramount (Arnold et al., 2022). This assessment brings out the effects of the worth of care coordination on costs that could be achieved with the intelligent use of HIT in the services rendered in the health sector. As a senior care coordinator, this evaluation of such an approach identifies multiple areas where increased collaboration can help avoid waste and support positive patient outcomes. Using detailed quantitative data analysis and strategic recommendations and conclusions, this analysis highlights the importance of care coordination to the overall increased efficiency and effectiveness of healthcare organizations.

Spreadsheet for Cost Savings Analysis through Enhanced Care Coordination

The following table provides the detailed cross-utilization breakdown of cost savings due to better care coordination across various healthcare facilities. It defines particular aspects where activity has led to substantial financial benefits: the current annual expenses, the expected net, and how such savings affect it.

Cost-Saving Elements	Current Annual Cost	Anticipated Savings
Lowered Hospital Readmission Rates	$4,500,000	$1,350,000
Decreased Emergency Room Visits	$3,200,000	$850,000
Optimized Medication Oversight	$1,800,000	$540,000
Better Chronic Disease Management	$3,800,000	$1,150,000
Efficient Administrative Operations	$1,200,000	$350,000

The spreadsheet indicates the cost-benefit of implementing care coordination strategies to improve the quality of healthcare services in different operations. It defines some factors that have shown such attributes that entail the net savings relating to strategic improvement: The present year cost, prospective savings, and a description of how the savings bear an influence. For instance, the expenditure relating to readmissions in a hospital was $4,500,000 per financial year. Thus, if better strategies in care coordination are to be applied, improved follow-ups, patient education, and the like, then the approximate cost savings, which would be expected, are $1,350,000. This is why reducing non-recurring readmissions and improving such components of the patient’s healing journey as transitions are important.Also visit our BHA FPX 4008 Assessment 1 Hence, improved care coordination can also help lessen the yearly $3,200,000 cost of emergency room visits. It can notably save $850000 by improving community care and the usage of primary care as well as antitransformity to chronic ailments. This reduction underlines a significant need for effective primary health care for people to address minor ailments before they reach the emergency level, thus minimizing their attendance in such services. A better medication management outlook yields related results as accurate reconciliation and reduced mistakes can cut the current $1,800,000 by approximately $540,000 (Roman et al., 2020). Also, better chronic disease management and redesigned workflows can generate large, less costly value (Singer & Porta, 2022). Total costs of dealing with chronic diseases currently stand at $3,800,000; integrated care management and monitoring can shave off $1,150,000 (Alowais et al., 2023). Minimized/properly handled administrative procedures in the healthcare sector require $1,200,000 annually, saving $350,000 (Yogesh & Karthikeyan, 2022). It indicates the advantages of centralized administrative procedures, guaranteeing cries and error-free resource allocation. These comprehensive savings underline the significance of cohesion in the management and delivery of services when it comes to service delivery in healthcare facilities.

Cost Savings Through Enhanced Care Coordination

The coordination of care is one way efficient strategies can bring about more cost-effective health systems and improve the quality of care (Alolayyan et al., 2020). For example, one can contemplate ways by which the number of readmissions in hospitals can be prevented, and this would lead to many benefits. If post-discharge follow-up and teaching are given to proper patients, then the frequency of return admissions is drastically reduced, which translates to smaller annual returns by healthcare organizations. Likewise, a better state of chronic disease since periodic checkups and cooperation of other caregivers reduce many ailments that would otherwise require costly emergencies (Alowais et al., 2023). These strategies do not only reduce expenditure but also act as a means of raising health standards and patient satisfaction levels.

Primary Evidence-Based Sources of Information

The conclusions made in this analysis are based on reputable evidence-based sources to enhance validity. Numerous research in the last couple of years has shown the positive effects on the organization’s pocket and patients’ outcomes when efficient care coordination is utilized. For instance, research by Duan et al. (2021) pointed out that care coordination models decrease the readmission rate drastically in patient follow-ups and proper post-discharge utilization of services. Likewise, a study by Singer and Porta (2022) stated that effective care planning, which involves consideration of social determinants of health, can lower the chance of ER admissions because of better access to primary care services and health promotion in chronic disease management. These studies provide more positive empirical evidence about the expected financing savings and benefits the analysis highlights.

Substantiating Conclusions with Data

Empirical research and real-world evidence substantiate the data presented in this analysis. For instance, the reduction in hospital readmissions, projected to save $1,350,000 annually, aligns with findings from Duan et al. (2021), who demonstrated a 30% reduction in readmissions through effective care coordination. Furthermore, Wells et al. (2020) highlighted the financial impact of improved medication management, which prevents adverse drug events and unnecessary hospitalizations, corroborating the anticipated savings of $540,000. These studies validate the financial projections and underscore the critical role of care coordination in achieving cost savings.Also visit our BHA FPX 4008 Assessment 2

Underlying Assumptions and Reasoned Conclusions

This analysis is based on some assumptions that prior research identified as reasonable or not likely to be problematic. The core assumptions include that in the current model of care, the care is disjointed due to insufficient communication between the different caregivers, that there are likely to be inefficiencies and errors in such a disjoined setting, and that an integrated bent is likely to improve the quality and reduce the costs. Numerous studies validate these assumptions. Li et al. (2022) highlight the negative impacts of fragmented care and the benefits of coordinated care models. By synthesizing these insights, the analysis concludes that investing in care coordination is a clinical imperative and a financially sound strategy, leading to substantial cost savings and improved patient outcomes.