Question

How do efforts by healthcare organizations (e.g., hospitals, health systems) and health clinicians to proactively address social and environmental determinants of health relate to legal and/or ethical obligations to provide care? In addressing this question please consider some of the following sub-questions (you do not need to address all of these):

• What financial incentives do hospitals covered by EMTALA have to reduce preventable use of the emergency room, particularly by uninsured patients?  

• In what ways are health care providers particularly well situated to help identify and address social issues impacting health?

• How can programs like medical-legal partnerships help providers positively impact social determinants of health?  

• Do you believe it’s the proper role of health care providers to be involved in addressing social determinants of health? How would this broader approach to addressing patient health impact you in your future career?

• What financial incentives do providers have to proactively address social issues that impact health under emerging outcome- or value-based payment models?

Answer 1

Answer :)

The answer includes all 5 given questions, stated by numbers below.

1:) The Emergency Medical Treatment and Labor Act (EMTALA), which needs Medicare‐participating hospitals to supply emergency care to patients despite their ability to pay. This plays a very important role in protective the uninsured. Respondents had known five main causes of noncompliance: money incentives to avoid unprofitable patients, the content of EMTALA's needs, high referral burden at hospitals receiving EMTALA transfer patients, reluctance to jeopardize relationships with transfer partners by coverage borderline EMTALA violations, and opposing priorities of hospitals and physicians.

2:) Healthcare is choked with social problems for each the care supplier and for the shopper. Social problems during this lesson are outlined as a health issue that every patient can get to appraise supported his or her values, beliefs, and distinctive state of affairs. Social problems square measure usually headlines within the newspaper and the prime story of the news hour. They will be polarizing topics conveyance out sturdy feelings and opinions. We are going to explore some of those issues: non-secular beliefs, kid vaccinations, organ donation, and finish of life care.

3:) In recent years, analysis has progressively thought-about the impact that social determinants wear on individual health. Health economists have calculable that treatment accounts for fewer than 100 percent of overall health, with social, environmental and activity factors accounting for the remaining ninetieth. The national MLP movement arose in response to the belief that upstream interventions to handle social determinants of health mistreatment non-traditional, multidisciplinary groups of serving to professionals would seemingly have the downstream impact of rising health outcomes for deprived people and communities.

4:) It has been well established that health outcomes square measure closely associated with degrees of social and economic disadvantage, which interventions addressing social determinants of health will facilitate scale back disparities. Consider, as an example, poverty-induced hardships like food insecurity, utility shut-offs, and substandard housing or status - all of that clearly have the potential to negatively affect a family’s health. Within the U.S., there exist a range of public health protections designed to assist address such problems, and legal remedies for these issues square measure of obtainable to people who skills to access them. Very similar to access to alimental food, however, access to legal help is commonly restricted by social and economic disadvantage. Fewer than one in 5 legal issues full-fledged by low-income people square measure addressed with the assistance of Associate in Nursing professional person World Health Organization understands the way to with success navigate the system.

5:) Health care providers must include the following financial incentives to proactively address social issues.

• Providing patients with transportation and kid care services to create it easier for them to attend appointments
• Documenting the language preferences of patients, distinguishing the language skills of practitioners and providing interpreter services;
• Extending clinic hours and locating clinics about to wherever folks live and work; giving a hospitable and culturally safe observe environment;
• Providing health care employees with targets and money incentives for meeting benchmarks and rising outcomes
• In addition, making opportunities to supply health care services on the far side of the clinic walls, like reaching to native colleges or by collaborating with community teams and non-secular organizations.

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