Challenges of financial margins in obstetric units discussed

Challenges of financial margins in obstetric units discussed
In obstetric units, the challenges of reducing health care costs while improving the experience of care are complicated by the slowing birth rate, according to a clinical opinion piece published in the July issue of the American Journal of Obstetrics & Gynecology.

(HealthDay)—In obstetric units, the challenges of reducing health care costs while improving the experience of care are complicated by the slowing birth rate, according to a clinical opinion piece published in the July issue of the American Journal of Obstetrics & Gynecology.

Noting that hospital services, which often have narrow financial margins, are attempting to improve quality alongside reduced health care spending, Vivian E. von Gruenigen, M.D., from Summa Health System Akron in Ohio, and colleagues reviewed the challenges and potential financial solutions for labor and delivery units.

The researchers note that in the changing paradigm from physician-centered care to the transparent safety of teams, improving quality, efficiency, and cost requires considerable physician cooperation. Increasing the net revenue can result from a financial contribution margin, but considerable volumes are needed. In obstetrics, the challenge of this model is the slowing . To ensure sustainability, cost containment is necessary. Quality can be improved and costs reduced with the use of new incentive models that standardize hospital policies and procedures, such as reducing the use of expensive pharmaceuticals, minimizing elective inductions, and encouraging breastfeeding.

"As providers of health care to women, we all must engage in the triple aim of (1) improving the experience of care, (2) improving the health of populations, and (3) reducing per capita costs of health care," the authors write. "All health care providers and institutions must be vigilant on both [and] cost-effective care for sustainability, especially in obstetrics."

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

Bipartisan recommendations can strengthen health system

date Jun 28, 2013

(HealthDay)—Leaders of the Bipartisan Policy Center Health Care Cost Containment Initiative have developed a series of recommendations to strengthen the U.S. health care system, according to a sounding ...

CMS reports on progress toward improved health care

date Mar 05, 2013

(HealthDay)—Considerable progress has already been made toward improving the quality and delivery of health care, according to a Centers for Medicare and Medicaid Services (CMS) bulletin published online ...

Transparency key to improving value care for patients

date May 29, 2013

(HealthDay)—In order to ensure the provision of higher quality care and cost control in a post-Affordable Care Act health care system, data on price, utilization, and quality should be made publicly available ...

Top challenges for docs include financial management

date Jul 19, 2013

(HealthDay)—The top issues and challenges facing physicians include managing changing reimbursement models with payors and financial management, according to a report published by Wolters Kluwer Health.

Recommended for you

India's bidi workers suffer for 1,000-a-day habit

date 5 hours ago

Zainab Begum Alvi and her band of young helpers hunch over baskets filled with tobacco flakes and dried leaves, trying to roll a thousand dirt-cheap cigarettes a day at the behest of India's powerful bidi barons.

Key to better sex ed: Focus on gender & power

date Apr 17, 2015

A new analysis by Population Council researcher Nicole Haberland provides powerful evidence that sexuality and HIV education programs addressing gender and power in intimate relationships are far more likely ...

Journal tackles aging policy issues raised by White House

date Apr 17, 2015

In anticipation of the forthcoming 2015 White House Conference on Aging (WHCoA), The Gerontological Society of America (GSA) has produced a special issue of The Gerontologist that outlines a vision for older adults' econom ...

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.