In the American healthcare system, hospitals and other facilities face two very interrelated issues that appear to have an inverse relationship. These include the quality of care a patient receives and cost effectiveness of the care provided. As retention and staffing issues have greatly damaged the quality of care and overall patient experience, hospitals and other healthcare facilities have had to think outside of the box from clinical and business perspectives to improve patient outcomes and quality of care all the while maintaining cost effective strategies. Reduction of cost is important to these hospitals when overhead is so high. In the following paragraphs I will lay out a few strategies for hospital improvement, both from a quality perspective and a cost perspective.
           Quality and cost aren’t always inversely related. In some instances, we can improve patient outcomes while reducing the total cost on the healthcare system. For example, in a study completed by Joo and Liu (2017), patients with chronic illnesses such as heart failure, chronic kidney disease and COPD account for 66% of the healthcare costs within the United States (p. 296). In this systematic review, the authors looked at effective case management as an intervention in respect to hospitalization and rehospitalization. They found that case management transitional care services greatly reduced the number of readmissions and emergency department visits (Jiu