Sign Up Now
Get instant access to over 1 million+ study documents
OR
Already registered? click here to login
By creating your account, you agree to our terms of service, privacy policy and student honor code.
Inpatient Care to Outpatient Care
Explain the advantage or disadvantage of the movement away from inpatient care to outpatient care. Do you think this trend will eventually reverse or stabilize? The particular MS-DRG method groups client cases within 1 from 747 groups, which mirror comparable key diagnoses, processes, as well as severity degrees. The brand new severeness levels happen to be identified based on whether or not individuals possess a co-morbidity or complication (CC) linked to the base DRG (no CC, a non-major CC, or perhaps a significant CC) (Rossi et al., 2004).
Medicare's compensation solutions for out-patient as well as in-patient services and Medicare's out-patient as well as in-patient prospective payment systems (PPSs) possess a corresponding fundamental framework. The two include a basic rate revised for variations in kinds of situation or program in addition to geographic variations in income. Nevertheless, along with various systems of service, every PPS features a distinct group of compensation controls (Rossi et al., 2004).
Acute in-patient compensation method
Medicare's acute in-patient PPS (IPPS) compensates medical facilities with a fixed quantity for the majority of discharges. The cost price stands out as the unit of the basic cost rate along with a related weight that demonstrates the anticipated costliness associated with cases in a specific medical category in contrast to the average of all the cases. The labor-linked part involving the payment rate might be additionally altered through the hospital pay index to take into account variations in location income. Payment rates happen to be modified yearly (Rossi et al., 2004).
In The year 2008, CMS applied a
...
Hospital out-patient compensation method
The particular out-patient PPS (OPPS) compensates medical facilities with a fixed quantity for each service. CMS designates every out-patient plan to one of roughly Eight hundred ambulatory payment category (APC) groupings. Every APC features a related weight according to its average price of service in contrast to the median price of the mid-level medical center visit. Some sort of conversion element converts related weights into U.S. dollar payment quantities (Rossi et al., 2004).
How will the ACA (Obama care) affect these facilities?
In March 23, 2010, President Barack Obama finalized into law a complete medical care reform legislation, referred to as the PPACA or "Patient Protection and Affordable Care Act, "which…
References
Barry, D.M., Luband, C.A. And Lutz, H.T. (2013). The Impact of Healthcare Reform Legislation on Medicare, Medicaid and CHIP. Accessed from: http://www.healthlawyers.org/Events/Programs/Materials/Documents/HCR10/barry_luband_lutz.pdf
Rossi, P.H., Lipsey, M.W. And Freeman, H.E. (2004). Evaluation: a systematic approach. 7th edition, Thousand Oaks: Sage Publications.
In addition the effect of bill has changed the documentation awarded through the state as of a certificate toward a license and authorizes a doctor to pass on duties to a PA with the purpose of managing physician's scope of performance however Another effect of bill has enabled Indiana's doctor assistants to widen their area of the health care services and also provided an innovative average of patient care
Outpatient Clinic There are many types of structures and facilities when it comes to healthcare. For each type, there are a lot of details that matter. These include the staffing of the facility, the experience of those personnel and the details of the facility itself. The type of facility that will be focused on for this report is an outpatient clinic. The details of that type of facility that will be
The results of this analysis highlight the need for hospitals to fine-tune their discharge process to reduce readmissions, and support the expenditure of additional resources for this purpose as a cost-effective intervention; as an example, author cites a hospital in Iowa that implemented a rigorous post-discharge planning process for patients with heart failure and 30-day readmission rates were reduced by 3-9% during the 3-month period following implementation. Conclusion The research showed
Outpatients With Depression and Cocaine Dependence Outpatient Programs, Mental Depression, Cocaine Dependence, Treatment Increasing Treatment Adherance Among Outpatients with Depression and Cocaine Dependence: Results of a Pilot Study This research study by Dennis C. Daley et.al (1998) was conducted to examine the effect of a modified motivational therapy intervention on outpatient treatment adherence and completion for patients with co morbid depressive disorder and cocaine dependence. This study was located using EBSCOhost, data: academic
This is because every person has a different pain management need. Therefore, there is a need to have a bio-psycho-social-spiritual approach to the management of chronic pain. The four components of the experience of pain by the patient are as follows. The first component is the physical sensation that is felt. Second are the automatic thoughts that come as a result of the gross pain being experienced. Third are
" The work of Klein, Cnaan and Whitecraft entitled: "Significance of Peer Social Support with Dually Diagnosed Clients: Findings from a Pilot Study" states that a pilot study was conducted of 10 randomly selected clients in the study group, and 51 in the comparison groups, who had been in community care one year prior to the investigation was conducted. The study took place over a six-month service period and states findings