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Nurse Reg
Regulations and Guidelines in nursing
The CMS-implemented Pay-for-Performance initiatives are designed to incentivize greater quality of care by all medical practitioners for all recipients of Medicare/Medicaid services (Fenter & Lewis, 2008). The fee-for-service model that the CMS still employs on a wide basis incentivizes a lower quality of care that leads to or includes more services, which has direct detrimental effects for patients and increases the cost burden on the Medicare and Medicaid programs and thus on the federal budget and on taxpayers (Fenter & Lewis, 2008). The Joint Commission on Accreditation of Health Organizations' Core Measures are a set of guidelines meant to modernize and standardize the processes and criteria of accreditation and ongoing measurement and quality assurance at health organizations (JCAHO, 2011). These standards are also related to care, but involve licensing...
These mandates are not things that individual nurses can achieve without collaboration and cooperation with hospital and nursing administration, and this can be very difficult to achieve due to initial cost increases that are perceived as paramount concerns for many individuals in these positions. While individual nurses can improve their own task performance and care provision to some degree, with limited resources and frequent staff shortages meeting the exact guidelines is simply not possible at all times.
Many different leadership styles or theories could be employed to bring about…
References
Fenter, T. & Lewis, S. (2008). Pay-for-Performance Initiatives. Journal of Managed Care Pharmacy 14(6): S12-5.
JCAHO. (2011). Specifications Manual for Joint Commission National Quality Core Measures. Accessed 3 April 2012. http://www.jointcommission.org/specifications_manual_joint_commission_national_quality_core_measures.aspx
Medicare and Medicaid Medicare is a federal governed program that pays for hospital and medical care for elderly and certain disabled Americans while Medicaid is a means tested health and medical services program for certain individuals and families with less resources. The populations that are served with the Medicaid are the American citizens and those people who may not necessarily be of American origin but have a legal and permanent residence
Ordinary insurance companies were not willing to extend insurance services to older citizens since it was considered a losing proposition. With the enactment of Medicare, 99% of older people in the country have health insurance and poverty among this group has dropped significantly. With this program, people now have access to better healthcare services which has resulted in increased life expectancy. The reason we can say with some degree of
Unlike Medicare, Medicaid is not a purely federally-funded program. Every state has a Medicaid budget, which the federal government 'matches' based upon a formula, despite the fact that Medicaid is considered an entitlement, implying that enrollees are entitled to benefits regardless of where they live. Because federal funding is 'matched' that means that states that spend more on Medicaid -- usually wealthier states -- tend to receive more federal funds
In 2003, President Bush expanded Medicare, by subsidizing prescription drug costs under Part D. There are further changes to Medicare and Medicaid in the Affordable Care Act. There were expansions in the number of preventative health care services offered for free (such as colorectal screening), and by closing gaps in prior coverage (HHS, 2012). Berenson (2010) notes that the ACA pays for this expanded coverage by decreasing Medicare spending by
Medicare and Medicaid These two terms are government programs meant to assist specific groups of in the United States regarding health matters and are both managed by the Centers for Medicare and Medicaid Services, a division of the U.S. Department of Health and Human Services. Medicare is a social insurance program that pays for hospital and medical care for elderly and certain disabled Americans. The program consists of hospital insurance which pays
Medicare and Medicaid An important part of health care delivery within the state of Pennsylvania involves access to services such as Medicaid and children's insurance programs. These programs help families in need to obtain health services in order to maintain a high level of health and well-being. There are certain strengths and weaknesses exhibited by the population of Pennsylvania that may influence the consumption of insurance services. According to the United Health