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Healthcare - Ambulatory Services the

Words: 508 Length: 2 Pages Document Type: Research Proposal Paper #: 26129075



In the current era of managed care in medicine, physicians and other healthcare providers and institutions have been under tremendous pressure to reduce costs. In that regard, avoiding unnecessary hospitalization is one of the most important goals of lowering the costs of healthcare delivery (Stanhope & Lancaster, 2004). Toward that end, diverse strategies have evolved to provide as many healthcare services as possible on an ambulatory basis.

Hospitals and insurance companies now encourage patients to participate in preventative medicine and routine testing intended to lower the costs associated with hospitalization over the long-term. The strategy is simply to reduce the incidence of serious illnesses, particularly those that typically develop over many years and which are capable of prevention through behavior modification and early detection through diagnostic testing (Stanhope & Lancaster, 2004).

Because state and federal governments must absorb much of the costs of uncompensated medical services, the many administrative agencies…… [Read More]

References Stanhope, M., Lancaster, J. (2004) Community and Public Health Nursing (6th ed.) St. Louis: Mosby.
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Illegal Immigrant and the Healthcare

Words: 2313 Length: 6 Pages Document Type: Research Paper Paper #: 6041258

There will be likelihood of lowering costs across the whole of the United States health care system through increasing the risk pool with a population that has proven less likely of utilizing health services, thus lowering the emergency medical care's costs, particularly based on the emergency Medicaid reimbursements, as well as shifting the centre of attention from expensive treatment after progressing of diseases to cheaper preventative and ambulatory care, (Sarita A. Mohanty, et al., 2005). Through extension of coverage, it can as well safe guard the health of the entire populations since there will be timely diagnosis and treatment of infectious diseases, hence it will bring a higher health quality throughout the lifetime of illegal immigrants for there will be protection against diseases but not just treating or managing diseases once they crop up.

On the other hand there is argument that there could be a countervailing consideration that might…… [Read More]

References

Dana P. Goldman, et al. Immigrants and the Cost of Medical Care, 25 HEALTH AFF. 1700, 1705 (2006). Retrieved July 7, 2012 from  http://www.latimes.com/media/acrobat/2009-01/44771484.pdf 

Kathyrn Pitkin Derose, et al. Immigrants and Health Care: Sources of Vulnerability, 26 HEALTH AFF. 1258, 1260 (2007). Retrieved July 7, 2012 from  http://content.healthaffairs.org/content/26/5/1258.long 

Lawrence O. Gostin, Public health law: power, duty, restraint 415, 2nd Ed. (2008).

Retrieved July 7, 2012 from  http://scholarship.law.georgetown.edu/facpub/609
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Compare and contrast VA and private healthcare

Words: 789 Length: 2 Pages Document Type: Journal Paper #: 45998473

VA Ambulatory Care

When it comes to the job and duty of the Veteran Affairs (VA) Administration, there are many forms and types of care that commonly come up and that are discussed or debated. Just one of those, and perhaps one of the less commonly mentioned ones, is that of ambulatory care. However, it is a very important topic and it is an integrated and vital part of the healthcare chain, both when it comes to veterans and non-veterans. This report shall briefly summarize what the VA has to say about the subject. There will then be an evidence-based approach that looks at the issue, there will be a discussion about how the author of this brief report feels about the material offered and how the rest of the medical world might align (or not align) with what is described on the site. While there are many people that…… [Read More]

References

Chen, J. Q., & Benusa, A. (2017). HIPAA security compliance challenges: The case for small healthcare providers. International Journal Of Healthcare Management, 10(2), 135-146.

doi:10.1080/20479700.2016.1270875

Edward, A., Osei-Bonsu, K., Branchini, C., Yarghal, T. s., Arwal, S. H., & Naeem, A. J. (2015).

Enhancing governance and health system accountability for people centered healthcare:
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Managed Mental Health Care Managed

Words: 745 Length: 2 Pages Document Type: Term Paper Paper #: 24357880

Today, however, the majority of practicing therapist use a method that is solution based. The issue is to find resolution for the immediate problem without trying to ascertain what happened in the patient's childhood and the years leading to the problem that caused it (Behavioral Health Services and Prevention (http://mentalhealth.samhsa.gov/publications/allpubs/SMA00-3437/SMA00-3437ch3.asp).

A solution based therapy can be completed in several sessions and the person also learns coping tools for identifying and changing problems that appear in the future.

This method is done by having patients come to therapy on an outpatient basis, thereby saving overhead costs as well as session costs.

In addition the three entities can work together toward preventative mental health care by identifying and reducing risk factors whenever possible.

isk factors and protective factors are also central to an understanding of prevention in the mental health and substance abuse arenas. The presence of risk factors is associated with…… [Read More]

References

Managed Care  http://www.thenationalcoalition.org/eleven.html 

Behavioral Health Services and Prevention http://mentalhealth.samhsa.gov/publications/allpubs/SMA00-3437/SMA00-3437ch3.asp
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To What Extent Can Nurses Deliver Evidence-Based Care

Words: 6819 Length: 20 Pages Document Type: Term Paper Paper #: 32324751

nurses deliver evidence-Based care?

Define main ideas within the title supported from the literature

Nurse instructors confront many hurdles in the present healthcare environment. Educational methods, philosophies, and the content of curricula is required to reviewed to cater to the requirements of the professional nurses who would practice in the coming millennium. (Kessenich; Guyatt; DiCenso, 25) Evidence-based practice or EBP has currently emerged to be a remarkable attribute in nursing literature along with a key impetus in restructuring nursing practice. (Elizabeth; Pyle, 64) Evidence-Based Nursing or EBN is the strategy by which the nurses formulate clinical conclusions applying the best available research evidence, their clinical skill and patient prioritization. (Evidence-Based Nursing: University of Minnesota) It could be narrated as the meticulous, unequivocal and judicious application of the current best evidences in formulating decisions about the care of individual patients. When clinicians formulate health care conclusions for a population or group…… [Read More]

References

Asking Clinical Questions: Introduction. Retrieved from http://www.poems.msu.edu/InfoMastery/Questions/Questions.htm Accessed on 18 June, 2005

Beyers, Marjorie. About Evidence-Based Nursing Practice. Nursing Management. October, 1999. Vol: 11; No: 1; pp: 103-105

Code of professional Conduct. Retrieved from  http://www.nmc-uk.org/nmc/main/publications/reqForPre-regNursing.pdf  Accessed on 17 June, 2005

Cronenwett, L. Research, Practice and Policy: Issues in Evidence-Based Care. Journal of Issues in Nursing. February 19, 2002. Vol: 7; No.2; pp: 57-61
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Managing Long-Term Health Care Needs

Words: 3366 Length: 10 Pages Document Type: Essay Paper #: 12427062

Lee is only the first step in the process of building a team that is able to cover all aspects of Mrs. Lee's care. The team approach involving a social worker, nurse, physician, pharmacist, and physical therapist affords Mrs. Lee a full range of professionals attending to her various needs.

Although Mrs. Lee has a number of problems that need to be addressed the one problem that must be addressed immediately is her elevated blood pressure. Hypertension is an important risk factor for the development and worsening of many complications of diabetes and an elevated blood pressure is like walking around with a detonated bomb. Within moments, and with little warning, a diabetic patient can suffer a stroke or heart attack as a result of an elevated blood pressure. Well over fifty percent of diabetics suffer from hypertension and proper treatment of hypertension can minimize most of the tangential problems…… [Read More]

References

Calle-Pascual, A.L. (2002). A preventive foot care programme for people with diabetes with different stages of neuropathy. Diabetes Research and Clinical Practice, 111-117.

Caminal, J. And Barbara Starfield, et. al.(2004). The role of primary care in preventing ambulatory care sensitive conditions. European Journal of Public Health, 246-251.

Deichmann, R.E. (1999). Improvements in Diabetic Care as Measured by HbA1c After a Physician Education Project. Diabetes Care, 1612-1616.

Epstein, M. (1997). Diabetes and hypertension: the bad companions. Journal of Hypertension, 55-62.
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Health Care Reform Several Years

Words: 2680 Length: 7 Pages Document Type: Term Paper Paper #: 13950798

Contracts with doctors often contain a clause which doesn't allow the doctors to discuss

Health care 7 with their patients financial incentives to deny treatment or about treatments not covered by the plan (Glazer, 1996). This has caused many consumers, especially those with chronic illnesses, to form organizations with the American Medical Association and physician specialty groups to promote legislation forbidding "gag rules" (Glazer, 1996). One group, Citizen Action, has 3 million members and "has been lobbying in state legislatures for laws that would require plans to disclose how they pay their doctors; give patients the right to choose specialists outside the plan; and provide appeals for patients who get turned down for expensive treatments" (Glazer, 1996).

The doctor-patient relationship is also affected if a patient must switch to a new doctor under managed care. Having a longterm relationship with a primary doctor is important because he or she is…… [Read More]

Works Cited

Bennett Clark, Jane (1996, July). What you should ask your HMO.

Kiplinger's Personal Finance Magazine. pp. 92-93.

Glazer, Sarah (1996, April 12). Managed Care. CQ Researcher, 6,

Koop, C. Everett (1996, Fall). Manage with care. Time. pp. 69.
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UK Healthcare

Words: 9250 Length: 36 Pages Document Type: Term Paper Paper #: 11726267

UK Healthcare

Within this section of Chapter One, a historical perspective of NHS will be provided. This discussion will identify problem areas that have emerged in relation to NHS with an attempt made to address the manner in which such problems have historically influenced reform efforts.

With the passage and associated provisions of the NHS Act of 1946, NHS was implemented in the UK in 1948. The NHS Act of 1946 served as the means by which a pattern of health service finance and provision was established in the UK following World War II (Baggot, 1998). According to Baggot, on the basis of the Act, the principle of collective responsibility by the state for the establishment of a comprehensive health service system was introduced, allowing for the planned use of services by the entire population at no cost. It was also intended that equality of access to services would be…… [Read More]

References

Baggott, R. (1998). Health and Health Care in Britain. London, Macmillan,

Barlow, M. (1998). The Fight of My Life. Toronto: Harper Collins

BMA Central Consultants and Specialists Committee (1990). Guidance on Clinical

Directorates London: BMA.
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Healthcare Joint Commission and Joint

Words: 957 Length: 3 Pages Document Type: Research Paper Paper #: 31503127

In doing so, organizations:

advance the idea of public assurance that the organization is concerned for patient safety and the quality of care present a safe and capable work environment that adds to worker satisfaction negotiate in regards to sources of payment for care in regards to data on the quality of care pay attention to patients and their families, value their rights, and connect them in the care process as partners produce a culture that is open to learning from the timely reporting of unfavorable events and safety concerns set up joint leadership that sets precedence's for and unremitting leadership for quality and patient safety at all points (Introduction, n.d.).

In 2012 Joint Commission made quite a few changes to the 2012 accreditation decision rules. These rules present the consistent structure that the Joint Commission uses to deliver an accreditation decision limiting unpredictability or prejudice. The first thing that…… [Read More]

References

2012 Accreditation Decision Rules. (2011). Retrieved from www.jcrinc.com/common/PDFs/fpdfs/.../JCP-01-12-S8.pdf

About Joint Commission International. (2011). Retrieved from  http://www.jointcommissioninternational.org/About-JCI/ 

Common Questions and Answers Regarding JCI Accreditation, Clinical Laboratories, and These Standards. (n.d.). Retrieved from  http://www.jointcommissioninternational.org/common/pdfs/jcia/QuestionsandAnswer 

sCL.pdf
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Healthcare Identify the Three Types of Health

Words: 449 Length: 2 Pages Document Type: Essay Paper #: 95526515

Healthcare

Identify the three types of health organizations? Please explain

Three types of health organizations include managed services organizations (MSOs), preferred provider organizations (PPOs), and independent practice associations (IPAs). MSOs refer to organizations like Medicare, which usually serve as gatekeepers to patients by seriously limiting their choices with regards to medical care. PPOs refer to the generally contracted services, such as those garnered through the employer's plan or personal insurance. IPAs are private practices that bill directly to clients.

Identify the 4 levels of service. (hint: the 4th is rarely used)

The four levels of services include primary, secondary, tertiary, and quaternary care. Primary care is often of a routine nature, and pertains to standard procedures such as diagnostics or treatment interventions. Secondary care refers to areas of specialization in medicine. Because the consumer generally needs a referral to access secondary care, and because the consumer has usually already seen…… [Read More]

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Health Care Disparity in Maryland

Words: 18449 Length: 67 Pages Document Type: Dissertation Paper #: 96057578



Figure 1 portrays the state of Maryland, the location for the focus of this DR.

Figure 1: Map of Maryland, the State (Google Maps, 2009)

1.3 Study Structure

Organization of the Study

The following five chapters constitute the body of Chapter I: Introduction

Chapter II: Review of the Literature

Chapter III: Methods and Results

Chapter IV: Chapter V: Conclusions, Recommendations, and Implications

Chapter I: Introduction

During Chapter I, the researcher presents this study's focus, as it relates to the background of the study's focus, the area of study, the four research questions, the significance of the study, and the research methodology the researcher utilized to complete this study.

Chapter II: Review of the Literature in Chapter II, the researcher explores information accessed from researched Web sites; articles; books; newspaper excerpts; etc., relevant to considerations of the disparity in access to health care services between rural and urban residence in Maryland…… [Read More]

Potter, S. (2002) Doing Postgraduate Research. London: Sage.

Qualitative research: Approaches, methods, and rigour, (2008, Nov. 7). Microsoft PowerPoint Qualitative Research AdvC08 RS.PPT. Retrieved March 10, 2009 from www.unimaas.nl/bestand.asp?id=11629

Wolvovsky, Jay. (2008). Health disparities: Impact on Business and Economics Summit. Maryland's healthcare at a glance. The Heart of Community Health Baltimore Medical Syste. Retrieved March 10, 2009 at  http://dhmh.maryland.gov/hd/pdf/2008/oct08/Jay_Wolvovsky.pdf
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Nursing Healthcare Information Systems Key

Words: 3682 Length: 11 Pages Document Type: Thesis Paper #: 9839470

Others include delays in data accessibility, albeit shorter delays and the continued need for source data verification (Donovan, 2007).

Other obstacles have occurred in the developing of mobile healthcare applications. These have included mobile device limitations, wireless networking problems, infrastructure constraints, security concerns, and user distrust (Keng and Shen, 2006).

A third problem that has been encountered is that of a lack of education on not only the importance of the information technology but also training on how to use the specific pieces of equipment. The tools that are provided to people are only as good as the training that is provided on how to use them. The tools may be able to do wonderful things, but if those that are using them do not know how to get the best use out of them they will in the end be less efficient.

Medical Errors

According to an Institute of…… [Read More]

References

Al-Assaf, Al F., Bumpus, Lisa J., Carter, Dana, and Dixon, Stephen B. (2003). Preventing Errors

in Healthcare: A Call for Action. Hospital Topics. 81(3), 5-12.

Brommeyer, Mark. (2005). e-nursing and e-patients. Nursing Management -- UK. 11(9), 12-13.

Damberg, Cheryl L., Ridgely, M. Susan, Shaw, Rebecca, Meili, Robin C., Sorbero, Melony E.,
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Management Project in the Health Care Organization

Words: 2486 Length: 8 Pages Document Type: Case Study Paper #: 81735449

Management Project in the Health Care Organization Setting

This study describes the implementation of a syndromic surveillance system. The syndromic surveillance system collects and analyzes prediagnostic and nonclinical disease indicators, drawing on preexisting electronic data that can be found in systems such as electronic health records, school absenteeism records and pharmacy systems. The systems are utilized to identify specific symptoms within a population that may indicate a public health event or emergency such as signaling an outbreak of an infectious disease. school absenteeism records and pharmacy systems. The systems are utilized to identify specific symptoms within a population that may indicate a public health event or emergency such as signaling an outbreak of an infectious disease.

Informatics Management Project In The Health Care Organization Setting

Part One - Introduction

The objective of this study is to describe the implementation of a syndromic surveillance system. Syndromic surveillance systems collect and analyze…… [Read More]

References

Buckeridge, DL, et al. (2005) An Evaluation Model for Syndromic Surveillance: Assessing the Performance of Temporal Algorithm. Vol. 54 MMWR Supplement.

Chen, H, Zeng, D, Ping, Y and Ping Y (2010) Infectious Disease Informatics; Syndromic Surveillance for Public Health and Biodefense. Springer Medical 2010. Retrieved from:  http://books.google.com/books?id=5BdCfSxtNJMC&dq=syndromic+surveillance+system:+state+of+the+art&source=gbs_navlinks_s 

Hurt-Mullen, K and Coberly, J. (2005) Syndromic Surveillance on the Epidemiologist's Desktop: Making Sense of Much Data. MMWR Supplement 26 Aug 2005. Retrieved from:  http://www.cdc.gov/MMWR/preview/mmwrhtml/su5401a22.htm 

Public Meaningful Use (2013) Arkansas Department of Public Health. Retrieved from: http://www.healthy.arkansas.gov/programsServices/MeaningfulUse/Pages/default.aspx
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California Clinics an Investor-Owned Chain of Ambulatory

Words: 634 Length: 2 Pages Document Type: Essay Paper #: 76990576

California Clinics, an investor-owned chain of ambulatory care clinics, just paid a dividend of $2 per share. The firm's dividend is expected to grow at a constant rate of 5% per year, and investors require a 15% rate of return on the stock.

What is the stock's value?

PO = D 1 / ( KS - G )

P PO = Price

D1 = The next dividend. D1 = D0 (1 + G)

KS = Rate of Return

G = Growth Rate=D1/(Ks-G)

P = 2.10 / (15% - 5%)

P = $

Suppose the riskiness of the stock decreases, which causes the required rate of return to fall to 13%. Under these conditions, what is the stock's value?

P = 2.10 / (13% - 5%)

P = $26.25

Return to the original 15% required rate of return and assume a dividend growth rate estimate increase to 7% per year, what…… [Read More]

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Operational Effectiveness in Healthcare Organizations

Words: 969 Length: 3 Pages Document Type: Essay Paper #: 58898921

Which hospital did you select and why?

The hospital selected is Mount Sinai Hospital. The Health System is aimed to increase competences and economies of scale, enhance levels of quality and results, and develop accessibility to cutting-edge primary, specialty, and ambulatory care services all the way through a comprehensive clinical network (Mount Sinai, 2017). The healthcare organization is a general medical and surgical facility that consists of over 1,100 beds. In the past financial year, the healthcare facility admitted more than 60,000 patients. In addition, the organization conducted more than 30,000 inpatient surgeries throughout the year and over 33,000 outpatient surgeries. Moreover, the emergency room of the healthcare organization experienced over 100,000 visits. The healthcare organization is not only a facility that offers general medical care, but is also a teaching hospital. With an amazing assortment of resources for the delivery of considerate, up-to-date care, the Mount Sinai Health System…… [Read More]

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Lack of continuity of care in regards to EMR

Words: 700 Length: 2 Pages Document Type: Term Paper Paper #: 94273841

care in regards to EM when patients go from outpatient to inpatient to specialists

Effective Communication

The CMS (Centers for Medicare and Medicaid Services) uses the phrase 'care transition' to refer to patient transference between care settings (like hospitals, nursing facilities, home care, primary care, specialist care, or long-term patient care). Care coordination throughout the continuum of healthcare proves critical to patient treatment management, execution and assessment. Transferring health information of patients from one care location or level to another during patient transfers guarantees care continuity and fosters effective patient treatment. Direct communication between different healthcare providers is vital to smooth patient transition across healthcare settings. Partial knowledge of patient health details and absence of an EH (electronic health record) that may be accessed anywhere will restrict acute care professionals' capacity of accessing the patient's community pharmacy and ambulatory care records, especially if the professional is not the patient's primary…… [Read More]

References

Rupal Patel Mansukhani, Mary Barna Bridgeman, Danielle Candelario, & Laurie J. Eckert. (2015). Exploring Transitional Care: Evidence-Based Strategies for Improving Provider Communication and Reducing Readmissions. Pharmacy and Therapeutics, 690-694.

Sharon Silow-Carrol. (2012). Using Electronic Health Records to Improve Quality and Efficiency: The Experiences of Leading Hospitals. Commonwealth Fund.
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Driscoll Discharge the Role of Ambulatory Setting

Words: 1577 Length: 6 Pages Document Type: Essay Paper #: 34196178

Driscoll Discharge

The ole of Ambulatory Setting Nursing Staff in Discharge Planning: An Application of Driscoll's eflection Model

Nurses at all levels and in all areas of practice have been increasingly involved in developing, recommending, an carrying out patient care over the course of the twentieth and twenty-first centuries, and the rate at which knowledge and acknowledgement in the field is growing has itself picked up the pace tremendously. This can be seen in nursing research and in simple day-to-day nursing activities in standard nursing wards and situations; nurses are now often the primary care providers for patients in a variety of situations, which entails a great deal more decision-making authority and capability than was expected or granted early in the twentieth century and in decades prior. Unquestionably, nurses have now become a well-respected and well-integrated part of medical practice.

At the same time, the roles that nurses can and…… [Read More]

References

Burden, N., Quinn, D. & Dawes, B. (2000). Ambulatory surgical nursing. Philadelphia: Saunders.

Davis, N. (2010). Learning skills for nursing students. Exeter: Leanring Matters.

Lundy, K. & Janes, S. (2009). Community health nursing: caring for the public's health. Sudbury, MA: Jones & Bartlett.

Quinn, F. (2000). Principles and practice of nurse education. New York: Nelson Thornes.
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Cost Effectiveness and Quality of Care Provided by Nurse Practitioners

Words: 2025 Length: 5 Pages Document Type: Research Proposal Paper #: 46288994

Quality of Care Provided by Nurse Practitioners

Cost and quality of healthcare access are two inter-related concepts that are central to the healthcare debate in the United States of America. The study will compare the effectiveness of quality and costs between NP and physicians. To achieve this purpose, the study will be guided y the following research questions; how does the cost of care provided by nurse practitioners compare to that of physicians: and how is the quality of care provided by nurse practitioners? The Jean Watson's Theory of Human Caring is adopted for this study. The study will be conducted in five different hospitals that have health services being provided by both NP and physicians. Study participants will be selected from hospital databases with the help of hospital staff to establish which patients will be more suited for the study. esearch questionnaires will be used for data collections. The…… [Read More]

References

Allen, J. K., Himmelfarb, C. R. D., Szanton, S. L., & Frick, K. D. (2014). Cost-effectiveness of nurse practitioner/community health worker care to reduce cardiovascular health disparities. The Journal of cardiovascular nursing, 29(4), 308.

Fletcher, C. E., Copeland, L. A., Lowery, J. C., & Reeves, P. J. (2011). Nurse practitioners as primary care providers within the VA. Military medicine, 176(7), 791-797.

Kapu, A. N., Kleinpell, R., & Pilon, B. (2014). Quality and financial impact of adding nurse practitioners to inpatient care teams. Journal of Nursing Administration, 44(2), 87-96.

Litaker, D., MION, L. C., Planavsky, L., Kippes, C., Mehta, N., & Frolkis, J. (2003). Physician -- nurse practitioner teams in chronic disease management: the impact on costs, clinical effectiveness, and patients' perception of care. Journal of interprofessional care, 17(3), 223-237.
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Health Care Trends at a Vamc

Words: 1585 Length: 6 Pages Document Type: Essay Paper #: 24898446

Practice Experience Interviews

Interview with "Jennifer," RN, MPH, director of quality assurance at a Veterans Affairs medical center.

In a telephonic interview with this nursing professional, questions were posed concerning how research is found, accessed and applied for quality assurances purposes. According to Jennifer, Veterans Affairs medical centers (VAMCs) typically feature up-to-date medical libraries that can be used by any staff member. The library resources at this VAMC included numerous peer-reviewed journals and Internet access for additional relevant journal articles. In addition, Jennifer reported that her office had Internet access as well as access to the hospital's intranet (the decentralized hospital computer program or DHCP) that links this VAMC with other VAMCs as well as regional offices and the VA's Central Office in Washington, DC.

When queried concerning how research was applied in her practice, Jennifer noted that her office was responsible for coordinating peer reviews of questionable medical practices…… [Read More]

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Analyzing State Healthcare Database for Research and Analysis

Words: 707 Length: 2 Pages Document Type: Term Paper Paper #: 47130268

Healthcare Database for esearch and Analysis

South Carolina is amongst states that take part in the Health Cost and Utilization Program (HCUP). Sandra Kelly, the person to contact regarding all matters pertaining to the program is the Operations Manager in the Demographics and Health department. The evenue and Fiscal Affairs of South Carolina under which it operates is situated on 1919, Blanding Street in Colombia, SC 29201. (803) *** is her phone number and (803) *** her fax number. One can also contact her online through Sandra.- --, her official email-id. The data from South Carolina entails stays by inpatients from hospitals offering care for acute health. The data recorded from the hospitals does not cover a whole calendar year as some experience technical defects (SID File Composition - South Carolina, n.d.), while others close at some point in the year.

The HCUP is the state's main source of gathering…… [Read More]

References

Healthcare Cost and Utilization Project (HCUP). (n.d). Retrieved July 10, 2016, from  http://www.ahrq.gov/research/data/hcup/index.html 

HCUP Partners. (n.d.). Retrieved July 10, 2016, from  https://www.hcup-us.ahrq.gov/partners.jsp?SASD 

SID File Composition - South Carolina. (n.d.). Retrieved July 10, 2016, from  https://www.hcup-us.ahrq.gov/db/state/siddist/siddist_filecompsc.jsp
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How the VA in Using Value Based Purchasing to Improve Health Care

Words: 5657 Length: 20 Pages Document Type: Business Plan Paper #: 41886983

components of value-based purchasing (VBP) that are most pertinent to the U.S. Department of Veterans Affairs (VA) based on its vital mission to provide high-quality health care services to the nation's veterans while identifying opportunities to reduce costs and improve efficiencies in ways that promote improved clinical outcomes in measurable ways. The study also describes the three departments of a VA medical center that will be most important in implementing VBP, purchasing services, nursing services, and ambulatory care services and provide appropriate goals for this purpose. Because the three selected departments are at different stages of their VBP implementations, the preparation needed to achieve their VBP-related goals will vary, but staff will need to be educated and trained concerning the basics of VBP and how they apply to their unique departmental situations and all three departments must develop appropriate performance measures that can be used to determine the cost-effectiveness of…… [Read More]

References

Ambulatory care. (2016). FierceHealthcare. Retrieved from http://www.fiercehealth care.com/topics/ambulatory_care.asp.

Burgess, J. F. (2011, August). Value-based purchasing in VA. VA Forum, 17.

Chernof, B. (2016, January 1). Value-based purchasing creates opportunities for effective partnerships. Aging Today, 37(1), 1-4.

Hoar, W. P. (2014, June 23). The VA proves adept at doctoring-of data. The New American, 30(12), 41-44.
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Quality of Care Via Nurse Practitioners

Words: 911 Length: 3 Pages Document Type: Research Paper Paper #: 91253034

Family Nurse Practitioner

The expansion of healthcare coverage through the Affordable Care Act (ACA) is expected to create an enormous increase in the number of people seeking medical treatment and healthcare. A number of demographic issues exacerbate the situation: An aging population requiring more extensive treatment and care, a rising national population, and a shortage of primary care physicians (Iglehart, 2013). The shortage of primary care physicians is one of the most crucial for national medical care because of two substantive dynamics: 1) The number of graduates from medical school who plan to enter careers as primary career physicians is currently estimated at 25%; and 2) the care that advanced practice registered nurses (APN) can provide is constrained by the current scope-of-practice laws on the books in any states (Iglehart, 2013).

An enduring tension exists between the American Medical Association and nursing advocates regarding the scope of practice that should…… [Read More]

References

Iglehart, J.K. (2013, May). Expanding the role of advanced nurse practitioners: Risks and rewards: Health policy report. New England Journal of Medicine, 368(20), 1935-1941.

National Organization of Nurse Practitioner Faculties (NONPF) (2002). Family nurse practitioner primary care competencies in specialty areas: Adult, family, gerontological, pediatric, and women's health. Pp. 21-24. U.S. Department of Health and Human Services, Health Resources and Services Administration, Bureau of Health Professions, Division of Nursing. Retrieved from http://c.ymcdn.com/sites/www.nonpf.org/resource/resmgr/competencies/primarycarecomps02.pdf

Naylor, M.D. And Kurtzman, E.T. (2010, May). The role of nurse practitioners in reinventing primary care. Health Affairs, 29(5), 893-899. DOI: 10.1377/hithaff.2010.0440.

Savrin, C. (2008). Growth and development of the nurse practitioner role around the globe. Journal of Pediatric Health Care, 23(5), 310-314. DOI: 10.10.1016/j.pedhc.2008.10.005.
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Ambulatory Service Centers Essay

Words: 894 Length: 2 Pages Document Type: Paper #: Array

This is an essay converted to a powerpoint presentation on Ambulatory Service Centers.

Slide 1: Industry Overview

The Ambulatory Service Center industry is a part of the healthcare industry focused on providing same-day surgical care, including diagnostic and preventative procedures (ASCA, 2016). The industry is facing a number of challenges, including the need for increased patient turnover, but with high patient satisfaction as well.

Slide 2: A Question of Priorities

In choosing the right balance between bringing in more patients and patient satisfaction there are two dynamics to consider. One is that higher patient satisfaction is often associated with more referrals others in health care are more likely to refer to you if you have a good reputation. The other factor is that low satisfaction is associated with higher malpractice suit incidences (Stelfox et al, 2005). Given what malpractice insurance costs, let alone a successful suit, reducing malpractice risk…… [Read More]

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Policy Changes in Healthcare Finance Healthcare Finance

Words: 2462 Length: 7 Pages Document Type: Essay Paper #: 81516587

Policy Changes in Healthcare Finance

Healthcare Finance

CPT Codes

The American Medical Association (2013) developed the Current Procedure Terminology (CPT) codes decades ago in the 1960s. The first edition was published in 1966 and over the subsequent years several updated versions were created. The reasons for developing the CPT code system was to make communications about medical procedures easier between health care providers, help patients and their doctors submit claims for services to insurance providers, create a structure that would facilitate the development of an electronics records system, and create categories that would help researchers collect data on the health care field.

The CPT code system expanded with each subsequent edition and with publication of the second edition the codes were transitioned from a 4 to a 5 digit system (American Medical Association, 2013). This transition was necessary as the services covered by the code expanded beyond medicine, radiology, and…… [Read More]

References

ACRO (American College of Radiation Oncology). (n.d.). Introduction to Relative Value Units and how Medicare reimbursement is calculated. ACRO.org. Retrieved 30 Oct. 2013 from www.acro.org/washington/rvu.pdf.

Altman, Stuart H. (2012). The lessons of Medicare's prospective payment system show that the bundled payment program faces challenges. Health Affairs, 9, 1923-1930.

American Medical Association. (2013). CPT process -- how a code becomes a code. AMA-ASSN.org. Retrieved 30 Oct. 2013 from  http://www.ama-assn.org/ama/pub/physician-resources/solutions-managing-your-practice/coding-billing-insurance/cpt/cpt-process-faq/code-becomes-cpt.page .

Brinjikji, W., Kallmes, D.F., Lanzino, G., and Gloft, H.J. (2012). Hospitalization costs for endovascular and surgical treatment of ruptured aneurysms in the United States are substantially higher than Medicare payments. American Journal of Neuroradiology, 33, 1037-1040.
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Legacy Emanuel A Healthcare Organization Audit Summary

Words: 1793 Length: 5 Pages Document Type: Term Paper Paper #: 4977496

Legay Emanuel:

A healthare organization audit summary

Legay Emanuel Medial Center, at 2801 North Gantenbein Avenue, Portland, Oregon is

is an IRS 501 ( ) 3 not-for-profit, tax-exempt orporation omprised of five full-servie hospitals and a hildren's hospital. The Center's award-winning failities offer an integrated network of health are servies: aute and ritial are, inpatient and outpatient treatment, ommunity health eduation and a variety of speialty servies.

The area's largest loally owned, nonprofit health system, Legay Health's is a lead healthare institution in the region, ommitted to omprehensive servie provision to lients through a network of healthare providers toward a healthier and wellness ommunity. Projeted growth for the institution under the diretion of the Offie of Development advanes the mission and vision of Emanuel Medial Center, dediated to legay of good health for 'Our people, Our patients, Our ommunities, Our world' through development of sustainable programs that generate private support…… [Read More]

cited in the cultural protocol of the Medical Center's daily routine are mentioned in Table 2.

Table 2

Image: Legacy likes to be perceived as family and patient oriented, not for profit, and for giving back to the community.

Department: All RNs must wear scrubs that cannot be worn in to work. RNs cannot wear false or painted nails.

Status Symbols and Reward Systems: Kudos if the co-workers think other co-workers have done good jobs. The manager will sometimes give coffee cards of something like that. Every 5 years of service workers receive recognition and get to select a prize.
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Marketing in Health Care

Words: 576 Length: 2 Pages Document Type: Term Paper Paper #: 98094109

Marketing in Healthcare

Catholic Healthcare West

Catholic Healthcare West (CHW) is a not-for-profit healthcare organization serving parts of Arizona, Nevada and the majority of California. With 42 hospitals it is the largest Catholic hospital system in this part of the United States. The organization focuses its services upon the poor, who cannot afford private hospital services. Regardless, the aim is also to provide high-quality healthcare to those in need. The target market is thus the poor in the western areas of the United States.

Taking into account the size of Catholic Healthcare West, it should not be a problem to implement new services without a loss of either mission or customers. New services should however be implemented with the proper care to ensure that the focus remains as originally intended.

The service management strategy of CHW has always been collaborative. y collaborating with other groups who share the vision and…… [Read More]

Bibliography

Allen, G. "New Product Development." 1999

Catholic Healthcare West. 2003.  http://www.chwhealth.com/ 

Rice, T., B. Biles, E.R. Brown, F. Diderichsen & H. Kuehn. "Reconsidering the role of competition in health care markets." Journal of Health Politics, Policy and Law. Durham, Oct 2000
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Healthcare Trends

Words: 1742 Length: 4 Pages Document Type: Term Paper Paper #: 81332878

Strategic Management of a Healthcare Facility in St. Louis

In the late 1800's and early 1900's St. Louis was a major center for automotive and other heavy manufacturing but the industrial restructuring of the Midwest during the latter half of the century has resulted in consistent economic decline of the St. Louis region. Today however as the rest of the country faces a slowing economy this region is showing new signs of growth. [Kotkin, 2002] Due to changing socio-demographics, the demand for health care and advanced medical technologies is growing consistently with a concomitant rise in health expenditure. [Zhou 2001] Health expenditure in the U.S. has risen from 7.4% of the GNP in 1970 to 15% of the GNP in 1995.[Zhou, 2001] The Health care sector deals with not only the clinical medical services, but also include methods which finance them, for e.g. insurance, benefit schemes, Medicare and Medicaid. eforms…… [Read More]

References:

1. Kotkin, J, 2002 St. Louis: On the Way to Somewhere? Rebuz Inc.

2. Author not available, 1997, Economic Report of the President. Government Printing Office, Washington, D.C. [accessed on 4/4/03]:  http://www.umsl.edu/services/govdocs/erp/1997/chap3.htm 

3.Author not available, 1996, Focus... Non-Elderly Missourians without Health Insurance, March 1996, Vol. 30, No. 1 [accessed on 4/4/03]: http://www.dhss.state.mo.us/MonthlyVitalStatistics/March96Vol30No1.html

4. Author not available, January 1999, Focus... Managed Care (MC+) in Medicaid Population, January 1999 Vol. 32, No. 11[accessed on 4/4/03] at http://www.dhss.state.mo.us/MonthlyVitalStatistics/Jan99Vol32No11.html
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Healthcare Quality Management Pdca Modeling in Healthcare

Words: 1458 Length: 5 Pages Document Type: Essay Paper #: 41430170

Healthcare Quality Management

PDCA Modeling in Healthcare

Psychiatric emergencies in medical settings may be particularly challenging since the staff does not encounter them frequently and may not have experience dealing with behavioral crisis intervention. The purpose of this exercise is to help staff improve understanding and coping with nonmedical emergencies that occur in medical settings using the PDCA cycle.

X is a 41-year-old male admitted to a medical unit with a diagnosis of possible stroke. The patient is ambulatory, 5'10," and 350 lbs. Mr. X presented to the emergency department the day before after apparently losing consciousness at home. The initial CAT scan of his head was negative. It is suspected that Mr. X may be an IV drug user since his urine toxicology screening came back positive for opiates. The medical staff thinks that Mr. X had a seizure prior to admission, but he has shown no abnormal signs…… [Read More]

Works Cited

Bennet, L., & Slavin, L. (2009, April 3). What Every Health Care Manager Needs to Know. Retrieved from Continous Quality Improvement:  http://www.cwru.edu/med/epidbio/mphp439/CQI.htm 

i Six Sigma. (N.d.). Focus - PDCA. Retrieved from I Six Sigma:  http://www.isixsigma.com/dictionary/focus-pdca/ 

Pestka, E., Hatterberg, D., Larson, L., Zwygart, L., Cox, A., & Cox, D. (2012). Enhancing Safety in Behavioral Emergency Situations. Medsurg Nursing, 335-341.
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Healthcare How Technology Has Changed

Words: 3010 Length: 11 Pages Document Type: Thesis Paper #: 63441729

" (2004, p.159) Activities have included:

(1) Development and promotion of industry-wide standards;

(2) Funding of research for investigation of the impact of IT on quality;

(3) Provision of incentives that provide encouragement of investment in IT;

(4) Giving grants to investors in IT; and (5) Development of strategies to improve the flow of information across providers. (Report to Congress, June, 2004, p.159)

Stated additionally in the Report to Congress is that there are multiple functions that must be considered when purchase IT and hundreds of applications that various vendors offer. The various IT applications are stated to be within three categories including those of:

(1) Administrative and financial systems that facilitate billing, accounting and other administrative tasks;

(2) Clinical systems that facilitate or provide input into the care process; and (3) Infrastructure that supports both the administrative and clinical applications. (Report to Congress, June 2004, p.160)

The work published…… [Read More]

BIBLIOGRAPHY

BC Medical Association. Getting IT Right: Patient Centered Information Technology [discussion paper]. Vancouver: BCMA. 2004:39-40.

Blum E. Paperless medical record not all it's cracked up to be AMNews; 17 February 2003. Online available at: www.ama-assn.org/sci-pubs/amnews/pick_03/bica0217.htm

Brookstone A, Braziller C. Engaging physicians in the use of electronic medical records. Electronic Healthcare 2003;2:23-27.

Brookstone, Alan. 2004. Electronic Medical Records: Creating the Environment for Change. BCMJ, Vol. 46, No. 5 June 2004. Online available at:  http://www.bcmj.org/electronic-medical-records-creating-environment-change
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Corporate Health Care it System

Words: 2123 Length: 7 Pages Document Type: Thesis Paper #: 36886014

Managed care and utilization review (U) play an integral part in patient care and reimbursement (Mahmoud, E and ice, G, 1998). Scott echoes it experts Brian P. Bloomfield, od Coombs, David Knights, and Dale Littler (2000), who say:

IT system enjoys what one might call a special relationship with esource Management. Its role as depicted in the review is one centred on the improvements and furtherance of a 'balanced' dialogue between doctors and managers. A corollary of this is that it must be neutral politically speaking (see Bloomfield 1995). Thus the review authorizes the introduction of the new it system by subordinating it to the cause of dialogue between doctors and managers. The review represents the information requirements of hospital doctors and management and thereby portrays the it system as fulfilling a preexisting need. The narrative structure here is founded on the discovery of a state of readiness on the…… [Read More]

References

http://www.questiaschool.com/PM.qst?a=o&d=79104775

Bloomfield, B.P., Coombs, R., Knights, D., & Littler, D. (Eds.). (2000). Information Technology and Organizations: Strategies, Networks, and Integration. Oxford: Oxford University Press. Retrieved October 16, 2008, from Questia database:  http://www.questia.com/PM.qst?a=o&d=79104777  http://www.questiaschool.com/PM.qst?a=o&d=5001408217

Mahmoud, E., & Rice, G. (1998). Information Systems Technology and Healthcare Quality Improvement. Review of Business, 19(3), 8+. Retrieved October 16, 2008, from Questia database:  http://www.questia.com/PM.qst?a=o&d=5001408217  http://www.questiaschool.com/PM.qst?a=o&d=57140362

Smith, H.J. (1994). Managing Privacy: Information Technology and Corporate America. Chapel Hill, NC: University of North Carolina Press. Retrieved October 16, 2008, from Questia database:  http://www.questia.com/PM.qst?a=o&d=57140363
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Future of Healthcare

Words: 2136 Length: 6 Pages Document Type: Research Paper Paper #: 50520719

sleeping under a rock the issue of health care in the United States has been on the minds of everyone. In a society where health costs have spiraled, employer sponsored health insurance is rapidly disappearing, and millions are going untreated the overall issue of health care has everyone concerned (ichmond, 2005). Virtually no one is untouched by its reaches.

Over the last several decades the federal government has become increasingly more active in the health care field and now it is being proposed that this involvement may become more extensive as federally funded health insurance is being proposed. This involvement by the national government began during the New Deal when Social Security was originally enacted and has increased gradually ever since (James G. Haughton, 1968). Some of this involvement is obvious such as Medicare and Medicaid but other forms of involvement are less obvious such as research funding and regulatory…… [Read More]

References

Baranoff, E. (2009). Issues and Global Trends in Social Security. In E. Baranoff, Risk Management for Enterprises and Individual. Irvington, NY: Flat World Knowledge.

Callan, P. (2007). Will Higher Education pass: A test of leadership. Change, 39.

Chan, S. (2010, April 7). Bernanke Says Nation Must Take Action Soon to Shape Fiscal Future. New York Times, p. B3.

Congressional Budget Office. (2006). Immigration Policy in the United States. Washington D.C.: U.S. Government.
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Healthcare Issue in Culturally Diverse Situation

Words: 2191 Length: 8 Pages Document Type: Research Paper Paper #: 90191911

Healthcare Case Study Schuylkill County, PA

County Overview - Schuylkill County, Pennsylvania is located in the heart of the anthracite Coal region of Pennsylvania where the Schuylkill iver originates. Pottsville is the county seat, and the county showed a population of just under 150,000 as of 2010 with a density of 190 persons per square mile. The total area of the county is 782 square miles, almost all land, less than 1/2 a per cent water. The county's history, likely due to large coal deposits, focused on the railroad and industrialization (Schuylkill Chamber of Commerce, 2011).

The county experienced the high point of its population during the 1920s and 1930s, and has been losing people ever since, most between 1950 and 1970, with about a 1-2% population loss since the turn of the century. This is likely due to the lack of appropriate jobs and opportunities within the county. Schuylkill…… [Read More]

REFERENCES

County Health Statistics - Healthcare 2010. (2009, March). Retrieved from Pennsylvania Department of Health: http://www.portal.state.pa.us/portal/server.pt-in_hi_groupoperator_1=or&in_hi_req_objtype=18&in_hi_req_objtype=17&in_hi_req_objtype=512&in_hi_req_objtype=514&in_hi_req_objtype=43&in_hi_req_objtype=1&in_hi_req_apps=7&in_hi_req_page=10&in_ra_topoperator=or&

Comprehensive Plan. (2010, March). Retrieved from City of Pottsville, PA:  http://www.city.pottsville.pa.us/html/cp1.htm 

Election Statistics. (2010, June). Retrieved from Pennsylvania Department of State:  http://www.dos.state.pa.us/portal/server.pt/community/running_for_office/12704 

Schuylkill County. (2010, June). Retrieved from Sperling's Best Places USA:  http://www.bestplaces.net/economy/county/pennsylvania/schuylkill
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Inpatient Care to Outpatient Care

Words: 765 Length: 2 Pages Document Type: Research Paper Paper #: 89933746

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?

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 (ossi 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…… [Read More]

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.
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Healthcare System Management Is the

Words: 1016 Length: 3 Pages Document Type: Case Study Paper #: 71180711



Based upon the fact the baby boomers are all approaching retirement age, it would be a good idea for the organization to pursue programs that are geared towards seniors. Programs that are geared towards seniors are a great way to produce quality comprehensive health care for those in the community that need it. The organization might pursue the idea of opening a PACE program. " The Program of All-Inclusive Care for the Elderly (PACE) is a capitated benefit authorized by the Balanced Budget Act of 1997 (BBA) that features a comprehensive service delivery system and integrated Medicare and Medicaid financing" (Program of All Inclusive Care for the Elderly (PACE), 2009). The PACE program features complete medical and social services that rely on an interdisciplinary team approach in an adult day health center that includes in-home and referral services depending on the person's needs (Program of All Inclusive Care for the…… [Read More]

References

Baker, J. Judith & Baker, R.W. (2006). Healthcare Finance, Basic Tools for Nonfinancial

Managers. Maryland: Aspen Publications, Inc.

Bury, Elizabeth, Carter, Kara S., Feigelman, Masha and Grant, Jennifer M. (n.d.). Retrieved June

2, 2009, from Web site:
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Health Canadian Health Care the

Words: 1345 Length: 5 Pages Document Type: Term Paper Paper #: 14236067



In 2004, a Ten-Year Plan to Strengthen Health Care was announced, primarily intended to improve access to medical services, decrease wait times, and update medical equipment and ensure accurate reporting and enhance public health promotion and prevention programs. Shortly thereafter, the Canadian Supreme Court affirmed the nation's health care philosophy and the immediate need to implement further improvements envisioned by the ambitious 2004 plan in striking down a Quebec law that had prohibited private medical insurance for covered services:

The evidence in this case shows that delays in the public health care system are widespread and that in some serious cases, patients die as a result of waiting lists for public health care...In sum, the prohibition on obtaining private health insurance is not constitutional where the public system fails to deliver reasonable services."

According to legal experts, the decision could "open the door to a wave of lawsuits challenging the…… [Read More]

References

Canadian Medical Association Journal.

1939 September; 41(3):

Chaoulli v. Quebec: Judgments of the Supreme Court of Canada Accessed, September 2, 2007, at http://scc.lexum.umontreal.ca/en/index.html

Kraus, C. (2005) Canada's Supreme Court Chips Away at National Health Care.
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Health Care -- Regulatory Scheme and Licensure

Words: 580 Length: 2 Pages Document Type: A-Level Coursework Paper #: 54878500

Health Care -- Regulatory Scheme and Licensure Requirements -- Operating a Health Care Organization

California's licensing process for health care organizations is governed by the State's Health and Safety Code, with responsibility for licensing, licensing, inspecting, regulating and/or certifying shouldered by State and Federal agencies. In a straightforward yet rigorous process aided by online application packets and checklists, these agencies are intent on ensuring compliance with State and Federal laws and regulations.

The process for becoming licensed to operate as a health care organization in California is governed by §1200 -- 1209 of the California Health and Safety Code (California State Legislature, 2003). These code sections broadly deem the term "clinic" or "primary care clinic" to mean an "organized outpatient health facility," whether a community clinic, free clinic, specialty clinic or clinic corporation required to be licensed (California State Legislature, 2003). The requirements and processes outlined in these code sections…… [Read More]

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Healthcare Finance a Prospective Payment

Words: 914 Length: 3 Pages Document Type: Thesis Paper #: 65027047

If the area wage index is greater than 1, the labor share equals 69.7%. The law requires the labor share to equal 62% if the area wage index is less than 1.0.

2) the wage adjusted labor share is added to the non-labor share of the standardized amount.

3) the wage adjusted standardized amount is multiplied by a relative weight for the DG. The relative weight is specific to each of 746 DG's (for fiscal year [FY] 2009) and represents the relative average cost of a beneficiary in one DG compared to another.

4) if applicable, additional amounts will be added to the IPPS payment for hospitals engaged in teaching medical residents, hospitals that treat a disproportionate share of low income patients, and for high cost outlier cases" (Acute Inpatient Prospective Payment System, 2009).

Physician services include office visits, surgical procedures, and other diagnostic services. These services are usually performed…… [Read More]

References

Acute Inpatient Prospective Payment System. (2009). Retrieved April 2, 2009, from Centers

for Medicare and Medicade Service Web site:

 http://www.cms.hhs.gov/MLNProducts/downloads/AcutePaymtSysfctsht.pdf 

Physician Services Payment System. (2008). Retrieve April 3, 2009, from MedPac Web site:
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Accreditation costs of Healthcare Organizations

Words: 1729 Length: 5 Pages Document Type: Essay Paper #: 41110910

Experts in the field claim that the activity of accreditation represents a key mechanism to evaluate healthcare facilities' performance and enhance care delivery safety and quality. The term "accreditation" describes the external assessment process for evaluating hospitals' and other healthcare centers' performance by studying their adherence to a number of pre-established, well-defined written performance benchmarks. It aims at encouraging ongoing quality improvements instead of merely upholding least-required performance levels. Accreditation also refers to public approval that stems from a healthcare institution's achievement of certain care standards, validated following an autonomous external organizational performance appraisal. (Jaafaripooyan, Agrizzi & Akbari-Haghighi, 2011). This paper addresses the purpose of accreditations and related costs.

A summary of the purposes of accreditation and accreditation standards

Organizations duly accredited, are recognized as trustworthy and reliable entities committed to constant, long-term adherence to top quality standards. Accreditation is considered an important point of reference when it comes to…… [Read More]

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home health care business plan

Words: 3934 Length: 12 Pages Document Type: Essay Paper #: 13182887

Background

Passion Home Health is a provider of home health care services in Camarillo, CA. The company`s challenge typically revolves around a shortage of care workers given the number of clients. There are two sides to this issue - one is the demand side. That challenge can be addressed in a different ways, but ultimately the goal of management is to have as many clients as possible for the capacity that it has. Thus for this task, the challenge will be on the supply side, for labor. It will be assumed that there will be sufficient demand for whatever the optimal labor configuration is going to be.

Care givers come in a number of different varieties, with different degrees of training. They typically visit the home site of the client. They perform a variety of duties for the client, including sometimes daily chores, for other care givers more of physiotherapy,…… [Read More]

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Costs and Delivery Healthcare System

Words: 1532 Length: 5 Pages Document Type: Term Paper Paper #: 73941438

Introduction
The delivery health care system takes into account the assimilation of physicians, healthcare facilities, together with other medical services with plan to facilitate the provision of the total continuum of medical care for its consumers. In a whole incorporated system, the three fundamental components including physicians, medical facilities and the membership to health plans are counterpoised in terms of equating medical resources with the necessities of patients and purchasers (Coddington, Moore, and Fischer., 1994). One of the key concerns in the present delivery of healthcare is cost. Increasing costs of healthcare has been a major worry in the past number of years, making the United States to have one of the most expensive systems of healthcare. The main objective of this paper is to analyze the different costs linked to healthcare delivery system, and delineate the manner in which these costs impact different populations and how it also affects…… [Read More]

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Signature 410-Non-Profit Healthcare Organization

Words: 2468 Length: 8 Pages Document Type: Term Paper Paper #: 96528463

Signature 410-Non-Profit Healthcare Organization-A Comprehensive Study
Introduction
Catholic Health Initiatives (CHI) is a non-profit organization that consists of four separate national Catholic health systems that were combined under CHI over the past three decades. CHI offers assisted living services, nursing home services, memory care, rehabilitation care, hospital care, adult day care services, and many other health care services around the nation. It has recently merged with Dignity Health becoming one of the largest health services conglomerates in the U.S. This paper will discuss the marketing strategies employed by CHI, its financial situation, partnerships and strategic planning.
Marketing Strategies
The marketing strategies used by CHI include TV, digital-marketing with content and social media, print ads and even outdoor advertising to help make CHI more popular among the different communities throughout the states in which it operates (CHI, 2018). As Doster (2013) and Jackson (2011) show, social media is one of the…… [Read More]

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Financial Management in Health Care

Words: 2199 Length: 7 Pages Document Type: Essay Paper #: 80857634

Financial Management in Healthcare

Medicare and Medicaid are programs run by the government and which provide medical services as well as services that are health care related to particular groups of individuals in the United States. It is imperative to note that these two programs are exceedingly dissimilar but are supervised and overseen by the Centers for Medicare and Medicaid Services which is a department that is found within the Department of Health and Human Services of the United States. The origin of these two programs dates back to the year 1965 when they were created after President Lyndon B. Johnson signed changes to the Social Security Act (Crosta, 2015) for the national health care program. This program was principally created at the time when individuals who were aged 65 years and above found it impossible to obtain private coverage for health insurance. In particular, this was a time when…… [Read More]

References

Wareham, T. (2014). Funding the Transformation: Three financial considerations will shape hospitals' transition success. Trustee.

Scamperie, K. (2013). The fee-for-service shift to bundled payments: financial considerations for hospitals. Journal of Health Care Finance 39(4):55-67.

Addicott, R., Buck, D., Goodwin, N., Harrison, T., Ross, S., Sonola, L., ... & Curry, N. (2013). Transforming our health care system. The King's Fund.
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Society That Has a Much

Words: 905 Length: 2 Pages Document Type: Essay Paper #: 29769933

Often, these disparities take on a cultural, age, or gender role. When combined with the financial barriers that block health care (whether or not the individual has insurance or not), it is one of the most risky segments of 21st century healthcare. This is quite ironic because over the last century so many improvements have been made in the field of disease prevention, public health, and approaches to health care. Even in the last few decades the country has matured in its approach to STDs and the HIV epidemic. Yet still, while we recognize that the brain is the very locus of the human "being" and while we know more today about treating mental illness effectively, rapidly, and with typically positive results, we still tend to stigmatize this segment of society with inadequate care, difficult access to that care, or in some rural or smaller towns and cities, zero access…… [Read More]

REFERENCES

Public Health and Aging. (2003, Febuary 14). Retrieved August 2011, from CDC Weekly:  http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5206a2.htm 

Mahant, S., Peterson, R., & Campbell, M. (2008, May 1). Reducing Inappropriate Hospital Use on a General pediatric Inpatient Unit. Retrieved August 2011, from Pediatrics:  http://pediatrics.aappublications.org/content/121/5/e1068.full 

Neumann, R. (2010, April 8). Top 10 Reasons NOT to plan for retirement. Retrieved August 2011, from Northjersey.com:  http://www.northjersey.com/news/business/business_opinion/90328449_Top_10_reasons_to__not__plan_for_retirement.html 

Paul, J.S. (2006, March). New Measures of Ambulatory Care. Retrieved August 2011, from Hosptiral Report HRRC: http://hospitalreport.ca/downloads/otherreports/SNAPSHOT_REPORT_Amb_FINAL.pdf
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Roles of a Clinical Dietician

Words: 1533 Length: 6 Pages Document Type: Term Paper Paper #: 46564906

In an acute care setting, such Veterans Affairs, this objective is executed by educating patients about how to maintain a healthy diet and lifestyle after the leave the facility, while in a long-term care setting-such as Cobble Hill-this objective is executed on a daily basis by providing nutritious meals for elderly residents. And finally, in an ambulatory, out-patient care setting-such as Atlantic -- the clinical nutritionist works to support patients in maintaining a diet that addresses their personal healthcare needs, while still living independently within a larger community. Perhaps the most significant similarity between facilities is the notion of nutrition as merely one component of a comprehensive care program; hence the necessity of a clinical nutritional to work in conjunction with a full medical, administrative, and social support staff. The apparent goal of such an approach is to promote multiple aspects of health and well-being among patients, regardless setting or…… [Read More]

References

Cite Health. (2010). Long Island College Hospital. Retrieved December 19, 2010 from  http://citehealth.com/dialysis-centers/new-york/cities/brooklyn/long-island-college-hospital 

Cobble Hill Health Center. (2010). Resident Services. Retrieved December 19, 2010 from  http://www.cobblehill.org/services 

United States Department of Veterans Affairs. (2010). Patient Information. Retrieved December,

19, 2010 from http://www.brooklyn.va.gov/patients/index.asp
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Ethical Issues Surrounding the Adoption of Electronic

Words: 1295 Length: 5 Pages Document Type: Essay Paper #: 55644945

Ethical Issues Surrounding the Adoption of Electronic Health Records (EHR) by Health Care Organizations and Meaningful Use

The objective of this work in writing is to examine why health care organizations are hesitant to adopt electronic health records (HER) in light of the potential of HER to improve quality, increase access, and reduce costs. This issue will be examined from a legal, financial, and ethical standpoint and in relation to 'meaningful use'.

The use of information technology in the health care field shows a great deal of potential toward improving quality, efficiency, and safety in medical care. (DeRoches, Campbell, and Rao, 2008, paraphrased; Frisse & Holmes, 2007, paraphrased; and Walker, et al., 2005, paraphrased) The American Recovery and Reinvestment Act (ARRA) of 2009 is reflective of the unprecedented interest of the Federal government in the area of bringing about increases in the use of IT in health care for system…… [Read More]

Bibliography

A New Hospital EMR Adoption assessment Tool (2012) HIMSS Analytics. Retrieved from:  http://www.himss.org/content/files/EMR053007.pdf 

American Recovery and Reinvestment Act of 2009. Available athttp://frwebgate.access.gpo.gov/cgi-bin/getdoc.cgi?dbname=111_cong_bills&docid=f:h1enr.pdf. Accessed 5 August2010.

Daniel, J. And Goldstein, MM (2010) Consumer Consent Options for Electronic Health Information Exchange: Policy Considerations and analysis. 23 Mar 2010.

DesRoches CM, Campbell EG, Rao SR, et al. Electronic health records in ambulatory care -- a national survey of physicians. N Engl J. Med 2008; 359:50 -- 60.
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Communication Style Is Being Used by the

Words: 1397 Length: 3 Pages Document Type: Essay Paper #: 35145358

communication style is being used by the following personnel. 1. Rashad attended the team meeting with all the rest. When the topic of role clarification for assistive personnel came up, he stated that he thought part of his role was to anticipate the needs of the patients for toileting and personal hygienic care. Robin, one of the staff RNs in their psychiatric care group home, raised her voice as she firmly stated, "You are only an aide. That is in the RN role. We don't expect you to think, just to do what we tell you to when we tell you." Rashad sat quietly without responding because he needed to keep his job but began his plan on how he'd make Robin pay for her statement. Maybe he wouldn't do anything without being told.

The psychiatric nurse was being aggressive. She was humiliating Rashad and belittling him. What she is…… [Read More]

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Health Transitions More Disease or Sustained Health

Words: 6545 Length: 24 Pages Document Type: Term Paper Paper #: 90103490

There are no deductibles and no user fees nor limits to contributions on the plan. There are also no restrictions on services to be used and no premiums to pay for basic care coverage other than taxes, a far cry from the high deductibles, co-pays and other fees associated with health care in the United States.

Key to this point is the idea that Canadian health care costs less because a large portion of it is publicly financed. The author's note that since Canada adopted their universal healthcare system the Canadian Health Act has implemented a policy of public administration which keeps the cost of health care spending lower and maintains the government's ability to provide health care services to the entire population. The authors argue that public administration is a more optimal choice for keeping health care expenditures down because administration is inexpensive.

U.S. hospitals keep more details of…… [Read More]

References

Armstrong, Hugh; Armstrong, Pat; Fegan, P. (1998). "The Best Solution: Questions and Answers on the Canadian Health Care System." Washington Monthly, Vol. 30, Issue 6, p. 8

Clark, Cal & Mceldowney, Rene. (2000). "The Performance of National Health Care Systems: A "Good News, Bad News" Finding for Reform Possibilities." Policy Studies Review, Vol. 17, Issue 4, p. 133

Grubaugh, S.G. & Santerre, R.E. (1994). "Comparing the Performance of Health Care Systems: An Alternative Approach." Southern Economic Journal, Vol. 60, Issue 4, p. 1030

Martens, Pim. (200). "Health Transitions in a Globalising World: Towards More Disease or Sustained Health?" Futures, Vol. 34, Issue 7, p. 635+
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Martin Army Medical Center Fort Benning Georgia

Words: 953 Length: 3 Pages Document Type: Essay Paper #: 72428112

Martin Army Medical Center, Fort Benning, Georgia and St. Francis Medical, Columbus Georgia

Because resources are by definition scarce, it is important for tertiary healthcare providers to develop healthcare delivery structures that are efficient and effective. Since every healthcare organization is unique, though, these delivery structures can vary widely in scope and purpose. To gain some fresh insights into the healthcare delivery structures that are used by civilian and military health facilities, this paper provides a comparison of Martin Army Medical Center at Fort Benning, Georgia with St. Francis Medical in Columbus, Georgia, followed by a summary of the research and important findings in the conclusion.

eview and Comparison

Martin Army Medical Center, Fort Benning, Georgia

Health care delivery structure. Opened in 1958, this is a U.S. Department of Defense facility operated by the U.S. Army that offers inpatient, outpatient and emergency services. At present, Martin Army Medical Center 250-bed,…… [Read More]

References

About St. Francis Hospital. (2012). St. Francis Hospital. Retrieved from http://www.

sfhga.com/about-st-francis-hospital.

About us. (2012). Martin Army Community Hospital. Retrieved from http://www.martin.

amedd.army.mil/meddepts/about.htm.
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Schneck Medical Center Provide a Description of

Words: 3208 Length: 10 Pages Document Type: Capstone Project Paper #: 70543822

Schneck Medical Center

Provide a description of the company, its mission, and values

SMC (Schneck Medical Center) is a nonprofit healthcare organization that provides specialized and primary care services. The center was established in 1911 with a donation of five thousand dollars and a land from Mary Schneck (Jcr, 2007). It was established in memory of the founder's Husband to provide healthcare requirements to people of Jackson County. Initially, the center had a seventeen-bed capacity but it has now developed to ninety five-bed capacity. SMC celebrated its 100th centenary in 2011. This medical center is located in Jackson Country where it provides medical services to people of this area and the surrounding communities. Schneck Medical Center provides a full continuum of primary care services (Jcr, 2007). Particularly the medical center focuses on the health of women, noninvasive cardiac care, bariatric surgery, cancer care and joint replacement. Schneck Medical Center provides…… [Read More]

References

Biller, J. (2008). The interface of neurology & internal medicine. Philadelphia: Wolters Kluwer Health/Lippincott Wiliams & Wilkins.

Cribb, A. (2005). Health and the good society: Setting healthcare ethics in social context. Oxford: Clarendon Press.

Rahman, N., & de Feis, G.L. (2009). Strategic decision-making: models and methods in the face of complexity and time pressure. Journal Of General Management, 35(2), 43-59.

Johnson, K., Uecke, R., & Austin, R.(2006). The essentials of project management. New York: Harvard Business Press.
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Encourage Patients Active Involvement in

Words: 1292 Length: 5 Pages Document Type: Thesis Paper #: 63177148



(3) Goal 13A states that the means for patients and their families should be defined and communicated in regards to reporting of concerning about safety and that encouragement should be provided for them to follow through on this.

(4) Goal 15 states that the organization "identifies safety risks inherent in its patient population; and (5) 15A states "The organization identifies patients at risk for suicide. [Applicable to psychiatric hospitals and patients being treated for emotional or behavioral disorders in general hospitals -- NOT APPLICALE to CRITICAL ACCESS HOSPITALS] (the Joint Commission, 2009)

Stated as the only change to the 2007 Disease-Specific Care National Patient Safety Goal is the noted change to 8 which adds that the complete list of medications is provided to the patient upon discharge from the health care facility. (the Joint Commission, 2009)

The work of Cooper (2009) entitled: "NYC Hospital to Educate Patients Using Opinionmeter Survey…… [Read More]

Bibliography

Stoessel, Kathleen B. (2009) the Joint Commissions' National Patient Safety Goals: Implications for Infection Preventionists. Virgo Publishing. 2009 July 08. Online available at: http://www.vpico.com/articlemanager/printerfriendly.aspx?article=252020

Powell, Stephen M. (2009) Can the Ambulatory Care Setting Learn Lessons from Other High Risk Domains. Advocate MD. Online available at:  http://www.advocatemd.com/downloads/risk_management/CantheAmbulatoryCareSettingLearnLessons.pdf 

2007 Home Care National Patient Safety Goals (2006) the Joint Commission 1 June 2006. Online available at:  http://www.jointcommission.org/ PatientSafety/NationalPatientSafetyGoals/07_ome_npsgs.htm

2007 Disease-Specific Care National Patient Safety Goals (2006) the Joint Commission 1 June 2006. Online available at:
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RFID System for Patient Tracking

Words: 3588 Length: 12 Pages Document Type: Literature Review Paper #: 8372815



There are various applications of the FID technology in the healthcare. These are explored by a HIBCC,(2006 ) report that studies the application of the FID technology in the healthcare setting with emphasis on its benefits, limitations as well as recommendations The report categorically pointed out that that the applications of the FID technology in the health care settings are numerous. They range from being used in the management of the hospital's supply chain to the management of the patients themselves. In terms of the supply chain management, the FID technology can be used in the organizing the delivery of supplies such as pacemakers, artificial limbs as well as defibrillators. This is because the supply chain of these crucial items is very complicated and requires the timely delivery of the consignments. The high degree of traceability that is needed to track the shipments from the supplier up to the time…… [Read More]

References

Anonymous (2004), RFID in the hospital, in RFID Gazette. July 15,

2004

Aarts, J., Doorewaard, H., and Berg, M.(2004), "Understanding implementation: the case of a computerized physician order entry system in a large Dutch university medical center," Journal of the American Medical Informatics Association, vol. 11, no. 3,

Chin-Yin,(2000)RFID-Enabled Analysis of Care Coordination and Patient Flow in Ambulatory Carpp. 207-216.
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Ouuch Making Excellent Health Responses

Words: 4319 Length: 15 Pages Document Type: Case Study Paper #: 96010800



Prior to Launching Technology Initiatives

Over the past seven years, many healthcare organizations, like OUUCH, have begun to transition from the traditional paper-based systems to EH systems. esearch has shown that over a period of time. EH systems can improve quality of care for patients, provide more accurate information, and overall improve safety issues relating to reducing mistakes with patients. In the exploratory study, "Change factors affecting the transition to an… [EH] system in a private physicians' practice: An exploratory study," Aaron D. Spratt, Social Security Administration and Kevin E. Dickson (2008), Southeast Missouri State University, report that the U.S. health care industry reportedly ranks among the world's leading inefficient information enterprises. Although the system needs major changes, the transition process however, creates a high change in the business aspect of an organization. Spratt and Dickson (2008) explain that for an EH system to be successful, doctors must be involved…… [Read More]

REFERENCES

Amatayakul, M. (2009). EHR vs. EMR: what's in a name? Healthcare Financial

Management. Healthcare Financial Management Association. Retrieved May 13, 2010

from HighBeam Research:  http://www.highbeam.com/doc/1G1-202487730.html 

Bennett, D. (2009). EMR market includes small and large system vendors. Managed Healthcare
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Technology and Health Information Usage

Words: 6821 Length: 25 Pages Document Type: Term Paper Paper #: 66338022

" (MediLexicon International, Ltd., 2006).

The PCIP was formed from the recognition that high costs and low quality inherent in the Healthcare system of the U.S. is largely due to a system that is antiquated and fragmented (DOHMH, 2006a). The inability to properly collect and use health information is one of the primary problems associated with proper health care maintenance. The PCIP. was formed in response to this need. The primary care physician acts as the conduit between the patient and the healthcare system. However, the physician often has no means to effectively transmit the information that they collect to other entities within the system. The PCIP grew out of a need for the primary health care Physician to be able to transmit the needed information to others in the Healthcare system.

There are three essential parts to the PCIP. The first is the Primary Care Health Information Consortium (PCHIC).…… [Read More]

Works Cited

Department of Health and Mental Hygiene. (DOHMH) 2006. PCIP. Retrieved August 30 at http://www.nyc.gov/html/doh/html/pcip/pcip.shtml

DOHMH 2006b. Primary Care Health Information Consortium (PCHIC). Retrieved August 30 at http://www.nyc.gov/html/doh/html/pcip/pcip-pchic.shtml.

MediLexicon International, Ltd. (2006). 1,000 New York City Doctors Will Get Electronic Health Records Systems. Retrieved August 30 at  http://www.medicalnewstoday.com/medicalnews.php?newsid=42483 

The American Health Quality Foundation (AHQF)(2006). Quality Improvement Organizations and Health Information Exchange. March 6, 2006. Retrieved August 30 at  http://www.ehealthinitiative.org/assets/documents/QIOHIEFinalReportMarch62006.pdf#search=%22Health%20care%20information%20management%20PCIP%22
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Early Detection and Management of Diabetic Neuropathy in a Clinical and Homecare Setting

Words: 1877 Length: 7 Pages Document Type: Term Paper Paper #: 70407806

Diabetes Management

Early Detection and Management of Diabetic Neuropathy in a Clinical and Homecare Setting

The objective of this study is to examine early detection and management of diabetic neuropathy in a clinical and homecare setting and specifically through examination of articles published after 2002. The information from each source will be summarized listing the strengths and weaknesses of each article in separate paragraphs. As well, this work will utilize table or graphs to present the findings.

O'eilly, Caryl Ann (2005) Managing the Care of Patients with Diabetes in the Home Care Setting, Diabetes Spectrum, July 2005. Vol. 18. No. 3. etrieved from: http://spectrum.diabetesjournals.org/content/18/3/162.full

The work of O'eilly (2005) reports that more patients than ever before are released earlier from hospitals and rehabilitation center and that those with diabetes are included in this trend. Diabetes is reported to be ranked second following congestive heart failure as the primary diagnosis at…… [Read More]

References

Zieger, Anne (2009) Studies Offer Mixed Grades for Remote Diabetes Care. 6 July 2009 Retrieved from FierceHealthIT at:  http://www.fiercehealthit.com/story/studies-offer-mixed-grades-remote-diabetes-care/2009-07-06 

O'Reilly, Caryl Ann (2005) Managing the Care of Patients with Diabetes in the Home Care Setting, Diabetes Spectrum, July 2005. Vol. 18. No. 3. Retrieved from:  http://spectrum.diabetesjournals.org/content/18/3/162.full 

McLaughlin, Sue (2005) From Research to Practice/Diabetes Care in Special Settings: Meeting the Challenges: Diabetes Care in Special Settings Diabetes Spectrum July 2005 18:143-145. Retrieved from:  http://www.vnsny.org/research/projects/1_implemetation.html
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Communication Nurse to Doctor

Words: 1938 Length: 6 Pages Document Type: Research Paper Paper #: 19907074

Communications

Effective communications between doctors and nurses has always been a high priority in the medical field, especially in an arena such as a hospital, health clinic or hospice. Communicating effectively between the nurses and the doctors is especially important in a hospice setting due to the fact that the patient is usually suffering the most; both with the physical and the emotional pain and suffering that is being experienced as the patient nears death.

One recent study determined that "doctors and nurses have different but complementary roles in what, when and how treatment choices are negotiated with patients" (Mccullough, Mckinlay, Barthow, Moss, Wise, 2010, p. 482) and the treatment choices when facing death are decisions that should not be taken lightly, either by the involved nurses or the doctors. The decisions taking place in the hospice setting will often determine how much pain and suffering the patient will endure…… [Read More]

References

Basch, E.; (2010) The missing voice of patients in drug-safety reporting, New England Journal of Medicine, Vol. 362, Issue 10, pp. 865-869

Bezzina, A.J.; (2009) Prevalence of advance care directives in aged care facilities of the Northern Illawarra, Emergency Medicine Australia, Vol. 21, Issue 5, pp. 379 -- 385

Byrnes, J.; Braden, J.; James, G.; Broadus, T.; Owen, R.; (2011) Implementing an electronic medical record (EMR) in an integrated delivery system Sharp Healthcare (SHC) San Diego, California, accessed on September 25, 2011 at http://proceedings.amia.org/1alo2n/

David, S.E.; Ahmed, Z.; Salek, M.S.; Finlay, A.Y.; (2005) Does enough quality of life related discussion occur during dermatology outpatient consultations? The Journal of Dermatology, Vol. 153, pp. 997 -- 1000
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Clinical Experience

Words: 3002 Length: 10 Pages Document Type: Term Paper Paper #: 46049801

Clinical Experience

Sunrise Clinical System Version 6.1

The Emergency Room: Hybrid System

Meetings and Collaborative Care Councils

orkflow of the EMR

The KBC ( Knowledge Bas Charting) 3.4 Upgrade 6

The Role of the Nurse Informaticist

Comprehensive Analysis of my Clinical Experience

After completing 100 hours of practicum in informatics, the following will show the time at the site with my preceptor. The practicum took place at Franklin Hospital - North Shore Long Island. North Shore-LIJ which is an award-winning health system that consist of world-class tertiary hospitals, a nationally well-known children's hospital, a notorious mental facility and an assortment of community hospitals, in addition to a range of wellness and health programs. North Shore-LIJ Health System consist of 16 award-winning hospitals and approximately 400 physician practice locations all through New York, as well as Long Island, Manhattan, Queens and Staten Island. North Shore-LIJ Proudly serving an area of seven…… [Read More]

Works Cited

North Shore-LIJ Health System. (2014, April 29). Retrieved from North Shore LLJ:  http://www.northshorelij.com/hospitals/services-and-programs/bariatric-surgery 

Russell, C.L. (2010). A clinical nurse specialist -- led intervention to enhance medication adherence using the plan-do-check-act cycle for continuous self-improvement. Clinical Nurse Specialist, 24(2), 69-75. doi:10.1097/NUR.0b013e3181cf554d

Seidl, K. L. And Newhouse, R.P. (2012). The Intersection of evidence-based practice with 5 quality improvement methodologies. JONA, 42(6), 299-304. doi: 10.1097/NNA.0b013e31824ccdc9

Smith, K., Tremblay, M.L., Richer, M.C., and Lanctot, S. (2010). Exploring nurses perceptions of organizational factors of collaborative relationships. The Health Care Manager, 29(3), 271-278. Doi:10.1097/HCM.0b013e3181e9351a
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Health and Medical Services in Bella Vista PA a South Philadelphia Neighborhood

Words: 1172 Length: 3 Pages Document Type: Research Paper Paper #: 51389471

Community/Organization of Interest:

Health and medical services in Bella Vista, PA, a South Philadelphia neighborhood

The cultural perspective

Bella Vista, PA, a South Philadelphia neighborhood, is a largely Italian-American ethnic enclave dominated by white, working-class residents. Although recent scholarly literature has focused upon the deficit of healthcare knowledge and services in lower-income nonwhite populations, deficits in knowledge and willingness and ability to access vital resources to improve their health still persist across population groups. For example, one study of non-Hispanic and Hispanics found that there were high levels of systemic barriers to obtain colorectal screening, including: scheduling and financial barriers; fear of diagnosis and pain; and lack of motivation amongst all study participants (Green et al. 2008). Culturally and psychologically in many communities, there is often an unwillingness to seek medical treatment in the form of screening. Even though Bella Vista is not a poor community cultural attitudes towards healthcare…… [Read More]

References

Breen, T. (2013). Overview of the 2013-2014 Medicaid payment increase for primary care services. The Advisory Board Company. Retrieved:

 http://www.advisory.com/research/physician-practice-roundtable/members/expert-insights/medicaid-payment-increase-for-pcps 

Brown, E.R. (et al2004). Effects of community factors on access to ambulatory care for lower-

income adults in large urban communities. Inquiry - Excellus Health Plan, 41(1), 39-56.