Use our essay title generator to get ideas and recommendations instantly
The Short-Term Rehabilitation Unit at Palm Gardens has 40 beds, rooms with private and semi-private accommodations, and a gymnasium. The rooms all have "large windows" so patients can enjoy plenty of natural light. The rooms are equipped with televisions, phone lines, a small refrigerator and pantry so snacks for the patient and visitors are close by at all times.
Is the Palm Gardens Center associated with any particular religion? No, the facility is "non-sectarian" - so patients of the Jewish faith, Christianity, Muslim and other faiths are all welcomed and should be comfortable without the pressure of having to go through rituals or traditions of a particular religion.
The modern equipment on site offers the latest in therapy for all patients. Palm Gardens has the following technologies: Ultra Sound, Kinetron, Paraffin Bath, Electrical Stimulation, Electric Standing Box, Kinetic Exercise Equipment and Electric Mats. The center has computers, parallel bars, and…
New Lifestyles. (2008). Palm Gardens Center. Retrieved February 29, 2009, at http://www.newlifestyles.com/facility/facility.aspx?id=21532.
New York Health Department. (2008). About Nursing Home Services. Retrieved February 27, 2009, at http://www.nyhealth.gov/facilities/nursing.all_services.html
Palm Gardens Center. (2009). Palm Gardens. Retrieved February 27, 2009, at http://www.palmgardencenter.com.
usiness Plan for Day-Night Care Center
Thomson Hall is a startup business that provides day and night care services to New Hampshire, Manchester. This middle-sized child care center aims to serve children who are from six months up to six years of age. This facility is not a babysitting institution and ensures the children being taken care of are engaged at all times, and taught new skills and talents every day. The care center is safe and secure, and guarantees guardians an outstanding center where their children can be taken care of.
There is high competition in New Hampshire with over 120 other care facilities providing similar services. Thomson Hall will be set in this competitive market and will ensure to gain its targeted market share. To ward of its rivals, Thomson hall will subsidize its price rates and also give discounts to guardians who bring their children for a…
Barringer, B.R., 2009. Preparing effective business plans: an entrepreneurial approach. Upper Saddle River.
Cafferky, M. 2010. Break even analysis. New York: Business Expert Analysis.
Conway-Morana, P.L., 2009. Nursing strategy: What's your plan? Nursing Management, 40(3), pp.25-29.
Gubberman, Mildred., Heller, Florence. 1996. Cost analysis in day care centers for children. United States Children Bureau.
Nursing: The Impact of Physical Inactivity in Long-Term Care Settings during Covid- Pandemic- Case Study of Residents in Edmonton General Continuing Care Center (EGCCC), In Edmonton, Alberta CanadaIntegrative Literature ReviewEngaging in physical activity is good for both physical wellbeing but also mental health. It supports the prevention of both physical and psychological problems and brings an improvement in the overall quality of life for a person. This paper aims to provide an integrative literature review to investigate the impact of physical inactivity in long-term settings during the Covid-19 pandemic based on the case study of residents in Edmonton, Alberta, Canada. The residents target population and the sample are based on Edmonton General Continuing Care Center (EGCCC), a long-term facility located in the vicinity.For the current integrative literature review, ten sources, including scholarly articles, books, and evidence-based papers, were used to produce a comprehensive overview of the past studies related to…
It essentially puts them into a position where they cannot satisfy the majority of student needs.
In order to solve this problem a clear strategy for how to place students into different classes and programs needs to be initiated. At the administrative level, there needs to be an organizational mechanism that creates several different classes with students within each class being educated at different paces. At the same time, there needs to be a standardized testing mechanism at the early level to determine which students belong at certain levels. The reason that this is crucial is that students need to learn at the natural pace that they are accustomed to. The only way to do that is if they are truly inspired by what they are learning. Furthermore, the expansion of curriculums to a wide variety of disciplines will ultimately help these Day Care Centers to expand on other aspects…
In addition the effect of bill has changed the documentation awarded through the state as of a certificate toward a license and authorizes a doctor to pass on duties to a PA with the purpose of managing physician's scope of performance however Another effect of bill has enabled Indiana's doctor assistants to widen their area of the health care services and also provided an innovative average of patient care (Stephanie, Matlock (27 April, 2007). Health care bills gives right to patient to know what health care should be known by the plan as well as several limits on care, kinds of health care be not enclosed, any treatment diagram required to endorse in advance. Yearly planning about on disburse to physician and health providers, file a complaint regarding any, disagreement between patient and the plan, and also procedure to make complaint, allowance to access emergency room twenty four hours a…
American-Speech Language Hearing Association. (2007) Characteristics of Licensure Law. Retrieved on November 29, 2007 from www.asha.org
New York State. (April 2007) Managed Care Bill of Rights. Retrieved on November 29, 2007 from www.health.state.ny.us
Federal Trade Commission. (October 21, 2002) FTC staff opposes Ohio Bill to Allow Physician Collective Bargaining. Retrieved on November 29, 2007 at http://www.ftc.gov/opa/2002/10/physicians.shtm
Girardin, Pierre. Internet Health Services: A Case Study. Retrieved on November 29, 2007 from https://www.isoc.org/inet96/proceedings/h5/h5_2.htm
The results of this analysis highlight the need for hospitals to fine-tune their discharge process to reduce readmissions, and support the expenditure of additional resources for this purpose as a cost-effective intervention; as an example, author cites a hospital in Iowa that implemented a rigorous post-discharge planning process for patients with heart failure and 30-day readmission rates were reduced by 3-9% during the 3-month period following implementation.
The research showed that many elderly patients who suffer from congestive heart failure also suffer from a wide range of comorbid conditions, including diabetes and hypertension. These patients can be reasonably expected to require periodic or even frequent treatment in emergency departments and/or hospitalizations for these conditions, making the need for effective and seamless post-discharge planning especially important. In this regard, the research also showed that there are some valuable evidence-based practice guidelines available, though, that can help clinicians better coordinate post-discharge…
Governmental healthcare centers concentrate on providing primary care to individuals and to control and manage the spread of infectious diseases and to manage natural disasters (Christian et al., 2008). However, in the public domain, health care differs from one country to another. This can be specifically applied in developed nations, where social, economic and political factors are most likely to influence public health policies and centers and their accessibility and availability (Christian et al., 2008). This research proposal concentrates on presenting an overview and detailed background of health centers in English-speaking countries. The countries selected are Australia, Canada, the United Kingdom and the United States.
Governmental health care centers concentrate on the provision of primary care to individuals and on controlling and managing the spread of infectious diseases and managing responses to natural disasters (Christian et al., 2008). However, in the public domain, health care differs --…
About NHS hospital services. (2013). National Health Service. Retrieved from http://www.
Christian MD, Devereaux AV, Dichter JR, et al. (2008). Definitive care for the critically ill during a disaster: current capabilities and limitations: from a Task Force for Mass Critical
Care summit meeting, January 26 -- 27 2007 Chicago, IL. Chest. Vol. 133(Suppl):8S -- 17S.
Adult day care industry is well-known for providing social and basic health assistance to the elderly with physical and mental disabilities. The assistance provided in these adult day care centers include meals, hygiene services such as bathing and cleaning up, therapeutic activities and transportation. This industry is differentiated from nursing homes since adult day cares only operate during normal business hours and therefore do not include home or night care ACH National espite esource Center, 2004.
Companies in this industry depend on three major sources of finance which are grants from donor agencies, fees charged to clients or public funding from the government. Public funding represents 55% of product segmentation while client fees represent 26%. In the year 2013, the industry had gross revenue of 6.2 billion dollars representing an annual growth of 2%. 3,700 businesses operating in this industry made total profits of just over 396 million dollars. According…
ARCH National Respite Network & Resource Center. (2012). Building Blocks for Lifespan Respite: Federal Guide to Funding for Adult's and Children's Respite. (Lifespan Respite ed., Vol. 101): Chapel Hill.
ARCH National Respite Resource Center. (2003). Respite for Persons with Alzheimer's Disease or Related Dementia. (ARCH Factsheet ed., Vol. 55): Chapel Hill.
ARCH National Respite Resource Center. (2004). Adult Day Care: One Form of Respite for Older Adults. Chapel Hill: ARCH Factsheet Number, 54(1), 14.
IBIS World. (2013). Adult Day Care in the U.S. Industry Report OD5942. Retrieved November 10th, 2013, from http://www.ibisworld.com/industry/home.aspx
com). A certain amount of errors is to be expected, but there should not be so many that it demonstrates a certain level of skewedness about the model in its entirety. Thus, if the NHI model is the one which is selected, then it needs to be tested against a range of different scenarios. The following demonstrate some truly relevant what-ifs: what if the doctors only move half the projected volume; what if medicare slashes rates; what if competitors open a comparable program (dgapartners.com).
There are a range of factors which can change or adjust once a healthcare facility opens their doors for business. And as much as this facility is attempting to engage in a solid humanitarian effort, at the end of the day, it's still a business and people need to get paid. Thus, before engaging in further developmental activities, one needs to determine in what ways the…
Brakatu Ofori-Adjei, a. (2007). Microfinance: An Alternative Means of Healthcare Financing for the Poor. Ghana Medical Journal, 193-194.
Burnstein, L., Harris, R., & Love, L. (2012, August 30). Top Four Legal Issues to Consider When Opening an Urgent Care Center. Retrieved from Mondaq.com: http://www.mondaq.com/unitedstates/x/194082/Healthcare/Estate+planning+is+important+step
Burnstein, M., Harris, R.L., & Love, L. (2012, August 20). Top Four Legal Issues to Consider When Opening an Urgent Care Center. Retrieved from Mondaq.com:
Patient Centered Medical Homes (PCMH) are often confused as being actual "homes" for patients to be admitted in and given medical treatment and care. PCMH is actually a health care model based on which health care is provided to patients, under the supervision of physicians. The PCMH model of health care provides patients with continuous, comprehensive medical care, in order to increase the chances of achieving the goal of benefitting the patient with as much attention and medical care in order to maximize his/her health outcomes.
Over the years the PCMH model of health care has become widely adopted and preferred. This is because of the philosophy and approach that the model adopts in organizing and delivering the health care initiatives. The PCMH model is based upon delivering medical care and attention to patients with team-based health and medical experts that are focused strongly on the quality and the safety…
109-432, P.L. (2006, December 20). TAX RELIEF AND HEALTH CARE ACT OF 2006. Public Law 109-432 (109th Congress) .
Backer, L.A. (2009). Building the Case for the Patient-Centered Medical Home. Family Practice Management 16 (1), 14-18.
De Geest, S., Moons, P., Callens, B., Gut, C., Lindpaintner, L., & Spirig, R. (2008). Introducing advanced practice nurses/nurse practitioners in health care systems: a framework for reflection and analysis. Swiss Medical Weekly (138), 621-628.
NASHP. (2013, April). Medical Home & Patient-Centered Care. Retrieved from The National Academy for State Health Policy: http://www.nashp.org/med-home-map
Montefiore Medical Center
easons for Developing New Strategy
Designing the new strategy involved several meetings by the Medical Center's employees to assist in the development of a balanced scorecard and initiating nation-level measures. In this regard, the firm developed a new strategy to represent the cause-and-effect linkages among the environment, strategy, and operating plan that could deliver the required financial results. The new system proposed by the strategy was initiated to ensure that financials made up a 10-percent of the measures on the balanced scoreboard. Montefiore additionally, developed the new strategy to measure patient satisfaction, the cost, health care quality as well as cycle times of clinical and administrative processes. It was realized by the institution that the strategic measures were essential in positioning Montefiore for future innovation while encouraging organizational growth. The GIP strategy was initiated by the medical provider to help in increasing market penetration while assisting in…
Barney, J.B. (1986). Organizational Culture: Can It be a Source of Sustained Competitive Advantage? Academy of Management Review, 11(3), 656-665.
Barney, J.B. (1991). Firm Resources and Sustained Competitive Advantage. Journal of Management, 17(1), 99-120.
Collis, D.J., & Montgomery, C.A. (1995). Competing on Resources: Strategy in the 1990s. Harvard Business Review.
Engestrom, Y., Miettinen, R., & Punamaki, R.-L. (1999). Perspectives on Activity Theory. Cambridge University Press.
Health Care Reform
FDR's New Deal and Lyndon Johnson's Great Society were early attempts for the United States government to play a broader role in creating more extensive social policies. More recently, when a recession pushed inflation to an all-time high, Ronald Reagan led a popular political campaign in which he pronounced that the federal government should have a smaller role in American society. He believed that socialism was an evil worth fighting. This sentiment undoubtedly caused the Clinton Presidency to fail when trying to enact a series of measures to reform Health Care. The debate has regained momentum with Obama who has enacted a health care reform bill known as the Affordable Care Act. Republicans who been vocal critics of the bill and have vowed to overturn in before its inception. This paper will introduce some of the economic mechanics that are responsible for fueling the debate.
Communication Information echnology in Healthcare
Use of Communication and Information echnology in Healthcare
he processes, procedures and strategies healthcare organizations rely on to attain their objectives through collaboration and continual knowledge transfer are being accelerated by the widespread adoption of smartphones globally. More than any other technology, smartphones are revolutionizing how healthcare organizations ensure real-time data and intelligence about patents, procedures for improving patent care, and availability of resources are used. he goals of this analysis include and evaluation of the effectiveness and efficiency of smartphone technology's use in healthcare, including an assessment of their inherent advantages and disadvantages in streamlining information and intelligence workflows. he impact of smartphone technologies on consumers and their cumulative financial impact on health provider organizations over the near- and long-term are also included in this analysis. his analysis concludes with a set of recommendations for clarifying and strengthening the role of smartphones in healthcare-related…
Their small, compact size, highly integrated electronics, advanced Wi-Fi and 3G functionality and pervasive software support have transformed smart phones into the most dominant technology platform in healthcare today (Tounsi, Qureshi, 2008). Their advantages include the configurability to support secured and private communication between medical staffs, high degree of customization at the user interface and application level to support specific medical practice requirements and the ability to use them in networked workgroups protected with secured logins (Johnson, 2011). For all of these advantages however, they have just as many drawbacks including the high cost of configuring them for use within a secured hospital network, the costs of support and continual maintenance given how much activity they see in hospital and healthcare uses and the need to ensure a very high level of data security and compliance to government requirements (Johnson, 2011). Healthcare providers are relying increasingly on Virtual Private Networks (VPNs) to secure smartphone, tablet, laptop and Wi-Fi traffic throughout their treatment care centers and facilities, with many using VPNs across their entire campus locations (Tounsi, Qureshi, 2008). Despite these limitations, smartphones continue to proliferate throughout many of the areas of healthcare that need to have scalable, secured platforms for managing employee data and records.
Impact on Consumers of SmartPhone Technology
Significant and growing quickly, the impact of smartphones on consumers continues to accelerate. As of the beginning of 2012 there are over 60 different Google Android-powered smartphones
Despite of the receipt of federal funding to assist in the set-up of an insurance exchange program, the Minnesota legislature is not cooperating with the Governor Drayton's plans to design a program. Instead, in a classic example of partisan politics, the legislature is going forward with its own plans to design an exchange program. In doing so, the legislature is placing the State of Minnesota in a position of possibly losing the grant provided by the federal government. According to the grant provisions, the state must show it can operate an effective exchange program by the end of calendar year 2012 or the federal government under the terms of ACA will impose a one size fits all exchange on the state. Even the state's most conservative political groups oppose this happening and advocate that the state's executive and legislative branches cooperate in formulating an acceptable state exchange program.
Berkel, Jessica Van. "HCMC fights back against Pawlenty's GAMC Cuts." 3 December 2009. Minnesota Daily . http://www.mndaily.com/2009/12/03/hcmc-fights-back-against-pawlenty%E2%80%99s-gmac-cuts . 7 April 2012.
Gray, Virginia. "Incrementing Toward Nowhere: Universal Health Care Coveragein the States." Publius (2010): 82-113.
Harrington, Scott E. "The Health Insurance Reform Debate." The Journal of Risk and Insurance (2010): 5-38.
Minnesota Department of Human Services. "General Assistance Medical Care." 11 September 2011. http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&Redirected=true&dDocName=id_006257 . 7 April 2012.
Hand-held devices and portable digital assistants (PDAs) are being integrated into the health care setting in the United States. It is important to understand which devices are being used, how they are being used, what they are being used for, and why. Understanding the role that hand-held devices and other portable electronics play in health care can help to inform organizational policy, and help health care administrators better implement electronic medical records.
History of use
The first documented PDA was the Newton MessagePad, issued by Apple in 1993. It was described as being "revolutionary" (Wiggins, 2004, p. 5). Palm, Inc. developed the next big handheld device: the Palm Pilot, in 1996. By the late 1990s, PDAs were equipped for Internet access, and memory capacity and other features improved with each product release. Microsoft also entered the portable electronic devices marketplace in the 1990s. The devices were not yet being…
Alerndar, H. & Ersoy, C. (2010). Wireless sensor networks for healthcare. Computer Networks 54(15): 2688-2710.
Fornell, D. (2008). PDAs bring hand-held solutions to healthcare. Acuity Care Technology. Retrieved online: http://www.soti.net/PDF/PDAsBringHandHeldSolutionsToHealthcare_Article.pdf
Garritty, C. & El Emam, K. (2006). Who's using PDAs? Journal of Medical Internet Research 8(2).
Huang, V.W. (n.d.). PDAs in medicine. Power Point Presentation Retrieved online: https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=2&cad=rja&ved=0CF4QFjAB&url=http%3A%2F%2Fwww.cs.princeton.edu%2Fcourses%2Farchive%2Fspr02%2Fcs495%2Fpda.ppt&ei=xxqAUsq_NtTFqQG25IHwAQ&usg=AFQjCNE4Wf4YrX7slTbcdYJwxujV3rwgog&sig2=Uee9rvdDYwY0uYM33n1ZBg&bvm=bv.56146854,d.aWM
Access to Health Care in USA
This research paper focuses on the degree of accessibility to the health care services in the U.S.A. Accessibility refers to the ability of an individual to meet health care needs and to acquire the needed medical services on time. It then discusses the findings of the research. The suggestions for the elimination of the prevailing problems in the health care system are also given in the preceding paper.
Health Care: Access to Health Care in United States of America
To achieve a long-lasting life and to save oneself from major diseases it is important that people have an easy access to the medical and health care services. Access to the health care services means that individual gets timely health services to attain the best heath results. In other words it refers to the ability of an individual to meet health needs and to acquire…
Albert, R. (2009). The U.S. Health Care Rip-Off. Retrieved May 16, 2013, from http://rendezvous.blogs.nytimes.com/2013/03/03/the-u-s-health-care-rip-off/
Alex, E. (2012). Health Care Access Worsened For Americans Since 2000: Report. Retrieved May 16, 2013, from http://www.huffingtonpost.com/2012/05/07/health-care-access-urban-institute_n_1497658.html
Maria, E. (2012). Benefits of the United States Health Care System. Retrieved May 17, 2013, from http://www.ehow.com/list_7411670_benefits-states-health-care-system_.html
Maryann, B (2011). Health Care Systems: Three International Comparisons. Retrieved May 17, 2013, from http://www.stanford.edu/class/e297c/poverty_prejudice/soc_sec/health.htm
Montefiore Medical Center (MMC): A Case Study
This study reviews a Harvard Business School case on Montefoire Care Centers. The Balanced Scorecard is chosen for the strategic management initiative at Montefoire and the reasons and results of such a choice is reviewed in this case study.
The objective of this study is to answer the question of what were the underlying reasons for the development of a new strategy at Montefiore Medical centre (MMC)? Secondly this study will answer as to how could the strategic direction chosen by MMC be described and what factors likely influenced the chosen direction? This study will compare and contrast the old and the new organizational structures. With reference to the notions of synergy and responsiveness, this study will analyze the advantages and disadvantages or each of these and will explain what is meant by the term causal ambiguity. This work will take the Heart…
Ambrosini, V. And Billsberry (2008) Value Congruence and Its Impact on Causal Ambiguity. 2nd Global e-Conference on Fit. 19th-21st November 2008. Retrieved from: http://www.fitconference.com/2008/fri01.pdf
Michael E. Porter -- The Value Chain (2013) Clint Burdett Strategic Consulting. Retrieved from: http://www.clintburdett.com/process/05_research/research_05_4_valuechain.htm
Montefiore Medical Center (2001) Harvard Business School. 9 Apr 2001.
Porter, ME and Kramer MR (2012) Creating Shared Value. Harvard Business Magazine. Retrieved from: http://hbr.org/2011/01/the-big-idea-creating-shared-value
Adult Day Care Industry
ABC Adult Day Care will be a mid-sized company, which will provide adult day care services to the residents of Boston. This mid-sized adult care facility will serve adults aged fifty years and above. It will provide community-based day health services for the elderly and disabled. Services offered include living assistance, nursing, therapy, meals, and social activities. Their services will be secure and safe, presenting the elderly with an excellent place where their caring services will be met. ABC Adult Day Care will be a privately held organization headed by its founder, Ben Stevenson. Mr. Stevenson has extensive experience in strategic business planning. His advanced knowledge and interest in business are the driving force behind his business. A few employees who have extensive experience in adult care fields will support the daily operations of the facility. With the rising rate of inflation, many American families struggle…
Bryan, C.J., & Rudd, M.D. (2011). Managing suicide risk in primary care. New York: Springer Pub. Co.
Cooper, P.D. (2010). Health care marketing: A foundation for managed quality. Gaithersburg, Md: Aspen Publishers.
Davis, C. & Lynn, J. (2010). Start your own senior services business: Adult day-care, relocation service, home-care, transportation service, concierge, travel service and more. Irvine, Calif.: Entrepreneur Press.
Fitzpatrick, J.J., Glasgow, A., & Young, J.N. (2013). Managing your practice: A guide for advanced practice nurses. New York: Springer Pub. Co.
In conjunction with this core aspect of their marketing strategy of concentrating on delivering exceptional experiences, Providence Portland Medical Center has developed an award-winning outreach programs strategy. The Center funds the Providence Community Grants Council which supports 52 different charities throughout the Portland, Oregon area. The Center has been able to successfully define a marketing strategy based on this approach to Corporate Social esponsibility (CS). As is the case with the continual improvement of internal processes and their support of the marketing process, the Center has also been able to integrate their CS messaging as part of their broader marketing strategies. The reliance of healthcare providers on socially responsible messaging is highly effective when put into the context of CS initiatives that genuinely benefit a community (O'Malley, 2005). Clearly the Center has been able to attain this level of performance as their occupancy rates are on average at 75% or…
Sandy Dancer, Theresa Johnson, Janiece Zauner, & Colleen Burch. (1997). Peer evaluation: A visual picture. Nursing Management, 28(11), 57-59.
Aliza Earnshaw. (2002, July). Providence Oregon seen as leader in technology.
The Business Journal, 19(20), 12.
Preston Gee. (2006, September). The strategic impact of revised DRG payments. Health Care Strategic Management, 24(9), 1, 13-4.
Web Health Care
Located in Wichita, Kansas, Via Christi Health is the agency that serves the eponymous region through the site via-christi.org. Via Christi provides care through hospitals, outpatient centers, senior communities, and in-home care for individuals in Kansas. The services the agency provides a VCMA directory, which encompasses a search for physicians through Via Christi Medical Associates and the Via Christi Clinic, along with the Via Christi Hospitals. Via Christi Medical Associates is a group of fifty family practitioners, while Via Christi Clinics offer family care and immediate care. The thirteen clinics have been in place since 1948, 160 hired physicians, and encompassed 40 specialties. Via Christi agency offers a directory and location of special centers, which includes burn center, cancer care, cardiac care, and cystic fibrosis. As well, there's epileptology, neurosciences, obstetrics and gynecology, and occupational health services. Moreover, individuals are able to look up care for pediatric…
Via Christi Hospitals: VCFM Residency. (n.d.). VCFM Residency. Retrieved December 3, 2011, from http://www.vcfm.net/details/via-christi/
HMR Clinic Program Weight Loss Surgery Weight Loss Class Corporate Wellness HMR at Home Meal Replacements ~ Via Christi Weight Management Wichita Kansas. (n.d.). HMR Clinic Program Weight Loss Surgery Weight Loss Class Corporate Wellness HMR at Home Meal Replacements ~ Via Christi Weight Management Wichita Kansas. Retrieved December 3, 2011, from http://www.viachristiweightmanagement.com/
Via Christi Clinic - Multi-practice medical care in Wichita, KS . (n.d.). Via Christi Clinic - Multi-practice medical care in Wichita, KS . Retrieved December 3, 2011, from http://www.viachristiclinic.com/
Via Christi to open cancer center | Wichita Eagle. (n.d.). Local and breaking news for Wichita and Kansas | The Wichita Eagle and kansas.com. Retrieved December 3, 2011, from http://www.kansas.com/2011/06/24/1906153/via-christi-to-open-cancer-center.html
International Cooperative Healthcare Model
PLEASE WRITE THE SPEAKERS NOTES. I WILL EVELOP THE 15 SLIES FROM THOSE NOTES. THE NOTES MUST SUPPORT THE 15 SLIES. PLEASE USE MY PREVIOUS PAPERS AS RESOURCES IN AITION TO THE BOOKS I HAVE ATTACHE. If you are unsure, please contact me.
Resources: Cooperative elivery Model and Annotated Bibliography assignments; course readings
Address potential challenges to your model in the presentation and the feasibility of using your model as a pilot program that could be expanded to other countries, thereby creating a global service network.
Format any citations and references in your presentation consistent with APA guidelines.
International cooperative healthcare model
Healthcare cooperatives involve many different types of organizations: Nonprofit agencies, Non-governmental organizations (NGO), commercial companies, and government, depending on the political jurisdiction. The cooperative can take many different forms, including purchased or shared services, worker-owned or patient-owned organizations, community owned organizations, or jointly…
Davis, K. (2009, June 22). Cooperative Health Care: The Way Forward?, The Commonwealth Fund. [Blog]. Retrieved http://www.commonwealthfund.org/Content/Blog/Health-Cooperatives-The-Way-Forward.aspx
International Health Co-operative Organization (IHCO), International Co-operative Alliance (ICA). (2011). [Web]. Retrieved http://www.ica.coop/ihco/newsanddoc.html
The Zambia Prevention, Care, and Treatment Partnership: A Model Program. (2008). U.S. President's Emergency Plan for AIDS Relief, U.S. Agency for International Development (USAID) Retrieved http://www.fhi.org/NR/rdonlyres / etkgr3honbl4chb7p5mxtcbioozlrk2pmfxctmfcu2ozsmunapqkvxdblxk4wtme6ij7xpj3thdfik/ZPCTModelProgramReportHV1.pdf
Hnc Social Care
I am an Hnc SocialCare Student currently on placement within a day care center for older adults. I have experienced an incident in which challenging behavior was an issue. The following essay will detail this incident.
I had been with my current day care center for roughly a year. The center cared for older adults primarily with conditions including dimentia and alzheimer's disease. I was called into my supervisor's office and notified that we were taking on a new patient. The patient was in their 40's and had down syndrome. Our center was offering respite nighttime care. This was to be my first time caring for a down syndrome patient, so I was unsure what to expect.
The patient arrived for care the next evening. We were offering the family overnight relief care. Apparently the young man does not sleep well and often wakes up during the…
Loveland, Katherine; Michelle, Kelley (1988). "Development of Adaptive Behavior in Adolescents and Young Adults with Autism and Down Syndrome." American Journal of Mental Retardation. Volume 93 (84-92).
Heron, Gavin (2006). "Critical Thinking in Social Care and Social Work: Searching Student Assignments for the Evidence" Social Work Education. Volume 25.3 (209-24).
Dumas, Jean; et al. (1991). "Parenting stress, child behavior problems, and dysphoria in parents of children with autism, down syndrome, behavior disorders, and normal development." Exceptionality: A Special Education Journal. Volume 2.2 (97-110).
Dykens, Elisabeth M.; Kasari, Connie (1997) "Maladaptive Behavior in Children With Prader-Willi Syndrome, Down Syndrome, and Nonspecific Mental Retardation." American Journal on Mental Retardation: Volume 102.3 (228-37).
In fact Congress should pass a bill that gives that prescription drug benefit to Medicare patients.
QUESTION NINE: In the United States, healthcare is so expensive that over 45 million people are without health insurance. It is a broken system, leaving out many people, especially children. Recently the executive branch vetoed a bill that would have provided health insurance to millions of middle and low-income children, indicating a lack of government concern for the well being of the population. Bush said it was too expensive, yet it's not too expensive to continue spending billions on an unpopular war in Iraq. Meanwhile, for the past 45 years, Canada has had a "government-funded, national healthcare system..." based on these five principles, according to www.medhunters.com.One, it is universally available to permanent residents; two, it is comprehensive; three, it is available regardless of income; four, it is "portable within and outside" Canada; and five,…
American Association of Colleges of Nursing. (2007). Fact Sheet: Nursing Shortages.
Retrieved Feb. 7, 2008, at http://www.aacn.nche.edu/media/factsheets/nursingshortage.htm .
Duke, Elizabeth. (2004). Report to Congress. The Critical Care Workforce: A Study of the Supply and Demand for Critical Care Physicians. U.S. Department of Health & Human
Services / Health Resources & Services Administration. Retrieved Feb. 6, 2008, at http://bhpr.hrsa.gov/healthworkforce/reports/criticalcare/cc1.htm.
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…
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.
ole of Family Physician
It is important for us to understand the role of a family physician before we begin our discussion on the importance of family physicians in any health care system of the community. Many reforms have been made in the health care systems of various communities all over the world. Almost all of these reforms lay their focus on the prevention as well as the treatment of any disease along with the promotion of health and management of conditions that have become a chronic problem for the patients. All of these areas are the center of the family physicians and therefore family medicine has a huge role to play in here.
In this paper, we shall look at the current health care system in Libya and see how the government and other organizations like WHO are playing their role to improve the health care system in the…
(2005). Libya country profile. Library of Congress Federal Research Division (April 2005).
(2004). Pfizer Clear Health Communication Initiative. What it Health Literacy? [Online].
(2004). The American Heritage Dictionary of the English Language, Fourth Edition; 2000. [Online].
Kates N. (1997). Psychiatry and family medicine: sharing care. Can J. Psychiatry. Vol. 42:913-14.
Leadership & Management, Health Care
Leadership & Management in Health Care
President Clinton's Secretary of Health and Human Services, Donna Shalala, used to tell a story about her mother, who was 86 at the time but still a full-time attorney representing several clients who lived in nursing homes. She would tell Shalala, "Donna, I don't care whether they are good nursing homes or bad nursing homes, you have to watch them like a hawk" (Cited in White House, 1998, quoted by Hovey 2000, 43). Clinton's presidency was very aware of health care issues, even if it was unable to solve them. Shalala's remarks were delivered at a press conference regarding nursing home regulation; arguably, under the current administration, issues of health care for the aged have gotten more problematical rather than less.
Despite relatively little action regarding health care for the aged by the federal government, there is little…
Fox-Grage, W., & Shaw, T. (2000, April). The crisis ahead in long-term care. State Legislatures, 26, 30. Retrieved June 30, 2004, from Questia database, http://www.questia.com .
Froeschle, M.L., & Donahue, P.M. (1998). Academic health care: Leadership in time of change. Journal of Leadership Studies, 5(4), 60. Retrieved June 30, 2004, from Questia database,
Are healthcare inequalities UK
Defining Health Inequality
The term healthcare disparity or healthcare differences have been defined in a number of ways. Healthcare inequality can be defined as the difference of the health levels of any tow comparable demographic groups within a certain country or a region even when proper healthcare facilities are available. The inclusive incidences include higher rates of mortality as well as morbidity within the people who belong to lower occupational classes and are poorer. These rates are higher as compared to the mortality rates in the people who belong to better occupational classes being richer and more privileged. Second important aspect that has been highlighted in the definitions of healthcare inequality includes increased rates of occurrence of mental healthcare-based issues in people from poor classes.
A number of countries have been highlighted with healthcare inequalities including Canada and UK. Since 1980, the documentation of…
Asthana, S, and Dr. Halliday, J 2006, What works in tackling health inequalities?: pathways, policies and practice through the life course, Studies in poverty, inequality, and social exclusion, The Policy Press.
Barron K. 2009, Health inequalities: written evidence; Volume 422 of HC SeriesPaper (Great Britain. Parliament. (Session 2007-08). House of Commons)) Written evidence, The Stationery Office.
Davies P. 2007, The NHS in the UK 2007/08, 9th edn, The NHS Confederation.
Dowler E. 2007, Challenging health inequalities: from Acheson to choosing health, Health and Society Series, The Policy Press.
It is true, healthcare is not free. Yet, in an environment where so many are uninsured, it is clear that the free market method of private insurance is not working. This is where the Patient Protection and Affordable Care Act comes into play. All tax payers will see an increase in tax rates in order to help provide quality healthcare for the millions of uninsured Americans in need. Still, "the wealthiest 2% of Americans will take the biggest hit," with the majority of average Americans seeing very little increases in their taxes (Cass, 2012). This ultimately means that individuals making more than $250,00 annually will take the brunt of the tax increases. Also, increased taxes on certain activities, like smoking and tanning, will also help allocate funding for the healthcare reform bill. Still, the government is also allowing for greater tax credits "that start in 2014 to help them pay…
Agency for Healthcare Research and Quality. (2010). Disparities in healthcare quality among racial and ethnic minority groups. National Healthcare Quality and Disparities Report. Web. http://www.ahrq.gov/research/findings/nhqrdr/nhqrdr10/minority.pdf
Cass, Connie. (2012). PPACA's tac hikes are coming" Who pays? Life Health Pro. Web. http://www.lifehealthpro.com/2012/08/09/ppacas-tax-hikes-are-coming-who-pays
healthcare has been moving from a total "organic" model to a more holistic viewpoint of the patient and their individual needs. Healthcare professionals have come to realize that within any organization, nothing is ever in isolation. Research has shown us many things that can be improved using the holistic and multi-cultural models, as well as the direction(s) we are suggesting with our new program. Clearly, the empirical research shows us that there are many modifiers that can create illness, modify illness patterns, contribute to healing, and act in a preventative manner (Adler, 1994). This is particularly true when dealing with chronic diseases like AIDS. Specialized AIDS units within a modern healthcare facility offer a team of experts who are familiar with the various permutations of the disease and who have greater responsibility and autonomy within the nursing staff. This should, in theory, increase both objective and subjective outcomes for the…
Adler, N., et.al. (1994), "Health Psychology: Why do Some People Get Sick and Some
Stay Well?," Annual Review of Psychology, 45. http://arjournals.annualreviews.org/oi/abs/10.1146/annurev.ps.45.020194.001305
Aiken, L., Sloan, D. (1997). Effects of Specialization and Client Differentiation on the Status of Nurses: The Case of AIDS. Journal of Health and Social Behavior. 38 (3): 203-22.
Chow, M.k, et al. (2010). The benefits of using a mixed methods approach -- quantitative with qualitative -- to identify client satisfaction and unmet needs in an HIV healthcare centre. AIDS Care. 22-94): 491-98.
Healthcare in Sweden
The healthcare system in Sweden is used as one of the model systems in the world. hen Johan Hjertoqvist from the Timbro Policy Group spoke before the Montreal Economic Institute in 2002, he said, "...you refuse to accept the consumer as an equal partner, you still look upon the client, the patient, as an inferior partner in the relation" and "you deny the need for good working condition when it comes to the staff, etc." (http://www.iedm.org/conference5_en.html).Moreover, he stressed the need to move interests and priorities away from the processes and production organization to "the quality of the outcome for the consumer" (http://www.iedm.org/conference5_en.html).Quality seems to be synonymous with healthcare in Sweden.
Two important characteristics of the Swedish healthcare system are that it is "decentralized and it is run on democratic principles" (http://www.si.se/docs/infosweden/engelska/fs76.pdf).All residents of Sweden are covered by the national health insurance system which covers medical care, pharmaceuticals,…
Fact Sheets on Sweden: The Health Care System in Sweden. Swedish Institute. May 1999. http://www.si.se/docs/infosweden/engelska/fs76.pdf .(accessed 06-27-2003).
Gennser, Margit. "Sweden's Health Care System." http://oldfraser.lexi.net/publications/books/health_reform/sweden.html.
A accessed 06-27-2003).
Hadenius, Stig; Lindgren, Ann. "Sweden: On Sweden Health care." Countries of the World. January 01, 1991.
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…
References Stanhope, M., Lancaster, J. (2004) Community and Public Health Nursing (6th ed.) St. Louis: Mosby.
Government Regulations and Hospice
Government Regulations Affecting Health Care in Hospice
Regulations Affecting Health Care in Hospice
Impact of rules on Hospice services
This paper focuses on how government regulations impact hospice. The paper starts off with an introduction to the hospice system that was revived by a nurse, Cecily Saunders, who then went on to become a physician, establishing one of the first modern hospices. The concept of total pain is explained in some detail. The body of the paper then includes the studies that have been conducted on patients and caregivers in hospice systems as well as on people who died after they were diagnosed with terminal illness resulting in death in six months following the prognosis. The overall conclusion that can be drawn here is that while in Japan there is a marked need for improving the Day hospice system, the American hospice industry…
American Medical Directors Association. (n.d.). White Paper on Palliative Care And Hospice In Long-Term Care. Retrieved March 10, 2012, from American Medical Directors Association: http://www.amda.com/governance/whitepapers/palliative_care.cfm
Carlson, M.D., Morrison, R.S., Holford, T.R., & Bradley, E.H. (2007). Hospice Care: What Services Do Patients and Their Families Receive? Health Services Research, 42(4), 1672-1690.
Centers for Medicare & Medicaid Services. (2008). Medicare and Medicaid Programs: Hospice Conditions of Participation; Final Rule. Federal Register, 73(109), 32088-32220.
Christakis, N.A., & Escarce, J. j. (1996). Survival of Medicare patients after enrollment In hospice programs . The New England Journal of Medicine, 172-179.
the Allied health care staffing agency is a staffing agency that focuses on the niche of the nursing jobs within the healthcare industry in Chicago
The Allied healthcare staffing agency works to recruit registered nurses belonging to all medical Specialties, Practical Nurses that are licensed also called LPNs, Nursing Assistants that are certified also called CNAs and Specialists from the allied health sciences. These professionals would be hired both from the area of the metro city as well as the suburbs and placed within the hospitals, the neighborhood medical centers, Adult care facilities, clinics, and rehabilitation centers.
The mission of the Allied Healthcare Staffing Agency is to provide the best opportunities of employment both to its collaborators which are the local healthcare organizations as well as serving the entire nursing community to provide amply amount of job opportunities to choose from in a time when the turnover of…
Bureau, U.C. (2000). Census 2000 Demographic Profile Highlights:. chicago illinois, fact sheet .
commerce, U. d. (2010). bear facts, state illinois. bureau of economic analysis .
directory, a. h. (2010). free stats & national stats. Retrieved september 7, 2011, from american hospital directory: www.ahd.com
Lindberg, R.C. (1991). To Serve and Collect: Chicago Politics and Police Corruption from the Lager Beer Riot to the Summerdale Scandal. chicago: praeger publications.
Personal Healthcare Technology
Sunrise Hospital and Medical Center and the Sunrise Children's Hospital
The Sunrise Hospital and Medical Center, which includes the Sunrise Children's Hospital, is an approximately 55-year-old facility located in Southern Nevada; it serves the greater Las Vegas area and the surrounding communities. The Sunrise Health and Medical Center is proud of its quality initiatives to ensure patient safety and comfort, including direct approaches to pharmaceutical safety such as safe medication dosing via smart pump technology, and bar coding on medications. As well, the Sunrise Health and Medical Center does not discriminate with respect to HIV / AIDS or in any manner related to employment, program participation, admission and/or treatment.
Sunrise has been rated as the most popular area hospital for 15 years in patient surveys. As well, Sunrise Health and Medical Center has developed community outreach programs for health education in a variety of areas, often based…
Appari, A., & Johnson, M.E. (2010). Information security and privacy in healthcare: Current state of research. International Journal of Internet and Enterprise Management, 6 (4), 279-314. Retrieved from http://www.ists.dartmouth.edu/library/501.pdf
Ayanian, J.Z., & Weissman, J.S. (2002). Teaching hospitals and quality of care: A review of the literature. The Milbank Quaterly, 80(3), 569-593. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2690120/pdf/milq0080-0569.pdf
Baker, J.J., & Baker R.W. (2000). Health care finance: Basic tools for nonfinancial managers. Gaithersburg, MD: Aspen
Byington, R., Keene, R., Masini, D. (2006). The impact of federal and state funding levels on strategic decisions and how those decisions affect patient care. The Internet Journal of Healthcare Administration. (4)2. Retrieved from https://ispub.com/IJHCA/4/2/5827
Trust and transparency with the public. Given the leadership position that Methodist Healthcare has it is imperative that it cultivate trust as a core part of its branding strategy with the public segments and audiences it serves.
Financial management and cost controls in place and integrated new IT system and architecture. This is a major critical success factor for Methodist Healthcare to aggressively pursue as it moves to create a more unified approach to financial management across its many medical specialty areas.
Strategic Objectives of Methodist Healthcare
The following are the strategic objectives of Methodist Healthcare. For each of these objectives a strategy for each objective's accomplishment is provided below:
To clearly differentiate Methodist Healthcare in the market
Strategies for accomplishing this objective:
While this first objective is very broad, Methodist Healthcare needs to define who they are different for. Uncovering the unmet needs of physicians is a first step,…
The research thus concludes the essence of having quality and effective legislation addressing the aspects of overall oral health of the people.
Additionally, the Canadian Dental Association also relates several issues of the overall body health to the oral health of the individual. In view of the article on the relation "oral health -- good life," the article gives information on the essence of good oral health, indicating some of the illnesses of ill oral health (Chattopadhyay, 2011). In this article, the relation between the ill oral health and the overall health of the body is that the mouth is the ingress to the body. Therefore, an individual with ill oral health is at the highest risk of having infection that affects the whole body system severely. According to this article, it emphasizes the need for dentists-patient relation as the dentists is the only person with the skill, expertise and…
Chattopadhyay, a. (2011). Oral health epidemiology: Principles and practice. Sudbury, Mass:
Jones and Bartlett Publishers.
Ramseier, C.A., & Suvan, J.E. (2010). Health behavior change in the dental practice. Ames,
he research was conducted in 40-day care centers located in Baltimore County. A total of 510 newly admitted Alzheimer patients agreed to participate in the study and filled out the questionnaire during their first visit to the day care center. A follow-up survey was conducted two months later using the same instrument.
Study participants also completed an instrument designed to identify barriers preventing community services from being utilized, from the perspective of patients and caregivers. he instrument also assessed whether access to community services impacted the patient's quality of life.
he research design was based on the rans-heoretical Model (M), which assumes that individuals will differ significantly in how motivated and ready they are to change their health-related behaviors (Prochaska, and Diclement, 1983). his research design has been used by a number of researchers to investigate the association between barriers to healthcare services and quality of life measures…
The research design was based on the Trans-Theoretical Model (TTM), which assumes that individuals will differ significantly in how motivated and ready they are to change their health-related behaviors (Prochaska, and Diclement, 1983). This research design has been used by a number of researchers to investigate the association between barriers to healthcare services and quality of life measures (e.g., Skevington, Day, Chisholm, and Trueman, 2005). The hypothesis proposed here is that TTM is a valid research model for understanding the barriers that are preventing minority AD patients and their caregivers from accessing community AD services, as well as understanding the impact these barriers have on the psychological and social status of patients.
There are six stages of behavior change viewable through the TTM lens: (1) pre-contemplation of change, (2) contemplating change, and (4) preparation for changing (engaging sporadically in change behavior), (5) action (regular, but recent change activity), and (6) maintenance (long-term commitment to change activity) (Prochaska, and Diclement, 1983). Most AD patients would be expected to fall into the categories between preparation and action
Individuals who met the inclusion criteria and agreed to participate in the study were asked to complete a
..above all - its situation." (Ibid)
II. Leadership Strategy for Transition or Change
Watkins proposes 'Five Fundamental Propositions' in his work and the first is which that the "root causes of transition failure always lie in a pernicious interaction between the situation, with its opportunities and pitfalls, and the individuals with his or her strengths and vulnerabilities." Or otherwise stated no superheroes exist and the leadership is not a complete failure but the combination of the two determine the direction of the organization. The second proposition is that "there are systematic methods that leaders can employ to both lessen the likelihood of failure and reach the breakeven point faster." (2003) There are however proven and reliable methods that leaders must use to ensure success or at least minimize possibilities leading to failure. Third Watkins proposes that "overriding goal in a transition is to build momentum by creating virtuous cycles that…
Watkins, Michael (2003) The First 90 Days: Critical Success Strategies for New Leaders at all Levels. Harvard Business School Publishing 2003. Team Lib ISBNB: 1591391105.
Healthcare Leadership and Strategy in the Clinical Audit Unit for Healthcare
constitute itself as a business plan for a heart hospital, with a determine goals to establish the main factors and outcomes that may determine both the outlet's utility and its success as an economic entity. We will aim to analyze the reason for investing in a heat hospital, the financial assumptions we are dealing with, as well as the risks associated with such a project.
From the very beginning, we need to point out towards the distinct specificity that such a business project implies. When referring to the specificity of a heart hospital, we tend to include it in the larger category of healthcare facilities, where a distinct approach is needed in order to correctly blend the two different levels of description we will describe below.
First of all, any healthcare centre and a heart hospital in particular is designed to help the patients improve their health condition. As such,…
1. CDC/NCHS. American Heart Association 2001-2004. On the Internet at http://www.americanheart.org/presenter.jhtml?identifier=1200026
2. American Heart Association. 2004. On the Internet at
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…
Anxiety, poor school performance and suicidal conduct have been among the frequent signs of sexual abuse. Excessive masturbation and other unusual sexual activities are also associated with sexual abuse. Symptoms of emotional abuse, on the other hand, are loss of self-esteem, sleep disturbances, headaches or stomach aches, refusal to go to school and running away from home. Neglect can be more visibly detected when the child's normal physical, social, emotional and mental development is hampered. Symptoms can be underweight, slower acquisition of language skills and emotional neediness. Child abuse inflicts lifelong consequences (aker 1999). These include poor school work, emotional problems, the formation of an antisocial personality, promiscuity, drug or alcohol abuse and suicide attempt. Abused children often find difficulty in establishing intimate relationships as adults (aker).
The economic, cultural, and social revolution 50 years ago changed the scenario for everyone. Young women joined the workforce even when they became…
Baker, H. (1999). Child abuse. 3 pages. Encyclopedia of Medicine: Gale Encyclopedia of Medicine.
Bower, B. (1996). Mom-child relations withstand day-care attachment behavior in infants. 3
Pages. Science News: Science News Service, Inc.
Grooms, a. (2007). Quality child care expensive. 2 pages. La Crosse Tribune: ProQuest
Arroyo Fresco Community Health Center Case Study
Organization Strategy for Arroyo Fresco Community Health Center
This paper analyzes the major strategic challenges that are confronted by Arroyo Fresco Community Health Center. In addition to that, this paper also develops a new strategy for the organization and puts light on the action plans that would be followed for the attainment of the new strategic goals.
Arroyo Fresco Community Health Center Case Study
Arroyo Fresco community health center is a community healthcare center. The organization operates in western Arizona, where it has 11 clinics and 4 mobile service vans. In the year 2005, the organization generated total revenues of around 29.7 million dollars. The organization has a total of 254,137 visits. Out of these 254,137 visits 192,403 were medical visits, whereas, the remaining 61,734 were dental visits. (Staff Members of…
Staff Members of the Community Clinics Health Network, (2008). Strategic Plan -- Arroyo Fresco Community Health Center (1st ed., p. 1). San Diego: Community Clinics Health Network.
Staff Members of the National Institute of Standards and Technology, Technology Administration, Department of Commerce, Baldrige National Quality Program,. (2006). Arroyo Fresco Community Health Center Case Study (1st ed., pp. 1-48). Gaithersburg: National Institute of Standards and Technology, Technology Administration, Department of Commerce, Baldrige National Quality Program.
Staff Members of the National Institute of Standards and Technology, Technology Administration, Department of Commerce, Baldrige National Quality Program,. (2006). Arroyo Fresco Community Health Center Feedback Report (1st ed., pp. 2-44). Gaithersburg: National Institute of Standards and Technology, Technology Administration, Department of Commerce, Baldrige National Quality Program.
Toyin Babalola, B., Diallo, I., & Gund, S. (2010). Arroyo Fresco _Community Health Center: Enhancing the FOCUS model (1st ed., pp. 3-25). Retrieved from http://s3.amazonaws.com/ppt-download/finalppafpresentation11202011-13218364460251-phpapp01-111120184846-phpapp01.pptx-response-content-disposition=attachment&Signature=SHUt%2FhmZJMiDXlaW%2B1zATNd9W7s%3D&Expires=1405754773&AWSAccessKeyId=AKIAI6DXMWX6TBWAHQCQ
Growing health care expenditure contributes greatly to the American government’s financial wellbeing. Citizen burden when it comes to funding these expenses, in the form of growing taxes and increased long-term loans, constitutes the chief effect of this upsurge in governmental health expenses. Dealing with this issue necessitates active participation of every healthcare worker in process map creation and estimation of resource expenses surrounding patient treatment throughout the care cycle. Suggestions for curbing growing healthcare expenses include avoiding preventable ailments and bringing about healthcare value improvements through the: 1) Elimination of needless process and process variations which fail to add value; 2) Delivery of appropriate processes at appropriate places, with relevant clinical capabilities suited to the processes; 3) Quicker cycle time; 4) Optimization over the complete care cycle; and 5) Reimbursement reinvention.
Tackling health care is one of the most significant economic issues in America today. The Brookings Institute…
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…
Adult Daycare for Patients with Alzheimer's Disease
Barriers to Daycare Utilization:
Fortinsky, Richard H., Kulldorff, Martin, Kleppinger, Alison, and Kenyon-Pesce, Lisa. (2009). Dementia care consultation for family caregivers: ollaborative model linking an Alzheimer's association chapter with primary care physicians. Aging & Mental Health, 13(2), 162-170.
The study by Fortinsky et al. (2009) discusses some of the obstacles standing between family caregivers and the admission of their patients to daycare nursing communities. The purpose of the research is to evaluate strategies that might improve the willingness of family caregivers to work with these community services. In a consultation with 84 family caregivers, the study aims to determine what strategies might raise confidence in the capabilities of such services. Additionally, the study seeks to evaluate the responses of primary caregivers to the outcomes produced by this type of intervention. A third objective of the study would be to determine how successfully…
Cantegreil-Kallen, Inge, Turbelin, Clement, Angel, Pierre, Flahault, Aantoine, and Rigaud, Anne-Sophie. (2006). Dementia management in France: Health care and support services in the community. Dementia, 5(3), 317-326.
As study of community-based Alzheimer's support services in France lends greater insight into the obstacles preventing the optimization of care. According to the study by Cantegreil-Kallen (2006) et al., France provides a state-administered network of community-based services available to individuals suffering from Alzheimer's or dementia related to aging. While this federal oversight provides regulatory consistency and quality control, it may also be impeding the fullest possible effectiveness of community-based service contexts. According to the study in question, "Although GPs acknowledged carers' need for emotional support, only minimal levels of other interventions such as day care (12%) and psychotherapeutic interventions (12%) were prescribed. Reasons for under-use included non-availability and carers' reluctance to undergo psychotherapy. Lack of integrated community care services, insufficient information on services, lack of collaboration between health professionals and the frequent absence of a reliable carer were considered the most important barriers to the effective support of people with dementia in primary health care settings." (p. 317)
This confirms the general observation drawn from the preset research that while there are clear benefits to the employment of any form of daycare, community agencies often lack the resources or protocol to ensure that patients are given the best opportunity for the improvement of faculties as well as the improvement of long-term health outcomes.
When any organization requires a debt, the organization has to first judge its own position, and there may be deals with the supplier to get a deal that will satisfy everybody. (Considering Alternatives to Bankruptcy) This is not possible when the supplier is a large organization, but it is always worth a try. The next alternative is to try to reduce the payments to a level where the hospital may pay without any difficulties, and some organizations may accept this considering that it is a method through which they will be able to service their own judgment of their social obligations at the cost of the profits on which they will have to pay out a large share as taxes to the government any way. For all these methods to be tried it is better to have associates with the organization who have gone on this route before…
'Considering Alternatives to Bankruptcy" Retrieved from http://www.dummies.com/WileyCDA/DummiesArticle/id-1780,subcat-PERSONAL.html Accessed on 25 June, 2005
Huber, Matthew T. "Developer-Owned Projects Help Hospitals Meet Capital Demands"
Retrieved from http://www.cnybj.com/hcpart_fullstory.cfm?article_id=2490& ; return=stay Accessed on 25 June, 2005
"Preparing a business case" Retrieved from http://www.health.vic.gov.au/borrowing/case.htm Accessed on 25 June, 2005
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…
alph Peterson, CMH:
There are a number of solutions to the current problem of City indigents frequenting the ED that CMH is now experiencing because of City Hospital's diversion. City cannot afford to treat all of the indigents and neither can we. However, there are a number of steps that we could take to solve this problem. In this memo, I will list and describe these steps. Below is a brief bullet point outline of what I propose.
People who come to the ED regularly go there because they believe it is the only place they can receive primary care. In some cases, it is. This does not mean, however, that CMH must bear the burden of this cost. Even though the problem is that the indigents are unable to pay for their care, there are several options available for relieving this burden and helping these indigents at the same…
CNNMoney. (2013). Who loses out under Obamacare? CNNMoney. Retrieved from http://money.cnn.com/2013/07/25/news/economy/obamacare-medicaid/
DeLia, D., Cantor, J. (2009). Emergency department utilization and capacity. The Synthesis Project Research Synthesis Report, 17: 1-32.
Goodell, S., DeLia, D., Cantor, J. (2009). Emergency department utilization and capacity. The Synthesis Project Policy Brief, 17: 1-6.
Examine the need in the organization for your proposed change
The change aims at transforming the pharmacy of the organization to avail prescription medication to our clients at reduced cost compared to the existing rates, and invest in the latest technology-based medicines. Complaints have been rife with regard to the high pricing of our medicines compared to the prices offered at other healthcare centers. Therefore, there is need to control the prices of our medicines. The latter intention can be realized with careful maintenance of efficiencies in operations by targeting specified market segments, i.e. the patients who pay for their prescription medicines from their pockets. For instance, we would streamline cash flow disruptions associated with delays in insurance compensation. We can also discontinue unwanted services to the repeat customers who are already knowledgeable and on maintenance medications. Furthermore, if we ensure that the drugs are made with the…
Weiner, B. J. (2009). A theory of organizational readiness for change. Implementation Science, 4(1), 1.
Murillo, M. (2010). Trends affecting healthcare. Retrieved October 27, 2016, from http://www.healthadministrationdegrees.com/articles/trends-affecting-healthcare/
Snapshots: How changes in medical technology affect health care costs. (2007, March 2). Retrieved October 27, 2016, from http://kff.org/health-costs/issue-brief/snapshots-how-changes-in-medical-technology-affect/
How to change practice. (2007). Retrieved October 27, 2016, from https://www.nice.org.uk/media/default/about/what-we-do/into-practice/support-for-service-improvement-and-audit/how-to-change-practice-barriers-to-change.pdf
Trends in regulation of Healthcare reform with the potential for the most positive effect on care quality, sustainability of organizations and why they are so important
Reforms in payments, anchored on recent patterns in the private and public sectors are needed to support high quality interventions that matter to patients. Medicare has moved towards payments that are aimed at person-level healthcare. Such measures include DRG payments and penalties that have been recently applied for readmissions, person-level payment remissions in the Accountable Care Organization, Person level payment remissions in the Medicare Advantage program, reforms such as the Medicare Shared Savings Program, present and past pilot episode payments and the Pioneer pilot plan. However, Medicare payments are largely based on fees for service. Although the quality interventions at person level sought currently are not ideal, patients and providers can still gain from the change of their payments drawn from fee-for service.…
All these professionals work together in order to establish a
rehabilitation plan that works best for each individual. The component
members of the team are subject to change in accordance with each
individual's needs and requirements. Also, the center holds
The Palm Gardens Center does not use volunteers in its activity. The
reason behind this choice relies on the fact that this center is a for
profit organization. All the individuals employed here are paid. Most of
them work full time, but there are also part time employees.
In management's opinion, it is not a good idea to use volunteers,
because people that are not financially motivated tend to not perform their
tasks as good as they are supposed to. Basically, if one wants something
done properly, the activity in cause must be remunerated in accordance.
The Palm Gardens Center is very involved in the life of the…
1. Mission (2005). The Palm Gardens Center. Retrieved March 25,
2009 from http://www.palmgardenscenter.com/ .
2. Staffing Information (2009). UCompareHealthCare. Retrieved
March 25, 2009 from
3. Palm Gardens Nursing Home, Brooklyn, NY (2009). Hospital Data,
Hospitals and Nursing Homes Profiles. Retrieved March 25, 2009
Children with AIDS
The Centers for Disease Control estimate there were 217 children with HIV below the age of 13, in 2010 in the 46 states. The report indicates that seventy-five percent of these were infected prenatal. By the end of 2009, approximately 10,834 people diagnosed with HIV at the age of 13 and below, were living with confidential, long-term name-based HIV reporting. Of the prenatal infections, 63% were from the African/Black community, 22% were Latino/Hispanics, and 13% were whites. The CDC estimates that the number of new children infected will increase by 30%. This is because the number of women giving birth in the U.S., with HIV increase at a rate of 30% in 2006. New York has the highest number of children with AIDS in any area of the U.S., as half of the children diagnosed with HIV / AIDS in the country reside in the…
Holmes, A.M., Ackerman, R.D., Zillich, A.J., Katz, B.P., Downs, S.M., & Inui, T.S. (2008). The Net Fiscal Impact of a Chronic Disease Management Program: Indiana Medicaid. Health Affairs, 27(3), 855-864.
Peters, V.B., M.D., Liu, K., Robinson, L., Dominguez, Kenneth L, M.D., M.P.H., Abrams, E.J., M.D., Gill, B.S., PhD., & Thomas, P.A., M.D. (2008). Trends in perinatal HIV prevention in New York City, 1994-2003. American Journal of Public Health, 98(10), 1857-64.
Schackman, B.R., Gebo, K.A., Walensky, R.P., Losina, E., Muccio, T., Sax, P.E., Weinstein, M.C., Seage, G.R. III, Moore, R.D., & Freedberg, K.A. (2006). The lifetime cost of current human immunodeficiency virus care in the United States. Medical Care, 44(11), 990-997.
Evolving Practice of Nursing and Patient Care Delivery Models
How the Practice of Nursing is Expected to Grow and Change: The Future of Nursing has a few healthcare delivery challenges unique to it, but there are several such issues that commonly occur in other nations, as well. Population aging is one issue that generates demand for increased healthcare services. A growing number of individuals, from all age groups, suffer from chronic illnesses; about 50% of U.S. citizens have been diagnosed with arthritis, diabetes, cardiovascular diseases, mental disorders, and hypertension (Reinhard & Hassmiller, n.d.).
A 2009 report by the AARP (American Association of Retired Persons) pertaining to chronic problems notes that patients and caregivers have firsthand experience of the absence of patient care-related coordination amongst healthcare workers, typically leading to needless repeat hospitalizations, repeat procedures and examinations, and arduous hospital-to-home moves. An acute dearth of professionals (such as nurses) is being…
ANA. (2011). ADVANCED PRACTICE NURSING: A NEW AGE IN HEALTH CARE. American Nurses Association, 1-7. Retrieved from: http://www.nursingworld.org/FunctionalMenuCategories/MediaResources/MediaBackgrounders/APRN-A-New-Age-in-Health-Care.pdf
Reinhard, S., & Hassmiller, S. (n.d.). The Future of Nursing: Transforming Health Care. AARP Internation: The Journal. Retrieved from: http://journal.aarpinternational.org/a/b/2012/02/The-Future-of-Nursing-Transforming-Health-Care
Ridge, R. (2011). Future of Nursing special: Practicing to potential. Nursing Management, 32- 37. Retrieved from: http://www.nursingcenter.com/journalarticle?Article_ID=1176058
Wilson, A., Whitaker, N., & Whitford, D. (2012). Rising to the Challenge of Health Care Reform with Entrepreneurial and Intrapreneurial Nursing Initiatives. The Online Journal of Issues in Nursing. Retrieved from: http://nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-17-2012/No2-May-2012/Rising-to-the-Challenge-of-Reform.html
hospitals with regard to postmortem care. In particular, the procedures used in postmortem care involve methods for appropriate care of the body after death, sensitive and appropriate notification of death to the significant other and family, as well as notification to the coroner. The various departments within hospitals have different criteria regarding policies and procedures pertaining to postmortem care. The following outlines the procedures generally followed as well as policies followed with regard to postmortem care within different departments of the Louisiana State University Health Sciences Center.
Following the death of a patient, a final nursing assessment is generally performed including documentation regarding several details pertaining to the patient's death. These details include: the name of the patient, time that the physician was contacted, and the pronunciation of death; individuals present at the time of death, including family, friends, and healthcare workers; the time of the assessment; general appearance of…
Lousiana State University Health Sciences Center -- Shreveport. (2011). Post-mortem care. Hospital Policy Manual. Retrieved 10 March 2012 from http://www.sh.lsuhsc.edu/policies/policy_manuals_via_ms_word/hospital_policy/h_5.40.0.pdf.
American Society of Registered Nurses (2008). Postmortem care. Nursing Today. Retrieved 10 March 2012 from http://www.asrn.org/journal-nursing-today/310-postmortem-care.html.
Doggie Day Care
Launching a new doggy day care business in an upper-income area of the community requires a careful analysis of costs, pricing strategies, a clear strategy for pricing promotions and a well-defined series of profitability goals. The intent of this introduction is to evaluate the costs and pricing strategies of the proposed business.
Overall Cost Analysis
The most significant fixed costs for the doggie day care clinic include the following:
Lease for the facility
$2,000/month (for a facility with a dog run)
$100/month (anticipate heavy water usage)
$3,500/month (burdened cost w/insurance for two staff members with veterinary training)
$1,000/month (dog food, materials for care)
$200/month (incudes liability)
With the assumption that 50 dogs being in day care initially this puts the breakeven point at $136 per dog, per month. With the goal of 100 dogs boarded per month being…
Chao, Hung-Po, & Wilson, Robert. (1987). Priority Service: Pricing, Investment, and Market Organization. The American Economic Review, 77(5), 899.
Tim Matanovich. (2003). Reaching the right purse strings. Marketing Management, 12(5), 12-13.
Sundborg et al. (2012) conducted a quantitative study, which examined the preparedness of nurses to provide care for women who are exposed to intimate partner violence (p.1). The study was carried out on the premise that intimate partner violence (IPV) has significant effect on women's health. Therefore, nurses need adequate preparations to identify such victims and provide suitable interventions. While the study provides significant insights relating to nurses' preparedness in handling such patients, there are some drawbacks associated with it as demonstrated in this critique.
The sample for this study was randomly selected from the 174 primary health care centers that employ approximately 1,200 active nurses in Stockholm County (Sundborg et al., 2012, p.3). Since the sample was selected randomly, a probability sampling method was utilized by the researchers. Every individual in the sampling population had equal chance of being included in the study. The results from this sampling method…
Sundborg, E.M., Saleh-Stattin, N., Wandell, P. & Tornkvist, L. (2012, January 10). Nurses' Preparedness to Care for Women Exposed to Intimate Partner Violence: A Quantitative Study in Primary Health Care. BMC Nursing, 11(1), 1-11.
NURSE Corps Mission in Providing Care to Under-Served Communities
A number of factors potentially contribute to lack of an adequate healthcare workforce in particular communities. Issues such as salary potential, cultural climates and lifestyle preferences may drive professionals to other communities. Penury-ridden civic populations and other such concerns may explain the inadequacy of healthcare service access and delivery in such underserved places. Via the NURSE Corps Scholarship initiative, we will be able to offer underserved populations more equitable healthcare services. Healthcare providers' commitment to serving people hailing from disadvantaged locales can help fill some gaps evident in this critical area.
I would personally contribute to the Initiative's mission by pledging to play the role of a nurse in any one critically short-staffed healthcare facility after graduating. It is imperative for us to meet patient care and nursing standards on some general ground. Through collaboration, we will be able to rectify…
Healthcare is one of those industries and fields of work where the promotion of innovation and change management is key. It is also one of those fields where managing that change through tried-and-true practices such as evidence-based practice and so forth is a must. One change that is changing nursing a lot, especially when it comes to the advanced levels of nurses, is the flattening of the hierarchy that typically exists when it comes to what nurses are allowed to do, what they are expected to do and what they must do. Whether it be the aging of the population, the shortage of some types of doctors (or doctors in general) or general access to quality care for patients in general, there is often a distinct reason for the need and thus the prior mentioned need for innovation and proper change management in the nursing field is necessary…
Bassett, E. (2010). Doctors face cash flow problems with Medicare. Fort Worth Business
Press, 22(47), 29.
Delgado, C., & Mitchell, M. M. (2016). A Survey of Current Valued Academic Leadership
Qualities in Nursing. Nursing Education Perspectives, 37(1), 10-15. doi:10.5480/14-1496
INTERPROFESSIONAL TEAMS AND TEAM-BASED DELIVERY OF HEALTH CARE
Specific qualities are possessed by the most effective team members. I possess many of those qualities but need improvement in one area in particular. Certainly, my nursing training and professionalism contribute considerably to the team, despite my shortcomings. In fact, our team possesses many desirable qualities and works reasonably well, though the team needs improvement in some areas, particularly regarding one of our team members.
Assess the team qualities you have mastered thus far in your career and those you feel need further development.
According to Mitchell et al., the qualities possessed by the most effective team members are: honesty; discipline; creativity; humility and curiosity (Mitchell, et al., 2012, p. 5). I am an honest team member who highly values competent communication among my team members, including transparency about goals, choices, ambiguity, and errors, particularly because honesty is vital for mutual…
Kowalski, K. (2015). Building teams through communications and partnership. In P. S. Yoder-Wise, Leading and managing in nursing, 6th edition (pp. 321-345). St. Louis, MO: Mosby, Inc.
Mitchell, P., Wynia, M., Golden, R., McNellis, B., Okun, S., Webb, C. E., . . . Von Kohorn, I. (2012, October). Core principles & values of effective team-based health care. Retrieved July 25, 2016 from www.nationalahec.org: https://www.nationalahec.org/pdfs/vsrt-team-based-care-principles-values.pdf
Organ transplant recipients are more susceptible to cancer due to oncogenic viral infections and immunosuppression. What is the overall pattern of cancer following an organ transplantation?
Cancer is a major adverse outcome of solid organ transplantation.2 Previous studies have demonstrated an overall 2- to 4-fold elevated risk of cancer.3- 11 Excess risk is largely due to immunosuppression, with a spectrum of cancer resembling that seen with human immunodeficiency virus (HIV) infection, another immunosuppressing condition.11 isks are especially high for malignancies caused by viral infections, including non-Hodgkin lymphoma and Hodgkin lymphoma (both due to Epstein-Barr virus [EBV]), Kaposi sarcoma (human herpesvirus 8), anogenital cancers (human papillomavirus), and liver cancer (hepatitis C and B viruses). Certain other malignancies such as cancers of the lung, kidney, skin, and thyroid also are increased in transplant recipients. Linkage of population-based transplant and cancer registries from the same geographic region can allow for systematic ascertainment of…
Engels, E.A., Pfeiffer, R.M., Fraumeni, J.F., Kasiske, B.L., Israni, A.K., & Snyder, J.J. (2011). Spectrum of Cancer Risk among U.S. Solid Organ Transplant Recipients. JAMA, 306(17), 1891-1901. doi:10.1001/jama.2011.1592
Saaristo, T., Moilanen, L., Korpi-Hyovalti, E., Vanhala, M., Saltevo, J., Niskanen, L. . . . Keinanen-Kiukaanniemi, S. (2010). Lifestyle intervention for prevention of type 2 diabetes in primary health care: one-year follow-up of the Finnish national diabetes prevention program (FIND2D). Diabetes Care, 33(10), 2146-2151. Doi:10.2337/dc10-0410
Sperling, R.A., Aisen, P.S., Beckett, L.A., Bennett, D.A., Craft, S., Fagan, A.M., . . . Phelps, C.H. (2011). Toward defining the preclinical stages of Alzheimer's disease: Recommendations from the National Institute on Aging-Alzheimer's Association workgroups on diagnostic guidelines for Alzheimer's disease. Alzheimer's & Dementia,7(3), 280 -- 292. doi:10.1016/j.jalz.2011.03.003