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Obama Care Plan
Health care is undergoing a dramatic transformation and needless to say it is one of our largest industries that contribute handsomely to the Gross Domestic Product, greater demands are placed for the value of dollars that are being spent to provide for healthcare services to patients. Now-a-days, in this ever demanding environment marketing as a discipline is being practiced (Berkowitz, October 2010)
In early days it was a great debate that whether marketing should be practiced in a profession or not. Recent trends have shown that in order to provide for patients there needs to be an effective marketing team. In modern era, the consumers are not only able to access information but they are also able to communicate their experiences of healthcare services via comprehensive social networks i.e. with other people online on the internet or out on the streets. The eb provides a platform where…… [Read More]
Holistic Nursing Care Plan for Terminally Ill Patient
The objective of this study is to create a holistic nursing care plan for a terminally ill patient. This study will explain how perceptions about quality of life and health promotion might affect care for a dying patient with a lingering illness such as cancer and discuss strategies that could be used in the situation to improve the quality of life for the patient and her husband during this illness.
It is important that the nursing care plan for the terminally ill includes the reassurance that the patient will not be abandoned and that the nurse assist the patient in discussing their care wishes and goals. To assist patients such as the patient in this scenario it is important to understand the concepts and elements of end-of-life care and that the nurse be a skilled practitioner of the nursing arts.…… [Read More]
Delivering health care to a population is a task taken aboard by many developed countries all over the world. Even though as an altruistic act, the act of being responsible for the health of the entire community is not an easy job. Along with political and economical barriers, greater barrier comes when the people in the community are not that concerned about their health. In United States of America, there are a total of forty eight million Americans who are not insured. This is surely a shocking amount and it reveals that how reluctant people are when it comes to their health. People would rather have a better shelter over their head rather than have a better health.
The problems seen with delivering health care can arise in every setting where the government takes responsibility. The major concern all over the world includes the growing population and the…… [Read More]
This huge amount of governmental expenses spread within a period of up to 10 years will result in a slower economic growth. The slow down in the economic growth of America's economy will also be due to the fact that the U.S. economy is currently heavily burdened.
Burden to Healthy People:
One of the major controversial portions of Obama's health care plan is the burden it places on healthy people since they have to take care of the health insurance costs of unhealthy people like the obese or those who smoke. Additionally, it's compulsory for Americans to get a health insurance or they will be subjected to a tax increase that will be used to fund the health insurance costs of others. Under Obama's health care plan, health insurers are banned from imposing different premium charges that are dependent on the customer's health. Moreover, the proposed health care reform plan…… [Read More]
Nursing Care Plan
Patient Assessment and Implementation of Nursing Model in Addressing Patient Care Goals
The patient being assessed is a 72-year-old female brought to the gynae ward for diarrhea and vomiting and generally unwell and weakness in addition to a non-productive cough. Medical history of this patient includes Alzheimer's, Left Nephrectomy, aortic repair, asthma, and mobility problems.
Problem Solving Approach: Patient/Client Problem
The two problems identified during the assessment are those of:
(1) Asthma; and (2) Alzheimer's.
The goal of care is to instruct patient on coping with asthma and Alzheimer's through use of the Roper, Logan and Tierney model. This was the first model for nursing which had as its basis a model of living. The research arose from study of Nancy Roper in 1970 in which she "sought to identify the core of nursing activities across any field of nursing practice, which could then be…… [Read More]
Combined with the widespread entry of women into the labor force, an aging population, and minimal assistance for high quality long-term care at the end of life, these economic and social conditions raise a set of difficult policy questions for health services planning. Set in these broad contexts, this paper situates access to and experience of health services in the home, the hospital, and nursing facility, to demonstrate how economic changes have relocated and redefined health services in ways that distinctively impact how people experience the places where they receive care. This place switching of health services externalizes costs of subacute and "daily life care" (the so-called custodial care) to the sphere of the individual, their family, and communities. The theoretical analysis uses current geographical and philosophical approaches to place and space, and considers the tensions between institutionally managed health care space, and the patient's experience of receiving health services…… [Read More]
While people who work with these kinds of issues can present their best guesses, they cannot actually provide proof that the Obama Administration's health care plan is good or bad, or how much it will cost. The 'if only' propositions that are in much of the plan tend to make statisticians and fact-checkers nervous, simply because of the nature of these kinds of propositions -- they rely on the best-case scenario (D'Angelo & Winfree, 2008).
What would happen if the best-case scenario does not work out is something that cannot easily be answered, and that is what has people the most concerned. Everything is fine if things operate smoothly, but a simple problem could end up costing millions of dollars and/or leaving a lot of people without insurance (D'Angelo & Winfree, 2008). There is also the concern regarding government control, because many people are already voicing their concerns about the…… [Read More]
Nursing Diagnosis Care Plan
Assessment Data Analysis
a) Patient is a 65-year-old male Mexican-born retired bus driver with a relevant past medical history of atrial fibrillation and deep vein thrombosis treated with Coumadin who presents with hematuria. Patient sought care after witnessing blood in his urine and feeling generally weak. In addition, the patient has history of hypertension, stroke, DVT, BPH, gout, depression, anxiety, chronic bronchitis and a remote history of chicken pox. He has no known allergies. Past surgical history is only remarkable for appendectomy. Patient drinks alcohol (1 beer/day), smokes (1/2 pack/day) and has never used illicit drugs. Patient reports a family history of hypertension, arthritis, asthma, colon cancer, diabetes and gastric ulcers. Prescription medications: Coumadin 3mg by mouth daily, Flomax (Tamsulosin) 0.4mg by moth daily, Senna 187mg PO daily, Metoprolol Tartrate 12.5mg by mouth daily, Lisinopril 2.5mg by mouth twice a day, Finasteride 5mg by mouth daily,…… [Read More]
President Obama's Health Care Plan
The objective of this study is to conduct an analysis of President Obama's proposed health care reform plan. Included in the analysis will be a description of the major features of the proposed health care reform plan and how the plan will be funded. Also included will be an objective analysis of the pros and cons of the proposed plan in relation to the factors as follows: (1) The degree to which the plan will increase access to health care for various segments of the population; (2) The extent to which the proposed plan will affect cost relative to the consumer, the taxpayer, the insurance companies, government, and other payers; (3) The impact of the plan on the quality of care delivered; and (4) Unintended consequences (e.g. health care rationing). Included in the analysis will be the potential response of the stakeholders including healthcare providers,…… [Read More]
Nursing Case and Care Plan
William Smith is a 68-year-old man who was transferred to the Palliative Care ward from a surgical ward three days ago. The patient was admitted on January 26, 2013 for removal of a sacral abscess that had been a source of a lot of pain to him. Following his surgery, his future management was evaluated and it was decided that he would be transferred to the Palliative Care ward since he could not be discharged home. The palliative assessment of Smith would require the development of a suitable nursing care plan that would help deal with the condition. The nursing plan requires an understanding of the patient's social history, medical history, physical assessment upon admission, and palliative care unit admission assessment.
Could Mr. Smith's culture influence his pain assessment? Why? What strategies could you employ to ensure that you are adequately addressing Mr.…… [Read More]
Advanced Practice Nursing: Case Study Analysis and Care Plan Creation
This case study involves a patient with symptoms for the past 24 hours and the patient expresses pain as ten on a scale of one to ten in the past 24-hour however, it is presently stated at seven. This patient is being treated for hypercholesterolemia, hypertension and gout. The patient tested positive for H. pylori.
History of Present Illness:
The patient has had incidents of stomach problems in the past however, this incident appears to be more severe in nature and to have lasted longer than in the past.
Past Medical History:
The patient is Italian and this is important because of the choice of foods of this patient. In addition, the patient is found to be H. pylori positive. H. pylori is a spiral-shaped bacterium commonly found in the stomach with a shape and movement that enables…… [Read More]
My current healthcare plan is through Aetna via my husband's work. It is through a company, so the cost is drastically less than a private plan.
Out of Pocket Costs:
In Network Co-Pay: $
In Network Deductible: $500
Out of Network Deductible: $1,000
Percentage of Coverage: 100% after deductible is met, some percentages do apply for out of network providers, but Aetna does not give a specific amount.
Aetna does have many limitations placed on members. For instance, out-of-network providers can be used, but the patient must handle all of the billing information themselves. Additionally, the deductible is twice as high for out-of-network coverage. Any out-of-network emergencies are still handled as in-network.
Another limitation is enrollment. Enrollment can only happen once a year. The only exception for this rule is with either a court order, adoption, or birth. In these circumstances, the person must be enrolled…… [Read More]
.. maybe finally it has come the time to be put into practice and not only be debated in Talk Shows and News Papers
One thing remains certain... The larger the number of citizens covered by the health care plan, better for the nation itself, for its tax payers and for the health of its present and future generations.
http://www.factcheck.org/elections-2008/theyve_got_you_covered.html, retrievedonline April 17, 2008.
World Health Organization: Core Health Indicators, retrieved online April 17, 2008 at http://www.who.int/whosis/database/core/core_select_process.cfm?countries=all&indicators=nha
Centers for Medicare and Medicaid Services, National Health Expenditure Data: NHE Fact Sheet, 2005, retrieved online April 17, 2008 at http://www.cms.hhs.gov/NationalHealthExpendData/25_NHE_Fact_Sheet.asp#TopOfPage
World Health Organization: The World Health Report 2006 - Working together for health, 2007, retrieved online April 17, 2008 at http://www.who.int/whr/2006/whr06_en.pdf
Office of the Actuary in the Centers for Medicare & Medicaid Services: National Health Expenditures, Forecast summary and selected tables, 2008. retrieved online April 17, 2008 at…… [Read More]
Health Care Plans
Types of Health Insurance
This type of insurance is also known as a traditional or fee-for-service plan. The benefit of an indemnity plan is the flexibility; this plan allows members to choose any doctor or hospital. However, members must pay an annual deductible and then a percentage of each medical bill. Although these plans offer the greatest freedom to select any doctor, they are usually the most expensive option.
Typically, the member or the provider sends the bill to the insurance company. These plans usually have an annual deductible before the insurer starts paying. Once the deductible has been met most indemnity plans pay a percentage of what they consider the "Usual and Customary" charge for covered services. The insurer generally pays 80% of the Usual and Customary costs and the member is responsible the other 20%, known as coinsurance. If…… [Read More]
Specifically, deficient cae may esult in a child's being vulneable as a consequence of a low intinsic level of self-esteem and self-woth (Pake, Baett, and Hickie, 1992). It is clea that a numbe of factos ae likely to affect the teenaged individual esulting in depession and it is citically noted that this depession must necessaily be addessed, teated and esolved. The client in this instance has bodeline low blood pessue which should be monitoed seveal times each week and futhemoe the body mass index (BMI) of this individual is excessively low indicating that this patient needs to be counseled in egads to thei diet both in tems of quality and quantity of foods consumed.
Logsdon, Cynthia J.(nd) Depession in Adolescent Gils: Sceening and Teatment Stategies fo Pimay Cae Povides Jounal of the Ameican Medical Women's Association Volume 59, No 2.
Lemay, Edwad P. And Ashmoe, Richad D. (2005) the…… [Read More]
-Mother can attend cancer support groups and receive advice and education through other channels regarding proper methods of providing care and improving quality of life for her husband
-Son can explore employment options as well as discuss various needs and responsibilities with his parents in order to determine his most effective utilization within the changed family dynamic
-Father can provide the levels of self-care that come easily, but should educate himself regarding his condition and ease care by allowing others to help when necessary
-Provide educational materials/answer questions for both mother and father
-Assist son with psychological transition of increased responsibility/familial dependence
-Instruction of proper care techniques for mother and father regarding father's condition
Levels of comfort and competence in new family roles should be easily assessed in regular visits through brief questioning. Monitoring father's health through standard vital sign and other appropriate tests will…… [Read More]
Health Insurance & Managed Care
There are four main types of managed care plans. First, it helps to have a basic understanding of what managed health care is. Managed care "combines healthcare delivery with the financing of services provided" (Green & owell, Chapter 3). In a typical managed health care system, the payer restricts the patient with respect to what facilities and doctors the patient can use. The facilities reduce their fees in exchange for the promise of substantially more business from the managed health care organization. Managed health care takes six distinct forms, according to Green and owell (2013, Chapter 3).
The first of these is the exclusive provider organization (EPO), which "provides benefits to subscribers who are required to receive services from network providers." In this model, the patient coordinates care within this network, with the primary care physician. Under this plan, the EPO coordinates the network of…… [Read More]
Healthcare Plan for the Management of Genitourinary Disorders
Objective of this paper is to carry out a care plan for the patient, aged 60 years, who is suffering from genitourinary disorder. The study carries out the case evaluation and identifies the symptoms of the patient complication. The study also provides a comprehensive healthcare plan used for the treatment of the patients.
Case Study Evaluation
HPI (History of Present Illness).
Evaluation of the case study reveals that the patient is a Hispanic male, aged 60 years of age and complains of a decline of urinary flow. While the patient has experienced the symptom for more than two years, however, the symptom has increased significantly for the past two weeks. Although, the patient has not been diagnosed in the past, however, he faces difficulties in achieving a free flow of urine that interferes in his daily activities. The gradual worsening of the…… [Read More]
care in the situation of Mr. and Mrs. P would be holistic in nature, grounded in a philosophy of caring. There are serious existential issues at stake, as Mr. P has wondered why God has not "taken him" already, while Mrs. P may be suffering from depression given her inability to leave the house or handle the life affairs like paying the bills. Therefore, a recommended treatment plan would focus more attention on the mental and spiritual health of the couple without taking attention away from Mr. P's physical needs. It would also look after the physical health of Mrs. P as well as her psychological needs. As holistic nursing takes a "whole person" approach, it is the ideal philosophical framework for working with this small family unit.
As the AHNA (2016) puts it, holistic nursing aims "to integrate self-care, self-responsibility, spirituality, and reflection." From the holistic nursing framework, the…… [Read More]
Issler is a patient who recently moved with his daughter-in-law who is no longer married to his son. As part of her interest in helping to take care of Mr. Issler, she noticed that he was pale and diaphoretic after a two and a half hour flight. The daughter-in-law took him to an emergency room where he was attended to by a cardiologist and set a follow-up check up for an echo cardiogram next week. Mr. Issler has complained of congestive heart failure and a history of deep vein thrombosis. The cardiologist recommended that he seeks out a primary care provider and check up of his thyroid. As the primary care provider, the patient has also expressed his uncertainties on whether he has hyper of hypo thyroidism though he has been under thyroid medication for several years. In addition to being very pale, he has a large bag of…… [Read More]
Furthermore, one of the pillars of collaborative care that will need to be firmly established is the fostering of clear dialogue and a means for strong communication within the care management planning. For instance, there needs to be a clear decision and communication of all tests ordered and when the test results will be available. One of the most important aspects of this collaborative care will be the nursing interventions which can have significant impact on the patient's health and stabilization (Allen, 2010). In fact, strategic nursing care can even minimize readmission rates of Margaret and other patients with comparable conditions (Chen et al., 2012).
Prioritize the Nursing Care Needs of Margaret
The prioritization of nursing interventions is essential, and the way in which a nurse determines this priority is going to be something unique and distinct. "Trials reviewed demonstrated a beneficial impact of nursing interventions for secondary prevention in…… [Read More]
Hourly nursing rounding is regarded as one of the most suitable means for enhancing patient satisfaction and clinical outcomes. This process can be described as a proactive, systematic nurse-centered evidence-based intervention to predict and deal with the various needs in hospitalized patients. There is sufficient evidence to demonstrate that effective hourly nursing rounding can enhance patient safety, promote team communication, and enhance the capability of staff to offer efficient patient care. Therefore, this approach would be a suitable method to help reduce falls, prevent ulcers, and call light use and result in enhanced patient satisfaction through evidence-based practices. The adoption of this method in the organization to improve patient satisfaction and clinical outcomes would require the development of a comprehensive implementation plan and participation from all key stakeholders.
Method of Obtaining Necessary Approval
The adoption of hourly nursing rounding in the healthcare facility to enhance patient satisfaction and clinical outcomes…… [Read More]
Planned change in the eldercare advocacy organization
In the coming years, many countries will experience a dramatic shift in healthcare infrastructure due to an expanding elderly population size. However, the changes may vary across countries depending on many factors such as the kind of social welfare available in each country, the political environment which determine policies, the level of healthcare available and individual expectations in each country. Due to this wide variance, the innovations within this space will also vary greatly. What this means to the healthcare manager is that managing innovations becomes very hard (Shlutz, Andre & Sjovold, 2015 p 42). This also impacts on performance management which is fast gaining popularity in the public sector as a means to improve on accountability. Unfortunately, it has been cumbered by a series of challenges in its implementation; this is in spite of the frameworks developed over the last couple of…… [Read More]
Care Coverage and Inequalities in the Education System
Traditional Care Coverage vs. Managed Care Coverage
Traditional care coverage is also known as Fee-for-service (FFS). Under this model, the patient pays for services that are itemized in the Invoice. The physicians gain an incentive to offer more treatments as payment depends on the quantity of care and not the quality of care. In the health insurance and healthcare sectors, traditional care coverage happens when physicians and other caregivers get a fee for each service like laboratory tests, office visit, procedure and other healthcare services. After providing services, the patient makes payments retrospectively. Traditional health coverage enables the patients to choose a healthcare provider, including a favorite hospital or doctor. The services rendered are paid for by the patient and then submits the bill to the insurance firm for reimbursement of the percentage it agreed to the insurer for the patient (Kongstvedt,…… [Read More]
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…… [Read More]
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…… [Read More]
Planned Change in a Department
Change within the Medical surgery department
There are various factors that occasion change within any organization, some may be due to change in the operations of an organization, some due to expansion, relocation, takeovers, mergers, external forces in economies, internal changes in operation modes or even unprecedented needs as unforeseen at the initial stages. This last one seems to be case within the medical surgery unit in our hospital.
The prevailing condition at the moment that needs a change approach that would improve the conditions within the medical surgery unit and the entire hospital in general is the imbalanced ration between the nurses and the surgery patients currently realized within the unit. The prevailing rate is one nurse within the medical surgery unit handling an average of 6-7 patients which has proven to be too high for a single nurse. The other pertinent problem within…… [Read More]
health care to an indigent population.
As illustrated by the case, there were many unique problems associates with delivering health care to the indigent population. First, communication was an issue plaguing all parties involved. Difficulty in regards to understanding overall objectives and health care plans made operations inefficient and costly. Massive errors resulted from communication issues that ultimately hindered the access and quality of health care to the indigent population. Communication is the foundation of delivering health care. Everyone, from owners to employees must be able to effectively communicate in order to offer the quality of health care needed to support the indigent population. Without simple and comprehensive forms of communication, the overall health care program will falter as stakeholders are unaware of the overall vision and plan for the health care system.
Education also is a very profound problem in delivering health care to the indigent population. The community…… [Read More]
Obamacare, or formally known as the Affordable Care Act, is a recent healthcare law that will reach its implementation stage in 2014. Healthcare is certainly a fundamental necessity and indispensable to a growing human population. he United States is known for its adequate healthcare, servicing low income people through Medicaid, and the elderly through Medicare. However, recent events have led to a shift in what can possibly negatively impact the healthcare system for the United States.
Obamacare has good intentions in having its purpose be to supply affordable healthcare to everyone within the United States, but certain clauses and modifications have turned it into a dicey and uncertain situation. Not only are the costs piling up, and continue to increase, but the distribution of healthcare services is primarily execute through health insurance coverage. his means that there will be a change in how the healthcare system functions at the core…… [Read More]
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]
"Studies of the relationship between managed care penetration in the health care market and expenditures for Medicare fee-for-service enrollees have demonstrated the existence of these types of spill over effects" (Bundorf et al., 2004).
Managed care organizations generate these types of spillover effects by increasing competition in the health care market, altering the arrangement of the health care delivery system, and altering physician practice patterns. Studies have found that higher levels of managed care infiltration are linked with lower rates of hospital cost inflation and lower physician fees are consistent with competitive effects. "Other studies demonstrate the impact of managed care on delivery system structure including hospital capacity, hospital admission patterns, the size and composition of the physician workforce and the adoption and use of medical equipment and technologies. More recent evidence has linked market-level managed care activity to the process, but not the outcomes of care" (Bundorf et al.,…… [Read More]
Healthcare Delivery System Challenges
The American healthcare system has been criticized as favoring the middle and upper classes while ignoring the lower classes. Based on these speculations, the federal government has constantly tried to institute reforms in the healthcare sector though some of the proposals have failed to overhaul the industry. With rising insurance costs, the number of citizens barred from accessing quality healthcare has increased to more than 45 million uninsured Americans. On the same note, it is hypothesized that with time, the problems currently witnessed in the industry are likely to increase and finding solutions to them will be a tall order for the government (Stolberg & Pear, 2010). Despite the advent of new technology in the sector, which is likely to improve service delivery over the years, it is speculated that the cost of new tests and treatments will outweigh the savings. With the better technology, physicians…… [Read More]
The Affordable Care Act works on the premise that all Americans should have access to health care insurance. Because this is provided through insurance companies, the system is only enforceable under certain conditions. One of the key tenets of health care reform is the idea that those with pre-existing conditions cannot be denied insurance coverage. This group of people has long had problems getting insurance, and insurance companies spend tens of millions to invent pre-existing conditions that would then be used to deny coverage. Even insurance commissioners have been known to take offensive and absurd stances on pre-existing conditions, arguing that insurance companies should not have to take customers with such conditions because the person is to blame for their pre-existing condition (Ferguson, 2013). With attitudes like this from people connected to the insurance industry, the only way that the Obama Administration was going to achieve universal health care…… [Read More]
History Of Health Care Mandate
The signing of the Affordable Care Act (ACA) by President Obama must be considered a landmark event in the history of the nation regardless of how one views the constitutionality of the legislation. Passage of the legislation marked the end of a long and acrimonious debate and brought the United States in line with the rest of the developed world in terms of providing universal health coverage to its citizens (Orszag, 2010). Unfortunately, the debate over the constitutionality of the ACA did not end with Obama's signing of the legislation as within days several different states filed suit against the law's requirement that most Americans purchase health; against the health care mandate.
The health care mandate was first offered as an option by the conservative think tank, the Heritage Foundation, as an option to the single-payer system that had been historically supported by Democrats and…… [Read More]
The final legislation should have incorporated provisions to boost the IVD industry. On its entirety, the Patient Protection and Affordable Care Act must have benefited the IVD industry. This would have increased sales in a span of five years that it is otherwise seen in the absence of the law. Most significant IVD sales drivers will result from the legislation as an expansion of in the number of insured citizens and new coverage of prevention and wellness programs. If various key provisions are included in the PPACA, coupled with the population demographics, IVD product sales will be stimulated. This industry will die or live based on the number of the test procedures and hence increase in the number of persons with healthcare coverage will be appropriate for IVD. The Patient Protection and Affordable Care Act is a sophisticated legislature, virtually affecting all aspects of healthcare and the majority…… [Read More]
Healthcare Plan eview
The author of this report is to answer three general questions relating to healthcare program evaluation. The first question asks the author of this report to examine the overall purpose of healthcare program evaluation. The second question asks the author to identify at least five different types of common healthcare program evaluation techniques. Finally, one of those methods in particular will be selected and there will be a drilling down into more detail on that single type. While the purpose and method of operations is quite similar with all program evaluation types, there are some subtle to major differences from type to type.
At its core, the purpose of healthcare program evaluation is to analyze and improve the operations and performance of a healthcare program based on a systematic and full review of what is going right, what is going wrong and what needs to be changed.…… [Read More]
Improving Local Health Care:
Quality health care is an important aspect in the modern health care system because of the necessity for quality and safety improvement measures. This concept is described as the extent in which health care services for patients and populations enhance the possibility of desired health outcomes. These services also need to be consistent with the existing professional knowledge in the field. Consequently, quality and improved care services are determined through evaluating the impact of these services on desired outcomes and the extent they adhere to procedures based on scientific and professional knowledge. As part of improving health care services, health care systems should adopt several process-improvement strategies. These strategies should recognize ineffective care, inefficiencies, and avoidable errors and then effect changes on the system to result in improved care.
Incorporating Unapplied Telecommunications Concepts:
Based on the last visit to the local health care system in the…… [Read More]
Business of Health Care
This study highlights essential facts about health care and health in the local, national, and international health care delivery. Healthcare in the U.S. stands at crossroads between opportunities and challenges. Both the local, national, and international health systems face common problems in the delivery of efficient, high quality and equal health services. All these are concurrently happening in times when the amount of care delivered exceeds the resource base. In the U.S., the demand for healthcare, just as in any industrialized country, is rising because of rising public expectation and the ageing population. The combination of technological developments and demographic changes increases the provision costs (Garman, oyer & Johnson, 2011).
Consequently, local, national, and international health care delivery systems are facing same issues of service rationing to cut costs due to a decreasing tax base for paying a rising demand and an increasing demand. Similarly, maintaining…… [Read More]
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]
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]
Expenditures on health care has been mounting faster than the economy for many years, representing a challenge not only for the government's health insurance programs, but also for the private sector. As health care expenditures consume a larger share of the nation's economic output, Virginians along with all Americans will be faced with progressively harder choices to make (the Long-Term Outlook for Health Care Spending, n.d.).
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14 February 2011, from < http://ifawebnews.com/2010/03/15/virginia-passes-budget-cutting-medicaid-other-health-services/>
"Monthly Premiums for Non-Medicare Eligible Retiree Group." 2010, viewed 14 February 2011,
Martin,…… [Read More]
They offer the same flexibility and costs saving available to people at larger organizations. According an article published by Physicians Care,
"hen we set up a self-funded plan for a smaller employer, we help them select the appropriate level of stop-loss or excess-loss insurance, which provides reimbursement for large catastrophic claims. Stop-loss insurance allows smaller employers to consider this very economical approach to providing employee health benefits because it protects them from large claims ("Is Self-Funding or Fully Insured Right for Your Company?")."
Although self-funding can offer many organizations with the chance to reduce costs there are instances when this option is simply not appropriate. The inappropriateness of the option has a great deal to do with the demographics of the employees. If a company has a significant number of older workers or workers with chronic illnesses, such a plan would not be advantageous. The main reason for the lack…… [Read More]
A recent article touted the 6.1% growth of spending on medical care in 2007.
The same article cautioned however that, "most experts know that no matter what the numbers say, there is still a great deal of work ahead to reform a healthcare system that is still fundamentally broken -- and is facing one of the worst economic recessions in decades" (Lubell, 2009, pg. 6).
Government and industry officials have been working to reform the industry for more than a decade yet the problem seems to be getting worse rather than better. More and more individuals are finding that insurance takes too much of their income and are forced therefore to forego that expense. Government is leery of committing to the cost of such expense, and industry is reluctant to offer expanded coverage without the backing of the federal government. As the interested parties do the two-step the problem becomes…… [Read More]
President Clinton's And Obama's Health Care Policies
President Obama's Healthcare policies
The Affordable Care Act (ACA) has drawn some comparisons to elements of past efforts, including Mitt omney's health care plan in Massachusetts and the Clinton plan from the 1990s. This paper will mainly examine the context of the Clinton Plan vs. The ACA. After winning office, President Clinton followed up on a campaign promise to provide health care to the 37 million uninsured Americans. This plan had motivation citing a strong sense of social justice, especially in light of America's tremendous wealth. There was majority public approval for the plan at the time. However, a single payer plan idea faced opposition and Clinton needed to create an alternative (Pfiffner, 1994).
The Clinton government recognized that a major overhaul was not going to find favor, so he sought to implement a plan that would expand coverage rather than dramatically restructure…… [Read More]
National health plan [...] how and why a national health plan should be introduced in the United States. Health care in the United States is a big business. As such, a national health plan threatens the bottom lines of gigantic health maintenance organizations, and they have fought national health care consistently. They fight a plan that could cause their demise, but ensure the increased health and well being of millions of Americans. It is time we stopped letting big business set the agenda for the health of the American people.
NATIONAL HEALTH PLAN
The Clinton administration's plan for national health care reform did not become a national health plan, but it opened the door for argument and debate about health care reform in the United States. Many experts and citizens still believe a national plan for health care should be instituted in America. How to institute a workable and viable…… [Read More]
Obama's health care reform will make health care more accessible and more affordable and make insurers more accountable, as well as expand health care coverage to every American and make the health care system sustainable by stabilizing family budgets, the economy and the Federal budget.
The cost of Obama's overall health care bill will cost approximately $940 billion over 10 years, according to the Congressional udget Office. The bill will include that by the year 2014 there will be significant health access reforms. Insurers will be prohibited from denying coverage to people with medical problems of charging them more money (CS 2010).
While these numbers do sound manageable, Congress has not responded kindly to Obama's health care reform ideas. When Obama has even mentioned the idea of health care for illegal immigrants, the president was rudely interrupted by a heckler yelling, "you lie" ( ). Under Obama's proposal of health…… [Read More]
Peter Baker, "As Oil Slips Away, So Do Chances for Obama," New York Times, http://www.nytimes.com/2010/06/03/us/politics/03memo.html?scp=3&sq=obama health care plan&st=cse… [Read More]
The ultimate House vote was two hundred and twenty to two hundred and seven. The senate vote was fifty three to forty three. The republicans were collectively opposed in both chambers (3 June 2010, 3).
The Future of the Health Care ill
Subsequent to disagreements as political enemies for more than a year, the Obama administration and the health insurance industry realized that they require one another.
oth have huge stakes in the success of the new health care law (14 May 2010, 1)
The political destiny of President Obama and Congressional Democrats rely on their capability to interpret it's assurance into realism for voters. This can be attained by restraining health expenses and making insurance accessible to everybody at reasonable price. Similarly, the fiscal future, in fact the continued existence, of the health insurance industry relies on the government. That is on set of laws being written by federal…… [Read More]
..a commercial for Wal-Mart. When a Wal-Mart shows up within a television within a Wal-Mart, you have to question the existence of an outer world"(Ehrenreich, 179). The author is highly critical of places like Wal-Mart for she knows that these are the places where you do not get what you must as a citizen of the U.S. She writes: "When you enter the low-wage workplace -- and many of the medium- wage workplaces as well -- you check your civil liberties at the door, leave America and all it supposedly stands for behind, and learn to zip your lips for the duration of the shift." (p. 210)
Wal-Mart is described as an overpowering omnipresent entity that makes a worker feel like a prisoner. With most of the people coming from the most vulnerable section of the society like Holly who is " twenty-three, has been married for almost a year,…… [Read More]
Health Plan Dev
Health Plan and Health Organization Development
Five Key Events
There are a multitude of different historical events that have occurred in the modern era in a manner that has drastically changed the way in which health and the relationships between society and healthcare has been viewed. In Germany in 1883, Chncellor Otto van Bismarck managed to implement a national insurance-like healthcare scheme that ensured certain basic access to healthcare for many working-class Germans that would otherwise go without medical care. A second highly similar event occurred in England in 1911 with the establishment of a national health insurance program, which eventually became the National Health ervice of the United Kingdom that still provides healthcare services to the nation's citizens today.
The ocial ecurity Act of 1935 represents a major shift in the direction of healthcare policy in the United tates, as this legislation laid the groundwork for…… [Read More]
Assessment of the Situation
As a case manager for patient in this case scenario there are at least four easily identifiable healthcare issues associated with the discharge of patient; 1. Patient safety related to second floor placement of apartment and navigation of two flights of stairs with walker while using pain medication and recovery time needed for hip replacement 2. Patient safety with regard to size and condition of apartment with limited room to navigate with walker, cluttered space and rug placement all of which are barriers to proper use of walker and ambulation an essential aspect of recovery, 3. The potential for patient non-compliance with new medication regimen for diabetes and dietary plan for weight and glucose control 4. Patient well being with regard to isolation and the inability to follow normal routines such as helping in bakery (two flights down) eating in bakery and interacting with…… [Read More]
(Menzel, 1990, p. 3) Fisher, Berwick, & Davis alude to the idea of integration in health care, with providers linking as well as creating networks of electronic medical records and other cost improvement tactics.
The United States and other nations over the last twenty or so years, have begun a sweeping change in health care delivery, regarding the manner in which health information is input, stored and accessed. Computer use in the medical industry has greatly increased over the last thirty years the culmination of this is fully networked electronic medical record keeping. (Berner, Detmer, & Simborg, 2005, p. 3) the electronic medical record trend began in the largest institutions first, as hospitals and large care organizations attempted to reduce waste and improve patient care, while the adoption has been much slower among physician's practices and smaller medical institutions. (Hillestad, et al., 2005, pp. 1103-1104) Prior to this time medical…… [Read More]
The Foundation called specific attention to the prospect of institutional and policy-level strategies to increase the participation of under-represented minorities in the health professions. In response, the Institute Committee on Institutional and Policy-Level Strategies for Increasing the Diversity of the U.S. Healthcare Workforce came out with a report, entitled "In the Nation's Compelling Interest: Ensuring Diversity in the Health Care Workforce." The Committee consisted mostly of academicians, two of whom represented the nursing profession.
In its report, the Committee recognized the importance of increasing racial diversity among health professionals in order to improve access to care, greater patient choice and satisfaction and better educational experiences for practitioners, among other benefits. It also recognized the lack of strategies in reducing institutional and policy-level barriers among health profession educational institutions or HPEIs. In response to the lack, the Committee recommended that health professions education make a clear stand and mission on the…… [Read More]
Thus, Congress and whoever drafts the plan, really has to figure out how to show the health care interests the reform will help, rather than hinder, their profits, or it simply will not occur.
The health care plan must also be feasible and able to stand the test of Congress, who have vetoed all health care reform legislation offered up to them in history. Congress can find something wrong with just about any health care reform, from how much it will cost to how it is administered, and that means that the legislation has to be foolproof and have the support of a majority of the Congress or it will not pass. That is quite clear from the current mess with the auto industry and the lack of Senate support for a bailout.
Oberlander, J. (2007). Learning from failure in health care reform. N Engl J. Med, 357(17), 1677-1679.…… [Read More]
Health Care Past, Current, And Future
The health of any nation should be a top priority for leaders and elected political representatives, but in the United States it took several centuries for the nation to begin to come to terms with providing health care for its citizens. This paper covers the gradual implementation of health care services and doctor training facilities in the U.S., and also covers the recent attempt by President Barack Obama to reform a chaotic, poor-functional and expensive health care system. Thesis: It is a scandal of massive proportions that a well-functioning, citizen-friendly universal health care system cannot be instituted in America, the world's most democratic superpower. Until the divisive and toxic political climate can be reformed, there is no chance of major reforms -- or for universal health care coverage -- in these United States.
Past Health Care Services -- Early America
Health care in colonial…… [Read More]
Gingrich believes that there is a great need to repeal and substitute the huge government health bill with actual solutions that will lessen costs and enhance health outcomes. In addition to opposing the Obamacare because of its failure to accomplish universal coverage, he proposes the Patient Power Plan that will change the current system into a coordinated and innovative system rather than a broken and fragmented one.
I support Gingrich's proposal of the Patient Power Plan as the most suitable health care system that make health coverage more affordable, accessible, and portable. Since the plan gives patients an incentive to efficiently use medical care, it prevents excessive costs that are linked to overuse of medical care and excessive administrative burdens. One of the major advantages of such a plan is that it allows patients to self-insure for several likely medical bills through initiatives like medical savings accounts. Secondly, the plan…… [Read More]
In many cases, plans that have looked good on paper haven't worked out in real life. An example of this would be the "gatekeeper" practices, where the primary care physician decided if a patient needed to see a specialist, or have certain tests performed, or be hospitalized. The doctors had financial incentives to not refer, creating a potential conflict of interest, while patients resented their diminished ability to participate in their own healthcare decisions (Nichols, et. al., 2004).
In addition, employers are the real insurance providers for many people, and since employers are not a core part of health care systems, they make their decisions based on the bottom line: as host care costs rise, they pass at least some of this increase on to their employers by requiring higher co-pays on the insurance premium (Nichols, et. al., 2004).
Where consumer-driven health plans have been established, they have reduced costs…… [Read More]
Oddly, as a number of more objective critics have pointed out, Clinton's bill was "a compromise between market-oriented and government-centered reform ideas," (Carter 116). Although Clinton was concerned with creating a national healthcare system, he was also concerned with eliminating the federal budget crisis that he had inherited. The result was that Clinton offered a stepwise approach towards a socialistic healthcare system with an initial period, at least, of allowing the market to share some of the burden of insuring so many Americans. Doubtlessly, this is not to say that Clinton's plan would necessarily have been successful; merely that the reasons for which it was attacked and subsequently defeated were largely unfounded.
Overall, the true threat that the Clinton healthcare plan posed was to the Republicans. If Clinton had been successful in passing his bill, the legitimacy of the Democratic Party would have been restored; they could once again have…… [Read More]
Second Opinions for Tough & Smart Care
FLA, FECA, H2457
The federal government (under most current administrations) has tried to address the issue of the nation's need for better healthcare by focusing on improving what is already in place. Two of the regular efforts at this are the FLA (Family Leave Act) and the FECA, or Federal Employees' Compensation Act (DOL, b). The purpose of the first is to provide structured and economically efficient ways for people to be able to leave their positions, without risking their jobs, when they are dealing with either the birth of a child or a critically sick immediate relative. It is also seen as one effort to seek to protect men and women against the problems of gender injustice that can come about if women are challenged in keeping healthcare because of the choice to have children. FECA, on the other hand, seeks to…… [Read More]
Healthcare in the United States: Where We Have Been, Where We Are Going
The current healthcare crisis in America is not one that happened over night. It is one that has been building for more than a quarter century. There was a time in America when healthcare was a stellar institution: research, cures, technological advances, and treatments. The focus of healthcare was maintaining and improving the quality of life. Then, during the early 1980s, managed care became an entity between the physician, the patient, and the healthcare provider of hospital services. It began subtly, but has, today, become one of the most aggressive and successful business ventures of our time; and it has been the unmaking of a once stellar and progressive American institution.
Managed care is a "distinctly American" product (Birenbaum, 1997). It was legislation introduced by the Nixon Administration with the intent to regulate healthcare and to maintain…… [Read More]