Care provider
Ms. X was a pre-diabetic woman with a young teenage daughter. I was asked to treat Ms. X to help her stabilize her blood sugar to reduce the likelihood that she would be dependent upon insulin in the near future. Given Ms. X's unstable lifestyle, I was concerned about her ability to manage an insulin injection schedule. Also, non-drug intervention is always favored as an initial treatment for type II diabetes.

Health promoter

When working with Ms. X, I stressed the positive aspects of improving her health. I pointed out how weight loss would lessen the burden on her joints and make life easier. I also stressed how small steps in eating more healthfully and taking moderate exercise would improve her health incrementally.

Learner

Weight loss and lifestyle changes are difficult, so it is essential to understand the patient's lifestyle rather than merely give a generic prescription to move more and eat…...

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References

Hyman, Mark. (2010). The link between poverty, obesity and diabetes

The Huffington Post. Retrieved at:

 http://www.huffingtonpost.com/dr-mark-hyman/not-having-enough-food-ca_b_721344.html

Morality of Assisted Suicide
Assisted suicide for terminally ill patients may be one of the most morally complex issues facing today's society, with a particular impact on modern healthcare workers. Modern medicine has progressed to a point where, in many instances, life can be prolonged for significant periods of time, well beyond when people would have died of terminal diseases in prior times. However, there have not been similar advances on the other side of the issue; death remains a relatively unchartered part of the healthcare spectrum, and there have not been significant advances in helping patients who no longer wish to extend their lives, but hasten the end of their lives and end their suffering. The choices remain limited for healthcare workers, who, in providing any type of euthanasia are seen as assisting suicide. This is a deeply morally complex issue. The taboo against the taking of human life,…...

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Works Cited

American Medical Association. Opinion 2.211- Physician-Assisted Suicide. AMA . N.p.

1994. Web. 7 Dec. 2013.

Andre, Claire and Manuel Velasquez. Assisted Suicide: A Right or a Wrong? Santa Clara

University. N.p., 1987. Web. 7 Dec. 2013.

EMS and Paramedics Carry Guns on the Job
Emergency Medical Services (EMS) are a form of emergency service, whose main objective is to provide acute medical care, transportation to healthcare organizations, including special medical transport to patients of attacks due to act of terror and others of the same kind. In addition, the emergency medical services are also locally referred to as paramedic service. Other countries across the globe refer them as first aid squad, emergency squad, rescue squad, or ambulance squad. Their services mainly include the transportation of patients to other definitive points of care for them to receive urgent care. They also engage in a timely removal of patients who require the urgent medical intervention to other points of care. The job description of these personnel comes with substantial risks.

This is because the personnel put their lives at risk more than the common citizens (Grady and Revkin). Notably, there…...

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Works Cited

Bigham, L Blair et al., "Most paramedics are victims of violence in the pre-hospital workplace." Canadian journal of emergency medicine 14.1 (2010).

Boyle, Malcolm et al., "A pilot study of workplace violence towards paramedics." Emergency Med J. 24.11 (2007): 760-763.

Bullard, Ben. "Should paramedics carry guns deep in the heart of Texas?" personalliberty.com. 28 February 2013. Web. 25 April 2014.

Frolic, Cornelius. "Some EMTs, firefighters want guns on job." Dailytodaynews.com. 13 September 2012. Web. 25 April 2014.

Healthcare Administration -- New York State Care Act
The New York State Care (Caregiver Advise, ecord and Enable) Act was implemented into law in April this year. The development and enactment of this law is geared toward having a positive effect on caregivers who assist patients and family members recover in the aftermath of hospital admission. The legislation ensures patients in healthcare facilities can assign a family caregiver and the facility provides the designated caregiver instruction and illustrations of medical tasks they are likely to offer their loved ones at home. However, the implementation of this initiative across hospitals such as Winthrop Hospital has been characterized by several challenges that could hinder its effectiveness if not addressed.

New York State Care Act and its Importance/Benefit

There are approximately 2.8 million New Yorkers who offer unpaid care to their loved ones at any given time as well as nearly 1.6 million adult New Yorkers…...

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References

Dianoski, T. (2014, November 18). How the New Caregiver Advise, Record, Enable (CARE) Act Affects Hospitals and Health Plans. Retrieved August 11, 2016, from  https://gomohealth.com/2014/care-act-hospitals-health-plans/ 

Kansas Department for Aging and Disability Services. (2015). The Kansas Caregiver Advise, Record, Enable (CARE) Act (HB 2058 and SB 265). Retrieved from Kansas Government website:  https://www.kdads.ks.gov/docs/default-source/CSP/HCBS/HCBS-2015-Spring-Summit/Presentations/the-kansas-caregiver-advise-record-enable -(care)-act-presentation.pdf?sfvrsn=0

Kriss, E. (2015, June 1). AARP: Millions of NY Family Caregivers in Line for Help as Lawmakers Pass CARE Act. Retrieved August 11, 2016, from  http://states.aarp.org/aarp-millions-of-ny-family-caregivers-in-line-for-help-as-lawmakers-pass-care-act/ 

Mitchell, G. (2013, April). Selecting the Best Theory to Implement Planned Change. Nursing Management, 20(1), 32-37.

Care:
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…...

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References:

Bray, D.L. (n.d.). Thyroid Storm and the AACN Synergy Model. Journal of Nursing. Retrieved from http://rnjournal.com/journal-of-nursing/thryoid-storm-and-the-aacn-synergy-model

Drewes at. al. (2012, October). The Effectiveness of Chronic Care Management for Heart Failure: Meta-Regression Analyses to Explain the Heterogeneity in Outcomes. Health Services Research, 47(5), 1926-1959.

Hardin, S. & Hussey, L. (2003, February). AACN Synergy Model for Patient Care Case Study of a CHF Patient. Critical Care Nurse, 23(1), 73-76. Retrieved from  http://ccn.aacnjournals.org/content/23/1/73.full.pdf 

Kaplow, R. & Reed, K.D. (2008). The AACN Synergy Model for Patient Care: A Nursing

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, 2012).

There are…...

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References

Conchas, G. & Gottfried, M. (2015). Inequality, Power and School Success: Case Studies on Racial Disparity and Opportunity in Education. New York: Routledge

Duncan, G. J. & Murnane, R. J. (2014). Restoring Opportunity: The Crisis of Inequality and the Challenge for American Education. Boston, MA: Harvard Education Press

The results of this analysis highlight the need for hospitals to fine-tune their discharge process to reduce readmissions, and support the expenditure of additional resources for this purpose as a cost-effective intervention; as an example, author cites a hospital in Iowa that implemented a rigorous post-discharge planning process for patients with heart failure and 30-day readmission rates were reduced by 3-9% during the 3-month period following implementation.
Conclusion

The research showed 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 care,…...

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…...

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Bibliography

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

Foreign Health Care Policy
Over the last several years, issues affecting the U.S. health care system have been increasingly brought to the forefront. This is because rising costs are impacting demand for different services. What has been happening is these increases are forcing insurance companies, employers and providers to pass on more of these fees to the individual. This is problematic, as they are unable to afford these costs and premiums for coverage. When this happens, the total number of people who are uninsured will increase exponentially. Evidence of this can be seen with the fact that there are 48 million Americans who have no form of health care coverage. (Johnson, 2010) (Harrington, 2009)

While in Germany, the costs of care are lower and 90% of the population is insured. This is because they are using a different model. To fully understand which system is better requires comparing the two with each…...

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References

Armstrong, E. (2011). The Health Care Dilemma. Singapore: World Scientific.

Greenwald, H. (2010). Health Care in the United States. San Francisco, CA: Jossey Bass.

Harrington, C. (2009). Health Policy. Sudbury, MA: Jones and Bartlett.

Johnson, J. (2010). Comparative Health Systems. Sudbury, MA: Jones and Bartlett.

Peachtree Healthcare
IT Architecture ecommendations to Peachtree Healthcare

The discussions and cursory analyses in the Harvard Business eview case Too Far Ahead of the IT Curve? (Dalcher, 2005) attempt to implement massive IT projects without considering the implications from a strategic and tactical level. There is no mention of the most critical legal considerations of any healthcare provider, and this includes compliance to the Health Insurance Portability and Accountability Act of 1996 (HIPAA) in addition to highly specific requirements by medical practice area and discipline (Johnston, Warkentin, 2008).

Second, there isn't a framework described for governance of the IT strategies as they relate to Peachtree Healthcare's overarching strategic vision and mission. The lack of focus on governance in any strategic IT implementation will eventually lead to confused roles, cost overruns and chaos relating to the long-term contribution of IT to rapidly changing business priorities (Smaltz, Carpenter, Saltz, 2007). Max Berndt is right to…...

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References

Alhatmi, Y.S. (2010). Quality audit experience for excellence in healthcare. Clinical Governance, 15(2), 113-127.

Cheng, H.K., Tang, Q.C., & Zhao, J.L. (2006). Web services and service-oriented application provisioning: An analytical study of application service strategies. IEEE Transactions on Engineering Management, 53(4), 520-520.

Coetzee, M., & Eloff, J.H.P. (2005). Autonomous trust for web services. Internet Research, 15(5), 498-507.

Dalcher, D. (2005). Breakthrough it change management: How to get enduring change results. Project Management Journal, 36(1), 62-62.

"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.,…...

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References

Altman, D.E. And L. Levin. (2005). The Sad History of Health Care Cost Containment as

Told by One Client. Health Affairs, 24(1).

Bodenheimer, T. (2005). High and rising health care costs. part 1: Seeking an explanation.

Annals of Internal Medicine, 142(10), 847-54.

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 community, there is…...

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References:

Angst, C.M., Devaraj, S. & D'Arcy, J. (2012). Dual Role of IT-Assisted Communication in Patient Care: A Validated Structure-Process-Outcome Framework. Journal of Management Information Systems, 29(2), 257-292.

Hughes, R.G. (2008). Tools and strategies for quality improvement and patient safety. In Patient safety and quality: an evidence-based handbook for nurses (chap. 44). Retrieved from  http://www.ncbi.nlm.nih.gov/books/NBK2682/

Standards of Care/Mental Health/Cultural Competence
EMEGING STANDADS OF CAE/MENTAL HEALTH/CULTUAL

Sometime in 1999, the Surgeon General released Mental Health: A eport of the Surgeon General. Inside this report, it acknowledged that not every Americans, particularly minorities, are getting the equal mental health treatment, a discovery that provoked the Surgeon General to give out a supplemental report on differences in mental health care for individuals of color (Donini-Lenhoff, 2006). The addition, which was available in 2001, sends out one obvious message: culture does actually count. Cultural competency is considered to be one the vital ingredients in closing the differences hole in health care. It is looked as the way patients and doctors are able to come together and then talk about health issues without cultural differences stopping the conversation, nonetheless improving it. Fairly simply, health care services that are deferential of and receptive to the health beliefs, practices and cultural and linguistic…...

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References

Choi, H.M. (2006). ETHNIC DIFFERENCES IN ADOLESCENTS' MENTAL DISTRESS, SOCIAL STRESS, AND RESOURCES. Adolescence, 41(126), 263-83.

Donini-Lenhoff, F. (2006). HEALTH: Cultural competence in the health professions; insuring a juniform standard of care. The Hispanic Outlook in Higher Education, 65(45), 45.

Furler, J. & . (2012). Mental health: Cultural competence. Australian Family Physician, 39(5), 206-8.

Sawrikar, P. & . (2013). The relationship between mental health, cultural identity and cultural values in non-english speaking background (NESB) australian adolescents. Behaviour Change, 21(3), 97-113.

Unintended Consequences of Health Care Reform
Consequences of Health Care Reform

My discussion is related to the individual mandate of the Patient Protection and Affordable Care Act (PPACA) of 2010.

The policy problems addressed by the Patient Protection and Affordable Care Act (PPACA) of 2010 are the high cost of health insurance that is untenable for low and middle income earners and the discretionary criteria for enrollment and coverage exercised by medical and health insurance carriers. The PPACA is an excellent policy solution to these issues in the United States and, absent socialized medicine, is a robust response to what has been an intractable and escalating problem in the U.S. Many people who have unable to obtain medical insurance are now able to do so.

The Patient Protection and Affordable Care Act was designed to significantly reduce the number of people who are uninsured through the provision of a continuum of affordable coverage options,…...

This ensures each data entry point has a very clear purpose in the overarching development of the enterprise-wide IT systems throughout a healthcare provider (Tan, Payton, 2010). By taking this top-down governance and process management approach to defining an IT structure with data points, a healthcare organization can also ensure a much higher level of security to their entire network as well (Dwyer, einer, Siegel, 2004). Aligning IT spending to processes and governance frameworks ensures a higher level of performance.
3. Describe a situation where you would use a CHIN or HINO system to provide care. How would you utilize cloud computing?

The Community Health Information Network (CHIN) and egional Health Information Network Organizations (HINO) are best suited to serving a broad base of patients across a wide geographic and socioeconomic area. The CHIN platform has been specifically tailored to the development of metro and urban requirements, with success in supporting…...

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References

Dwyer, S.J., Reiner, B.I., Siegel, E.L. (2004). Security

Hickman, G.T., Smaltz, DH (2008). The Healthcare Information Technology Planning Field book: Tactics, Tools and Templates for Building your IT Plan. Chicago: HIMSS. ISBN 978-0-9800697-1-6.

Tan, J., Payton, F.C. (2010). Adaptive Health Management Information Systems: Concepts Cases and Practical Applications (3rd ed.). Boston: Jones and Bartlett. ISBN 13: 978-0-7637-5691-8.

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In Zambia, there a number of different ways to access healthcare.  However, we are struggling to answer what the five health care providers are in the country.  There are more than five main hospitals or clinics in Zambia that provide healthcare, only two healthcare ministries, and various types of health workers including doctors, nurses, midwives, clinical officers, technicians, medical teaching staff, medical consulates, and medical licentiates.  If we had to choose the five types of healthcare providers in Zambia, we would probably break them down into those five broad categories: health technicians, nurses, midwives, doctors, and clinical....

Electronic medical records, which refer to medical records that are not only stored in electronic systems (which includes almost all medical records in the modern world, with the exception of some medical records maintained in non-industrialized nations), but that are accessible to multiple healthcare providers across different platforms.  The question is whether these records are able to improve quality of care by allowing healthcare providers to get a full picture of a patient’s medical history, as well as any presenting concerns or issues, as soon as the patient presents for medical treatment.  It would seem like the....

Health informatics, also known as healthcare informatics or biomedical informatics, refers to a discipline that is a hybrid of science and engineering and involves the application of informatics fields to medicine.  There are number of different topics that fall under the healthcare informatics umbrella, though the creation of electronic health records for patients is probably the most widely used application.   

Essay Titles and Essay topics for Health Informatics

Tallying the Tests: How Monitoring COVID-19 Test Results Has Helped Track the Pandemic in the U.S. and Abroad

Vaccine Records and Privacy Concerns: How Do State....