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The Cleveland Clinic health

Words: 2139 Length: 7 Pages Document Type: Case Study Paper #: 69047640

Cleveland Clinic Case Study
Introduction
The Cleveland Clinic is a large health care provider based in Cleveland, but with some expansion under its belt already. The Clinic has in recent years been an innovator in a number of areas, and an early adopter in others such as the use of information technology. These approaches have set the Clinic up for success. Since 1999, operating revenue has increased consistently, each year, including the recession years of 2008 and 2009, going from around $2.3 billion in 1999 to nearly $7 billion in 2014. While the operating margin has fluctuated during that period, it has been above zero since 2002 and is on a two-year upward trend. Thus, there is significant success attached to recent endeavors. For the leadership of the Cleveland Clinic, there are a number of strategic and tactic options on the table, including those with respect to international expansion, operating…… [Read More]

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Design and Implementation of Collaborative Care Model

Words: 2940 Length: 10 Pages Document Type: Essay Paper #: 59073521

Current Population
The population of the area comprises mostly of African Americans. The community is a low-income area and individuals who live here struggle to make ends meet. This makes it hard for them to access premium health care that is offered at private hospitals. Therefore, most of them have to rely on the community health center. Poor people have been associated with numerous chronic health problems that are as a result of their lifestyles and a lack of viable income. The community is underserved in terms of social amenities. Other structural challenges that are faced by the community is the reduced access to fresh foods, high density of fast food restaurants, and the area is not conducive for physical activity. This makes people have sedentary lifestyles that contribute towards them developing chronic diseases. Access to health care is reduced and the few who are able to access the community…… [Read More]

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Obamacare Affordable Care Act

Words: 779 Length: 2 Pages Document Type: Essay Paper #: 24445806

1. Name two advantages and two disadvantages of the Affordable Care Act (the Obama healthcare plan).
Obamacare has ensured federal fund allocation to all states for the purpose of Medicaid expansion. Outcomes reveal that this expansion, accompanied by the establishment of health insurance exchanges, has resulted in a substantial share of uninsured citizens acquiring coverage. Further, ACA introduced some key healthcare sector reforms including healthcare center accountability that attempts at coordinating care between health centers and achieving shared cost savings. Accountable care organizations intend to decrease the fragmentation the health sector commonly witnesses. The year 2016 saw a deceleration in American healthcare expenditure’s growth rate after 5 years (Gruessner, 2016).
Despite the aforementioned advantages, certain issues surrounding ACA have proven detrimental to healthcare access. Of late, monthly premium rates have spiked, particularly among health insurance exchange plans. The cause for this increase is: a further twenty million individuals are now…… [Read More]

References
Geyman, J. (2015). The Affordable Care Act at Age Five: Quality of Care. Retrieved February 13, 2018, from http://pnhp.org/blog/2015/03/16/the-affordable-care-act-at-age-five-quality-of-care/
Ginsburg, J., Neubauer, R., Fleming, D., Bronson, D. L., Centor, R. M., Gluckman, R. A., & Liebow, M. (2009). Controlling health care costs while promoting the best possible health outcomes. American College of Physicians: A White Paper.
Gruessner, V. (2016, September 14). 2 Benefits and 2 Disadvantages of the Affordable Care Act. Retrieved February 12, 2018, from https://healthpayerintelligence.com/news/2-benefits-and-2-disadvantages-of-the-affordable-care-act
Toussaint, J. S. (2017, April 05). Improve the Affordable Care Act, Don\\\\'t Repeal It. Retrieved February 13, 2018, from https://hbr.org/2016/11/improve-the-affordable-care-act-dont-repeal-it
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New Jersey Helath Care policy

Words: 1241 Length: 4 Pages Document Type: Term Paper Paper #: 99715316

Staffing legislation in NJ
One of the tenets of healthcare is the provision of adequate healthcare for all patients and the health care needs to be the safest possible that the medics and the facilities can offer. This has been a concern for many institutions yet few states like California have actively enacted the legislations that have to do with staffing legislations. It is indicated that in the past decade, approximately 15 state and the federal government have proposed or successfully enacted the regulations and legislations that address nurse staffing in the acute care hospitals (Reiter K.L. et.al., 2012). This indicates that there is the need to have such legislations put in full operational force in the various health care facilities and cover states, New Jersey not an exemption in this. The patients herein deserve to have adequate care bearing that it is one of the states with the highest…… [Read More]

Reference s
API Health Care, (2014). The Top 3 Benefits of Acuity-Based Staffing for Your Organization. Retrieved September 30, 2018 from http://apihealthcare.com/sites/default/files/API_Healthcare_Benefits_Acuity_Based_Staffing_WP.pdf
Department of Professional Employees, (2006). The Costs and Benefits of Safe Staffing Ratios. Retrieved September 30, 2018 from https://dpeaflcio.org/programs/factsheets/archived/fs_2006_staffratio.pdf
Reiter K.L. et.al., (2012). Minimum Nurse Staffing Legislation and the Financial Performance of California Hospitals. Retrieved September 30, 2018 from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3337946/
Sime T. & Fentie W. (2016). Staffing: Practices and Challenges. Retrieved September 30, 2018 from http://www.ijsrp.org/research-paper-0416/ijsrp-p5239.pdf
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Latinos and African American Health Disparities

Words: 703 Length: 2 Pages Document Type: Essay Paper #: 45302153

The widespread health disparities between quality and cost are mainly used to determine existing inequalities within healthcare services. In 2016, studies examined healthcare’s relationship with quality and cost relating to lifespan (Chetty et al., 2016). These disparities in healthcare are chiefly attributed to social class and financial value in communities. Those in poorer communities must deal with public healthcare facilities that mean longer wait times, impersonal interactions with healthcare professionals that do not understand them (language or cultural), and potentially poor treatment regarding medical diagnosis (Barr, 2014). Those in wealthier communities can afford private care and therefore faster wait times, better doctors, more accurate diagnoses. With such disparities present in American healthcare, studies aim to understand the rationale behind such occurrences and determine how to improve patient outcomes for working-class communities.
While social class plays a role in healthcare disparities, so does race and ethnicity. “…blacks and other minorities continue…… [Read More]

References
Barr, D. A. (2014). Health disparities in the United States: Social class, race, ethnicity, and health. JHU Press.
Betancourt, J. R. (2013). Defining Cultural Competence: A Practical Framework for Addressing Racial/Ethnic Disparities in Health and Health Care. Public Health Reports, 118(4), 293-302. doi:10.1093/phr/118.4.293
Chetty, R., Stepner, M., Abraham, S., Lin, S., Scuderi, B., Turner, N., … Cutler, D. (2016). The Association Between Income and Life Expectancy in the United States, 2001-2014. JAMA, 315(16), 1750. doi:10.1001/jama.2016.4226
Florida Department of Health. (2018). Minority Health Liaisons | Florida Department of Health. Retrieved from http://www.floridahealth.gov/programs-and-services/minority-health/minority-health-liaisons.html
Minority Healthcare Communcations. (2010). Minority Healthcare Communications Inc. : Focused on Health Care Education Through Conferences, Seminars and Workshops. Retrieved from http://www.minority-healthcare.com/about.html
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Patient Protection and Affordable Care Act

Words: 674 Length: 2 Pages Document Type: Essay Paper #: 44961120

PPACA
Two provisions in the PPACA (Patient Protection and Affordable Care Act) that impact my current nursing practice are 1) the call for increased access to care and 2) the call for more preventive care. The Institute of Medicine (IOM) in its Future of Nursing report stated that nurse practitioners should be allowed to practice to the full scope of their education and training (IOM, 2010), which is something they are not permitted to do in every state. Many states require nurses to practice under the supervision of a physician, but as O’Brien (2003) pointed out, Advanced Practice Nurse Practitioners (APRNs) were trained to take the place of the physicians who were leaving the primary care field for specialized medicine. Nurses were trained and educated to be able to provide primary care—the same kind of care that physicians provide. And yet in many states they are not permitted to practice…… [Read More]

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Developing Effective Team Work

Words: 1898 Length: 6 Pages Document Type: Research Paper Paper #: 45639091

Delivering Safe and High-Quality Healthcare
For effective discharging of duties by health professionals which will, in turn, give a quality service to patients under their care, there is a need for effective inter-professional communication among personnel in a hospital environment. While territoriality concept within the sector is being adhered to, that, however, should not be a barrier to a fluid collaboration among health workers of different backgrounds. There is a need to formulate a working communication strategy to solve the lingering inter-professional problems in hospital environments generally, and particularly, in the emergency department. As important as it is, a look at inter-professional communication in emergency department shows a seemingly unfavorable situation among practitioners involved in this one of the most significant subsectors of health profession (Varjoshani1, Hosseini, Khankeh, & Ahmadi, 2014). Among other numerous issues in the department, this paper looks at the problem of boisterous atmosphere in the emergency…… [Read More]

References
ER Tech Job Description. JobHero. https://www.jobhero.com/er-tech-job-description/
Kessler, D., Cheng, A., & Mullan, P. (2014). Debriefing in the Emergency Department. Annals of Emergency Medicine
Morley, L. & Cashell, A. (2017). Collaboration in Health Care. Continuing Medical Journal of Medical Imaging and Radiation Sciences. 48, 207-216.
Northouse, P. G. (2007). Situational Approach. Leadership theory and practice, Thousand Oaks, CA, US: Sage Publications, Inc.7, 93-115.
Rapp, A. (2017).7 Key Responsibilities of an Emergency Room Nurse. eMedCert. Electronic Medical Certification. https://emedcert.com/blog/key-responsibilities-of-an-emergency-room-nurse
Varjoshani1, N.J., Hosseini1, M.A., Khankeh, H.R., & Ahmadi, F (2014). Tumultuous Atmosphere (Physical, Mental), The Main Barrier to Emergency Department Inter-Professional Communication. Global Journal of Health Science. Canadian Center of Science and Education; 7, 1916-9744.
“What is Situational” (2014) Leadership? How Flexibility Leads to Success. St. Thomas University. STU Online.
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Comparing Organizations with Benchmark Data

Words: 959 Length: 3 Pages Document Type: Term Paper Paper #: 83039440

In seeking to compare organizations with benchmark data, this text will largely focus on two organizations, i.e. Hackensack University Medical Center in Hackensack, NJ and Overlook Medical Center in Summit, NJ. In so doing, the paper will not only describe the organizations selected, but also highlight how the said organizations compare to each other and to state as well as national averages. Further, the paper will attempt to explain differences (if any) in performance measures, while at the same time assessing how publicly reported data impacts safety and quality of hospitals.
Located in New Jersey’s Hackensack city, Bergen County, Hackensack University Medical Center prides itself in being the number 1 hospital in the State (HackensackUMC, 2018). Having been founded 130 years ago, this particular 900-bed “nonprofit, teaching and research hospital has grown to become the largest provider of inpatient and outpatient services in New Jersey” (HackensackUMC, 2018). The institution was…… [Read More]

References
Atlantic Health System (2018). Who We Are. Retrieved from https://www.atlantichealth.org/about-us/who-we-are/approach-care.html
Groene, O. (2011). Patient Centeredness and Quality Improvement Efforts in Hospitals: Rationale, Measurement, Implementation. International Journal for Quality in Health Care, 23(5), 531–537.
HackensackUMC (2018). Who We Are. Retrieved from https://www.hackensackumc.org/about/
Medicare (2018). Compare Hospitals. Retrieved from https://www.medicare.gov/hospitalcompare/compare.html#cmprTab=0&cmprID=310001%2C310051&cmprDist=0.0%2C0.0&stsltd=NJ&dist=25&lat=0&lng=0&state=NJ
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Examining the different types of Original Medicare coverage

Words: 1211 Length: 4 Pages Document Type: Essay Paper #: 94226250

Retirement Planning
1. Most Americans over the age of 65 have the ability to enroll in Medicare part A and Medicare part B. Medicare Part A is what is known as “hospital insurance”, and “helps pay for inpatient care in a hospital or limited time at a skilled nursing facility (following a hospital stay). Part A also pays for some health care and hospice care”, according to the Social Security Administration.
The Medicare website outlines some specific things within each of these broad categories. For example, under hospital care Medicare Part A covers semi-private rooms, meals, general nursing, drugs as part of your inpatient treatment, and other hospital services and supplies.
In a skilled nursing care unit, you are covered for meals, semi-private room, skilled nursing care, physical therapy, occupational therapy, speech-language pathology services, medications, medical social services, medical supplies and equipment used in the facility, ambulance transportation, dietary counseling,…… [Read More]

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Medicare Access and CHIP Reauthorization Act

Words: 1285 Length: 4 Pages Document Type: Essay Paper #: 23116886

The Medicare Access and CHIP Reauthorization Act (MACRA) changed the way health care providers are reimbursed through Medicare, provided an increase in funding, and extended the Children’s Health Insurance Program (CHIP). MACRA placed conditions upon care providers in order for them to receive reimbursement: care must be quality care, i.e., care that helps them to keep from having to come back for more treatment—rather than just treatment after treatment, keeping patients coming back through the revolving door of medicine without every actually helping them. The type of quality care required by MACRA is preventive medicine and health literacy promotion. As Licthenfeld (2011) pointed out, too many doctors are diagnosing patients with health problems that are insignificant and do not need treatment—but because Medicare was always willing to bankroll treatment it made good business sense to treat every patient for every symptom. The problem is that people are like cars—as they…… [Read More]

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Are Poor People Less Healthy Than Wealthy People

Words: 1029 Length: 3 Pages Document Type: Research Paper Paper #: 73086469

Inpatient Admissions
If poor people were as healthy as the rest of America, we actually would not see any decline in inpatient admission because the rest of America is really not very healthy. As several studies have recently noted, an alarming trend is occurring in American health care: wealthier Americans are now receiving more care than poorer Americans. As Almberg (2016) notes, “in 2012, the wealthiest fifth of Americans got 43 percent more health care ($1,743 more per person) than the poorest fifth of Americans, and 23 percent more care ($1,082 per person) than middle-income people.” With the rising cost of health care and the rise in premiums and deductibles—along with the long waits just to receive care in many health care facilities (Nicks, 2012), poor people are foregoing inpatient care while wealthier individuals are filling up the spot.
The big surprise is that wealthier people are also becoming less…… [Read More]

References
Almberg, M. (2016). Wealthier Americans now receive much more health care than middle class or poor, reversing a 50-year trend: Harvard study. Retrieved from http://www.pnhp.org/news/2016/july/wealthier-americans-now-receive-much-more-health-care-than-middle-class-or-poor-rever
Cutler, D., Morton, F. (2013). Hospitals, market share, and consolidation. JAMA, 310(18), 1964-1970.
Goldhill, D. (2009). How American health care killed my father. Retrieved from  https://www.theatlantic.com/magazine/archive/2009/09/how-american-health-care-killed-my-father/307617/ 
Grabmeier, J. (2017). For richer or poorer, we all eat fast food. Retrieved from https://news.osu.edu/news/2017/05/04/eat-fast-food/
Kripalani, S., Theobald, C., Anctil, B., Vasilevskis, E. (2013). Reducing hospital readmission: Current strategies and future directions. Annual Review of Medicine, 65, 471-485.
Nicks, P. (2012). Waiting for health care. Retrieved from http://www.nytimes.com/2012/05/21/opinion/for-the-uninsured-the-wait-for-health-care.html
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US Priority Populations

Words: 685 Length: 2 Pages Document Type: Essay Paper #: 40465926

Priority Populations
In definition, a priority population is that which is being targeted by a particular program for a given course. When defining priority populations, many people dwell on the social factors of the population, including race, culture, ethnicity, gender, income, sexual orientation and language. The Agency for Healthcare Research and Quality uses the priority populations that were earlier defined by Congress in the Healthcare Research and Quality Act of 1999. This includes children, women, racial minorities, the elderly, ethnic minorities, low-income, rural, inner-city and those with special health needs (e.g. those with chronic illnesses and various disabilities) (Tyler & Hassen, 2015).
The rural Americans face considerable health disparities. These can be said to be the differences in their health conditions as compared to that of the general population. The main factors that point to health disparities include high number of diseased or disabled persons, high death rates, extensive suffering,…… [Read More]

References
Rural Health Information Hub. (2017, September 6). Healthcare Access in Rural Communities Introduction - Rural Health Information Hub. Retrieved September 24, 2018, from https://www.ruralhealthinfo.org/topics/healthcare-access
Tyler, I., & Hassen, N. (2015). Priority Populations Project: Understanding and Identifying Priority Populations for Public Health in Ontario (pp. 32-35, Tech. No. ISBN 978-1-4606-6562-6). Ontario: Queen’s Printer for Ontario. doi:https://www.publichealthontario.ca/en/eRepository/Priority_Populations_Technical_Report.pdf
Warshaw, R. (2017, October 30). Health Disparities Affect Millions in Rural U.S. Communities. Retrieved September 24, 2018, from https://news.aamc.org/patient-care/article/health-disparities-affect-millions-rural-us-commun/
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Analyzing an At Risk Population

Words: 1743 Length: 6 Pages Document Type: Research Paper Paper #: 32076856

Analysis and Application
An Existing At-Risk Population
Obesity has been a major health issue in the United States that leads to numerous diseases. The obesity rates have been on the upward trajectory over the past few years. According to Hales, Fryar, Carroll, Freedman, and Ogden (2018), the rates of obesity have increased from 33.7 percent to 39.6 percent in the past decade. Obesity is defined as having a body mass index (BMI) that is 30 or greater (Hales et al., 2018). Severe obesity is defined as having a BMI that is 40 or greater. This is attributed to the lifestyle changes of people and the over-reliance on fast foods. especially in America, junk food is far cheaper than healthy alternatives. This makes it attractive for low-income families, which contributes to the increased obesity rates for middle to low-income groups. With the increased work schedules, people are finding it hard to…… [Read More]

References
Abranches, M. V., de Oliveira, F. C. E., da Conceição, L. L., & Peluzio, M. d. C. G. (2015). Obesity and diabetes: the link between adipose tissue dysfunction and glucose homeostasis. Nutrition research reviews, 28(2), 121-132.
Finkelstein, E. A., Trogdon, J. G., Cohen, J. W., & Dietz, W. (2009). Annual medical spending attributable to obesity: payer-and service-specific estimates. Health Affairs, 28(5), w822-w831.
García-Jiménez, C., Gutiérrez-Salmerón, M., Chocarro-Calvo, A., García-Martinez, J. M., Castaño, A., & De la Vieja, A. (2016). From obesity to diabetes and cancer: epidemiological links and role of therapies. British journal of cancer, 114(7), 716.
Hales, C. M., Fryar, C. D., Carroll, M. D., Freedman, D. S., & Ogden, C. L. (2018). Trends in obesity and severe obesity prevalence in US youth and adults by sex and age, 2007-2008 to 2015-2016. JAMA, 319(16), 1723-1725.
Roberto, C. A., Swinburn, B., Hawkes, C., Huang, T. T., Costa, S. A., Ashe, M., . . . Brownell, K. D. (2015). Patchy progress on obesity prevention: emerging examples, entrenched barriers, and new thinking. The Lancet, 385(9985), 2400-2409.
Seidell, J. C., & Halberstadt, J. (2015). The global burden of obesity and the challenges of prevention. Annals of Nutrition and Metabolism, 66(Suppl. 2), 7-12.