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Among the most important are distribution and variability factors (145-146; 164; 175), with particular attention to the central limit theorem (166), and margin of error (179-186). If practitioner understand how these factors apply to statistical calculations, and how they impact the validity and potential reliability of the study, then statistical claims can be properly evaluated based on the reported values in the research being considered or produced. Evaluating the accuracy of actual statistical calculations is often beyond the abilities of practitioners. But evaluating the way the numbers yield information which addresses the trends and speaks to the causal tendencies in data is critical for understanding statistical studies.
Rumsey presents summarized treatments of basic correlative and associative measures used in statistical data, and points out that anyone can evaluate such calculations to determine what types of errors might exist in any research that utilizes them (287-291). The practitioner should be aware…
Rumsey, D. (2003). Statistics for Dummies. Hoboken, NJ: Wiley.
The burn should also be checked for signs of infection, such as increased pain, redness, swelling or pus. A healthcare provider needs to be seen if any of these are present. Burned skin itches as it heals, but the skin should not be scratched and nor blisters broken. This reduces the risk of infection. The burned area can be sensitive to sunlight for up to a year, so sunscreen is needed when the person goes outside (Morgan).
The injured person should immediately go to the hospital in the case of third-degree chemical burns. No material or clothing that is stuck to the burn should be removed. The burn should not be soaked or any ointment applied. The burn can be gently covered with a cool, wet sterile bandage or clean cloth until receiving medical assistance. If possible, the burned area should be raised above the level of the person's heart…
Mayo Clinic. Chemical Burns. 5 July, 2010 http://www.mayoclinic.com/health/first-aid-chemical-burns/FA00024
Metzgar, Carl. Chemical burns need prompt first aid. Pit & Quarry 88.5 (1995): 56-57
Merck Manual. Online Medical Library. 5 July 2010 http://www.merck.com/mmhe/sec24/ch289/ch289a.html
Singer, Adam, and Alexander Dagum. Current Management of Acute Cutaneous Wounds. 359 (2008): 1037-1046.
Becoming and remaining an effective leader in any healthcare setting requires a wide range of skills, including most especially the abilities to analyze complex situations and communicate with clinicians from multiple disciplines. The Leadership and Communication coursework provided valuable information and insights concerning these professional needs, but it are also important to reflect on the lessons learned in order to reinforce the learning process. To this end, this four-part reflection paper provides a discussion concerning fresh insight developed with respect to my working style and how I work with others. In addition, an assessment concerning the insights gained regarding conversations and interactions with friends, family, coworkers, and others is followed by a discussion of the strategies that will be used to improve chances for success in the future. Finally, a summary of these four parts and the insights gained is provided in the conclusion.
Part 1: Working Style
In the wake on new and very contentious health care reform, many firms have undergone extensive transformations. These transformations have been predicated on both cost control and quality management. In particular quality management has had a profound impact on the underlying business operations of many health care firms. For one, firms are now finding methods in which to enhance the overall patient experience while also mitigating potential loses due to negligent means. The focus on quality management has also made firms more efficient in regards to the overall delivery of service. In particular, my firm has done extensive work with reducing elderly accidents within the facility. This quality management initiative has not only reduced costs associated with accidents, but it also has enhanced the trust and patient experience of all stakeholders within the firm (Kelly, 2011).
Identify the milestone you chose in the history of quality improvement in…
1) Draper, Elaine, Joseph LaDou, and Dan J. Tennenhouse. 2011. "Occupational Health Nursing and the Quest for Professional Authority," New Solutions 21, 47 -- 81
2) Kohn, L.T., Corrigan, J.M., & Donaldson, M.S. (Eds). (2000). To err is human: Building a safer health system. Washington, D.C.: National Academy Press.
3) Kelly, D.L. (2011). Applying quality management in healthcare: A systems approach (3rd ed.). Chicago, IL: Health Administration Press
4) Lucia, Patricia R.; Otto, Tammy E.; Palmier, Patrick A. (2009). "Chapter 1
While it may not be just to hold an organization liable, absolutely, for every instance of employee negligence, there is a rationale for imposing such liability in many cases. For example, many types of industries entail potential danger to others that are inherent to the industry.
Individual workers are not likely to be capable of compensating victims of their negligence, but the employer benefits and profits financially by engaging in the particular industry. Therefore, the employer should not necessarily escape liability for compensating all harm caused by their activities, regardless of fault in particular instances.
10.A nurse is responsible for making an inquiry if there is uncertainty about the accuracy of a physician's medication order in a patient's record. Explain the process a nurse should use to evaluate whether or not to make an inquiry into the accuracy of the physician's medication order.
Like other highly trained professionals, experienced nurses…
Abrams, N., Buckner, M.D. (1989) Medical Ethics: A Clinical Textbook and Reference for the Health Care Professionals. Cambridge, MA: MIT Press
Caplan, a.L., Engelhardt, H.T., McCartney, J.J. Eds. (1981) Concepts of Health and Disease: Interdisciplinary Perspectives. Reading, MA: Addison-Wesley
Starr, P. (1984) the Social Transformation of American Medicine.
New York: Basic Books
One such barrier is the pattern of supply-driven care that has proven extremely costly on the average consumer and patient. Essentially, this method of healthcare has created a multi-billion dollar industry, where patients' needs are put to the side in order for healthcare organizations to make the largest profit margin possible through a system that resembles a production line more so than a hospital facility. Unfortunately, "producers control demand" (O'Toole, 2009, p 48). With so many major companies profiting from this style of healthcare, they will undoubtedly put up a fight for reform initiatives like the Triple Aim Initiative, which is hoping to rework the system in order to save consumers the burden of costs, without reducing the quality of the care they receive. Moreover, the physician-centric model of most of today's healthcare systems also proves a barrier to the aims of the Triple Aim Initiative. Essentially, under this model,…
O'Toole. Eileen. (2009) Healthcare in the 21st century. The Nurse Practitioner, 34(7), 46-50.
World Health Organization. (2013).World Health Statistics 2013: Indicator Compendium. Web. http://www.who.int/gho/publications/world_health_statistics/WHS2013_IndicatorCompendium.pdf
Healthcare Legal Issues
Discuss the impact Federalism has on the regulation of health care delivery; how do the different sources of law as they related to the federal and state governments matter, if at all?
In general, federal regulation of health care delivery would be much more appropriate and efficient than state or local law, at least in so far as major aspects of health care delivery are concerned. That is because state laws vary considerably; that makes it impossible to establish a consistent or uniform standard of health care delivery across state lines. Certainly, there are aspects of health care that are appropriate to regulate at the state or even the local level, but there are others that would be much better to regulate on a national or federal level.
One of the best examples of an aspect of health care delivery that should be regulated federally are elements…
Reid, T. (2009). The Healing of America: A Global Quest for Better, Cheaper, and Fairer Health Care. New York: Penguin Group.
Drug costs have gone from 26% of health care spending by private insurance companies in 1990 to 44% in 2006 (Kaiser Foundation, 2008). This issue has not been adequately addressed by health care reform. Instead, a deal appears to be made for $80 billion in concessions from the pharmaceutical industry in exchange for its support of health care reform (Kirkpatrick, 2009).
The underlying trend in each of these major issues in health care reform is controlling the rising cost. Malpractice reform seeks to control the cost of insurance to health care providers, so that they can pass those savings along to consumers. The public option provides a plan for affordable health care coverage for uninsured and underinsured Americans. This is deemed necessary because private insurers will not offer insurance to those it feels will demand too much in terms of health care costs going forward. Reducing the cost of health…
Carey, Nick. (2009). Uninsured Americans hope reform brings health coverage. Reuters. Retrieved October 7, 2009 from http://www.reuters.com/article/topNews/idUSTRE58F0NO20090916
The White House. (2009). The Obama Plan: Stability and Security for All Americans. Retrieved October 7, 2009 from http://www.whitehouse.gov/assets/documents/obama_plan_card.PDF
New York Times. (2009). Malpractice and Health Care Reform. New York Times. Retrieved October 7, 2009 from http://www.nytimes.com/2009/06/17/opinion/17wed2.html
Kaiser Family Foundation. (2008). Prescription Drug Trends. Kaiser Family Foundation. Retrieved October 7, 2009 fromhttp://www.kff.org/rxdrugs/upload/3057_07.pdf
Health Care & Faith Diversity
It is quite obvious how different religions hold different philosophical views on various aspects and even when it comes to healing. Each religion highly upholds their spiritual values hence the need for health practitioners to be cautious while handling varied clientele whether they hold the same religious sentiments or not. In this research we will major on the views held by the Sikh, Buddhist and Judaist religions in comparison to the Christian belief on healing.
The Sikh hold the belief that when one is sick it is the will of God and that He is merciful to heal; however one has to consider medical treatment in order to get well. During illness: Sikh patients engage in prayers to seek God for help, seek to obtain peace by remembering Gods name, recite sacred hymns (Gurbani) which are words from the holy scriptures (Guru Granth…
Dharma Haven, (2005).Tools for Healing Relaxing and Awakening. Retrieved March 30,
2012 from http://www.dharma-haven.org/tibetan/healing.htm
Manitoba, (2006). Core Competencies for Spiritual health care Practitioners. Retrieved March 30, 2012 from http://ahpcc.org.uk/pdf/compaudittool.pdf
Marinell & James (2009). Jewish Views of Illness and Healing. Retrieved March 30, 2012
Many of the alternative health care delivery systems predate the allopathic mode of treatment, but remained popular only in the pockets of their early existence. The popularity of allopathic mode of treatment stem from the quick pace of relief it is able to give in most cases if not curing the cause giving symptomatic relief. As mans pace of technological growth increase so did his desire for quick health care delivery systems to which allopathic mode of treatment was well suited. The fast increasing rate at which the cost of the allopathic mode of treatment has climbed and continues to climb coupled with the increasingly established fact that in chronic diseases like arthritis and asthma the allopathic mode of treatment seldom goes to the root of the problem and only provides symptomatic relief are just two of the main reasons that have caused an increased re-look at the…
"Acupuncture FAQ" Retrieved from http://qi-journal.com/TCM.asp?-token.SearchID=Acupuncture%20FAQ Accessed on 12/03/2004
Brown, Lonny J. (2001) "What is Holistic Health?' Retrieved from http://www.holistic.com/holistic/learning.nsf/0/6d6ad242c4e75c9c87256b8f00021919?OpenDocument Accessed on 12/03/2004
"Herbal Medicine in the United States" Retrieved from http://www.naturalhealthvillage.com/reports/rpt2oam/herb.htm Accessed on 12/03/2004
"Homeopathy" (1 November, 2004) Retrieved from http://skepdic.com/homeo.html Accessed on 12/03/2004
There have been several demographic trends that have affected health care in the past century in the United States. Of these, one of the most important has been the baby boom generation, which came about in the years after World War Two. This generation is characterized by its unusual size compared with previous generations, and is even bigger than the generations that have followed. Socially, this manifested in the baby boomers being key drivers of consumer trends, and social change during the 1960s. They have also become a major driver of demand for health care. Boomers are now entering Medicare eligibility as well, which will bring more of them onto the government health plan. The Medicare plan was not enacted until after they had been born, so the full effects of implementing Medicare would have been known with respect to this generation, but that does not mean it…
Leclere, F., Jensen, L., & Biddlecom, A. (1994). Health care utilization, family context and adaptation among immigrants to the United States. Journal of Health and Social Behavior. Vol. 35 (4) 370-384.
Robson, W. (2009). Will the baby boomers bust the health budget? Demographic change and health care reform. CD Howe Institute.
healthcare practices and history of nursing in the Jewish culture.
There are several healthcare practices within the Jewish culture. According to the rabbinic lore, no aging process existed until the time that Abraham was born. No disease also existed until the time when Jacob came to existence.
The connections of Jews to the healing process at patients as well as physician level is noted to be ancient with a deep root in history and theology (MyJewishLearning.com, 2011).In most religions, the idea of medical treatment was largely an anathema. In most traditional religions, disease, deformity and accident were regarded as parts of God's creation that those of human beings. Anything to do with medical treatment was largely considered to be a process of meddling with the Creator's (God's) work and will. Judaism however, views the concept of medical treatment in appositive light. It views medical treatment as an obligation on the…
Gesundheit, B., Hada, E (2005).Maimonides (1138-1204): Rabbi, Physician and Philosopher*. IMAJ 2005;7:547-553
Illievitz, AB (1935).Maimonides the Physician. Can Med Assoc J. 1935 April; 32(4): 440-442.
Leininger MM (1997) Overview and Reflection of the Theory of Culture Care and the Ethnonursing Method. Journal of Transcultural Nursing, 8:2, 32.52.
Leininger MM (1991) Culture Care Diversity and Universality: A Theory of Nursing. National League for Nursing Press, New York.
Nursing Health Care Informatics
"…At the beginning of the 21st century, nursing informatics has become a part of our professional activities…[and has] advanced the field of nursing by bridging the gap from nursing as an art to nursing as a science…" (Saba, 2001, 177).
Nursing Health Care informatics relate to and address technology and other cutting edge issues of great interest in the healthcare field. According to the AMIA, Nursing Informatics is the "…science and practice (that) integrates nursing, its information and knowledge, with management of information and communication technologies to promote the health of people, families, and communities worldwide." New and relevant knowledge presented in the genre of informatics helps to empower nurses and other healthcare practitioners to deliver the most effective patient-center care possible. This paper presents several informatics in the belief that applying healthcare technologies and practices that are genuinely progressive and helpful to today's nurse is…
AMIA (2009) Working Group Nursing Informatics. Retrieved March 9, 2014, from http://www.amia.org .
An, J.Y., Hayman, L.L., Panniers, T., and Carty, B. (2007). Theory Development in Nursing
And Healthcare Informatics. A Model explaining and Predicting Information and Communication Technology Acceptance by Healthcare Consumers. Advances in Nursing Science, 30(3), E37-E49.
Cipriano, P.F. (2011). The Future of Nursing and Health IT. Nursing Economics, 29(5).
Practicum Project in Health Informatics
• This practicum thesis allows the student to work on developing informatics-based applications while also applying informatics science and skills.
• Uses technology to help streamline processes that ultimately aid in the patient experience
• Lowers costs while increasing efficiency
• Does not focus on the "human component" of technology
• Focuses on the benefits of informatics but does not take into account the costs as it relates to onboarding. People must be training on the technology; stakeholders must know how to fix problems that arise. All employees must be willing to adopt the technology.
• Does not properly take into account the threat of cyber security and its implications on training nurses. A hack may disrupt the overall application of the technology
"Preceptor Training and Nurse etention"
• Strong emphasis on a team approach as it relates to training and retention…
1) American Association of Colleges of Nursing Essentials. (2006). The essentials of doctoral education for advanced nursing practice. Retrieved from http://www.aacn.nche.edu/publications/position/DNPEssentials.pdf .
2) American Nurses Association. (2010). Scope and standards of practice. Silver Spring, MD: Nursebooks.org.
3) Bae, S., Mark, B., & Fried, B. (2010). Impact of nursing unit turnover on patient outcomes in hospitals. Journal of Nursing Scholarship, 42(1), 40-9. doi:10.1111/j.1547-5069.2009.01319.x.
4) Baker, S. L. (2010). Nurse educator orientation: Professional development that promotes retention. The Journal of Continuing Education in Nursing, 41(9), 413-7. doi:10.3928/00220124-20100503-02.
Health Care Change
The change process is influenced by myriad philosophical, ethical, regulatory, and reflective interactions, particularly for entities involved in the health care industry. egulatory interactions establish mandates that organizations must adhere to, which require changes in procedures. Similarly, ethical interactions can affect the change process by establishing precedents based on the outcomes of previous ethical decisions, which provide the basis for additional behavior in similar ethical situations. eflective interactions affect the change process by enabling parties to ruminate about previous successes and failures, and to change their organizations to maximize the former and minimize the latter. Philosophical interactions influence the change process by allowing health care practitioners to exchange varying viewpoints and perspectives on matters that can provide the impetus for departmental or organizational change.
The impact of networking and collaboration with inter-professional groups seeking to resolve global health care problems can be profound, even nationally (Office, 2016).…
Cybriwsky, N. (2011). The power and popularity of social media and the internet in Brazil. http://sites.duke.edu / Retrieved from
1. Nursing Theorist Overview
Theory guides nursing practice and provides a framework for nurse leadership and healthcare management (McKenna, Pajnikar & Murphy, 2014). All prominent nursing theorists like the individuals covered in the multimedia presentation have influenced nursing practice in some way or another, and all do resonate with me on a personal and professional level. I will incorporate elements of all theorists into my practice in terms of interpersonal communications and attitudes towards health and healing. Of the theorists covered in the presentation, those of Florence Nightingale resonate the most because of her inclusion of environmental factors implicated in patient care. Environmental factors like lighting or ventilation can have a profound impact on perceptions of quality of care, too, which has a strong bearing on the efficacy of the healthcare institution (Sabza & Pirani, 2016). The environmental factors that Nightingale identified as being important to patient care also have…
Heart Hospital: A Combined Effort between Cornell University
and the New York Presbyterian Hospital
According to the American Heart Association, approximately 2,600 Americans die each and every day from cardiovascular diseases and claim an average of one life every 33 seconds. By building on the successes of the New York Presbyterian Hospital and Cornell University NYP will leverage its cardiac resources to educate, research, treat, and prevent the nation's and New York's number one killer.
The primary driving force behind NYP Hospital's design has been its efficiency to support advanced patient care, synergy of comprehensive cardiac services, and farsighted and visionary advances in medical technology. The planned facility will be a state-of -- the art wireless (digital) environment permitting physicians, nurses and other healthcare practitioners to be significantly closer to the medical consumer's bedside and the design of inpatient surgery and medicine step-down units will improve the workflow across all…
Would you describe yourself as a spiritual person, a religious person, or neither?
I would not describe myself as a spiritual person, but I am open-minded. I do not typically talk about my religion or my beliefs. I respect other people's beliefs. Some people call me agnostic, but I don't care for labels. I did not come from a religious family.
Do your spiritual beliefs and practices reflect that of your family, background, or community, or are your beliefs different from those of your loved ones?
My spiritual beliefs are similar to those of my friends and family members because I do not know many people who are overtly religious.
Do you pray or meditate? How often, and how do these practices fit into your life?
I have learned how to meditate, but I do not necessarily consider this a spiritual practice. I meditate to calm my mind…
The Joint Commission (2008). Spiritual assessment. Retrieved online: http://www.jointcommission.org/mobile/standards_information/jcfaqdetails.aspx?StandardsFAQId=290&StandardsFAQChapterId=29
Saguil, A. & Phelps, K. (2012). The spiritual assessment. American Family Physician 86(6): 546-550
Healthcare Associated Infections: Critical Analysis
The prevention and control of healthcare associated infections is an issue that has attracted considerable attention across the globe given the increase of healthcare associated infections. Despite the development and use of several strategies and measures to lessen the burdens caused by healthcare associated infections, the practices of healthcare professionals are largely suboptimal while the infections persist. As a result, the prevention and control of these infections has attracted considerable concern, which has resulted in several studies on the practices and behaviors of healthcare practitioners. Carole Jackson, Karen Lowton and Peter Griffiths have conducted a research on nurses' prevention behaviors to control healthcare associated infections. The qualitative study utilizes vignettes created from nurses' reports of infection prevention behaviors and practices.
Healthcare associated infections can be described as infections that emerge from medical interventions like clinical or surgical processes or from contact with a…
Burns, N., & Grove, S. (2011). Understanding nursing research (5th ed.). Amsterdam, Netherlands: Elsevier.
Jackson, C. Lowton, K. & Griffiths, P. (2013, July). Infection Prevention As "A Show": A Qualitative Study of Nurses' Infection Prevention Behaviours. International Journal of Nursing Studies, 10(16).
"Prevention and Control of Healthcare-Associated Infections." (2011, November). Quality Improvement Guide. Retrieved from National Institute for Health and Clinical Excellence website: http://www.his.org.uk/files/9213/7483/8498/Prevention_and_control_of_healthcare-associated_infections_Quality_improvement_guide_NICE_Guidance_2011.pdf
"Qualitative Research Perspective." (n.d.). Chapter 4. Qualitative Research in Information Systems: Consideration of Selected Theories. Retrieved from Australian National University Press website: http://press.anu.edu.au/info_systems/mobile_devices/ch04s02.html
Technology gives us more capabilities than we ever had before, and health care organizations need to ensure that their staff members are aware of the regulations surrounding the use of technology in the workplace, both for work-related activities and private activities. The prompt was of a nurse who took photos of a celebrity and texted them to her friend. This action constitutes a violation of HIPAA, wherein the Privacy ule holds the health care providers must safeguard information from your medical records, any information that is recorded by the health care provider, billing information and any other health information (HHS.gov, 2015). Furthermore, there has clearly been an ethical violation committed with regards to the recording of the patient without their consent, and the distribution of that material. Patient information is always confidential in nature, by ethics even if not by law (Mulholland, 1994). This paper will examine the situation…
HHS.gov (2015) Guidance materials for consumers. U.S. Department of Health and Human Services. Retrieved March 19, 2015 from http://www.hhs.gov /ocr/privacy/hipaa/understanding/consumers/index.html
HIPAA (2007). Subtitle B -- Requirements relating to health care access. Retrieved March 19, 2015 from http://www.gpo.gov/fdsys/pkg/CFR-2007-title45-vol1/pdf/CFR-2007-title45-vol1-part164.pdf
Li, K. (2014). Health smartphone applications on chronic disease monitoring: Development and regulatory considerations. The University of Hong Kong. Retrieved March 19, 2015 from http://hub.hku.hk/bitstream/10722/206932/1/FullText.pdf?accept=1
Milholland, K. (1994). Privacy and confidentiality of patient information: Challenges for nursing. Journal of Nursing Administration. Vol. 24 (2) 19-24.
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…
Benedetti, F. (2008). Placebo Effects: Understanding the Mechanisms in Health and Disease. Oxford Scholarship Online.
Bluie, T. Campbell, D.B. Fuchs, G.J. et al. (2010). Evaluation, Diagnosis, and Treatment of Gastrointestinal Disorders in Individuals With ASDs: A Consensus Report. Pediatrics. 125( 1): S1-S18;
Finnegan-John, J. & Thomas, V.J. (2013). The Psychosocial Experience of Patients with End-Stage Renal Disease and Its Impact on Quality of Life: Findings from a Needs Assessment to Shape a Service. Journal of Renal Care. 40(1): 74-81.
Jaarsma. T. (2005). Inter-professional team approach to Patients with Heart Failure. Heart. 91(6): 832-838.
"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.,…
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.
Day treatment programs can provide services at less cost because the patient goes home at night after being treated during the day, which often is used for rehabilitating chronically ill patients (Sharfstein, Stoline, & Koran, 1995, p. 249). The mere fact of having more choice benefits some patients by giving them more say in their care.
Patient-focused care involves a method for containing in-patient costs for hospitals and for improving quality by "restructuring services so that more of them take place on nursing units rather than in specialized units in other hospital locations, and by cross-training staff on the nursing units so that they can do several 'jobs' for the same small group of patients rather then one 'job' for a large number of patients" (Kovner, 1995, p. 186). Kovner notes a number of barriers to this type of care. One reason has been that hospitals have not had to…
Doctors Say Managed Care Strains Patient Relationships (1997, June 9). Westchester County Business Journal 36(23), p. 24.
Kovner, a.R. (1995). Hospitals. In Jonas's Health Care Delivery in the United States, a.R. Kovner (ed.), pp. 162-193. New York: springer Publishing.
Moore, G.T. (1991,
April 24). Let's provide primary care to all uninsured Americans ? now! JAMA, pp. 2108-2109.
Healthcare Delivery Systems Annotated
Parnaby, J., & Towill, D.R. (2008). Seamless healthcare delivery systems. International Journal of Health Care Quality Assurance, 21(3), 249-73.
Towill, D.R., & Christopher, M. (2005). An evolutionary approach to the architecture of effective healthcare delivery systems. Journal of Health Organization and Management, 19(2), 130-47.
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…
Daly, John. (2005). Professional Nursing: Concepts, Issues, and Challenges. New York:
Springer Publishing Company.
Gorsky, Martin. (2010). Good Health for America? History Today, 60(2), 1-6.
McCarthy, Robert L., and Schafermeyer, Kenneth W. (2007). Introduction to Health Care
Information technology and computers have also begun to affect, in ways that are both bad and good, family life, community life, education, freedom, human relationships, democracy, and many other issues. By looking into the broadest sense of the word it can be seen that cyber ethics should actually be understood as a branch of applied ethics, and ethics should be something that is believed in by all that provide medical information, whether via the Internet or in some other way, since providing false or fraudulent information could be damaging and potentially deadly for many people.
This particular branch of ethics analyzes and studies information technology and what type of ethical and social impacts it has. Within recent years this new field has led to countless courses, workshops, articles, journals, and many other ways of expression. With the World Wide Web becoming so popular when it comes to health care information,…
Bynum, T.W. (1999) the Foundation of Computer Ethics. A keynote address at the AICEC99 Conference, Melbourne, Australia, July 1999. Published in the June 2000 issue of Computers and Society.
Surgeons in Canada report that, for heart patients, the danger of dying on the waiting list now exceeds the danger of dying on the operating table. Emergency rooms there are so overcrowded that patients awaiting treatment frequently line the corridors. Not only is there a long wait for care, but care is frequently denied to patients who prognosis is poor. In ritain kidney dialysis is generally denied patients over the age of 55. At least 1,500 ritons die each year because of lack of dialysis.
Countries with national health care systems also lag far behind the U.S. In the availability of modern medical technology. In Canada, high-technology medicine is virtually unavailable. In addition to being biased against new medical technologies, national health care systems generally discriminate against nontraditional practitioners, such as naturopaths and chiropractors.
It is true that Canada spends only about nine percent of its GDP on health care,…
Financing National Health Insurance." (2003, February 4). Available:
http://www.pnhp.org/nhibill/nhi_financing.html (Accessed 9 Feb. 2005).
Health Care Policy Issues. Sept. 2004. Available:
http://www.newsbatch.com/healthcare.htm (Accessed 9 Feb. 2005).
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…
Bernstein, A.B., Hing, E., Moss, A.J., Allen, K., Siller, A., and Tiggle, R. (2003). Health Care in America: Trends in Utilization. Hyattsville, MD: National Center for Health Statistics.
Birenbaum, A. (2002). Wounded Profession: American Medicine Enters the Age of Managed Care. Westport, CT: Praeger.
Birenbaum, A. (1997). Managed Care: Made in America. Westport, CT: Praeger.
Committee on Health Care Access and Economics Task Force on Mental Health (2009). Improving Mental Health Services in Primary Care: Reducing Administrative and Financial Barriers to Access and Collaboration. The Official Journal of the American Academy of Pediatrics, March, 30, 2009, pp. 1248-1251.
6% of GDP in 2002; in America, they were 14.6%, or almost double Britain's expenditure" (Klein 2005). However, this frugality means that bypass surgery, dialysis, and medications in general are much more rarely prescribed in the U.S. than in the UK. hile there is frequent criticism that the U.S. is overmedicated as a society, the opposite is likely true in the UK. In other words, is unlikely that people are so much healthier in England vs. The U.S. To justify certain statistical disparities in care: the rate for coronary bypass surgery in the UK is 20% less than it is in the U.S.
To address the problems of under-medication, recently there has been a proposal to allow drug companies in the UK with "innovative" medicines to bypass the current screening process for cost-effectiveness, as a way of expanding care. The companies could sell the drugs to the NHS at a…
Bosely, Sarah. Scheme to let new drugs bypass NHS value watchdog. The Guardian. Retrieved July 13, 2009 at http://www.guardian.co.uk/society/2009/jul/10/pharmaceutical-companies-nhs-nice-ols
Klein, Ezra. The health of nations: Great Britain. The American Prospect. Retrieved July 13,
2009 at http://www.prospect.org/csnc/blogs/ezraklein_archive?month=04&year=2005&base_name=the_health_of_nations_england
A patchwork of laws provided narrow privacy protections for selected health data and certain keepers of that data." (Administrative Simplification in the Health Care Industry) Therefore, new technologies such as relational databases have simplified the data gathering and maintenance processes of all types of healthcare related data like the physician information process. It is not unheard of today for healthcare and insurance providers matching or 'sinking data' on a monthly or quarterly basis because of the availability of better communication capabilities as well as compatible database comparison processes.
Even the doctors themselves have access to providers' systems and databases today. Through automatic telephone systems, business to business Internet portals, and tape or disk delivery processes, all of a physician's personal, office and patient information can be updated easily. In many cases, the entire process including security and confirmation is a completely hands free operation. In other words, without human intervention,…
Administrative Simplification in the Health Care Industry. Ed. HIPAA. Health and Human Services. 23 Oct. 2004 http://www.hipaa.com/.
HMO Patients Can Contact Their Doctors Electronically as Blue Shield of California Expands Online Communication Services. Ed. Unknown. October 29, 2003. Relay Health. 23 Oct. 2004 http://www.relayhealth.com/rh/general/news/newsRecent/news49.aspx .
Hoffer, Prescott, and McFadden. Modern Database Management. 7th ed. Add City: Add Publisher, Add Year.
Health Care -- Philosophy of Graduate Nursing Education
In many senses, the nurse practitioner (NP) takes the profession of nursing to the next level. While the treatment of illness important, the NP also has broader focus of total well-being, including wellness, rights, education and preventative medicine for the patient, his/her family, and local, state, national and global communities. Consequently, in addition to treating the physical ailments of a patient, the modern NP must be clinically and intellectually excellent, an eternal student and teacher who fulfill numerous roles in nearly every health care situation.
A crucial aspect of nursing is the caregiver's relationship with the patient. Patient education is an important aspect of nursing and when carried over to the NP role, patient education greatly improves treatment because the patient has a greater understanding of the reasons for treatment and is likelier to effectively participate in treatment. A NP is a…
(Findlay, 2001, 90 -- 119) (McLeod, 2003, pp. 895 -- 908)
What is the possibility of bias entering the study? If the study is susceptible to bias, state and explain the type of bias that may enter the study and what steps can be incorporated to minimize the entry of bias.
The possibility for bias in the study is low. The reason why, is because researchers will have limited access to the patients they are seeing (through: the use of anonymous surveys). This will dramatically reduce the possibilities of bias existing. (Findlay, 2001, 90 -- 119) (McLeod, 2003, pp. 895 -- 908)
ased on your hypothesis/proposal, how will the proposed generated results help to develop an effective health policy for the target population of your chosen topic?
The proposal will help to develop an effective health policy. This is accomplished by: providing specific insights about how the increasing utilization of…
Findlay, S. (2001). Direct to Consumer Promotion. Pharmaco Economics, 19 (2), 109 -- 119.
Kryst, M. (2005). A Population-Based Survey. Headache, 34 (6), 341- 350.
McLeod, P. (2003). Physicians and Practice Characteristics. Medical Care, 41 (8), 895 -- 908.
In 2004, a Ten-Year Plan to Strengthen Health Care was announced, primarily intended to improve access to medical services, decrease wait times, and update medical equipment and ensure accurate reporting and enhance public health promotion and prevention programs. Shortly thereafter, the Canadian Supreme Court affirmed the nation's health care philosophy and the immediate need to implement further improvements envisioned by the ambitious 2004 plan in striking down a Quebec law that had prohibited private medical insurance for covered services:
The evidence in this case shows that delays in the public health care system are widespread and that in some serious cases, patients die as a result of waiting lists for public health care...In sum, the prohibition on obtaining private health insurance is not constitutional where the public system fails to deliver reasonable services."
According to legal experts, the decision could "open the door to a wave of lawsuits challenging the…
Canadian Medical Association Journal.
1939 September; 41(3):
Chaoulli v. Quebec: Judgments of the Supreme Court of Canada Accessed, September 2, 2007, at http://scc.lexum.umontreal.ca/en/index.html
Kraus, C. (2005) Canada's Supreme Court Chips Away at National Health Care.
Health Care Communication
As the nation's health care resources become more and more strained, health care professionals are being asked to do more with less. They are being pressured to find cheaper ways to improve the quality of health care they deliver. Given the current circumstances, this sounds difficult and even unreasonable, but it may not be entirely impossible.
One simple way for medical professionals to improve the quality of health care they provide is by improving their health care communication skills. Health care communication is "The art and technique of informing, influencing, and motivating individual, institutional, and public audiences about important health issues. The scope of health communication includes disease prevention, health promotion, health care policy, and the business of health care as well as enhancement of the quality of life and health of individuals within the community." (U.S.D.S.H.S., 2000, p.11-20).
In health care, as in all aspects of…
U.S. Department of Health and Human Services. (2000). Healthy People 2010: Volume I, Focus Area 11: Health Communication (second edition) Washington, DC: U.S. Government Printing Office.
Zachariae, R. et. al. (2003). The relative importance of physician communication, participatory decision making, and patient understanding in diabetes self-management. British Journal of Cancer, 88(5), 658-65.
Heisler, M. et. al. (2002). The relative importance of physician communication, participatory decision making, and patient understanding in diabetes self-management. Journal of General Internal Medicine, 17(4), 243-52.
Safran, D.G. et. al. (1998). Linking primary care performance to outcomes of care. Journal of Family Practice, 47(3), 213-20.
Stated to be barriers in the current environment and responsible for the reporting that is inadequate in relation to medical errors are:
Lack of a common understanding about errors among health care professionals
Physicians generally think of errors as individual that resulted from patient morbidity or mortality.
Physicians report errors in medical records that have in turn been ignored by researchers.
Interestingly errors in medication occur in almost 1 of every 5 doses provided to patients in hospitals. It was stated by Kaushal, et al., (2001) that "the rate of medication errors per 100 admission was 55 in pediatric inpatients. Using their figure, we estimated that the sensitivity of using a keyword search on explicit error reports to detect medication errors in inpatients is about 0.7%. They also reported the 37.4% of medication errors were caused by wrong dose or frequency, which is not far away from our result of…
Discussion Paper on Adverse Event and Error Reporting In Healthcare: Institute for Safe Medication Practices Jan 24, 2000
Patient Safety/Medical Errors Online at the Premiere Inc. page located at: http://www.premierinc.com/all/safety/resources/patient_safety/downloads/patient_safety_policy_position_2001.doc
Medstat / Shortell, S. Assessing the Impact of Continuous Quality Improvement on Clinical Practice: What It Will Take to Accelerate Progress.
Health Policy Monitor (2001) A Publication of the Council of State Governments Vol. 6, No. 1 Winter/Spring 2001 PO18-0101
The research thus concludes the essence of having quality and effective legislation addressing the aspects of overall oral health of the people.
Additionally, the Canadian Dental Association also relates several issues of the overall body health to the oral health of the individual. In view of the article on the relation "oral health -- good life," the article gives information on the essence of good oral health, indicating some of the illnesses of ill oral health (Chattopadhyay, 2011). In this article, the relation between the ill oral health and the overall health of the body is that the mouth is the ingress to the body. Therefore, an individual with ill oral health is at the highest risk of having infection that affects the whole body system severely. According to this article, it emphasizes the need for dentists-patient relation as the dentists is the only person with the skill, expertise and…
Chattopadhyay, a. (2011). Oral health epidemiology: Principles and practice. Sudbury, Mass:
Jones and Bartlett Publishers.
Ramseier, C.A., & Suvan, J.E. (2010). Health behavior change in the dental practice. Ames,
Healthcare System Practice Guideline
Introduce an overview of one healthcare system practice guideline
There are numerous areas within health care that demand change in everyday healthcare practice. More often than not, irrespective of the healthcare setting, an inventive group is required to conduct research and facilitate change. There are numerous practices that require change or upgrading. This is facilitated through the establishment and advancement of clinical practice guidelines. The selected healthcare system practice guideline is Management of Diabetes Mellitus in Primary Care (2017). This particular guideline delineates the important decision points in the Management of Diabetes Mellitus (DM) and provides well-outlines and wide-ranging evidence based recommendations assimilating prevailing information and practices for practitioners throughout Department of Defense (DoD) and Veretan Affairs (VA) Health Care Systems. Diabetes mellitus is an illness that is caused either by an absolute or relative deficiency in insulin giving rise to hyperglycemia. Type 1 DM (T1DM)…
Healthcare Team Members
HEALTH CARE TEAM
The healthcare team is assembled and trained to meet the special needs of patients and their families (Ezziane, et al., 2012). A skilled health care team can consist of doctors, nurses and many other health care professionals. A patient may encounter many different team members, each playing a special role in delivering quality care (Allen, 2009).
Attending Physicians (M.D., Doctor of Medicine) are experts in very specialized areas such as obstetrics or pediatrics. Most physicians treat injuries and illnesses in patients by giving exams, taking medical histories, prescribing medications, and ordering, performing, and interpreting diagnostic tests. They oversee and lead the healthcare team.
Education - Physicians complete at least 4 years of undergraduate school, 4 years of medical school, and 3 to 8 years of internship and residency, depending on their specialty.
Anesthesiologists (M.D., Doctor of Medicine or D.O., Doctor of Osteopathic Medicine) administer…
As a woman enters her geriatric years, many unique problems are also faced. Her post-menopausal period leaves a woman with increased risk of osteoporosis, and hormone-replacement therapy may need to be considered or dismissed depending upon the needs and wellness of the individual women. Additionally, increased risk for obesity begins nearly at the adolescent period, when women's hormone loads change and often activity of childhood decreases. The incidence of obesity and overweight among women perpetually increases with every year of life. ("Overweight, Obesity Threaten U.S.," 2002, p. 8)Obesity and overweight, as one of the most significant conditions associated with several chronic diseases, such as type 2 diabetes, heart disease, increased risk of stroke and hypertension should be developed as a lifespan issue, as the needs of intervention and prevention change as women age and go through various stages of life.
While women have functional characteristics that require specialized health care,…
Blackwell, Daria, 2002. Women in the Healthcare Industry Reaching for the Top. Medical Marketing & Media, Dec2002, Vol. 37 Issue 12, p44, 8p.
Fleming, Carl, 2004. Healthcare Access: Conflicts of Interest Presented by Managed Care Icu Bedside Rationing and Their Impact on Minorities and Women. Georgetown Journal of Gender & the Law, Spring2004, Vol. 5 Issue 1, p663-676.
Heyman, B., & Henriksen, M. (2001). Risk, Age and Pregnancy: A Case Study of Prenatal Genetic Screening and Testing / . New York: Palgrave.
Lueck, T.L., & Chang, H. (2002). Tribune's 'WomanNews' Gives Voice to Women's Issues. Newspaper Research Journal, 23(1), 59.
Healthcare Disparity in Georgia
HIV infection continues to be a substantial trouble in Bibb County, Georgia. This illness substantially impacts lots of areas and Bibb County shares among the greatest HIV rates in America. One reason Bibb County deals with greater rates of infection is due to the high minority populace. Likewise, high levels of poverty and joblessness can make it tough for an individual to keep his/her health plan and access their primary-care service provider and acquire the required therapy for HIV. Social preconception likewise extends unfavorable mindsets of the community and can force the individual from looking for therapy or even testing for HIV.
The very best protection against HIV is enlightening the general public about the illness. outine testing for HIV is vital too. The first intervention would be to associate with a regional testing center and have the ability to check people as well as inform…
Centers for Disease Control and Prevention (CDC). (2008). HIV / AIDS among youth. Centers for Disease Control and Prevention. Retrieved July 24, 2011, from http://www.cdc.gov/hiv/resources/factsheets/PDF/youth.pdf
Hamilton, D. (2011). What constitutes best practice in healthcare design? The Health Environments Research and Design Journal 4(2), 121-126. Retrieved from http://www.herdjournal.com/ME2/Default.asp
Maurer, F.A., & Smith, C.M. (2009). Community/public health nursing practice: Health for families and populations (4th ed.). St. Louis: Elsevier Saunders.
Bachanas, P., Morris, M., Lewis-Gess, J., Sarett-Cuasay, E., Flores, A., Sirl, K., et al. (2002). Psychological adjustment, substance use, HIV knowledge, and risky sexual behavior in at-risk minority females: developmental differences during adolescence. Journal Of Pediatric Psychology, 27(4), 373-384. Retrieved from MEDLINE with Full Text Database.
Health care, and that too, a quality health care is one of the most basic needs of any human being. In current times, where the fast paced lives are getting faster each day, work stresses are increasing, streets are being storm with junk foods and fast foods, and pollution and congestion is increasing, human lives are getting more and more prone to physical and mental diseases. As a result, the importance of health care systems and health care facilities increases. While, surgeons and doctors are generally seen as the captain of the ship as far as health sector is concerned, very important personnel of the health sector are the nurses. Once quite ignored, the importance of the nursing profession was highlighted by Florence Nightingale, one of the nursing pioneers. Florence Nightingale broke the conventional perceptions associated with the profession of nursing and took it to a new level, explored various…
Lee, H. & Winters, C. (2006). Rural nursing: concepts, theories and practice. New York:
Joel, A. & Kelly, L. (2002). The nursing experience: trends, challenges and transitions. New York: Mc Graw Hill.
Lumby, J. & Picone, D. (2000). Clinical Challenges: focus on nursing. St. Leonards, N.S.W: Allen and Unwin.
There are however existing organizations such as the Healthcare Communications Association which was also formed in 2001, however, this organization was formed primarily for pharmaceutical companies and practitioners. The 'Coalition for Healthcare Communication" organization when searched with keywords 'skilled nursing staff' returned a 'sorry no pages found with your keyword' indicating a gap in the communication network for skilled nursing staff in the communication network for health care issues under debate and analysis. The work of Thornby (2006) entitled: "eginning the Journey to Skilled Communication" states that often skilled nursing staff were found to be avoiding communication with physicians who were known to be aggressive or abrasive instead of becoming competent in skilled communication. It is additionally noted in Thornby (2006) that skills development is needed among today's skilled nursing staff in order to enable competent skilled communication among skilled nursing staff and other practitioners and physicians.
SUMMARY & CONCLUSION…
Thornby, Denise (2006) Beginning the Journey to Skilled Communication. Advanced Critical Care. Vol. 17, No. 3, 2006 AACN. Online available at http://www.aacn.org/WD/HWE/Docs/AACN17_3_266-271_HWE.pdf
Coalition for Healthcare Communication (2009) Current Issues. Online available at http://www.cohealthcom.org/content/current.htm
Sorry no pages found matching your keywords' (2009) Coalition for Healthcare Communication. Online available at http://cohealthcom.org/cgi-bin/search.cgi
Healthcare Communications Association (2009) Online available at http://www.hca-uk.org/Join-the-HCA
The infant mortality rate is of 8.97 deaths per 1,000 live births. This rate places Kuwait on the 160th position on the chart of the CIA. The adult prevalence rate of HIV / AIDS is of 0.1 per cent.
In terms of economy, Kuwait is a relatively open, small and wealthy economy. It relies extensively on oil exports -- petroleum exports for instance account for 95 per cent of the total export revenues as well as for 95 per cent of the federal income. The Kuwaiti representatives have recently set the goal of increasing the oil production per day. Currently, Kuwait is facing the pressures of the internationalized economic crisis -- which however, due to recent economic surpluses in Kuwait, affects the economy to a lower extent.
Simultaneously with the increase in oil production, the Kuwaiti authorities are also focusing on diversifying the economic activities in the sense of supporting…
Agency, Kuwait News. "Blair's "Kuwait Vision." 15 March 2010. Zawya.com. .
Al-Ansari, H. And S. AL-Enezi. "Health Sciences Libraries in Kuwait." Bulletin of the Medical Library Association 89.3 (2001): 287-93.
Al-Awadhi, Olusi, Al-Saeid, Moussa, et.al. "Incidence of Musculoskeletal Pain in Adult Kuwaitis." Annals of Saudi Medicine 25.6 (2005): 459=62.
Al-Baho, A. "Resident's Guide to the Curriculum for Training in Family Medicine." December 2008. Kuwait Institute for Medical Specialization. .
1993). Within medical settings in particular, physicians and supervisors are often too over-burdened with their myriad formal responsibilities to take note of minor irregularities in protocols and procedures. Because coworkers are often in the best possible situation to notice inadequacies, it is important for all levels of employees to be equally involved in the overall CQI process.
Optimal implementation of an effective CQI process also requires a culture of openness to suggestion and confidentiality with respect to reporting more serious issues such as those that result from negligence or willful misconduct on the part of co-workers.
11. The textbook states that "an organization's most vital component in costly resource is its staff." With this being the case, the human resource function plays a very important role. Should the human resource function be part of the senior management team?
In terms of policy implementation and organizational philosophy, the human resources function…
Horine, P.D., Pohiala, E.D., Luecke, R.W. (1993) Healthcare Financial Managers and CQI: Implementing Continuous Quality Improvement; Healthcare Financial Management.
Humphry, D. (1991) Final Exit: The Practicalities of Self-Deliverance and Assisted Suicide for the Dying. Secaucus: Carol Publishing
Russell-Walling, E. (2005) Fifty Management Ideas You Really Need to Know. London: Quercus
While there are some differences according to jurisdiction, in general, if the defense is allowed by the judge to go to the jury.
The term illness of the mind is solely a legal notion. In the case of Bratty v. Attorney-General (Northern Ireland) (1963), Lord Denning declared that the foremost mental illnesses, which the doctors identify as psychoses, like schizophrenia, are plainly illnesses of the mind. Whether or not drug-associated psychosis will be considered to qualify as an illness of the mind will essentially depends on the division amid a fault of cause resulting from an underlying condition and a fault of cause caused by something external.
There is justifiable societal concern about the links between violence and illicit substance use. Such concern finds a focal point at the debate around the boundaries for the insanity defense where drug-associated psychoses are involved. This article outlined three potential approaches that…
One instance where the doctor had influenced governance in the community hospital's organization plan was when the hospital had been unable to accommodate the increasing number of patients. Because most of the health care staffs in the hospital are similarly providing their medical service in other hospitals, as with the doctor, there was not enough time for the organization to plan to work on the improvement of the management planning. But, for our doctor interviewee who has a commitment in the delivery of good health care service, he volunteered to organize the management planning and improvement of the organization's structure. However, the doctor did not just individually govern the management planning. Instead, he promoted shared governance within the organization wherein everyone was able to contribute in the improvement of the framework and structure of the community hospital. A body of model employees and staffs were formed to exercise the authority…
The Role of the General Practitioner/Family Physician in Health Care Systems: A Statement From Wonca. Retrieved on Sept 3, 2005, from Online. http://www.globalfamilydoctor.com/publications/Role_GP.pdf.
2004). Shared Governance: Hartford Hospital's Experience.
Retrieved on Sept 03, 2005 from Online. http://www.nursingworld.org/ojin/topic23/tpc23_2.htm
Healthcare: Discussion Questions
Discussion Questions: Healthcare
The author stated the major steps in the policy analysis process. Which stage do you think is the most important? State reasons using one policy analysis example
Policy analysis simply refers to the process of assessing policies to determine how effective they are, or would be in the resolution of economic and social issues in the population. It is carried out in a series of steps that include problem identification, problem definition, process analysis and qualitative analysis (McLaughlin & McLaughlin, 2014). The authors summarize the policy analysis process as follows -- the analyst ascertains that a problem indeed exists, analyses the policies that have already been formulated to address the same, assesses whether the policies already in existence have been effective in realizing their intended objectives, determines the new technologies or modifications that could be incorporated into these policies to make them more effective,…
Lloyd, R. C. (2004). Quality Healthcare: A Guide to Developing and Using Indicators. Sudbury, MA: Jones & Bartlett Publishers.
McLaughlin, C. P. & McLaughlin, C. D. (2014). Health Policy Analysis: An Interdisciplinary Approach (2nd ed.). Boston, MA: Jones & Bartlett Publishers.
RFP in Healthcare Industry
Request for proposal in health care industry
Request for Proposal (RFP) in Healthcare Industry
In order to continually provide adequate Medicare to patients, a review of the electronic health record options reveal that the appropriate strategy is to procure Electronic Medical Record software. The primary objective of this RFP is to implore bids from system integrators or commercial off the shelf software merchants to devise, install, construct and implement integrated EMR software solution. The health care system, Future Correctional Center seeks to procure a software solution including licenses, hardware (as recommend by the bidder), execution, and maintenance and support services. In addition, the software configuration should present a core set of EMR attributes that meet particular requirements such as order entry, outcome review, nursing and physician documentation, registration.
Something significant to note; Future Correctional Center will not consider proposals from bidders offering software as a service…
Provide sustained technical assistance (Expert Panel Meeting: Health Information Technology: Meeting Summary, 2003)
Evaluation of the process in rural and small communities includes: (1) scope of the project; (2) goals; (3) critical success factors; and (4) technical assistance." (Expert Panel Meeting: Health Information Technology: Meeting Summary, 2003) Community grants have been focused on the provision of 'personal digital assistant (PDA) systems in assisting with the decision support role. The initiative is stated to include: (1) development of toolkits; (2) leveraging known tools; (3) developing capacity; and (4) disseminating best practices. (Expert Panel Meeting: Health Information Technology: Meeting Summary, 2003)
Ormond, Wallin, and Goldenson report in the work entitled: "Supporting the Rural Health Care Safety Net" (2000) state: "The policy - and market-driven changes in the health care sector taking place across country are not confined to metropolitan areas. Rural communities are experiencing changes impelled by many of the same forces…
Healthcare and Healthcare Insurance Country Report: India (2004) Tata Consultancy Services and Microsoft. WebHealthCentre.com. 2004 August. Online available at http://download.microsoft.com/documents/customerevidence/7144_WebHealth_CS.doc
Expert Panel Meeting: Health Information Technology (2003) Agency for Healthcare Research and Quality (AHRQ) 23-24 July 2003. Online available at http://www.ahrq.gov/data/hitmeet.htm
Silberman, P. And Slifkin, R. (nd) Innovative Primary Case Management Programs Operating in Rural Communities: Case Studies of Three States. Working Paper No. 76 North Carolina Rural Health Research and Policy Analysis Program.
Ormond, Barbara a.; Wallin, Susan Wall; and Goldenson, Susan M. (2000) Supporting the Rural Health Care Net. 15 May 2000 Urban Institute
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…
Baggott, R. (1998). Health and Health Care in Britain. London, Macmillan,
Barlow, M. (1998). The Fight of My Life. Toronto: Harper Collins
BMA Central Consultants and Specialists Committee (1990). Guidance on Clinical
Directorates London: BMA.
Innovations in healthcare in recent years have resulted in profound improvements in the quality of healthcare services as well as the manner in which they are delivered. One of the more important factors that has been shown to contribute to improved quality of healthcare services is the willingness to share knowledge among healthcare practitioners. To identify what factors serve to improve or detract from effective knowledge management practices, this paper reviews five relevant peer-reviewed studies concerning knowledge management in healthcare settings, followed by an assessment of the significance of the findings that resulted, as well as a summary of the research and potential topics for future research in this area.
Importance of Knowledge Management (KM) in Healthcare
Although knowledge management is an important element in almost any organizational setting, effective and efficient knowledge management practices in healthcare settings can spell the difference between life and death as well as…
Alavi, M., and Leidner, D.E. (2001). Review: Knowledge management and knowledge management systems: Conceptual foundations and research issues. MIS Quarterly,
Chatzkel, J.L. (2003). Knowledge capital: How knowledge-based enterprises really get built.
New York: Oxford University Press.
Scope of Training
Large health care organizations will undoubtedly have a large scope of training. The investments and systems approach is beneficial for companies who can realize economies of scale. Through economies of scale the unit cost for each selective individual trained decreases. This ultimately allows the cost of investments and systems to be spread throughout the entire organization. The systems approach is particularly beneficial as it creates and distills consistent behavior throughout the entire organization. Each individual that is trained is usually receiving and absorbing the same information as their peers. This insures the continuity of the business and its underlying operations. The scope will depend primarily on the needs of the business. In some instances, training may involve the entire health care organization while in other instances; it may only require a select department. In either case, investments in systems allows for the most efficient use of…
1) Draper, Elaine, Joseph LaDou, and Dan J. Tennenhouse. 2011. "Occupational Health Nursing and the Quest for Professional Authority," New Solutions 21, 47 -- 81
2) Fang, D., Wilsey-Wisniewski, S.J., & Bednash, G.D. (2006). 2005-2006 enrollment and graduations in baccalaureate and graduate programs in nursing. Washington, DC: American Association of Colleges of Nursing
3) Levsey, K.R., Campbell, D., & Green, A. (2007). Yesterday, Today, and Tomorrow; Challenges in Securing Federal Support for Graduate Nurses. Journal of Nursing Education, 46(4), 176-183
4) Lucia, Patricia R.; Otto, Tammy E.; Palmier, Patrick A. (2009). "Chapter 1
International Cooperative Healthcare Model
PLEASE WRITE THE SPEAKERS NOTES. I WILL EVELOP THE 15 SLIES FROM THOSE NOTES. THE NOTES MUST SUPPORT THE 15 SLIES. PLEASE USE MY PREVIOUS PAPERS AS RESOURCES IN AITION TO THE BOOKS I HAVE ATTACHE. If you are unsure, please contact me.
Resources: Cooperative elivery Model and Annotated Bibliography assignments; course readings
Address potential challenges to your model in the presentation and the feasibility of using your model as a pilot program that could be expanded to other countries, thereby creating a global service network.
Format any citations and references in your presentation consistent with APA guidelines.
International cooperative healthcare model
Healthcare cooperatives involve many different types of organizations: Nonprofit agencies, Non-governmental organizations (NGO), commercial companies, and government, depending on the political jurisdiction. The cooperative can take many different forms, including purchased or shared services, worker-owned or patient-owned organizations, community owned organizations, or jointly…
Davis, K. (2009, June 22). Cooperative Health Care: The Way Forward?, The Commonwealth Fund. [Blog]. Retrieved http://www.commonwealthfund.org/Content/Blog/Health-Cooperatives-The-Way-Forward.aspx
International Health Co-operative Organization (IHCO), International Co-operative Alliance (ICA). (2011). [Web]. Retrieved http://www.ica.coop/ihco/newsanddoc.html
The Zambia Prevention, Care, and Treatment Partnership: A Model Program. (2008). U.S. President's Emergency Plan for AIDS Relief, U.S. Agency for International Development (USAID) Retrieved http://www.fhi.org/NR/rdonlyres / etkgr3honbl4chb7p5mxtcbioozlrk2pmfxctmfcu2ozsmunapqkvxdblxk4wtme6ij7xpj3thdfik/ZPCTModelProgramReportHV1.pdf
Synthesizing health care and technology can be a very advantageous endeavor when the proper planning and understanding are applied to this technique. Physician practices is one area of health care where this is quite evident. The benefits of incorporating technology and information systems are both great for the patient and the organization that decides to employ these measures.
Ball, Weaver & Kiel (2004) agreed with this argument throughout the text and demonstrated how this infusion can be of great use for those health care practitioners. They argued that data collection through information gathering systems can help prevent mass disease or a pandemic outbreak. They wrote " some administrative systems such as registration, scheduling and billing have data that are of value for public health surveillance and developers of new strategies for early detection of disease outbreaks are using them, " (p. 528).
The streamlining of information is one great…
Ball, M.J., Weaver, C.A. & Kiel, J.M. (2004). Healthcare information management systems: Cases, strategies, and solutions. NY: Springer.
Oncea, J. (2013). The Shocking Truth About The Future Physician Practices. Healthcare Technology Online, 24 May 2013. Retrieved from http://www.healthcaretechnologyonline.com/doc/the-shocking-truth-about-the-future-of - physician-practices-0001
Pilling, J. (2003). Picture Archiving and Communication Systems: The Users' View. British Journal of Radiology, 2003 76, 519-524. Retrieved from http://bjr.birjournals.org/content/76/908/519.full
Strickland, N. (2000). PACS: Filmless Radiology. Arch DIS Child 2000; 83, 82-86. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1718393/pdf/v083p00082.pdf
Translation Evidence Into Nursing Health Care Practice. Chapter 6, "Translation Evidence Leadership" Article: Bakke, C.K. (2010). Clinical cost effectiveness guidelines prevent intravascular catheter-related infections patients' hemodialysis.
Briefly summarize your selected issue and propose new evidence-based practice strategies.
Pressure ulcers, commonly known as bedsores, are frequently observed in otherwise healthy bed-ridden patients in nursing homes. To promote wellness amongst this patient population, it has been suggested that regular turning and positioning of the patients by caregivers should be used to reduce their occurrence. Turning and positioning has long been used amongst healthcare practitioners for a variety of bed-ridden patients, usually at regimented intervals spanning 4-2 hours (Thomas 2001). Based upon the previous research conducted upon this population, the suggested shortened interval is 1-11/2 hours for repositioning of the patient (Thomas 2001).
Q2. Describe the theoretical basis for your strategies.
The theoretical basis for this initiative lies in the idea that passive…
Bluestein, D. & Javaheri, A. (2008). Pressure ulcers: Prevention, evaluation, and management.
American Family Physician, 78(10):1186-1194. Retrieved from:
Krapil, L.A. & Gray, M. (2008). Does regular repositioning prevent pressure ulcers?
Personal Digital Assistants in Healthcare
Current Applications and Future Trends in the Use of Personal Digital Assistants in Healthcare
Today, healthcare practitioners enjoy a wide range of digital equipment that can help them provide more efficient healthcare services, including laptop computers, cellular telephones and personal digital assistants, or PDAs. These devices have been used in various ways by clinicians to improve their ability to deliver more timely and accurate diagnoses and treatments, and it is clear that the use of these devices will continue to increase in the future. The purpose of this study is to provide a current snapshot of how personal digital assistants are being used in various healthcare settings, including military and government tertiary facilities and the use of PDAs on the battlefield in times of war, but with a specific focus on how PDAs are being used in nongovernmental healthcare facilities today. To this end, a…
Blow, F.C., Barry, K.L., Walton, M.A. et al. (2006). The efficacy of two brief intervention strategies among injured, at-risk drinkers in the emergency department: Impact of tailored messaging and brief advice. Journal of Studies on Alcohol, 67(4), 568.
Cieslak, D.M., & Van Winkle, M. (2004). Carry your office in the palm of your hand; a pocket-size device is your computer when you're on the road. Journal of Accountancy, 198(2), 52.
Corbett, M.L. (1996, January). Choosing the perfect PDA: Personal digital assistants help busy professionals. Black Enterprise, 26(6), 34.
Greisler, D.S., & Jackson, J.R. (2000). The changing nature of physician power: Understanding physician power and its future. Journal of Power and Ethics, 1(4), 260.
healthcare system is regarded as one of the most expensive across the globe though it underperforms as compared to other developed and/or advanced countries. The states of America's healthcare system relative to its costs have attracted considerable attention from policymakers, health experts, and business leaders. These various stakeholders continue to look for viable means of improving and reforming the system in order to enhance its efficiency and improve performance. One of the major ways towards this process is comparing the U.S. healthcare system with those of other countries in terms of costs and efficiency. This article compares the American healthcare system with that of Canada and Germany with regards to costs, services provided, and outcomes like infant mortality and insurance coverage.
United States, Canada, and Germany Health Care Systems
As previously mentioned, the American healthcare system is the most expensive throughout the world though it significantly underperforms across…
Baribault, M. & Cloyd, C. (1999, July 26). Health Care Systems: Three International Comparisons. Retrieved from Stanford University website: https://web.stanford.edu/class/e297c/poverty_prejudice/soc_sec/health.htm
Davis et. al. (2014, June 16). Mirror, Mirror on the Wall, 2014 Update: How the U.S. Health Care System Compares Internationally. Retrieved April 29, 2015, from http://www.commonwealthfund.org/publications/fund-reports/2014/jun/mirror-mirror
Ridic, G., Gleason, S. & Ridic, O. (2012). Comparisons of Health Care Systems in the United States, Germany and Canada. Materia Sociomedica, 24(2), 112-120.
Thomson et. al. (2013, November). International Profiles of Health Care Systems, 2013.
Health Care System
Health care providers must be properly integrated at every system level and must be allowed to lead the processes of designing, implementing and operating ideal health systems. esearch works identify a number of challenges with regard to healthcare personnel integration. Apparent loss of control, status, returns or practice style modifications may lead to healthcare providers becoming discontented. This discontentment can give way to bitterness and, ultimately, practitioners may end up resisting change (Suter et al., 2009).
Capitalizing on current networks, an intense emphasis on patients and informal inter-provider bonds are anticipated to ease healthcare practitioners' functioning within ideal healthcare systems. Economic integration of healthcare providers, utilization of compensation structures for recruiting and retaining the best candidates, measures for improving workplace climate quality and financial incentives are identified as crucial to system success.
Facilities and Supplies
Amodel healthcare system would include a standard formulated list of…
Nelson, A. (2002). Unequal treatment: confronting racial and ethnic disparities in health care. Journal of the National Medical Association, 94(8), 666.
Suter, E., Oelke, N. D., Adair, C. E., &Armitage, G. D. (2009).Ten Key Principles for Successful Health Systems Integration. Healthcare Quarterly (Toronto, Ont.), 13(Spec No), 16 -- 23.
environmental analysis helps any organization to recognize factors that impact its performance. The factors impacting an organization's performance may be internal to the organization and they can also be external. Environmental analysis is therefore critical to an overall strategic plan. Several methods of performing environmental analysis can help organizations like the Carolina Health Care System, including the PESTLE and SWOT analyses ("What is Environmental Analysis?" n.d.). These types of analyses help to identify strengths, weaknesses, opportunities and threats (SWOT), as well as political, economic, social, technological, legal, and environmental (PESTLE) factors impacting the organization. Without performing systematic environmental analyses, business and public sector administrators would be working blindly and likely lead their organizations to fail in key preventable ways. On the other hand, a skillful and deft environmental analysis helps managers to develop strategic plans for the future, buffer against possible challenges, mitigate crises, and ensure long-term success.
Arthur, L. (n.d.). The implications of environmental analysis on strategic plan. Houston Chronicle. Retrieved online: http://smallbusiness.chron.com/implications-environmental-analysis-strategic-plan-35303.html
Carolinas Health Care System (2016). About Carolinas Healthcare System. Retrieved online: http://www.carolinashealthcare.org/about-us
Henry Schein Medical Systems (2016). Advantages of electronic medical records. Retrieved online: https://www.micromd.com/emr/advantages.html
"What is Environmental Analysis?" (n.d.). Pestle. Retrieved online: http://pestleanalysis.com/what-is-environmental-analysis/
Measurements Health Care equired esources Media Course Media: Organizational Systems Leadership
The metrics used in the balanced scorecard and dashboard are both qualitative and quantitative, and can result in improvement in health care services (Frith et al., 2010, p. 10). As such, they play a significant influence in the nursing practice for different organizations, because they provide an objective means of measuring various aspects of health care services. Specifically, the balanced scorecard and dashboards stratifies health care into four primary components: training for health care workers, resources for facilities, provision of service and community satisfaction (Chan et al., 2010, p. 709). These metrics are principally used to inform health care practitioners about specific areas of improvement, or those in which they are providing excellent service and resources. In several instances, the metrics for the individual areas of analyses were developed by evaluating and comparing national standards (Chan et al., 2010,…
Chan, G.J., Parco, K.B., Sihombing, M.E., Tredwell, S.P., & O'Rourke, E.J. (2010). Improving health services to displaced persons in Aceh, Indonesia: A balanced scorecard. Bulletin Of The World Health Organization, 88(9), 709 -- 712.
Frith, K.H., Anderson, F., & Sewell, J.P. (2010). Assessing and selecting data for a nursing services dashboard. Journal of Nursing Administration, 40(1), 10 -- 16. doi:10.1097/NNA.0b013e3181c47d45
Grossmeier, J., Terry, P.E., Cipriotti, A., & Burtaine, J.E. (2010). Best practices in evaluating worksite health promotion programs. American Journal of Health Promotion, 24(3), TAHP 1 -- 9.
Schalm, C. (2008). Implementing a balanced scorecard as a strategic management tool in a long-term care organization. Journal of Health Services Research & Policy, 13(Supp.1), 8-14.