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Health Systems Issues and Strategic Planning
The delivery of high quality healthcare services requires a sophisticated health system infrastructure that provides a multidisciplinary team approach. This health system infrastructure varies from country to country, but there are some common features that characterize health systems that can be used to identify best practices and current trends in healthcare delivery and administration in general and for an elderly American patient in particular. As the United States becomes an increasingly multicultural society, there will also be an increasing need for informed and culturally sensitive approaches to healthcare delivery. Everyone gets older, though, and there will also be an increasing need for health systems that provide the range of services needed by the elderly. In this regard, this study identifies health systems issues for such a typical elderly American patient, including a review of the relevant peer-reviewed and scholarly literature concerning these issues and…… [Read More]
Health Information Exchange
OON OR ANE?
Health Information Exchange in the U.S.
Privacy and Security
Challenges and Strategies
Why Clinicians Use or Don't Use HIE
Doctors' Opinion on HIE
Consumer Preferences around HIE
Health Information Exchange or HIE is a system, which allows the immediate electronic access of a person's health information records by a health provider (Fricton and Davies, 2008). The overall objective is to improve the safety and quality of health, especially for emergency care. This is the response to the problem of poor communication and exchange of medical information from one provider to another. This has resulted in many medical errors and undesirable drug effects (Fricton and Davies).
The use of the personal health record or PHR has been brought up as an innovative solution to this problem concerning diverse electronic medical record systems or EMR (Fricton and Davies, 2008). It becomes the…… [Read More]
Health and Health Promotion
According to Public Health Agency (2001), Health is an ingredient of life that enables individuals to be independent socially, and live economical lives. Health is a concept that emphasizes social and personal resources. All action directed towards health, social and economic development should aim at providing human needs including peace, basic needs, and access to basic human rights. Understanding all the fundamental requirements of health will help in understanding health and the need to provide these fundamentals because the fundamentals are essential to human beings. Health affects the social, mental, and spiritual being of an individual. Precisely, health means being physically healthy and sane influencing the individual to act in a way that promotes health
Health promotion is the practices of ensuring people have complete control over the fundamental needs of health, leading to improvement of their health. Health promotion is a concept and set of…… [Read More]
Health Information Technology
The development of patient management systems continues to revolutionize the field of healthcare, specifically in the areas of treatment plans, content and records management systems, and predictive analytics. These areas are all making healthcare information and knowledge management a critical success factor in creating effective healthcare information systems globally (Epstein, Fiscella, Lesser, Stange, 2010). Implicit in the areas of records management and predictive analytics is also the need for more effectively managing standardized terminologies that are critical to document patient care. The greater the depth of insight that healthcare information systems can deliver, including the acuity of analysis and availability of predictive analytics to measure the progress of treatment plans, the greater the need for an agile, flexible taxonomy of standardized methodologies as well (Schmitt, 2002). The intent of this analysis is to evaluate how taxonomies can be used for defining and managing standardized terminologies used for…… [Read More]
Health Care Management
On March 2010, the U.S. president, Barrack Obama, signed the Affordable Care Act. This act highlights detailed health insurance reforms expected to roll out from 2011 and beyond (Vlvar, 2011). The provisions of the affordable Care Act started in 2010, and the president stressed on the immediate benefits and changes to the people of America. While people view these reforms as good public relations targeting the elections, the average person wants to understand how the health care reforms affect the lives of the common citizens from 2010 and beyond.
The Kaiser Family Foundation that steers the implementation of the health care reforms provides the twenty one provisions that were expected to take effect in 2011. Over the last ten years the foundation embraced a substantial and effective way of addressing a system that would cater for various populations who are extensively served by Medicaid and…… [Read More]
Australia's health care system is funded and administered by the national, state, and local government. The initiatives by these levels of government are also supported by private health insurance schemes (Australian Bureau of Statistics, 2012). The Australia's Medicare is funded and administered by the medical services, prescription pharmaceuticals, and hospital treatment. The Australian and territory governments deliver population health programs, community health services, health and medical research, mental health services, and health workforce and health infrastructure. The Australian government primarily funds health services; regulates health products, services and workforce; and national health policy leadership (Australian Bureau of Statistics, 2012). The delivery of healthcare services and management of public health services is the sole responsibility of the states and the territories. This implies that public hospital, community health, and public dental care are a responsibility of state and territorial governments. The state and territorial governments also regulates healthcare providers…… [Read More]
Health Care in the U.S. And Singapore
Healthcare in the U.S. And Singapore
This paper compares the U.S. healthcare system with the Singapore healthcare system. It starts with a brief description of both healthcare systems and then explains and compares the issues in both the systems. The number of underinsured in both systems are also compared in the paper. The paper also gives the pros and cons of both the system. It ends with a brief conclusion about which system is the best.
The healthcare system in the U.S.A. consists of both private and public insurers. The key feature of this system is the dominance of the private sector over the public sector. The U.S.A. healthcare system offers a wide variety of insurance policies for adults, children and elderly. The insurances provided by the public sector include Medicaid, S-chip and VA. The private sector insurance, on the other…… [Read More]
Health Care Systems
In today's advanced and modern society, which is dependent upon new and emerging technologies in almost all fields of life, the importance of health care systems cannot be denied in any case. Health care is being associated with the technological advancement as because of several new medical techniques, it has become possible to devise the treatments of many such diseases which were considered deadly in older times. On the whole, from diagnosis to treatment and to make preventions from the disease, health care systems have now become an essential part of today's civilized nations, particularly those having an economic boom and strong financial sector. It is a common observation that stronger the economy of the country, greater would be the number of facilities provided to the citizens. Good health care systems are too, associated with strong and developed nations like U.S., UK, Canada and Germany etc. These…… [Read More]
Health Care Delivery Systems
The structure and organization of the resources that make it possible to provide health care services to target populations is referred to as a health care system. The variety of health care systems is very wide with strong evolutionary histories tied to the governments, religious organizations, charitable organizations, labor unions, and for-profit market participants.
Five Health Care Delivery Systems
eid set out around the world to study healthcare systems in countries across the globe. He identified five distinct healthcare delivery systems. They are as follows: (1) The Bismarck model; (2) the Beveridge model; (3) the national health insurance model; (4) the out-of-pocket model; and (5) the American model for health.
The Bismarck model. Otto von Bismarck is credited with establishing the first form of this model that is followed in Germany. Private companies and private initiatives provide the medical services and insurance coverage under this model.…… [Read More]
Health Program Assessment: Inequality in Philadelphia Communities
How long have you lived in your community?
I have been a Philadelphia resident for 23 years, during which time I have come face-to-face with a wide array of pressing public health issues. As a recent article by Melwert (2012) shows, Philadelphia is routinely ranked as the least healthy county in the State of Pennsylvania.
hat do you believe are the greatest health issues that exist within your community and who are the populations you believe are most impacted by these health issues?
The population that concerns us most is the youth demographic. In Philadelphia, young people between the ages of 1 and 19 are at the highest risk for certain prevailing health challenges. Additionally, based on the findings from our interviews with local residents, the vast majority of youths in high-risk categories are of African-American or Hispanic ethnicity. There are yet further…… [Read More]
It has been in the last 3 decades that a rapid increase has been seen in the providence of geriatric healthcare. The main reason for this increase is the increase in demand and need of these services for the elderly people. The knowledge base, core values along with the clinical skills that are required by this field in order to develop the health care, well-being and functioning of the old people has been identified in plentiful studies spanning across several decades. Latest care models and treatments for common geriatric conditions have been developed and implemented by geriatric medicine to improve the health and well-being of old people (Murtaugh et al., 2009).
Even though a lot has been done by the geriatric medicine for the well-being of older people, there are still a lot of things that need to be completed in order to fulfill all the needs of…… [Read More]
What this means is that the lifetime limits on most benefits are barred for all latest health insurance plans. Another interesting thing is the reviews premium increase (Wakefield, 2010). This is saying that insurance companies must now openly defend any type of unreasonable rate hikes. The last thing is that it helps a person get the most from all of their premium dollars. In other words, a person's premium dollars will need to be spent mainly on health care -- not cost that are administrative. However, now, when it comes to care an individual could possibly be eligible for recommended for something like the preventive health services. Also, when it comes to the no copayment a person will be able to choose the primary care doctor that they desire from their plan's network.
Impact of the Affordable Health Care Act on Nursing Profession
The Affordable Care Act (ACA) brings in…… [Read More]
The Nurse Case Manager
· Bachelor or Advanced Nursing Degree.
· Case management certification.
Scope of Practice
· Coordination and facilitation of care.
· Quality management.
· Utilization and resource management (Cesta, 2011).
· Transitional and discharge planning.
· Assessing, planning, implementing, and evaluating patient care.
· Monitoring quality of care.
· Providing short-term or long-term assistance to patients and their families.
· Acting as advocates for patients, families, insurance, and healthcare facilities.
· At least 4 years bachelor’s degree in nursing.
· Certification through American Nurses Credentialing Center (ANCC) or Commission for Case Manager Certification (CCMC).
· Hospitals, nursing homes, and assisted living facilities.
· Rehabilitation facilities and community health centers.
Average Median Pay
· The average median pay for nurse case managers is $64,000 (Nurse Journal, 2015).
Occupational Outlook for Northeast Region
· Nurse case managers in the…… [Read More]
Health Program Bronx
Racial Disparities in the Healthcare System
America's healthcare system is one of the most visible indicators of the broad array of social, economic and racial inequalities that still impact American life. For racial minorities such as African-Americans and Latinos, health outcomes are disproportionately worse than they are for white patients. This denotes a core inequality that goes to the root of our society. Outreach, education and advocacy programs such as the one described here in relation to minority populations living in the Bronx helps to provide a valuable case demonstration of this public health issue.
The pressing racial issues that are evidenced in our imbalanced healthcare system serve as the impetus for the agenda and actions taken up by the REACH Bronx organization. This action-group is actually described as a coalition of groups and demonstrates the considerable push from a wide variance of parties to…… [Read More]
Health of Indigenous Australian Using Ecological and Holistic Health Paradigm
Patterns of health and illness
Impact of Broader Environments
Health is a basic component of human life that comprises of multiple facets. The description of health has witnessed dramatic change during past few years, as it has become a holistic phenomenon. Previously, it was considered that a healthy person is the one who does not suffer from any ailment or illness. However in recent times, the physical, psychological and communal aspects of human life have been amalgamated to give a broader perspective to human health which is identical to the concept of indigenous communities (Hjelm, 2010).
Numerous organizations are working extensively for providing adequate health care to the world population since many decades. However, it is appalling to notice that discrimination on social, economic and…… [Read More]
For a long time, the Health Care concern has been a centre of discussion in the society as well as among the representatives in a bid to find out which would be the best way to cushion Americans from the ever increasing burden of having to take care of themselves medically. Efforts have been made but still there is no single solution to the issue hence a combined effort between the citizens and the government is very essential in ensuring that the ultimate goal is achieved and each American has adequate Health care assurance. This is the aim of the Health eforms that was passed into law at the behest of the current president, Obama.
Provisions of the Health eform
There are several benefits that the Health eforms are expected to bring to the American population in general. One of the central changes is the fact…… [Read More]
Health Structures in Government Levels
Health at different Government Levels
Health Structures at Government Levels
Health at Government Levels
A national government has a task in ensuring quality health assurance standards across its region are up-to-date. Similarly, increased rates of unexpected epidemics have put governments under the surge of dealing accordingly with factors that can affect the nation directly and indirectly. Different governmental levels of health are identified and objectified in various agency websites. In this context, I have identified with a state level website; Illinois Public Health Institute website. Information presented to the website articles prioritizes in reducing and preventive, curative diseases, complementing health policies and championing for environmental changes.
Website Article eview
The Illinois Public Health institute articulates its review and implication to health quality through partnership programs. The website has supported state-oriented health involvement in ameliorating health levels, in Illinois. The institution has show-cased partnering programs with…… [Read More]
Psychosocial Model of Health
Use questions 2, 3, 5, 11, and 12
Many times a health professional will look at a health issue and see only the problem at hand. The difficulty with this approach is that most health problems affect the entire person whether or not the issue is localized or not. The psychosocial model of health looks at more than an individual's physical state to determine how they will respond to treatments in the short- and long-term. A patient's psychological well-being and their support system are as important as a willingness to see a treatment through to the end. The following paper looks at two patients and whether they were well-served from a psychosocial perspective, and, if not, what improvements could be made to serve the patient better.
In the documentaries, two of the patient interviews stood out as especially relevant to this discussion. One of these…… [Read More]
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…… [Read More]
All spending includes state and federal expenditures. Growth figures reflect increases in benefit payments and disproportionate share hospital payments; growth figures do not include administrative costs, accounting adjustments, or costs for the U.S. Territories.
Federal Fiscal Year: Unless otherwise noted, years preceded by "FY" on statehealthfacts.org refer to the Federal Fiscal Year, which runs from October 1 through September 30. for example, FY 2009 refers to the period from October 1, 2008 through September 30, 2009.
Urban Institute estimates based on data from CMS (Form 64) (as of 12/21/11).
From this entire chart, the entire increase in expenditure of…… [Read More]
Healthcare Financial Management
To quote Jonathan Clark at the beginning of his article, "Improving the revenue cycle can be a daunting task due to the scope and complexity of the interdepartmental process." Of the suggestions offered by the authors, which concept(s) give you the greatest insight into creating an improved evenue Cycle process in the organization where you work (or one in which you are familiar)? Be sure to identify which article or author you are referencing.
In his comprehensive advisory article to improve the medical industry's revenue capturing capabilities, entitled Strengthening the evenue Cycle: A 4-Step Method for Optimizing Payment, Jonathan Clark provides a series of sensible solutions to the ongoing dilemma of payment optimization. David Hammer also provides guidance to healthcare finance professional in his article The Next Generation of evenue Cycle Management, by reminding them that the key performance indicators (KPIs) which dictated policy in previous years…… [Read More]
Health Organization Case Study
The mission of Banner Healthcare is to make a difference in the lives of people through excellent patient care. They achieve this by providing leadership for excellence in patient safety and clinical care. Traditionally, healthcare institutions focused on analyzing aggregate performance, questioning causation, monitoring scorecards and identifying gaps. Planning and managing stages at integral to the process of achieving Banner Healthcare's vision. Planning entails the development of standards, rules, and work teams necessary for the work. Concurrent management involves patient-oriented care and coordinated health care. Across the various work teams, care management efforts and the number of people are involved in making clinical improvements across the organization have been gradually increasing.
This occurs regardless of whether they are work groups, system wide teams, strategic initiatives, and special projects. The work is organized under functional teams. Besides the functional teams, initiative work groups and clinical consensus groups…… [Read More]
Health Management (Discussion questions)
The Emergency Medical Treatment and Labor Act (EMTALA) is a law governing how and when patients may be denied treatment or moved from one hospital to another in cases of extreme medical conditions. EMTALA was legalized as a component of the 1986 consolidated budget reconciliation (ichards & athbun, 2009). Sometimes, it is known as the CONA law. This generalized name has generated other laws. A common provision under the COBA name is the statute that governs continuation of benefits derived from medical insurance after job termination. The principal provision of this statute is as follows:
Patients visiting the emergency unit seeking treatment or examination for medical conditions must be given the required medical screening diagnosis. This will be helpful in identifying if they are suffering from emergency medical conditions. In case they are, then hospitals are obliged to either furnish them with appropriate treatment…… [Read More]
The penalties for being out of compliance when OSHA comes knocking should be enough to motivate any healthcare facility to devise a plan to make sure that they are in compliance with OSHA's regulations. The startling thing is that it took an initiative like NEP to wake these facilities up and get them thinking about being compliant. Since they deal with people and their well being on an everyday basis, these are things that they should have been doing all along and not just because there is an increased probability of getting into trouble by OSHA.
Harris, S. (2012). OSHA in Health Care: Out of Sight & Out of Mind? etreived from http://ohsonline.com/articles/2012/04/01/osha-in-health-care.aspx
Healthcare workers. (2012). etrieved from http://www.cdc.gov/niosh/topics/healthcare/
New OSHA inspection initiative focuses on healthcare. (2011). etrieved from http://www.puresafety.com/public/workingwell/?p=1209#.UAa4aFJ6EM
Occupational Safety and Health Administration ("OSHA") Targets Nursing and esidential
Care Facilities. (2012). etrieved from http://www.hancocklaw.com/p/OSHA_Newsletter_212_May_H1768037.PDF
Prepare Your Facility…… [Read More]
Prejudice and ethical/leadership issues with healthcare are nothing new but the fight to keep those standards and ethics on an even keel and prevent racism, bigotry and predudice of any sort including based on class, money, political ideology, nationalism, and so forth should be stomped out and eviscerated whenever it can be. People are people and should treated with dignity and respect regardless of their race, gender, beliefs and so forth. Even convicted murderers and rapists should not be treated disdain due to their actions because doing otherwise lowers the ethics and standards of the healthcare community that can and should still apply at all times.
Callahan, M. (2008). Healthcare providers constricted by financial, legislative, and regulatory issues. The Journal of Medical Practice Management: MPM, 24(3),
Cobaugh, D., Angner, E., Kiefe, C., ay, M., Lacivita, C., Weissman, N., & ... Allison, J.
(2008). Effect of racial differences…… [Read More]
Healthcare Administration and Leadership
Health care in the United States has progressed and improved to the point at which providers in all health care settings have defined and developed at least 4 major areas of importance for effective health care. Knowledgeable health care leaders have identified Quality and Safety; Community Health; Health Care Access and Coverage; and Leadership and Governance as key areas that must be constantly addressed and improved to provide optimal health care. The Human Research and Educational Trust has provided significant leadership in those 4 areas since its establishment approximately 60 years ago. By developing studies and assessments, as well as uniting health care leadership across the nation, HRET has exerted a great impact on health care in America.
Two of the HRET's Major Areas and Why Each Area is Important to Health Care Administrators
The four major areas addressed by the Health Research and Educational…… [Read More]
Cost is one of the primary issues -- it is cheaper to go to an RN than a doctor, and walk-in clinics have lower overhead costs than physician's offices, which is of great concern to uninsured or minimally insured patients. ait time is another concern -- clinics provide immediate treatment, patients do not have to wait for appointments for a brief, routine procedure, which insured patients may balk at if they merely wish to get a routine culture for strep throat. Using the Internet to access information about insurance and care results in lowered administrative costs for providers, less need for phone operators to provide advice, and results in additional speed for the consumer, in accessing records.
For a patient without insurance, ordering drugs online and not having to pay for a 'live' consult may be more cost-efficient, despite the higher costs of the drugs. Healthcare companies' desire to make…… [Read More]
Realistically this compliance and assistance should be sought and used before, during and after negotiations with other health care organizations with which this organization might merge or enter a joint venture. Furthermore, the proposed contract itself should be passed by the FTC's Office of the General Counsel or its designee for approval before final ratification of the contract.
In order to merge and operate in a joint venture acceptable to the FTC, the organization must be mindful of Title 15 of the U.S. Code, specifically Section 7 of the Clayton Act, 15 U.S.C. § 18, Sections 1 and 2 of the Sherman Act, 15 U.S.C. § 1, 2, and Section 5 of the Federal Trade Commission Act. In addition, due to the FTC's recent special interest in the mergers/joint ventures of health care organizations, particularly but not solely in connection with price fixing, the organization should assume that…… [Read More]
Health Care Reimbursement and Billing
Both Mrs. Zwick and Mr. Davis face significant issues in the presented scenarios. Mrs. Zwick has multiple considerations under Medicare Parts A, B and D, in addition to her hospital-acquired urinary tract infection. Meanwhile, Mr. Davis must address the severe time constraints and costs of COBRA in light of his job termination. These two scenarios underscore current difficulties and complexities of current health care in the United States.
Discussion of Mrs. Zwick's coverage under Medicare Parts A, B and C
Medicare Part A (often called "hospital insurance") (U.S. Department of Health and Human Services, 2011, p. 15) assists in covering inpatient hospitalization and skilled nursing facilities, hospice and home health care (U.S. Department of Health and Human Services, 2011, p. 14). There is usually no monthly premium if you and/or your spouse paid Medicare taxes while employed (U.S. Department of Health and Human Services, 2011,…… [Read More]
The idea with this part of the strategy is to be able to form some kind of a partnership with these individuals. This will help to push for a transformation inside the organization. As, these people will help to provide everyone with: a reason for adapting and pushing others to do so (indirectly). (Turner, 1999, pp. 162 -- 163)
Once this occurs, you could then have these individuals become a part of a committee. They will have the responsibility for making specific recommendations about how this can be implemented. This is important, because this will help everyone to realize that some kind of change is occurring inside the facility. Over the course of time, this will lead to shifts in the operating environment by giving people reason for embracing these changes. (Turner, 1999, pp. 162 -- 163)
The Effectiveness of the Plan
To determine the effectiveness of the plan the…… [Read More]
The reason why, is because this is a sign that the quality of care that is being provided in declining. What normally happens is staff members, will often become frustrated with: health care environments that are inefficient and where management has an attitude of indifference. This is problematic, because it can spread through the organization like cancer by: eating away at the fundamentals that made the facility great.
Once this occurs, it will have an impact on: the costs, efficiency and profitability of the hospital. This is the point that this could undermine the reputation of facility and it could have an impact on the brand. When this takes place, it is a sign that many hospitals are falling into a downward spiral of: declining quality of care and increasing costs. At which point, it only becomes a matter of time until: some kind of major restructuring must occur or…… [Read More]
(Menzel, 1990, p. 3) Fisher, Berwick, & Davis alude to the idea of integration in health care, with providers linking as well as creating networks of electronic medical records and other cost improvement tactics.
The United States and other nations over the last twenty or so years, have begun a sweeping change in health care delivery, regarding the manner in which health information is input, stored and accessed. Computer use in the medical industry has greatly increased over the last thirty years the culmination of this is fully networked electronic medical record keeping. (Berner, Detmer, & Simborg, 2005, p. 3) the electronic medical record trend began in the largest institutions first, as hospitals and large care organizations attempted to reduce waste and improve patient care, while the adoption has been much slower among physician's practices and smaller medical institutions. (Hillestad, et al., 2005, pp. 1103-1104) Prior to this time medical…… [Read More]
S. Department of Health and Human Services, 2011). Furthermore, subpart C explains the privileges and the protections of confidentiality that is attached to the patient's record along with much exception (U.S. Department of Health and Human Services, 2011).
The penalty for anyone who breaks confidentiality is imperative. In "November, 23, 2009" was increased to $11,000 (U.S. Department of Health and Human Services, 2011). This goes for anyone in the medical field or has access to this information. A person has to follow HIPAA precisely or face a huge fine. If one thought of this ahead of time, whether or not they own a business, then no issues would arise legally. However, sometimes this does occur, especially for those who want to harm another person, yet in the medical field the goal is not to do this to any individual, regardless, otherwise he or she could face losing their license in…… [Read More]
Each of these was included in the initial Senate bill, but was struck from the final Senate version. Despite the victories, the group isn't ready to pledge support for health reform bills. The AMA will not endorse any legislation unless Congress gets rid of the mandated payment cuts of more than $200 billion over 10 years in the government's Medicare program for the elderly. The cuts are part of Congressional action that was passed in 1997 in order to cut costs in the Medicare program, but have never gone into effect. There are also several hospitals, insurers, pharmaceutical manufacturers and advocacy groups that are withholding final support. Most of these groups have pledged support to health care reform in principle while working privately through lobbyists to protect their industries (Eaton and Pell, 2010).
Healthcare lobbyists range from very large companies and corporations to very small groups who are all looking…… [Read More]
At which point, the overall costs of care will be passed on to the tax payer in the form of higher taxes. This leads to a decrease in the overall quality of care and it will not slow the price increases, as the government seeks to restrict access to these services. Then, when the program becomes broken (such as: what is happening to Social Security) removing or reforming the bureaucracy is nearly impossible. (Messerili, 2010)
A second argument that many critics make about universal health care is: it will stifle innovation. Whenever, the government is running any kind of program, they will place a large number of restrictions and regulations on the industry. When this takes place, you are causing some of the best and brightest minds to seek careers in other fields, as the restrictions from the government are too cumbersome. A good example of this would be: the…… [Read More]
WHO rates France as having the best healthcare ("World Health," 2000). In addition to universal healthcare, France also has non-profit supplementary providers, which means that the government subsidizes 70% of regular expenses but pays 100% of more expensive or long-term treatment plans (Sandier, Paris, & Polton, 2004). Money for subsidies comes from mandatory earnings contributions such as 5.25% salary, capital income, and gambling winnings (Sandier, 2004).
An argument that often arises is that people say they don't want the government deciding what medical procedures they can have. However, decisions regarding what procedures are covered by a particular health plan are made by the healthcare insurance companies, which are for-profit ("Insurance Verification," n.d.). Many people are denied treatment regardless of the illness. As already mentioned, some of the other nations with universal healthcare have supplementary plans in addition to the government plans that allow the patient more choice.
There are many…… [Read More]
As a result, millions of Americans remain unable to bear the heavy financial toll of medical expenses. Indeed, the problem of a lack of insurance for many is related to the problem of the cost of healthcare. So confirms the article by Consumer Reports (CR) (2008), which finds that "health-insurance premiums have grown faster than inflation or workers' earnings over the past decade, in parallel with the equally rapid rise in overall health costs. Industry spending on administrative and marketing costs, plus profits, consumes 12% of private-insurance premiums." (CR, 1) This reiterates the case that the undue imposition of costs by the healthcare industry -- a reflection of a free-market industry with little to no regulatory oversight -- has negatively impacted the accessibility and quality of healthcare for many of the poorest users.
Moreover, these users are most vulnerable to the long-term economic damages provoked by unexpected healthcare costs. So…… [Read More]
However, they contradict themselves trough supporting one's right to commit physician-assisted suicide, since this would virtually mean that the individual who is no longer willing to live is not provided with health care meant to prevent him or her from dying (Epstein, 1999, p. 1).
Among those opposed to the fact that health care is becoming increasingly better are those who are in their twenties and are obliged to work hard in order to pay for their own medical insurance and for that of the underprivileged (Bonner, 2010).
Contemporary health care is basically provided by groups forced to pay taxes in order for others to benefit out of the process. The fact that health care is a privilege and not a right was made obvious ever since the 1954 foundation of the Department of Health, Education, and elfare. The name contained the term welfare with the intention of highlighting how…… [Read More]
In their move from a completely government-paid and -- operated healthcare system to a fees-based approach, the Chinese have greatly improved the efficiency, availability, and efficacy of their healthcare system (Wan & Wan 2010). This suggests that a combination of perspectives, rather than the market or single-payer perspectives that form so many healthcare systems, is most effective.
There are also, of course, healthcare systems that have developed in the same period as those mentioned above, but with far more negative results. The South African healthcare system, though effective in combating certain specific conditions, has many of the same failings as the United States' system, only on to a far more apparent degree. A lack of organization and responsiveness, exacerbated by an attempt to exert highly politicized and highly centralized control over healthcare provision, has plagued South African efforts to combat AIDS and many other problems the country -- and the…… [Read More]
Polls examining public support of the bill and specifically the public healthcare option vary significantly. ith regard to physicians, the New England Journal of Medicine surveyed over six thousand medical doctors and found there was a majority in favor of federally provided public healthcare insurance (Keyhani & Federman). Other polls have suggested an opposition to the public option (Marmor).
The public option would provide an affordable alternative to the current private health insurance options and would provide impetus for competition and positive change. hether "America's Affordable Health Choices Act of 2009" will be passed is currently uncertain. hat is certain is that the healthcare and health insurance system is currently not sufficient to provide healthcare support for nearly 48 million uninsured Americans. Alterations need to be made to increase access and affordability for those individuals who desire health insurance.
The healthcare and health insurance system in the United States…… [Read More]
(Health Insurance Coverage, 2009). This is just a little higher than what was reported in the state of Pennsylvania over the last two-year period, which was at 25% (Krawczeniuk, 2009). "The number of uninsured rose 2.2 million between 2005 and 2006 and has increased by almost 8 million people since 2000" (Health Insurance Coverage, 2009).
Most Americans are provided with health insurance coverage through their employers. But in today's society employment is no longer a guarantee of health insurance coverage. "As America continues to move from a manufacturing-based economy to a service economy, and employee working patterns continue to evolve, health insurance coverage has become less stable. The service sector tends to offer less access to health insurance than the manufacturing sector does. Further, an increasing reliance on part-time and contract workers who are not eligible for coverage means fewer workers have access to employer-sponsored health insurance" (Health Insurance Coverage,…… [Read More]
Canada is even further behind in its access to high tech equipment, including machines used for MRI's and CAT scans. This shortage of equipment affects wait time for diagnostic tests, which in some provinces can run well over three months (Beaudan, 2002).
According to Michael Decter, chair of the national board of Canadian Institute for Health Information, the Canadian health care system is dazed but he still believes that modernized public healthcare is the answer. "e do well on life expectancy and immunization of children compared to the U.S.," he says, noting that the United States spends 40% more on healthcare than Canada does (Beaudan, 2002).
Americans who go to Canada for cheap flu shots often come away impressed at how Canada offers free and first class medical care to everyone. But hospital administrators will tell a different story about having to cut staff for lack of funds or about…… [Read More]
On the contrary, a comprehensive medical care solution that tackles the main issues driving up health care costs in America is possible. The main problem experienced by the average American is that health insurance premiums are cost prohibitive for the middle-class, but being uninsured can bankrupt a family forced to deal with even a minor catastrophic illness. Therefore, a national health insurance program has to be part of the solution. However, one cannot overlook the role that unpaid medical bills and exorbitant malpractice premiums also play in the modern healthcare crises. As a result, the solution must include a way to reduce malpractice premiums through tort reform, and a way to reduce the percentage of medical bills that go unpaid. The proposed three-prong approach would tackle all of those issues, without forcing any unwilling person to participate in a nationalized healthcare program.
American Tort Reform Association. "Medical Liability…… [Read More]
ecause unions retain the exclusive right to negotiate on behalf of its members, the individual worker may have little recourse to easily address incompetent leadership.
The Disadvantages of Unionized Labor for Healthcare Employers:
The primary disadvantages of unionized labor for healthcare employers correspond to the relative loss of control over issues and workplace elements commonly transferred to workers (through their unions), which accounts for the traditional resistance with which many employers responded to unionization attempts. On the one hand, unionized workforces are able to secure better pay and benefits from employers than would have been available to workers without union representation; likewise, employers must cede control over many aspects of operational and personnel decisions traditionally within administrative control.
On the other hand, particularly in light of the beneficial effect that unionized nursing has had on the quality of patient care and reduction in patient mortality, it is difficult to conceive…… [Read More]
In fact Congress should pass a bill that gives that prescription drug benefit to Medicare patients.
QUESTION NINE: In the United States, healthcare is so expensive that over 45 million people are without health insurance. It is a broken system, leaving out many people, especially children. Recently the executive branch vetoed a bill that would have provided health insurance to millions of middle and low-income children, indicating a lack of government concern for the well being of the population. Bush said it was too expensive, yet it's not too expensive to continue spending billions on an unpopular war in Iraq. Meanwhile, for the past 45 years, Canada has had a "government-funded, national healthcare system..." based on these five principles, according to www.medhunters.com.One, it is universally available to permanent residents; two, it is comprehensive; three, it is available regardless of income; four, it is "portable within and outside" Canada; and five,…… [Read More]
(ennie; Fontanarosa, 2006)
Apart from financial reasons, millions are not bale to access healthcare due to a lot of barriers inclusive of geography, racial differences and immigrant status. The people who do not have access to required care, that might comprise incapability to get primary care chronic care, specialist care, or emergency care stand at risk for severe health consequences. As per a recent report, absence of health insurance was linked with considerably lowered application of recommended healthcare services for cancer prevention, cardiovascular disease threat reduction, and diabetes management within the lower-income as also higher-income adults. Apart from the concerns, trouble, and stress directly associated to their illness, patients those who lack insurance or are underinsured also encounter increased levels of debt, threatening calls from collection agencies, anxiety, and possible insolvency. (ennie; Fontanarosa, 2006)
Impact of reform measures on the nursing profession:
The U.S. healthcare system is considered among the…… [Read More]
Since being healthy includes a sound mind, less worrying over financial problems leads to a stronger, sounder mind.
Drinking a lot of water throughout the day is another health-promoting behavior. Drinking a lot of water adds natural moisture to your skin, giving a fresh glow today and helping the aging process tomorrow. It also helps when I exercise to drink more water because being properly hydrated during exercise allows me to have a better, more productive workout. Drinking water also improves my energy and increases both my mental and physical performance. Additionally it allows for proper digestion and relieves headaches and dizziness. For those reasons I believe that not smoking and drinking water regularly are two of my important health-promoting behaviors.
My Detrimental Health ehaviors
As improvements in health become more necessary and evident, the medical industry will continue to work to improve the overall health of all individuals. However,…… [Read More]
Healthcare Case Study Schuylkill County, PA
County Overview - Schuylkill County, Pennsylvania is located in the heart of the anthracite Coal region of Pennsylvania where the Schuylkill iver originates. Pottsville is the county seat, and the county showed a population of just under 150,000 as of 2010 with a density of 190 persons per square mile. The total area of the county is 782 square miles, almost all land, less than 1/2 a per cent water. The county's history, likely due to large coal deposits, focused on the railroad and industrialization (Schuylkill Chamber of Commerce, 2011).
The county experienced the high point of its population during the 1920s and 1930s, and has been losing people ever since, most between 1950 and 1970, with about a 1-2% population loss since the turn of the century. This is likely due to the lack of appropriate jobs and opportunities within the county. Schuylkill…… [Read More]
Health Care Past, Current, And Future
The health of any nation should be a top priority for leaders and elected political representatives, but in the United States it took several centuries for the nation to begin to come to terms with providing health care for its citizens. This paper covers the gradual implementation of health care services and doctor training facilities in the U.S., and also covers the recent attempt by President Barack Obama to reform a chaotic, poor-functional and expensive health care system. Thesis: It is a scandal of massive proportions that a well-functioning, citizen-friendly universal health care system cannot be instituted in America, the world's most democratic superpower. Until the divisive and toxic political climate can be reformed, there is no chance of major reforms -- or for universal health care coverage -- in these United States.
Past Health Care Services -- Early America
Health care in colonial…… [Read More]
S. healthcare structure do not include the unobserved disparities. This may sound very rudimentary, even silly to point out, but in by understanding that the numbers are actually worse than they appear, and that the rising costs of healthcare services re associated with both what we see and can't see, it is easier to understand how costs rise so quickly.
It is also a sobering fact that what we cannot observe is still out there, existing beyond the scope of the government and social programs designed to help people overcome obstacles to access to healthcare and health insurance. The ethnic group that is most unobserved within the bounds of many of the studies and statistics related to the disparities in the U.S. healthcare industry is non-Mexican Latinos (Bustamante, et. al., 2009). This group represents a major portion of the U.S. population that currently lacks access to healthcare. In understanding this…… [Read More]
Health Care eform:
One of the major topics that have had a long history in the United States is health care reforms, which has been characterized by huge debates. Following decades of failed attempts by various Democratic presidents, a new law was enacted by President Obama to overhaul the country's health care system. The enactment of this legislation came after a year of harsh partisan combat with the purpose of ensuring access to health care insurance for millions of Americans. In addition to being the most controversial topic, health care reform law was the largest single legislative accomplishment of President Obama. Notably, this legislation will cost America's government approximately $940 billion over the next decade based on an analysis by the Congressional Budget Office. The office has also estimated that the law will lessen federal deficit by about $138 billion during the same period and a further reduction of the…… [Read More]
It means they have an equal opportunity to receive contraception, prenatal counseling and services, post-natal services for mother and child, preventative healthcare services, vaccinations, and dentistry services, from earliest childhood and through their lives into their elderly years when they require more medical services to remain healthy and active. To the extent everyone in a given community or society has the same relative access to healthcare services and to the extent those services received are of comparable quality, healthcare access could be described as being equitable. On the other hand, to the extent everyone in a given community or society does not have the same relative access to healthcare services and to the extent those services received are not of comparable quality, healthcare access could be describes as being inequitable (Kennedy, 2006; eid, 2009).
Healthcare Equity in the Contemporary United States
Unfortunately healthcare access in the U.S. is not equitable…… [Read More]
Health Plan Dev
Health Plan and Health Organization Development
Five Key Events
There are a multitude of different historical events that have occurred in the modern era in a manner that has drastically changed the way in which health and the relationships between society and healthcare has been viewed. In Germany in 1883, Chncellor Otto van Bismarck managed to implement a national insurance-like healthcare scheme that ensured certain basic access to healthcare for many working-class Germans that would otherwise go without medical care. A second highly similar event occurred in England in 1911 with the establishment of a national health insurance program, which eventually became the National Health ervice of the United Kingdom that still provides healthcare services to the nation's citizens today.
The ocial ecurity Act of 1935 represents a major shift in the direction of healthcare policy in the United tates, as this legislation laid the groundwork for…… [Read More]
Health Care oles in Communication
Communication is a fundamental piece of health care education and has been shown to improve health outcomes, patient compliance, and patient satisfaction. Quality health care emphasizes knowledge and utilization of communication skills. Health care professionals often express anxiety and lack of confidence and are deficient in a creating a situations that are conducive to open and candid communication with patients (Kameg et. al., 2009).
Effective communication involves gathering information, establishing a relationship or connection with a patient, and supporting the person through words and other non-verbal forms of interactions. Effective communication involves not only the interactions between the staff and the patient but also the interactions between staff and the interactions between the staff in front of the patient. Many times the high demand for services in a health care facility cause the staff to overlook the importance of good communication skills and enables situations…… [Read More]
Health Care Finance
Financial analyst Eric Feigenbaum (2009) notes that while we like to think of hospitals in terms of compassion, patient care and dedication to altruistic aims, they are businesses concerned with revenues and expenses like any other business (Feigenbaum 2009, p.2). In today's hectic world of economic downturn and financial struggles felt from individuals of every demographic and social status, revenue and expense accounting are issues that must be addressed carefully by nearly every business in every market. The same holds true for the health care industry and health care providers. With financial uncertainty come threats for health care providers in managing revenue and expenses during the upcoming years. However, with these threats remain certain opportunities for health care providers to take on in order to combat the uncertainty that comes with managing revenue and expenses when the amount of each is not ideal.
With the appropriate management…… [Read More]
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…… [Read More]
Here second question that is raised for the author is that till now and for the future, many healthcare architectures have been designed that increase the availability of the patient records, not only on the national but on an international scale as well. The author in the study has only focused on the national or local availability of the patient records.
Content of the article is strong and there are a number of important facts given in the article in relation to the importance of healthcare indexing systems. The healthcare indexing systems being used in U.S., UK and Australia have been mentioned as an example. The two models of the indexing architecture given by the author in the beginning have been linked by the author with the examples. The loopholes that can be noticed in these cases are the absence of any privacy and security concerns that may be an…… [Read More]
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,…… [Read More]
The experiences of seniors within the healthcare delivery system will alter how all Americans view healthcare. The healthcare delivery systems and overall organizational structure in the United States has been slow to adjust but that rest of the world is currently in flux that will migrate into our system. Technological advances in communication have made telehealth and telemedicine vialbel solutions to our outdated healthcare industry orgainzational structre. While these types of advances are only in their infancy, "...there seemed to be broad acceptance that telehealth and telemedicine had provided positive benefits to the worlds healthcare delivery system." (Telehealth Applications) Our technoloically challenged seniors have actually discovered the trend within the healthcare system and telehealth and telemedicine seems to be an advance that will find worldwide support so we as a nation will be reqquired to jump on the bandwagon.
In conclusion, this article review focused on new Healthcare Delivery Systems…… [Read More]
The Joint Commission on Accreditation of Healthcare Organizations -JCAHO is among the leading health-care benchmarks setting and accrediting bodies in the world today. To provide for continuous improvement to the safety and quality of health care provided to the general public through the provision of health care accreditation and the related services, which enable performance improvement in organizations that provide healthcare is the mission of JCAHO. The Joint Commission assesses and accredits almost 20,000 health care organizations and programs in the United States. It is an independent and non-profit organization. JCAHO has developed modern and professionally-based benchmarks. The Joint Commission assesses the compliance healthcare organizations using these standards. JCAHO services are provided to the full range of organizations involved or assisting in healthcare in any form. An organization accredited by the Joint Commission is acknowledged all around the country as meeting the performance standards of JCAHO, which…… [Read More]