In that regard, the new physician must be committed to providing the same quality of patient care after 36 hours on duty as he provides at the start of a tour of duty. He must follow established rules of clinical asepsis and control of infectious disease religiously, and he must learn the new HIPAA rules and regulations well enough to comply with them and supervise compliance on the part of coworkers under his responsibility.
However, nothing in the field of medicine presents more of challenge in the field of professional responsibility than ethical decisions related to the end of human life.
Undoubtedly, the dramatic increase in medical knowledge and the evolution of intervention capabilities have tremendously increased the ability of the newly graduated physician to improve the lives of patients. On the other hand, the availability of modern medical equipment and procedures also present a context for many ethical decisions of…...
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References
Abrams, N., Buckner, M.D. (1999) Medical Ethics: A Clinical Textbook and Reference for the Health Care Professionals. Cambridge, MA: MIT Press.
Federation of State Medical Boards [Online Homepage] Accessed at http://www.fsmb.org/
mental health professionals, understanding what is impacting patients and their employees requires careful observation. This occurs through seeing if there is anything that is out of the ordinary. The situation with Eileen; is classic example of using these tools to realize when something more severe is happening. (Palmo, 2006)
In this particular case, Eileen is known as someone who is stable and reliable in organizing / managing the office. However, once she starts crying, is when she is dealing with more unusual challenges. Mental health professionals have a duty to identify the root causes of these problems and helping her to address them. (Palmo, 2006)
For Cora, she has unique responsibilities as a counselor and her employer. This is because she has to make certain that Eileen is able to work through these problems in order to perform her job efficiently. At the same time, she has an obligation to ensure…...
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References
Palmo, A. (2006). Foundations of Mental Health Counseling. Springfield, IL: Charles C. Thomas.
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 which…...
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References
Farnsworth, Chris. "The Truth About Fraud" Washington Monthly 01 May 1997.
Joshua-Amadi, Mabel. "Recommendations: A Study in Motivation: Recruitment and Retention in the NHS" Nursing Management. February (2003).
Soloye, Daniel J. "Privacy and Power: Computer Databases and Metaphors for Information Privacy" Stanford Law Review July (2001).
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 to arise…...
Gamble, T.K. & Gamble, M. (2006). Communication works. Burr Ridge, IL: McGraw-Hill.
Health Communication. (2010). Health communication. Healthy people 2010: Objectives for improving reproductive health. Office of Disease Prevention and Health Promotion. Retrieved May 29, 2011 from http://www.hhs.gov/opa/pubs/hp2010/hp2010rh_sec2_healthcomm.pdf
" (AAF, nd)
The Health Maintenance Organization further should "…negotiate with both public and private payers for adequate reimbursement or direct payment to cover the expenses of interpreter services so that they can establish services without burdening physicians…" and the private industry should be "…engaged by medical organizations, including the AAF, and patient advocacy groups to consider innovative ways to provide interpreter services to both employees and the medically underserved." (AAF, nd)
One example of the community healthcare organization is the CCO model is reported as a community cancer screening center model and is stated to be an effective mechanism for facilitating the linkage of investigators and their institutions with the clinical trials network. It is reported that the minority-based CCO was approved initially by the NCI, Division of Cancer revention Board of Scientific Counselors in January 1989. The implementation began in the fall of 1990 and the program was experiencing success…...
Volpp, Kevin G.M. (2004) The Effect of Increases in HMO Penetration and Changes in Payer Mix on In-Hospital Mortality and Treatment Patterns for Acute Myocardial Infarction" The American Journal of Managed Care. 30 June 2004. Issue 10 Number 7 Part 2. Onlineavaialble at: http://www.ajmc.com/issue/managed-care/2004/2004-07-vol10-n7Pt2/Jul04-1816p505-512
Darby, Roland B. (2008) Managed Care: Sacruificing Your Health Care for Insurance Industry Profits: Questions You must ask before joning an HMO. Online available at: http://www.rolanddarby.com/br_managedhealth.html
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 have been…...
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References
Clark, J. (2008). Strengthening the revenue cycle: a 4-step method for optimizing payment. Healthcare Financial Management, 62(10), 44.
Hammer, D.C. (2007). The next generation of revenue cycle management. Healthcare Financial Management, 61(7), 49.
Seddon, J. (2008). Think system. Management Services, 52(2), 10.
Wilson, D.B. et al. (2004). 3 steps to profitable managed care contracts. Healthcare Financial Management, 58(5), 34.
Health Care
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 the first…...
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References:
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
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…...
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, p. 28). However,…...
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Ethical implications of Mrs. Zwick's incurring costs related to her hospital-acquired condition are applicable despite the rehabilitation facility's exemption from POA/HAC Medicare laws. Having no first-hand knowledge of the cause of the urinary tract infection, no clear indication that I work at the rehabilitation facility and neither the privilege nor the duty of diagnosis, it would be unethical for me to tell Mrs. Zwick about my suspicions. Rather, a nurse is required to maintain his/her professional boundaries (American Nurses Association, 2001, p. 6). Simultaneously, a nurse is supposed to assure "responsible disclosure of errors" to patients and act to stop bad practices and promote best practices (American Nurses Association, 2001, p. 6). Consequently, a nurse in my position faces a dilemma: lack of personal knowledge and authority vs. my concern for the patient's well-being and constant improvement of the profession. In the face of this dilemma, I would: contact the rehabilitation facility's newly-hired nurse and advise/remind him/her of the duty to report to the appropriate supervisor and responsible disclosure to Mrs. Zwick; contact Mrs. Zwick's personal physician and explain the entire situation; direct Mrs. Zwick to discuss her health issues with her personal physician, who can review, diagnose and discuss the ramifications of her medical records, including but not limited to the urinary tract infection (American Nurses Association, 2001, p. 7). The desired outcomes would be: the rehabilitation center's absorption of Mrs. Zwick's costs related to her hospital-acquired infection through pressure exerted by its own nursing staff and Mrs. Zwick's personal physician; Mrs. Zwick's awareness of the true cause of her infection by health care providers who are directly responsible and capable.
Explain how the COBRA will allow Mr. Davis to continue his insurance coverage while he is out of work.
Due to Mr. Davis' termination from an employer of more than 20 employees, he can obtain coverage for himself, his spouse and his dependent children for up to 18 months (U.S. Department of Labor, 2012). In addition, due to his chronic cycle cell anemia, he may be entitled to an additional 11 months' extension for disability (U.S. Department of Labor, 2012). His employer is required to give a qualifying event notice to COBRA; then, COBRA sends a notice of the right to elect to continue coverage and an explanation of the steps that must be taken to continue coverage; Mr. Davis, his spouse and either or both of them in behalf of dependent children may elect for continuation of coverage
A strain on the Medicaid budged as a result of managed care can lead to raised healthcare costs and an increase in Medicaid bills (Shern et al., 2008).
The fair distribution principle in such a case is a difficult issue. On the one hand, patients receiving managed care benefit in terms of their health and keeping their costs low. Society does not benefit in general, and indeed the increase in costs to them can be seen as unfair. On the other hand, the benefit derived from managed care can be seen as fair to certain patients. As mentioned above, caring for some patients and not for others on the grounds of financial issues is not fair, while expecting the community to incur increased costs from managed care is also unfair. Again, a careful balance should be maintained between costs, quality and distribution of care.
oger A. (2008). Medicaid Managed Care and Distribution of Societal Costs for Persons with Severe Mental Illness. The American Journal of Psychiatry, 165:254-260. Retrieved from http://ajp.psychiatryonline.org/cgi/reprint/165/2/254
Health Staff
the Allied health care staffing agency is a staffing agency that focuses on the niche of the nursing jobs within the healthcare industry in Chicago
The Allied healthcare staffing agency works to recruit registered nurses belonging to all medical Specialties, Practical Nurses that are licensed also called LPNs, Nursing Assistants that are certified also called CNAs and Specialists from the allied health sciences. These professionals would be hired both from the area of the metro city as well as the suburbs and placed within the hospitals, the neighborhood medical centers, Adult care facilities, clinics, and rehabilitation centers.
The mission of the Allied Healthcare Staffing Agency is to provide the best opportunities of employment both to its collaborators which are the local healthcare organizations as well as serving the entire nursing community to provide amply amount of job opportunities to choose from in a time when the turnover of medical professionals is…...
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Works Cited
Bureau, U.C. (2000). Census 2000 Demographic Profile Highlights:. chicago illinois, fact sheet .
commerce, U. d. (2010). bear facts, state illinois. bureau of economic analysis .
directory, a. h. (2010). free stats & national stats. Retrieved september 7, 2011, from american hospital directory: www.ahd.com
Lindberg, R.C. (1991). To Serve and Collect: Chicago Politics and Police Corruption from the Lager Beer Riot to the Summerdale Scandal. chicago: praeger publications.
Professional oles and Values
A good number of patients visiting emergency departments are in a position to make independent decision concerning their care. Nevertheless, a significant proportion of them are extremely incapacitated either mentally or physically to the extent that they cannot solely make decisions regarding their treatment. Some of the conditions associated with this incapacitation include organic brain disorder, hypoxia, or head trauma. Jones et al. (2005) describes an emergency department as a very hostile environment where patients may lose control of the nature of care they undergo. Such is the case scenario in this current study. Mr. E is developmentally delayed and hypoxic. Dr. K considers his situation as an emergency and a ventilator must support it. The fact that Mr. E had already signed an advance directive under the supervision of a patients advocate that he did not want a ventilator or cardiopulmonary resuscitation complicates the matter even…...
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References
Dickey, S.B. (2003-2004). Nurses should be concerned about the ethical implications of HIPAA regulations (pp. 1-5). Washington, DC: American Nurses Association
Fowler, D.M. (2008). Guide to the code of ethics for nurses. Silver Springs, MD: American Nurses Association
Jones S, Davies K, Jones B (2005). The adult patient, informed consent and the emergency care setting. Accident and Emergency Nursing. 13, 3, 167-170
Health and Medicine
Twenty-Five Years of HealthCare
There have been numerous changes in the field of healthcare over the past twenty-five years. Many of these have occurred behind the scenes in areas such as regulation and documentation requirements. Others are obvious, such as advancement in medicines and technology. All have some degree of impact on the delivery of healthcare to the patient. Most have an impact on the cost of healthcare delivery. hat area of change has made the greatest difference in the eyes of a long-term healthcare professional and what does the future have in store?
One healthcare professional, a nurse who is currently working as the Director of Nursing in a skilled nursing facility, thinks that the greatest area of change has been in patient education. Her opinion is that "we used to know it all and patients were simply the recipients of our care." She continued to describe the accepted…...
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Works Cited
Henslin, James. Essentials of Sociology A Down to Earth Approach. Allyn & Bacon; 5 edition (February 24, 2003).
Interview with D.O.N.K.Alms. She may be reached through email. -- .
Healthcare Partnership in the Community
Discuss an example of healthcare partnership in your community and specifically cite examples that show how nurses, both individually and collectively, influenced the care provided. What obstacles were confronted and what strategies were employed in order to effectively overcome them.
One community healthcare partnership that is salient in my mind is Texas Department of State Health Services' program on tuberculosis or TB. This group of projects is specifically handled by the Office of Border Health, specifically because communicable diseases transmitted over the Texas-Mexico border will inadvertently affect the state of community health of both countries (i.e., the U.S. And Mexico). Under the program, two projects have been successful and known for its accomplishment in helping decrease TB prevalence in communities near the Texas-Mexico border: Proyecto Juntos and TBNet.
Proyecto Juntos specifically centers on "bilateral TB control," centering its efforts to curbing TB prevalence by monitoring the health of…...
Health Care Communication
Background- Within the modern nursing paradigm, there must be a clear link between a health outcome and the process that helps ensure those outcomes. Typically, outcomes are classified in terms of preventability, impact, severity and an overall holistic view of the client's safety issues. Positive behaviors that impact individuals either rescue or protect patients from potential or actual events. This is also part of the issue with modern communication and dissemination of information to patients, stakeholders, and the community (Burns and Grove, 2005).
At the heart of healthcare as an institution is, of course, the need to care for the sick and the injured. However, in the contemporary model of healthcare, effective communication during a crisis is not only important, but also vital. Communication by healthcare professionals takes the concern and worry out of the situation; offers a quicker resolution, makes better control of information possible, earns the trust…...
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REFERENCES
Alligood, et.al. (2002). Nursing Theorists and their Work. Philadelphia: Mosby.
Burns, N. And Grove, S. (2004). The Practice of Nursing Research. St. Louis:
Elsevier.
D'Antonio, P., et al., eds., (2007). Nurses Work: Issues Across Time and Place. New York:
While psychology refers to the study of the mind, clinical psychology specifically refers to that branch of the discipline that focuses on using psychology to create positive change, whether in individual lives or in the community as a whole. There is a wide variety of topics you could approach in your thesis, depending on what topic interests you the most.
Topic Ideas
The diagnosis of mental disorders in children: how young is too young to diagnose and does a diagnosis turn into a self-fulfilling prophecy for young children?
Diagnosing the non-patient: with many in the mental health fields....
The concept of self-care has never been more important than it is now, when a pandemic has shut down much of the globe and external stressors are unlike anything most people have seen in their lifetimes. Generally, when people discuss self-care inside the topic of mental health, they are referring to the importance of caregivers engaging in self-care. This makes it an excellent topic for a narrative essay, because of how narrative essays are structured.
The concept of self-care is an important one. People who are responsible for helping care for those who....
Psychotherapy, sometimes referred to as talk therapy, describes a wide variety of counseling methods that center on a person seeking resolution by discussing their problems with some type of mental health professional. It is an interesting type of mental health intervention because it is helpful to a wide range of people and is used by people with and without mental disorders. This differentiates it from some types of mental health interventions, which are specifically targeted to those experiencing a mental illness.
One of the main benefits of psychotherapy is that it helps people....
There are a number of different counseling theories that mental health professionals can use when working with a client. The choice of counseling theory is often a question of personal preference for the practitioner; most counselors or therapists are trained in a particular approach and default to that approach for most clients. However, individual client needs can also dictate the type of counseling approach that a therapist chooses. Some approaches are not suitable for use with some clients, while some different theories and approaches have great track records with certain types of....
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