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Health Systems Administration - Improving Patient Safety
Medical errors are responsible for the deaths of an estimated 48,000-98,000 patients each year. Such errors are estimated to cost more than $5 million per year in a large teaching hospital, and preventable health care-related cost the economy from $17 to $29 billion each year. Most errors arise out of incorrect prescription and delivery of medication, surgical errors, diagnostic inaccuracies, and system failures (AHRQ 00P058, April 2000).
One of the major changes that must take place if health care organizations are to succeed in reducing errors is a concerted effort to establish a culture of accountability, trust, system improvement and continuous learning. Such an attitudinal change needs to take place both at the industry and individual organizational level: "President Clinton has proposed nationwide mandatory reporting of medical errors...accountable." (CNN.com, May 2000)
The benefits of reporting have already been proven: "New York State now…
Altman, Lawrence K. "Getting to the Core of Mistakes in Medicine." The New York Times On The Web, February 29, 2000. URL:
Gaba, David M. "Anaesthesiology as a model for patient safety in health care." BMJ 2000;320:785-788 (18 March). bmj.com. URL:
Health System Management
State why this issue selected by the student.
In modern lifestyles, work stress is getting very common. Social life and work both have undergone drastic change in this new century. All the professions have been hit directly and even the physical health of the professionals has been affected badly because of it. With the health of the workers the health of the organization is also affected adversely (AACN, 2008).
On one side, where there is a heavy demand of life improving actions on the other side we see a demand of better customer services. It is an employee's duty to fulfill the demand of the customers, even if he is stressed, while doing so he must have a firm believe on the fact that customers are always correct (AACN, 2008).
There lies an indirect link between the hospital's high employer turnover rate during the residency program and…
American Association of Colleges of Nursing. (2008, September). Fact Sheet: Nursing Shortage. Retrieved March 23, 2009, from AACN Web site: http://www.aacn.nche.edu/Media/FactSheets/NursingShortage.htm
Chulay, M. & Burns, S. (2010) AACN Essentials of Progressive Care Nursing. New York, NY: McGraw-Hill
Hodges, H.F., Keeley, A.C., & Troyan, P.J. (2008). Professional Resilience in Baccalaureate-Prepared Acute Care Nurses: First Steps. Nursing Education Perspectives, 80-89.
Kim, H.J., Shin, K.H. And Swanger, N. (2009). Burnout and engagement: A comparative analysis using the Big Five personality dimensions. International Journal of Hospitality Management 28, 96 -- 104
Healthcare System the purpose a health system support wellness prevent disease. What factors influence today's healthcare system? Describe U.S. Healthcare System context Patient Protection Affordable Healthcare Act.
Today's healthcare system is influenced by a large number of factors, a result of a complex environment and of several characteristics of the population. If one analyzes the utilization of healthcare services, this can increase or decrease depending on socio-economic status, physician supply, policy, risk behaviors and health status (Morreale, 1998). Many of these factors affect not only the utilization, but the nature of healthcare services, including their quality.
Muller (1986) pointed out that, from a socioeconomic perspective, education and income play an essential part. Individual with higher income and education tend to have lower degrees of disease and mortality. At the same time, however, this type of individuals have more visits to the doctor, appealing more often to healthcare services, although, most…
1. Muller, C. (1986). Review of twenty years of research on medical care utilization. Health Services Research.
2. Morreale, Mark. (1998). Fact Sheet: what factors can influence healthcare utilization? On the Internet at http://fhs.mcmaster.ca/nru/Working%20Papers%20&%20Fact%20Sheets/factsheets/Whatfactorscaninfluence.pdf. Las retrieved on November 4, 2013
As a result, a variety of states such as Wisconsin and Ohio have passed legislation that will restrict the collective bargaining rights of public employee unions. At the same time, it is seeking to give administrators greater control over how to provide different services to communities (with the limited resources that they have available). According to James Shrek of the Heritage Institute, "The current legislation gives state and local officials more control over the costs of employing government workers. In many places, public officials have little leverage to lower these costs because they are set in union contracts. If benefits were removed from the collective bargaining process, states and localities could change them without having to negotiate with the unions, a process that can drag on for months or even years." (Luhby) This is significant, because it is showing how these kinds of changes will become more common in…
"Casinos." Michigan in a Brief, 2002. Web. 15 May 2011.
"Collective Bargaining," Legal Dictionary, 2011. Web. 15 May 2011.
"Three American Cities on the Verge of Going Bankrupt." Retire Early, 2010. Web. 15 May 2011.
Luhby, Tami. "Unions Under Fire." CNN, 2011. Web. 15 May 2011.
U.S. Public Health System to better assess and defend against threats from bio-terrorism and infectious disease. This report discusses public health agencies that are "exemplary" in providing public health services in some way or another. That only thirteen were chosen out of seventy-three initially studied indicates how difficult it is to find exemplary public health protection against infectious disease and bio-terrorism threats. Data collection and surveillance are two areas that need improvement, especially in the field, as this report clearly notes.
This report contains information about thirteen agencies that offer the best of public health services. It shows what other agencies need to do to come up to a level of exemplary services, and how far some have to go to catch up. For example, the authors cite the "Citywatch" computer monitoring system for the Illinois Department of Health. They write, it is "A sophisticated computer-assisted emergency notification system that…
Tanielian, T. et al. (2005). Exemplary practices in public health preparedness. Retrieved 26 Oct. 2009 from the Rand.org Web site: http://www.rand.org/pubs/technical_reports/2005/RAND_TR239.pdf .
Greenberg et al. sought to investigate whether the community-based model coupled with the implementation of service-line delivery of mental healthcare to local veterans would improve upon its previous numbers. Mental health services at 139 Department of Veterans Affairs Medical Centers (VAMCs) were studied over a 6-year period. Four areas of concern were measured: 1) the continuity of care veterans received for their mental health issues; 2) recidivism after discharge; 3) the community-based model as compared with the traditional inpatient hospital care model; and 4) the maintenance of proportionate funding being that the program is almost exclusively taxpayer-supported (Greenberg 1013). In other words, could a publicly-funded entity adequately take care of its patients' mental health issues just as well or even better than private, commercialized healthcare facilities?
Chapko et al.'s study found that the community-based models fared better at responding to geographically-specific areas and its veterans, producing more personalized care…
Chapko, Michael K., Steven J. Borowsky, John C. Fortney, Ashley N. Hedeen, Marsha Hoegle, Matthew L. Maciejewski, and Carol VanDeusen Lukas. "Evaluation of the Department of Veterans Affairs Community-Based Outpatient Clinics." Medical Care, Vol. 40, No. 7 (July 2002) pp. 555-60. Print.
Greenberg, Greg A., Robert A. Rosenheck, and Martin P. Charns. "From Profession-based Leadership to Service Line Management in the Veteran's Health Administration: Impact on Mental Health." Medical Care, Vol. 41, No. 9 (Sept. 2003), pp. 1013-23. Print.
Oliver, Adam. "The Veteran's Health Administration: An American Success Story?" The Milbank Quarterly, Vol. 85, No. 1 (2007), pp. 5-35. Print.
Health System in the Czech epublic
WHO rankings of the Czech epublic in major health indices, i.e. life expectancy and infant mortality
According to statistical reports, life expectancy in the Czech epublic in 2012 was at 78.2 years. The OECD average is 80.2. The highest life expectancy was reported to be among the Japanese. Life expectancy in Japan was 83.2; which was the highest reported among the OECD nations. Iceland and Switzerland came in second and third respectively. The obesity rates among OECD countries including the Czech epublic have been reported to be on the increase; more so in the last decade. In particular, the rate has risen from 14% in 2000 to 21% in 2010. Although these figures remain significantly lower that the occurrence in the USA (which stood at 35.3% in 2012, the ever increasing incidence of obesity cases is an early warning of the occurrence of health…
HealthCzech s.r.o. (2016). The Healthcare System. Retrieved from Healthczech s.r.o: http://www.healthczech.com/why-czech-republic/the-healthcare-system/
Knoema. (2016). Czech Republic - Mortality - Infant mortality rate. Retrieved from Knoema: https://knoema.com/atlas/Czech-Republic/topics/Demographics/Mortality/Infant-mortality-rate
Lipari, R. (2012, December 10). What Can the U.S. Healthcare System Learn from the Czech Republic? Retrieved from The German Marshall Fund of the United States: http://www.gmfus.org/blog/2012/12/10/what-can-us-healthcare-system-learn-czech-republic
post-tender price negotiation for the UK National Health System
Post-tender Price Negotiations in the UK National Health System
Marsh (2007) defines post tender negotiation as, the negotiations that take place after receipt of formal tenders and prior allowing suppliers to submit the lowest acceptable tenders, with a view of obtaining a step up in price, delivery, or content in situations. This should not other potential suppliers at a disadvantage in the competitive bidding system. In addition, the negotiations should involve at least two suppliers offering the best submissions according to the outlined award criteria. Nevertheless, from an ethical point-of-view, bidders should not use post tender negotiations to disadvantage other bidders by distorting the existing competition. It should apply in moderation, especially where there is an opportunity to lower prices and progress other elements of the submissions.
Notably, the current legislation forbids post-tender price negotiations for the UK National…
Laja, S. (2011). North Bristol tenders for Frenchay social care redevelopment. The guardian [online] http://www.theguardian.com/healthcare-network/2011/oct/25/north-bristol-tenders-frenchay-social-care (accessed 29 December 2013)
Marsh, P.D.V. (2001). Contract negotiation handbook. Aldershot, Hants, England: Gower
Baystate Health, Inc.
Baystate Health is the largest health delivery system for Western Massachusetts, with three medical centers located in Springfield, Greenfield, and Ware (Deloitte & Touche, LLP, 2014). Baystate Medical Center (BMC), located in Springfield, is the largest with 715 beds. BMC is the only tertiary care/Level I trauma center for Western Massachusetts and the only neonatal and pediatric ICU for Western New England (Ernst & Young, LLP, 2013). BMC also serves as a teaching hospital for Tufts University Medical School.
The hospitals, clinics, nursing homes, and hospice centers are not-for-profit, tax-exempt organizations providing integrated health care to the region (Deloitte & Touche, LLP, 2014). Baystate Health, Inc. also includes two ambulance services that operate for profit. Baystate Health participates in the Health Safety Net, a state-mandated health insurer system, which provides health insurance coverage to almost all Massachusetts residents through a combination of public and subsidized private insurers.…
Baystate Health. (2014). Quality. Baystate Health awards and rankings for quality and safety. Retrieved 22 May 2014 from http://baystatehealth.org/Baystate/Main+Nav/About+Us/Quality/Measuring+Quality+and+Safety/Quality+and+Safety+Awards+Received+by+Baystate+Health .
Deloitte & Touche, LLP. (2014). Baystate Health, Inc. And Subsidiaries. Consolidated financial statements as of and for the years ended September 30, 2013 and 2012, consolidating supplementary financial information as of and for the year ended September 30, 2013, and independent auditors' report. Retrieved 22 May 2014 from http://2012.bhannualreport.org/wp-content/uploads/2013/04/Baystate-FS-2012-AFS-only-Final.pdf .
Ernst & Young, LLP. (2013). Consolidated financial statements: Baystate Health, Inc. And subsidiaries years ended September 30, 2012 and 2011 with report of independent authors. Retrieved 22 May 2014 from
How Healthy Are We
There is a common notion that the United States has the best healthcare in the world. This notion has been fueled by the great facilities in the country’s healthcare system as compared to other countries. The United States has also increased expenditures and measures towards developing and integrating state-of-the-art equipment in the healthcare system. The combination of great facilities and latest medical equipment has contributed to the idea that the country has best healthcare in the world. However, the determination of whether the United States has the best healthcare worldwide requires consideration of factors beyond health facilities and equipment. Based on insights I’ve obtained from this course, some of the factors that should be considered when determining whether a country has the best healthcare worldwide include health equity, adequate personnel, scope and size of the health system, financing, and insurance.
After completing the videos and the…
The company's board believed they could not find a replacement for Chaney by the date of his intended departure, and so the directors put the company up for sale. In March 1996, the New York-based investment banking firm Merrill Lynch was hired to generate interest in the company, and a suitable buyer was found, a New York-based private investment firm named Forstmann Little & Co. This company was headed by Theodore Forstmann, a leveraged buyout specialist. Forstmann's firm had more than $20 billion invested in 20 companies and made its living by acquiring companies and selling them for a profit. Forstmann Little acquired Community Health in 1996, and this was the firm's first purchase of a healthcare company. The firm paid $1 billion for Community Health, which at the time operated 38 hospitals in 18 states, and this change in ownership made Community Health a privately held company. In January…
Adams, D. (1996, March 20). Buy materials management systems, or pray you can swim. Health Management Technology, 63-65.
Community Health Systems Inc. scales back on risk (2004, November 23). Ioma.com, retrieved May 30, 2007 at http://galenet.galegroup.com/servlet/BCRC?vrsn=157&locID=longbeach&ste=5&n=25&docNum=A131272544 .
Community Health may seek other deals (2001, February 2). Philadelphia Business Journal, v19 i51, 10.
Career opportunities (2007), retrieved May 29, 2007 at http://www.chs.net/career_openings/corporate.html .
Bacon County Hospital and Health System
In your opinion, how well developed are your organization's information security policies?
The organizations current information security policies are adequate. However, in order to remain effective, the organization must have a profound emphasis on innovation. Technology, particularly in regards to information security, is becoming more difficult to protect. Hackers and those with large capabilities are gaining more insights as to the methods to effectively target individual companies. In fact, many of America's large financial institutions fell victim to hacker attacks. These attacks, all coordinated in both time and geography, overloaded the institutions mainframes causing slower servicing time. Pundits were quick to indicate that the attacks were not at all sophisticated and only required a handful of individuals to conduct. However, the results interrupted the natural flow of business activity in some the world's largest and most protected financial institutions. Bacon County Hospital is no…
1) Dhillon, Gurpreet (2007). Principles of Information Systems Security: text and cases. NY: John Wiley & Sons. ISBN 978-0-471-45056-6.
2) Layton, Timothy P. (2007). Information Security: Design, Implementation, Measurement, and Compliance. Boca Raton, FL: Auerbach publications. ISBN 978-0-8493-7087-8.
3) Peltier, Thomas R. (2001). Information Security Risk Analysis. Boca Raton, FL: Auerbach publications. ISBN 0-8493-0880-1.
Strategic Planning Management Health Systems
Two financial metrics that can be used to understand an organization's financial capabilities for strategic initiatives are the OI metrics and OA? The OI metrics address two measures which are resource investments and financial returns (Bloom, 2010). OI metrics contribute innovation management financial discipline and aid in protect and recognizing the worth of strategic initiatives, programs and the whole investment in modernization. Companies with extremely effective and well-organized marketing show much better levels of measurement aptitudes, with approximately half to three-quarters offering positive scores on their capabilities -- which is normally two to three times the levels described from the complete base of marketers (Cave, 2007). The capability to measure marketing performance and enhance the distribution of their marketing budget obviously allows these companies to accomplish and deliver more operational and well-organized marketing. There is a strong correlation among marketing efficiency and competence and the…
Bazzoli, G. J. (n.d.). "A Taxonomy of Health Networks and Systems:. Health Services Research, 33(7), 1683-1725.
Bloom, M. a. (2010). "Relationships Among Risk, Incentive Pay, and Organizational Performance,. Academy of Management Journal, 41(3), 283-297.
Cave, D. G. (2007). Vertical Integration Models to Prepare Health Systems. Health Care Management Review, 26-39.
Ginter PM, S. L. (2009). Strategic management of healthcare organizations. Boston: Blackwell.
Mentorship has emerged as one of the most important aspects towards enhancing staff retention in the healthcare environment. This paper examines the need for developing a mentor program for Northwell health system. Northwell health system is currently facing challenges with regards to staff retention, patient care delivery, and patient outcomes. The current situation at Northwell health system requires the establishment of a suitable program towards improving staff retention and ultimately enhancing patient outcomes. The paper provides a discussion of the current situation at the health system and how a mentor program could help improve patient outcomes and patient satisfaction. The evaluation of the need for the training program is carried out from a human resource perspective because of the link between mentorship and staff welfare and development.
Training Need at Northwell Health System
The modern healthcare environment is characterized by the increased need for nurse retention given the prevalence of…
Hnatiuk, C.N. (2012, May 29). Mentoring Nurses Toward Success. Retrieved April 17, 2017, from https://www.amsn.org/sites/default/files/documents/professional-development/mentoring/AMSN-Mentoring-Minority-Nurses-Hnatiuk.pdf
Jones, S.J. (2016). Establishing a Nurse Mentor Program to Improve Nurse Satisfaction and Intent to Stay. Retrieved from Eastern Kentucky University website: http://encompass.eku.edu/cgi/viewcontent.cgi?article=1014&context=dnpcapstones
Leavitt, S. (2015, December 1). Nurses: What Can a Mentor Do for You? Retrieved from Wilkes University website: http://onlinenursing.wilkes.edu/nurses-mentor/
Nash, S. & Scammell, J. (2010, January 18). Skills to Ensure Success in Mentoring and other Workplace Learning Approaches. Retrieved April 17, 2017, from https://www.nursingtimes.net/roles/nurse-educators/skills-to-ensure-success-in-mentoring-and-other-workplace-learning-approaches/5010479.article
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
As a result, the Govt. has been eager to encourage self-medication, where probable, in an endeavor to save money and time as optimizing convenience for the consumer. (the UK OTC Pharmaceuticals Market: UK pharmaceutical market report)
E) Is there any one burning issue related to health care in this country that is undergoing extensive debate? What do you know about it?
Although Britain NHS has been a model for the rest of the world to emulate, however over the years, a persistent concern with cost constraints and market-defined efficiencies since the bygone twenty years has radically battered the core principles of universal healthcare in UK. The discouragement of proceeds of central taxation as the funding base has been coupled with Govt. passing the costs and dangers to patients and their families. The internal market launched by the Thatcher Govt. In 1980s showed the most prominent features of these modifications, however,…
Bad Medicine. New Internationalist. Vol: 355. April 2003.
Retrieved at http://www.newint.org/issue355/bad.htm . Accessed on 21 March, 2005
Bio-Pharmaceutical Study Finds Significant Link between Innovation and Market-based Drug Pricing. May 9, 2002. Retrieved at http://www.tiax.biz/aboutus/pdfs/press_releases/pharma_may.htm. Accessed on 21 March, 2005
Donelan, Karen; Blendon, Robert J; Schoen, Cathy; Davis, Karen; Binns, Katherine.
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.
The result is that a multilayered system which is inherently designed to maintain and improve our public health standards has instead become almost entirely designed by its profitability. The best opportunity we have for reversing this trend is the applying of pressure that only the federal government can bring to bear. Greater regulation of pricing, coverage and standards of care will shift the focus back to quality health outcomes rather than strict improvement of the bottom line at all costs.
- Is there a solution?
How can (or can't) public policy shape health care in the U.S. hat do you predict for the next year?
Public policy absolutely has the capacity to bring improvement to a highly dysfunctional system. The Affordable Care Act and many of its related sub-initiatives such as the Readmissions Reduction Program are indicative of this opportunity. Indeed, the continuing pressure upon hospitals to focus on producing…
Krueger, a. (2013). As ACA Implementation Continues, Consumer Health Care Cost Growth Has Slowed. Whitehouse.gov.
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…
Bristow, W. (2009). How to thrive during a recession. Doctor's Digest. 81(1): p.16.
Retrieved from: LexisNexis Database.
Feigenbaum, E. (2009). Categories of expenses and revenues in the hospital business setting. Demand Media, 2(1), pp. 2-5. Retrieved from: ProQuest Database.
Johnson, N., McNichol, E. And Oliff, P. (2011). Feeling the recession's impact on health care. Handbook of Health Economics 3(2), pp. 54. Retrieved from: ProQuest Database.
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
Reducing Turnover in New Graduate Residence Program
Introduction- The process of recruiting and training, particularly in high-impact fields like healthcare, has become increasingly complex and expensive. Turnover is the rate at which an organization gains or loses employees. High turnover means that more employees are leaving more rapidly, which can be harmful to productivity and finances. Real costs of hiring including recruitment time, opportunity costs, and investment in both the new employee and the staff in Human Resources. Indirect costs include training, loss of production, reduction of performance levels, overtime due to inexperience, etc. In fact, this issue is so important that in for-profit organizations, the cost of employee turnover is estimated to be about 150% of the total payroll and benefit package (Rothwell, 2012). One needs to also understand the high costs of post-employment; drug-screening, physical exams, orientation, learning curve, coaching from others, etc. Staff time is difficult to…
Nurses' job satisfaction well below average. (2012, March 5). Retrieved from Medical Express: http://medicalxpress.com/news/2012-03-nurses-job-satisfaction-average.html
The Real Costs of High Turnover. (2012, October). HRNNewsdaily. Retrieved from:
Agency for Healthcare Research and Quality. (2013, January). Researcha dn Data. Retrieved from U.S. Department of Health and Human Services: http://www.ahrq.gov/
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…
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., Ray, M., Lacivita, C., Weissman, N., & ... Allison, J.
(2008). Effect of racial differences on ability to afford prescription medications.
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…
Offredy, M. (2008). "The health of a nation: perspectives from Cuba's national health system." Quality in primary care 16(4), pp. 269-77
Sewankambo, N. & Katamba, A. (2009). "Health systems in Africa: learning from South Africa." The lancet 374(9694), pp. 957-9.
Squires, A. (2009). "U.S. Healthcare reform: A comparative book review." Nursing ethics 16(5), pp. 673-5.
Wan, Y. & Wan, Y. (2010). "Achievement of equity and universal access in China's health service: A commentary on the historical reform perspective from the UK National Health Service." Global public health 5(1), pp. 15-27.
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…
Trends in Health Care Costs and Spending. (2006). Retrieved March 13, 2010 from Kaiser Foundation website:
Andersen, R. (2007). Changing the U.S. Health Care System. Washington D.C: National Academy Press.
Gratzer, D. (2002). Better Medicine. Toronto, on: ECW Press.
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…
Carrasquillo, O., Himmelstein, DU.,Woodhandler, S., Bor, DH. (1999). A Reappraisal of Private Employers' Role in Providing Health Insurance. NEJM, 340(1), 109-114.
"Insurance Verification & Eligibility Services." (n.d.). Retrieved from http://www.globaledgeusa.com/insurance_verification_eligibility_services/
Mahon, Mary. (2010, June 23). U.S. ranks last among 7 countries on health system performance. EurkAlert. Retrieved from http://www.eurekalert.org/pub_releases/2010-06/cf-url062210.php
Reid, T.R. (Producer). (2008, April 15). Frontline: Sick around the world [Television broadcast]. New York: Central Broadcasting Service.
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…
Bureau of Labor Education (BLE). (2001). The U.S. Health Care System: Best in the World, or Just the Most Expensive? The University of Maine.
Childress, M. (2010). Poverty is on the Upswing, but Metric is Out of Date. The Washington Independent.
Cockerham, W.C. (2004). Medical Sociology and Sociological Theory. The Backwell Companion to Medical Sociology.
Consumer Reports (CR). (2008). High Health Care Costs. Consumer Reports Health.org.
Also, as care is prioritized, those individuals deemed to be in a less urgent need of care are given a lower priority, which results in a wait list. Finally, as physicians are compensated on the same level of salary, fewer people may be attracted to the profession for its financial rewards. In a public system, patients shop around less for providers because most providers charge the same fees. ithin a public system there is less 'siphoning' of middle-income people to higher-cost physicians with short waiting lists.
Visit: http://www.csc-surgery.com/contact.php.hatexactly is this hospital? hat would your policy response be?
According to its website, the Cambie Surgery Centre is a private healthcare clinic. The site notes that the "BC provincial government looks to private health care facilities like the Cambie Surgery Centre to help ease the long public wait lists." The hospital is a paying hospital that uses sophisticated technology to perform its…
Cambie Surgery Centre." Official website. 7 Apr 2008. http://www.csc-surgery.com/contact.php
Economies of scale." Investopedia. 7 Apr 2008. http://www.investopedia.com/terms/e/economiesofscale.asp
Economies of scope." Investopedia. 7 Apr 2008. http://www.investopedia.com/terms/e/economiesofscope.asp
Green, David G., Ben Irvine & Ben Cackett. "Health care in Germany." 2005.
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…
Bodenheimer, T., Chen, E., and Bennett, H.D. (2009). "Reorganizing Care:
Confronting The Growing Burden Of Chronic Disease: Can The U.S. Health Care Workforce Do The Job?" Health Affairs. Vol. 28, No. 1. Pp. 164-174.
Braveman, P.A., Cubbin, C., Egerter, S., Williams, D.R., and Pamuk, E. (2010).
"Socioeconomic Disparities in Health in the United States: What the Patterns Tell Us." American Journal of Public Health. Vol. 100, No. 1. Pp. 186-196.
Healthcare Legislative Bill
The expanded and improved Medicare for all Acts
The Expanded and mproved Medicare for All Act was introduced to the House of Representatives in 2009 and seeks to lobby for the implementation of a common single-payer health care system throughout the United States o0f America. The bill if enacted would require that all medical care costs be paid for automatically by the government instead of private insurances for the same. The move will significantly alter the role of private insurance companies as merely offering supplemental coverage especially when the kind of medical care sought is not all that essential (McCormick, 2009).
With the Expanded and mproved Medicare for All Bill, the country's national system will be paid for through taxes and the monies that will replace the regular insurance premiums. Proponents of the bill argue that by eliminating the need for private insurance companies in the national…
Institute of Medicine of the National Academies of Science, (2010), Insuring America's Health: Principles and Recommendations
The American Journal of Medical Practices, (2011), The Impact of single-payer Medicare
Program, New York
Hadley, Jack, John Holahan, Teresa Coughlin, & Dawn Miller. (2008). Covering the uninsured in 2008: Current costs, sources of payment, and incremental costs. Health Affairs, Web
According to Hadley (et al. 2008), "the cost of expanding coverage to the 16% of Americans who are uninsured would add 5% to national health spending" (Hadley 2008: 399). This cost is considerable, yet the cost of allowing the status quo to remain is far greater. In the article, "Covering the uninsured" the authors use quantitative analysis to determine how much care uninsured persons currently receive, how much of it remains uncompensated because of an inability to pay, and how much more coverage would be consumed if all Americans did have health insurance (Hadley 2008: 399). Their data encompasses interviews of 102,000 people who were part of the Medical Expenditure Panel Surveys; data from government budgets and health care providers; surveys…
Hadley, Jack, John Holahan, Teresa Coughlin, & Dawn Miller. (2008). Covering the uninsured in 2008: Current costs, sources of payment, and incremental costs. Health Affairs, Web
Health Care -- Strategic Planning and Marketing
Strategic planning and marketing often wed customer-oriented issues with broader issues of public health, morality and survival in a highly competitive market. Consequently, a key issue set forth by the American Hospital Association and an issue of strategic planning/marketing are often two sides of the same coin. This work addresses the customer-oriented issues of Diversity and Emergency Planning that are mirrored in two key issues advanced by the AHA. These two issues are articulated in the first part of this work and answered in the second part of this work.
Customer-Oriented Strategic Plan
American society is increasingly ethnically diverse due to immigration, relocation, birth rates and other factors. Consequently, a 250-bed community hospital must hone its sensitivity to resulting changes in community health needs. n addition, there is a high level of competition among hospitals that requires sensitive, targeted marketing to attract…
Issues or Opportunities
Eliminating Racial and Ethnic Disparities
As the American Hospital Association states, "Addressing disparities is no longer just about morality, ethics and social justice: It is essential for performance excellence and improved community health" (American Hospital Association, 2012). A multi-faceted approach to discerning, accommodating and marketing for diversity would certainly include the thoughtful collection and examination of diversity data to define target ethnic markets and specific steps tailored to those markets, as described in Noonan's and Savolaine's article. Studying obstetrical discharge data for ethnicity and outright asking physicians for specific information about the ethnicity of their patients is a sensible approach to determining the community's ethnic composition. In addition, the hospital zip code's CNI data for "five factors long known to contribute to health need - income, culture/language, education, housing status, and insurance coverage" (Anonymous, 2011) should be defined and collected. After that data is collected, it should be studied to define the community's major ethnic target groups. After determining the target groups, the hospital's services should be marketed directly
Healthcare spending by the New York State persistently surpasses its earnings. That difference continues to be expanding and is also anticipated to broaden unless of course there happen to be severe, continuous modifications in spending budget actions. Lieutenant Governor ichard avitch, in "A 5-Year Strategy to Deal with the State of New York's Spending budget Deficit" released during March 2010, approximated this structural disproportion within the state's spending budget to become no less than $13 billion. The structural inequality isn't simply the consequence of the economic downturn that started during 2007, and a commonly strengthening economic climate is not going to get rid of it.
To help the State of New York in providing the solutions and dedication to quality that its residents rely on, structural modifications are needed. The aim of this paper is actually to summarize one particular realignment - solving an outright inequity involving the state as…
California Public Employees' Retirement System, "Facts at a Glance: Health," September 2010, http://www.calpers.ca.gov/eip-docs/about/facts/health.pdf .
Citizens Budget Commission, Out of Balance: A Comparison of Public and Private Employee Health Benefits in New York City, December 2009, http://www.cbcny.org/sites/default/files/REPORT_Survey_12162009.pdf .
City of New York Office of Labor Relations, "New York City Summary Program Description, Health Benefit Program," 2010, http://www.nyc.gov/html/olr/downloads/pdf/healthb/full_spd.pdf.
Government Finance Officers Association, "Recommended Practices, Health Care Cost Containment 2004," http://www.gfoa.org/downloads/corbaHealthCareCostContainment.pdf .
Health Promotion Lesson Plan
The concept of health promotion is thought of as "the science and art of helping people change their lifestyle to move toward a state of optimal health" (Dunphy et al., 2011, p 25). Serious heart conditions can be prevented, which is why it is so important to utilize community education techniques in order to help try to warn community members of the complications before they occur. This current lesson plan works to create three separate community lesson plans, based on specific age ranges. The age 18-29 focuses primarily on the use of social media and health advocacy efforts in association with the American Heart Association. For ages 30-49, there is also a focus on these two, combined with more community oriented issues, and for 50-60, there is much more of a focus on financial training along with community organized workshops.
Prevention has become a major issue…
References McLeod, Saul. (2010). Erik Erikson. Developmental Psychology. Simply Psychology. Web. http://www.simplypsychology.org/Erik-Erikson.html
Furthermore, and despite its popularity as a tourist destination because of its natural beauty, the Appalachians are not a sterile environment by any means and the people who live there have higher risks for certain types of conditions than their counterparts elsewhere. According to Bauer and Growick (2003), "Americans who live in Appalachia experience unique and different ways of life than most Americans. Appalachian culture runs from the bottom half of the State of New York through the mountains of West Virginia and Southeast Ohio to the flatlands of Alabama. This area of the country offers different perspectives and challenges to life. Because of the geographical vastness and uniqueness of the Appalachian culture, many people with disabilities who live in Appalachia are unable to access rehabilitative services and agencies" (emphasis added) (p. 18).
Likewise, many rural residents throughout Appalachia may have septic tanks and will lack access to other…
Anguiano, R.P., & Harrison, S.M. (2002). Teaching cultural diversity to college students majoring in helping professions: The use of an eco-strengths perspective. College Student Journal, 36(1), 152.
Barrett, E., Hackler, R., Highfill, K.A., Huang, P., Jiang, X., Monti, M.M., & Peipins, Lucy. (2002). A Norwalk-like virus outbreak on the Appalachian Trail. Journal of Environmental Health, 64(9), 18.
Bauer, W., & Growick, B.M. (2003). Rehabilitation counseling in Appalachian America. The Journal of Rehabilitation, 69(3), 18.
Brown, J.W., & May, B.A. (2005, April). Rural Appalachian women's formal patterns of care. Southern Online Journal of Nursing Research, (2)6, 1-21.
This research focuses on the health impacts of the Industrial evolution on various sectors of the British population, and hypothesizes that working class and poor laborers suffered from poorer health than their wealthier counterparts due to exposure to pollution and to lack of exposure to a varied diet.
Public health and the public health system existing in the 21st century is unrecognizable from what existed just a century before. As Wohl (1983) points out, poverty, ignorance, and poor sanitation plagued British public health throughout the Victorian era. It is important to understand what prompted the changes that led to increased knowledge, awareness, and application of ethical principles in health care. Armed with this knowledge, the bioarchaeologist and health care specialists alike can work together to transform health care outcomes in the future.
In particular, the Industrial evolution impacted individual and public health in significant and measurable ways. Coal…
Wohl, A.S. (1983). Endangered Lives: Public Health in Victorian Britain.London: J.M. Dent.
Figure 1 portrays the state of Maryland, the location for the focus of this DR.
Figure 1: Map of Maryland, the State (Google Maps, 2009)
1.3 Study Structure
Organization of the Study
The following five chapters constitute the body of Chapter I: Introduction
Chapter II: Review of the Literature
Chapter III: Methods and Results
Chapter IV: Chapter V: Conclusions, Recommendations, and Implications
Chapter I: Introduction
During Chapter I, the researcher presents this study's focus, as it relates to the background of the study's focus, the area of study, the four research questions, the significance of the study, and the research methodology the researcher utilized to complete this study.
Chapter II: Review of the Literature in Chapter II, the researcher explores information accessed from researched Web sites; articles; books; newspaper excerpts; etc., relevant to considerations of the disparity in access to health care services between rural and urban residence in Maryland…
Potter, S. (2002) Doing Postgraduate Research. London: Sage.
Qualitative research: Approaches, methods, and rigour, (2008, Nov. 7). Microsoft PowerPoint Qualitative Research AdvC08 RS.PPT. Retrieved March 10, 2009 from www.unimaas.nl/bestand.asp?id=11629
Wolvovsky, Jay. (2008). Health disparities: Impact on Business and Economics Summit. Maryland's healthcare at a glance. The Heart of Community Health Baltimore Medical Syste. Retrieved March 10, 2009 at http://dhmh.maryland.gov/hd/pdf/2008/oct08/Jay_Wolvovsky.pdf
esearch has shown that good communication amid patients and health care providers is directly connected to a person's happiness, treatment adherence and affirmative health results (Cultural Competency for Health Care Providers, 2007).
The goal of a lot of provider-oriented health it tools is to make relevant patient information flawlessly and unmistakably accessible to providers at the point of care. In so doing, these tools can decrease clinical indecision related to blurred or mistaken patient information that may be found in a handwritten medical record. In the nonexistence of desired information or in the presence of blurred or uncertain data, providers may undervalue patient precise information while at the same time overweighting their own medical viewpoints, suppositions, prejudices, or stereotypes about certain kinds of patients. If apparent and precise patient information is accessible to the clinician, the utilization of this information should augment, getting rid of the need for relying on…
Cultural Competency for Health Care Providers. (2007). Retrieved March 13, 2011, from Web
Based upon the fact the baby boomers are all approaching retirement age, it would be a good idea for the organization to pursue programs that are geared towards seniors. Programs that are geared towards seniors are a great way to produce quality comprehensive health care for those in the community that need it. The organization might pursue the idea of opening a PACE program. " The Program of All-Inclusive Care for the Elderly (PACE) is a capitated benefit authorized by the Balanced Budget Act of 1997 (BBA) that features a comprehensive service delivery system and integrated Medicare and Medicaid financing" (Program of All Inclusive Care for the Elderly (PACE), 2009). The PACE program features complete medical and social services that rely on an interdisciplinary team approach in an adult day health center that includes in-home and referral services depending on the person's needs (Program of All Inclusive Care for the…
Baker, J. Judith & Baker, R.W. (2006). Healthcare Finance, Basic Tools for Nonfinancial
Managers. Maryland: Aspen Publications, Inc.
Bury, Elizabeth, Carter, Kara S., Feigelman, Masha and Grant, Jennifer M. (n.d.). Retrieved June
2, 2009, from Web site:
The Tuskegee Syphilis Study still remains as one of the most outrageous examples of disregard of basic ethical principles of conduct not to mention violation of standards for ethical research. The suspicion and fear produced by the Tuskegee Syphilis Study are still evident today. Community workers often report mistrust of public health institutions within the African-American community. ecently Alpha Thomas of the Dallas Urban League testified before the National Commission on AIDS saying that many African-American people do not trust hospitals or any of the other community health care service providers because of that Tuskegee Experiment (esearch Ethics: The Tuskegee Syphilis Study, 2010).
In 1990, the Southern Christian Leadership Conference (SCLC), which is one of the country's major civil rights organizations, conducted a survey among 1056 African-American Church members in five cities. They found that 34% of the respondents believed that AIDS was an artificial virus, 35% believed that AIDS…
Bad Blood: The Tuskegee Syphilis Study. (2009). Retrieved March 9, 2010, from University of Virginia Health System Web site:
Boskey, Elizabeth. (2007). What Is the Tuskegee Syphilis Study? Retrieved March 10, 2010,
from About.com Web site: http://std.about.com/od/stdsinthemedia/f/tuskegeefaq.htm
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. .
The heated nature of the current political debate in the United States upon the subject of healthcare is testimony to the idea that far less than economic numbers, cultural wars govern how healthcare is perceived and administrated. All nations face the problem of cost containment of an increasingly expensive healthcare system. People are living longer, and the nations of the developed world have populations with a far higher median age than in the past. Medical technology is also more expensive. Thus, some form of 'rationing' (as politically unpalatable as the world may be) is required, either based upon need, or based upon who can pay. The United States stresses that individuals can 'choose' to have healthcare or not, and implicit in this assumption is that individuals who can 'merit' better jobs that provide healthcare are making one choice, while Americans who work several jobs that do not offer healthcare --…
Anderson, G .F. & J.P. Poullier. (1999).Health spending, access, and outcomes: trends in industrialized countries. Health Affairs, 18(3):178-192
Creese, Andrew. (1994). Global trends in health care reform. World Health Forum. 15.
Sanders, Jeffrey. Financing global health systems. Current issues facing global health systems.
But due to the ineffective allocation of resources, while money was spent on his care when his blood sugar was 'out of control,' and when he began to develop blindness and other symptoms of uncontrolled diabetes, he did not receive the consistent but relatively low-care necessary to reduce the causes of his inability to manage his condition. Conclusion Healthcare operates within the market system, and is subject to opportunity costs like any other good or service. However, overall the healthcare system does not operate upon the principles of efficiency, often due to the bureaucracy of the healthcare system and its methods of reimbursement and prioritizing acute over primary care.
Gawande, Atul. (2009, June 1). The cost conundrum: What a Texas town can teach us about health care. The New Yorker. etrieved February 2, 2011 at http://www.newyorker.com/reporting/2009/06/01/090601fa_fact_gawande#ixzz1CpZ4jbV
Gawande, Atul. (2011, January 24). The hot spotters. The New Yorker. etrieved February…
Gawande, Atul. (2009, June 1). The cost conundrum: What a Texas town can teach us about health care. The New Yorker. Retrieved February 2, 2011 at http://www.newyorker.com/reporting/2009/06/01/090601fa_fact_gawande#ixzz1CpZ4jbVR
Gawande, Atul. (2011, January 24). The hot spotters. The New Yorker. Retrieved February 2,
2011 at http://www.newyorker.com/magazine/bios/atul_gawande/search?contributorName=atul%20gawande
Gibson, Jennifer, Douglas K. Martin, & Peter a Singer (2004). Setting priorities in health
Healthcare Organizational Readiness & Strategy
Healthcare Organization Network
Vanguard operates 25 acute care and three specialty hospitals in urban and suburban areas of Arizona, Illinois, Massachusetts, Michigan, and exas. Across the Vanguard hospital system, there are roughly 7,100 licensed beds ("Hoover," 2014). he Vanguard regional health care system provides a continuum of care that spans outpatient centers, medical office buildings, clinics, and hospitals ("Hoover," 2014). Vanguard operates four managed health care plans serving members in Arizona, Illinois, Michigan, and exas ("Hoover," 2014).
Although Vanguard Health Systems declared it "wants to lead the way to better health care," in 2013, Vanguard was acquired by enet Healthcare ("Hoover," 2014). he enet Healthcare system extended the range of services to 80 hospitals, more than 190 outpatient centers, 36,000 affiliated physicians, more than 105,000 employee, and six health care plans ("Hoover," 2014). enet is a for-profit organization operating in 14 states in…
The Tenet Health system exhibits a "culture of innovation that creates new solutions for the challenges and opportunities in the healthcare system" ("Tenet," 2014). The Tenet Health system claims include, "We're Improving Health. We're Transforming Care. We're Ready for What's Next" ("Tenet," 2014). Tenet is very much a business, an the company strives to enhance the level of service and care that is provided. One of the ways Tenet is working on this goal is through innovative partnerships with companies that share their passion for moving health forward ("Tenet," 2014). The company has invested in new technology to support their neurosurgery initiatives. Tenet provides the clinical and infrastructure for an extensive accountable care organizations (ACO) program that is designed to deliver better comprehensive care at lower cost by "accessing resources and best practices from across the company and rewarding physicians and hospitals for quality care improvements" ("Tenet," 2014).
For decades, Tenet has been plagued with lawsuits and federal investigations for unnecessary surgeries and hospitalizations, and for improperly billing Medicare. As recently as April 2012, Tenet paid $42.75 million to resolve allegations arising from the Medicare billing investigation between 2005 and 2007. Since roughly 2009, efforts by the Tenet Health system to improve their reputation and their share price have been successful. Tenet has implemented an ethics program and stresses that all employees, "See it. Say it. Fix it." ("Tenet," 2014).
Tenet's efforts to improve their reputation -- and their compliance with federal standards for providing and billing Medicare services -- has been kicked into full gear. One of the most innovative, forward-looking additions to Tenet Healthcare services is The Center for the Urban Child at St. Christopher's Hospital for Children. A comprehensive range of services is available for urban families with children, many of which are directed at the challenges of parenting and raising a family in cities. The Center for Urban Children, located in Philadelphia,
Banner Healthcare is an American non-profit healthcare system predominantly used in Phoenix, Arizona. The healthcare organization runs twenty-three hospitals plus various other specialized units. It has about 35,000 workers in its employment and so is one of the state's biggest employers. It offers emergency care, hospital care, rehab services, outpatient surgery, pharmacies, hospice, home care and long-term care. The organization has recently begun running primary care physician clinics such as Banner Arizona Medical Clinic and the Banner Medical Group. The organization was founded when Samaritan Health System and the Lutheran Health Systems merged.
The mission statement of Banner Health is "To make a difference in people's lives through excellent patient care (Banner health, 2014). The institution is known all over the country and is well recognized. The merger that led to the formation of the institution happened over two decades ago in 1991. The resultant company launched onto…
Banner Healthcare. (n.d.). Retrieved from Banner Healthcare: https://www.bannerhealth.com/
Bannerhealth. (2014). Our Mission. Retrieved from Bannerhealth:
In addition, Senator Collins led the fight to restore critical f funding to Medicare for home health care so that elderly citizens and disabled can receive needed care in their own homes ("Biography")."
Obviously the senator encourages the funding of both Medicaid and Medicare as she has fought to ensure that both are funded correctly. Collins was also a supporter of the stimulus package that improves healthcare information technology.
As it pertains to abortions Susan Collins is also pro-choice and believes in stem cell research. She is adamant about the right of a woman to choose just as Senator Kennedy. She also voted no on prohibiting HHS grants to organization who perform abortions. She has also been a proponent of expanding stem cell research.
In both the present and the past Collins has worked to ensure that healthcare coverage is affordable. From the bill that she coauthored with Senator Kennedy…
Biography. Official Website of Senator Susan Collins. Retrieved June 20, 2009 from; http://collins.senate.gov/public/continue.cfm?FuseAction=AboutSenatorCollins.Biography&CFID=1388899&CFTOKEN=51070689
Fritze, J. Moderates in Congress feel health care push. Retrieved June 20, 2009 from; http://abcnews.go.com/Politics/story?id=7789528&page=1
Funding for Biomedical Research at Maine Medical Center. Retrieved June 20, 2009 from; http://senatorcollins.blogspot.com/2009/06/funding-for-biomedial-research-at-maine.html
Healthcare. Official Website of Edward Kennedy. Retrieved June 20, 2009 from; http://kennedy.senate.gov/issues_and_agenda/issue.cfm?id=dad5db98-20db-4e85-9b73-7a16c4eac15f
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
The absence of illness does not thoroughly explain "Health", it can as well be described as wellness of the body and mind. More technically, health can be defined from two perspectives -- bodily and psychological health. A state of well-being due to regular exercises, adequate nutrition, sufficient rest, sensitivity to signs of sickness and when to seek help is referred to as Physical health. A person's fitness is showcased by his/her body make-up, cardiorespiratory endurance, muscular stability, and adaptability. Mental wellness refers to psychological and emotional welfare.
As defined by the World Health Organisation (WHO), mental health is "a state of wellness in which an individual discovers and harnesses his abilities, make headways regardless of stress encountered in life, can complete tasks adequately and profitably with substantial end product, and also contributes immensely to the uplift of his or her locality." (Nordqvist, 2015). A means of enabling people…
Boundless, 2016. Research Methods for Evaluating Treatment Efficacy - Boundless Open Textbook. Boundless. Available at: https://www.boundless.com/psychology/textbooks/boundless-psychology-textbook/treating-psychological-disorders-19/introduction-to-the-treatment-of-psychological-disorders-99/research-methods-for-evaluating-treatment-efficacy-382-12917/ [Accessed June 27, 2017].
Brassai, L, Piko, B, & Steger, M 2011, 'Meaning in Life: Is It a Protective Factor for Adolescents' Psychological Health?', International Journal of Behavioral Medicine, 18, 1, p. 44, Advanced Placement Source, EBSCOhost, viewed 27 June 2017.
Cuijpers, P. et al., 2014. EU-Compass for Action on Mental Health and Well-being. PREVENTION OF DEPRESSION AND PROMOTION OF RESILIENCE. Available at: https://ec.europa.eu/health/sites/health/files/mental_health/docs/ev_20161006_co03_en.pdf [Accessed June 27, 2017].
Gillham, J.E. et al., 2012. Preventing Depression in Early Adolescent Girls: The Penn Resiliency and Girls in Transition Programs. Handbook of Prevention and Intervention Programs for Adolescent Girls, pp.124 -- 161.
Healthcare Information Systems
Faculty of Information Technology at the Queensland University Australia, have written this article to point out the need to change the method of access control in the current health care environment. They have introduced this method keeping in the mind the latest information technology system structures, legal and regulatory requirements and the demands of security operation in the Health Information Systems. The authors have proposed "Open and Trusted Health Information System" as the feasible solution along with the capability to dominate the provision of appropriate levels of secure access control in order to protect the sensitive health data.
Authors have also pointed out what is the problem with NEHTA work programs. NEHTA focuses on securely and reliably exchanging the clinical information with the help of electronic means and secure messaging technology. Authors have raised an important issue that these critical health information computer systems are openly connected…
Health Maintenance Issues
Mrs. Gray is an 86-year-old woman who has been diagnosed with Type Two Diabetes. She has lived with the disease for three years. Mrs. Gray is single and lives in the area in a naturally occurring retirement community. Mrs. Gray, though 86, appears much younger than her stated age, which can be largely attributed to her active physical nature. Mrs. Gray boasts an exceedingly active social life, meeting her friends for lunch several times a week, and she strives to keep herself in good physical condition by going to the gym an average of four times a week. Mrs. Gray is further involved in the community through significant work in her church and as a member of the Senior Friends Program, which allows volunteers to interact with shut-ins by visiting with them and bringing them dinner once a week. Mrs. Gray's last A1C was 6.1%.
Esfahani, A., Josse, A., and Panahi, S. (2008). Nutritional considerations for older adults with type 2 diabetes. Journal of Nutrition for the Elderly, 27.3-4. pp. 363-80. Retrieved from: EBSCOhost Database.
Fravel, M., McDanel, D., and Ross, M. (2011). Special considerations for treatment of type 2 diabetes in the elderly. American Journal of Health-System Pharmacy, 68.6. pp. 500-9. Retrieved from: EBSCOhost Database.
Haffner, S., Lehto, S, and Ronnemaa, T. (2008). Mortality from coronary heart disease in subjects with type w diabetes and in nondiabetic subjects with and without prior myocardial infarction. New England Journal of Medicine, 349:1. pp. 229-234. Retrieved from: EBSCOhost Database.
Halter, J. (2009). Geriatric patients. In: Therapy for Diabetes Millitus and related disorders, 3 ed. Alexandria, VA: American Diabetes Association. pp. 234-240. Retrieved from: EBSCOhost Database.
More area is dealt by Human esource Management than people originally thought of. Some may explain it as the exchanges between boss and worker in the time period between which a worker is employed, until they are eliminated. It is true human resources management starts even before this, with the strategies that are formed by the institution, and the laws that govern workplace institutions. Human esource Management is the procedure of working with people so that they and their organizations attain full potential even when change accelerates the necessity to get new talents, take up new tasks, and develop new relationships, as per an article by L. Dobb abd P. Dick of 1993. (Blessinger, Human esource Management)
Human esource Management is projected as that part of management, which deals with plans, decisions, issues, ethics, process, routines, work, performance and system associated with the management of people as workers…
Blessinger, Kelly. Human Resource Management. Available from http://www.libsci.sc.edu/bob/class/clis724/SpecialLibrariesHandbook/hr_management.html . Accessed 2 February 2003]
De Silva, Sriyan. Human Resource Management As A Strategy: The Changing Focus of Industrial Relations and Human Resource Management. Available at http://www.ilo.org/public/english/dialogue/actemp/papers/1998/asiawksh.htm [Accessed 2 February 2003]
De Silva, Sriyan. Human Resource Management in Achieving Management Objectives: The Changing Focus of Industrial Relations and Human Resource Management. Paper presented at the ILO Workshop on Employers Organizations in Asia-Pacific in the Twenty-First Century Turin, Italy, 5-13 May 1997. Bureau for Employers' Activities International Labor Office Geneva April, 1997 Available at http://www.ilo.org/public/english/dialogue/actemp/papers/1998/srsirhrm.htm#C5-3 . Accessed 2 February 2003]
Guide to Managing Human Resources: Chapter 14: Team Building" Available from http://hrweb.berkeley.edu/guide/teams.htm [Accessed 2 February 2003]
Discuss the Challenges of eference Pricing-describe it, is it currently feasible, what are the pitfalls if it was part of your job assignment to build and manage such a program to control cost. What are the advantages and pitfalls if you are an individual using this "reference pricing" as an element of your personal health insurance program?
eference pricing has enormous potential to curb rising healthcare costs. In this situation, the insurance company or other stakeholder sets a target price that reflects what is considered a fair market value. Then if the consumer selects a healthcare service that is less than that amount, they are obligated to pay nothing. However, if the consumer selects a service that is greater than the reference price, then they are obligated to pay the difference. This system gives the consumer an incentive to participate in controlling costs whereas they might not otherwise…
Lechner, A., Gourevitch, R., & Ginsburg, P. (2013). The Potential of Reference Pricing to Generate Health Care Savings: Lessons from a California Pioneer. National Institute for Healthcare Reform, Brief No. 30.
Political Calculations. (2015, May 8). Did Obamacare Bend the Health Care Cost Curve? Retrieved from Townhall Finance: http://finance.townhall.com/columnists/politicalcalculations/2015/05/08/did-obamacare-bend-the-health-care-cost-curve-n1995787/page/full
The White House. (N.d.). The Affordable Care Act and Trends in Health Care Spending. Retrieved from The White House: https://www.whitehouse.gov/sites/default/files/docs/fact_sheet_implementing_the_affordable_care_act_from_the_erp_2013_final1.pdf
Education programs institutions and various other organizations are granted approval by government appointed bodies for the type of services being offered to the community. This is known as the accreditation process, which is required in order to give quality services to the society. This paper focuses on the role and significance of the accreditation process.
OLE AND SIGNIFICANCE OF ACCEDITATION
Accreditation is the process through which educational institutions and some other organizations are granted approval by certified authorities. This process ensures that the community receives the highest quality of education and services. Without such a certifying body, it would be impossible for people to know what exactly is the standard of services being offered by a particular institution. For example, today we understand that there are certain institutions in the United States that are recognized by the government appointed body while others have not been given approval. This distinction helps…
Frederickson, H George, Getting ranked., Change, 01-01-2001, pp. 48
Prudence W. Dalrymple, Understanding Accreditation: http://muse.jhu.edu/demo/pla/1.1dalrymple.html
ased on the information currently available, the Canadian health care system is the more utilitarian and is, therefore, the better approach but those facing the need for advanced and expedient care would certainly argue otherwise. Therein lies the problem and therein lies the challenge for American society. Even the most ardent proponents of employer-based insurance plans would dare not argue that having great numbers of uninsured is the price that American society pays for having high-quality services but that is what has developed. Hopefully, a system can be devised that allows for more broad-based coverage while retaining the availability of quality care.
The United States health care system cannot continue as it has for the past several years. Costs are far too high and are escalating at a rate that is out of control. Relying on employer-based insurance plans must be abandoned and some form of public financing…
American Medical Association. (2010). Physician Characteristics and Distribution in the U.S. Chicago: AMA Press.
Boychuk, T. (1999). The Making and Meaning of Hospital Policy in the United States and Canada. Ann Arbor: University of Michigan Press.
Center on Budget and Policy Priorities. (2006, August 29). The Number of Uninsured Americans Is at an All-time High. Retrieved April 30, 2011, from Center on Budget and Policy Priorities: http://www.cbpp.org/cms/?fa=view&id=628
Eve, S.B. (1995). The Canadian Health Care System. Lanham, MD: University Press of America.
Health Care and Health for All:
In what the World Health Organization termed as Health for All, the International Conference on Primary Health Care in 1978 expressed the need for health workers, urgent government action, and the world community to safeguard and support health for all. In order to achieve health for all people across the globe, the Conference made various declarations including health being an essential human right and a significant world-wide social goal. One of the critical aspects towards the achievement of this Health for All initiative is primary healthcare.
Declarations on Primary Health Care:
As an essential health care service, primary health care can be made universally accessible to people and families through the full participation of the community and at a cost that the community can afford ("Declaration of Alma-Ata," n.d.). Primary health care acts as the initial level of contact of people, families, and communities…
Bassett, M.T. (2006, December). 'Health for All In the 21st Century.' American Journal of Public Health, 96(12), 2089. Retrieved from http://www.medscape.com/viewarticle/565796_2
"Declaration of Alma-Ata." (n.d.). International Conference on Primary Health Care -- World
Health Organization. Retrieved December 30, 2011, from http://www.who.int/hpr/NPH/docs/declaration_almaata.pdf
"Global Strategy for Health for All by the Year 2000." (n.d.). World Health Organization.
health care debate that has been going in the United States. It discusses the Obama Care Act and how it impacts the society. Functionalist perspectives and theories are utilized in analyzing the situation and what outcomes are expected. The major themes and concepts of the functionalist theory are discussed in detail.
The Health Care reform proposed by the Obama Administration has long been the area of debate in America and in countries all over the world. The Patient Protection and Affordable Care Act go on to cut down the number of people who are not insured. It requires small businesses to provide medical insurance to all the people working in the business. The employers are obliged to provide a good quality medical insurance. Failure of the small business to provide a good health care system will result in a penalty for any employee that goes uninsured. This act applies to…
Berkman, L. et al. (2000) from social integration to health: Durkheim in the new millennium. Social Science & Medicine 51 (2000), 51 p.843-857.
Gerhardt, U. (1979) The Parsonian paradigm and the identity of medical sociology. The Sociological Review, 27 (2), p.229-251.
Napsha, J. (2011) Small Business Owners Fret over Health Care Law's Fallout . Tribune-Review/Pittsburgh Tribune-Review, 24th March.
Unknown. (2012) Supreme Court Ruling Dooms Small Business; Obamacare Increases Taxes and Red Tape Burden . The Washington Times, 29th June.
Health Care Free
SHOULD HEALTH CAE BE FEE?
The following debate takes place between four individuals as follows: Dr. Barker, a public health sector physician with an experience of fifteen years; Ms. Gomez, a social activist working for improving opportunities and living conditions for immigrants to the United States; Mr. Walters, a journalist who writes on social and political issues in several newspapers and self-professed atheist; and Mr. Bucelli, a modern poet and novelist with strong humanist inclinations. All four are residents of the Green Springs Community and are recognized members of the community. The debate takes place at the community hall where the debaters are taking part in the annual debate challenge where they have been given the topic Should health care be free? Ms. Gomez and Mr. Bucelli support the proposition that health care should be free for all residents whereas Dr. Barker and Mr. Walters are against…
Abelson, Reed. "Health Insurance Costs Rising Sharply This Year, Study Shows." The New York Times. 27 September 2011: Web. 24 Sep. 2012. < http://www.nytimes.com/2011/09/28/business/health-insurance-costs-rise-sharply-this-year-study-shows.html?pagewanted=all&_moc.semityn.www >.
Ball, James, and Denis Campbell. "More Patients Waiting Too Long for NHS Treatment." The Guardian. 14 July 2011: Web. 24 Sep. 2012. .
Bialik, Carl. "The unhealthy accounting of uninsured Americans." Wall Street Journal. 24 June 2009: Web. 24 Sep. 2012. .
CBS News. "The debate Over Health Care." CBS News. 20 June 2009: Web. 24 Sep. 2012. .
It is a well acknowledged truth that memory related diseases like Alzheimer's are common in older people rather than younger ones. Memory tends to becomes less competent with age. It might take longer to learn new things or remember familiar words or names. Many measures can be adopted to reduce the increasing adverse effects of memory like eating a healthy diet, including physical exercise as a part of daily routine and by being social. Despite of adopting these measures to reduce the effects of growing age on health, these problems cannot be eradicated completely. Young people are more energetic and are less viable to diseases because of the strength of their immune system. They have a stronger defense system against diseases because of the age. There is a strong relationship between age and support of health. Aging is inevitable. It is tend to occur but applying few important measures cannot…
Annandale, E., & Hunt, K. (2000). Gender Inequalities in Health. Philadelphia: Open University Press.
Athenstaedt, U. (2002). Gender Role Self-Concept, Gender Role Attitudes and the Participation in Gender-Typed Vocational and Leisure Sport Courses . Psychologische Beitrage, 33-45.
Manuck, S.B., Jennings, R., Rabin, B.S., & Baum, a. (2000). Behavior, Health, and Aging. Mahwah: Lawrence Erlbaum Associates.
Norton, F.E. (1946). Readings in the Theory of Income Distribution. Philadelphia: The Blakiston Company.
Strategic human resource management:
Applications in a healthcare organization
It has been said that one of the great ironies of healthcare is that despite the fact it is an industry where the 'human' dimension is so important, the H department is often one of the most-overlooked aspects of healthcare organizations. "There is arguably no other labor-intensive industry that is so reliant upon a highly skilled, highly educated, high-cost, and high-in-demand workforce that literally makes life-or-death decisions every day. And yet, in many hospitals and health systems H remains an afterthought in the C-suite" (Commins 2013:1). However, the need for change is constant, and many organizations are finding they must 'adapt or die,' given the new realities they are facing. "by the federal healthcare law, the inevitable and growing shortages of skilled healthcare professionals, and the newfound and measurable importance of patient satisfaction scores for reimbursements will prompt…
Commins, J. (2013). Ready or not healthcare HR is going strategic. Health Leaders Media.
Retrieved from: http://www.healthleadersmedia.com/content/HR-266470/Ready-or-Not-Healthcare-HR-is-Going-Strategic
Kabene, S. (et al. 2006). The importance of human resources management in health care: A
global context. Human Resources Health, 4: 20. Retrieved from:
For these reasons, too, all stakeholders must be on the same page, so for instance Markson's group had to wait for consensus from a certain department before building the software but this consensus resulted in a much safer, more standardized process.
3. Unique challenges that face this company. Are they different from challenges in other environments?
Challenges to this company might have been unique in that their IT system was homegrown and customized for their particular hospital environment. In this way, they had challenges that other companies may not have had, such as having to know when to halt implementation and which software packages to install.
On the other hand, even though they employed a vender for only a short time, they did not run the risks of security and infiltration in database that another company may have had. Possibly, too, devotion of their team may be ascribed to the…
Bostrup, T. (n.d.). Introduction to Relational Databases - Part 1: Theoretical Foundation. 15 seconds. Retrieved on 7/17/2011from: http://www.15seconds.com/issue/020522.htm
The public clinics have long queues
There is a family care trend with humane treatment in private clinics
More modern equipment even attracts lower wage earners
Small sized private clinics seem to be the wave of the future in Beijing
November 15, 2010: every child in Beijing schools received a dental checkup and a new toothbrush and paste with instructions for brushing
The annual health care event in Beijing last May cited pampered only children who are given sugary and fatty foods by indulgent parents and grandparents as reason that dental health is falling among youngsters.
Industry special: Pain relief toothpaste said to be a boon to one in three in China
Proctor and Gamble's statement that use of their dental products is increasing and private dental clinics shows increased awareness
Rural Areas Problematic
Too few practitioners
Less awareness due to literacy levels and education
Low income does…