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The organization's Fund for Innovation provides partial scholarships for deserving students in the healthcare field, funds green initiatives, and also supports research in different areas of enterprise, like supply chain initiatives. ACHE has made a stated commitment to expanding diversity in the healthcare field, not just amongst Black and Hispanic workers, but also amongst older individuals as well. ACHE advocates mentoring of younger healthcare professionals, as well as affirms the need to respect the contribution of older workers, two ways in which membership can be valuable over an individual's lifetime. Minority employees can find support for their unique needs through networking opportunities offered by ACHE and all managers can seek advice about diversity awareness efforts at their organization.
ACHE offers numerous useful career services for individuals of all races, ethnicities, and genders, including employment services such as a resume review and career planning tools, as well as formal credential services…
Healthcare Plan eview
The author of this report is to answer three general questions relating to healthcare program evaluation. The first question asks the author of this report to examine the overall purpose of healthcare program evaluation. The second question asks the author to identify at least five different types of common healthcare program evaluation techniques. Finally, one of those methods in particular will be selected and there will be a drilling down into more detail on that single type. While the purpose and method of operations is quite similar with all program evaluation types, there are some subtle to major differences from type to type.
At its core, the purpose of healthcare program evaluation is to analyze and improve the operations and performance of a healthcare program based on a systematic and full review of what is going right, what is going wrong and what needs to be changed.…
Fink, A. (1992, October 15). Formats:. National Center for Biotechnology Information.
Retrieved September 16, 2014, from http://www.ncbi.nlm.nih.gov/pmc/articles/
MUSC. (2014, September 16). Program Evaluation 101. Program Evaluation 101. Retrieved
A recent article touted the 6.1% growth of spending on medical care in 2007.
The same article cautioned however that, "most experts know that no matter what the numbers say, there is still a great deal of work ahead to reform a healthcare system that is still fundamentally broken -- and is facing one of the worst economic recessions in decades" (Lubell, 2009, pg. 6).
Government and industry officials have been working to reform the industry for more than a decade yet the problem seems to be getting worse rather than better. More and more individuals are finding that insurance takes too much of their income and are forced therefore to forego that expense. Government is leery of committing to the cost of such expense, and industry is reluctant to offer expanded coverage without the backing of the federal government. As the interested parties do the two-step the problem becomes…
Bentley, C.S.; (2005) the new healthcare system, New American, Vol. 21, No. 18, pg. 44
Blizzard, R.; (2002) the haves and have nots of healthcare, Gallup Poll Tuesday Briefing, pp. 8-9
Brown, J.; (2009) Obama healthcare plan would shut down private sector, OneNewsNow, http://www.onenewsnow.com/Politics/Default.aspx?id=414372 , Accessed February 10, 2009
Conn, J,; DerGurahian, J.; (2008) HIT budgets taking a hit: study, Modern Healthcare, Vol. 38, No. 50, pp. 10-11
Leadership and Management in Healthcare
Effective Leadership and Management
Leadership is much like communications in regards to the complexity inherent in these concepts. There are many different perspectives that are used to examine these issues and researchers study leadership and management from such disciplines includes Industrial and Organizational Psychology, Social Psychology, Business, and Sociology. There have been somewhere in the neighborhood of six to eight major approaches, depending on the vantage point, to leadership theory produced in the scientific literature over the last sixty years and even more have emerged from outside academia (Kilburg & Donohue, 2011). Competing theories include such perspectives as trait theory, situational theory, behavioral theory, competencies theory, network theory of leadership and many more.
Much of the work that a nurse-leader engages in on a daily basis rests in their ability to communicate with others; including clients, colleagues, superiors, and subordinates. Therefore, since this…
Judge, J., & Bono, J. (2000). Five factor model of personality and transformational leadership. Journal of Applied Psychology, 751-765.
Kilburg, R., & Donohue, M. (2011). Toward a "Grand Unifying Theory" of Leadership. Consulting Psychology Journal, 6-25.
Marquis, B., & Huston, C. (2011). Leadership Roles and Management Functions in Nursing: Theory and Application. Lippincott Williams & Wilkins.
Straker, D. (2011). Transformational Leadership. Retrieved February 6, 2011, from Changing Minds: http://changingminds.org/disciplines/leadership/styles/transformational_leadership.htm
In order to be successful in the present complex and frequently unfavorable business settings, a healthcare organization's strategic direction should be estimated, focused, and financially sustainable. Strategic business planning is an indispensable instrument to aid organizations focus strategic choices within the financial actualities of their environment. An efficient strategic business planning cycle includes making an evaluation, identification of business objectives, making strategies, performing an impact analysis and developing an execution plan. The important steps in strategic business planning comprises of conducting an assessment, identifying business objectives, making a strategy, carrying out an impact analysis, and developing an implementation plan. This procedure could include a one-to-three-year sequence and can be applied at the clinical service line or at the level of business unit level for a greater focused planning. The only certainty in the present healthcare environment is a constantly changing set of hypothesis regarding the future. (Bachrodt; Symth,…
'A New Look Into Strategic Financial Planning." Retrieved from http://www.hospitalconnect.com/aha/fsi/monitor / Accessed on 4 May, 2005
Bachrodt, Andrew. K; Symth, Patrick. J. (November, 2004) "Strategic business planning linking strategy with financial reality" Health Care Financial Management. Retrieved from http://www.findarticles.com/p/articles/mi_m3257/is_11_58/ai_n6359509 Accessed on 4 May, 2005
Brown, Judith. (2005) "Ten Strategies to Manage Employee-Healthcare Costs." Career
Journal. Retrieved from http://www.careerjournal.com/hrcenter/ipma/20041207-ipma.html Accessed on 4 May, 2005
What direction is the quality of health care and delivery of health care moving in; it is not moving in a direction at all. Like the pendulum, the direction of health care remains suspended to the far side - right or left, depending upon which side of the political isle one is on. The pendulum remains frozen in time, and it reflects chaos in the delivery of health care and the quality of patient care. Health care remains the captive audience to managed care company stockholders and executives whose business focused decision making on what benefits can access, when, and where remain guided by an archaic DG system that was implemented more than twenty-five years ago.
If there is a direction for American health care access and quality of care, it is that direction of circling the drain before it falls into the black abyss of the unknown, and…
Altman, S.H., Reinhardt, U.E., & Shactman, D. (Eds.). (1999). Regulating Managed Care: Theory, Practice, and Future Options. San Francisco: Jossey-Bass. Retrieved October 14, 2008, from Questia database: http://www.questia.com/PM.qst?a=o&d=109671238
Birenbaum, a. (1997). Managed Care: Made in America. Westport, CT: Praeger Publishers. Retrieved October 14, 2008, from Questia database: http://www.questia.com/PM.qst?a=o&d=27467039
Nickelson, Daniel J., and Saksena, Sanjeev (1994). The Pendulum Swings: Reappraising Prepaid Health Care Systems. Placing and Clinical Electrophysiology, 17/10, pp. 1676-1677. http://www.questia.com/PM.qst?a=o&d=6966140
health care to the elderly.
In the next several years, many commentators argue that population aging will considerably affect the federal budget. When one turns sixty-five, his or her cost of care doesn't abruptly increase. However, the cost of healthcare to the federal government will go up since at that age Medicare usually becomes the main or primary insurer. According to studies by the CBO (Congressional Budget Office), over the next two decades, population aging will account for over fifty percent spending growth on various government healthcare programs (What Is Driving U.S. Health Care Spending? America's Unsustainable Health Care Cost Growth). As the baby boomers age, the population will lead to a higher percentage of seniors, which will in turn lead to an overall increase in per capita spending. Studies indicate that over the next decade or so, the aging American population will contribute to the increase in healthcare spending…
Barr. (n.d.). Hospitals & Health Networks - Hospital and Health Care Executives. Baby boomers will transform health care as they age - H&HN. Retrieved 2014, from http://www.hhnmag.com/articles/5298-Boomers-Will-Transform-Health-Care-as-They-Age
(2012). Bipartisan Policy Center. What Is Driving U.S. Health Care Spending? America's Unsustainable Health Care Cost Growth. Retrieved December 2, 2016, from http://bipartisanpolicy.org/wp-content/uploads/sites/default/files/BPC%20Health%20Care%20Cost%20Drivers%20Brief%20Sept%202012.pdf
Rice, & Gabel. (1986). Protecting the elderly against high health care costs. Health Affairs,5(3). Retrieved, from http://content.healthaffairs.org/content/5/3/5.full.pdf
(n.d.). The White House - whitehouse.gov. REDUCING COSTS AND IMPROVING THE QUALITY OF HEALTH CARE. Retrieved December 2, 2016, from http://www.whitehouse.gov/sites/default/files/docs/erp2013/ERP2013_Chapter_5.pdf
The Greatest Challenge to US Healthcare
The role is played by the government
The role played by the government in healthcare is a divisive issue. Many healthcare organizations executives do support the idea of extending healthcare coverage to the uninsured, however, who this is implemented is the cause of concern. There are numerous changes that are taking place in the healthcare industry and the government needs to catch up quickly. Policy development is the role of government and there is a need to ensure that there are timely and applicable policies in place to govern the provision of healthcare services to the masses. As it stands, healthcare is moving from fee-for-service to value outcomes and there should be policies in place to support this advanced move. Providers have been moving towards value-driven care and the government policies should be able to mirror this movement. While not all providers will be…
Health and Legislative Issues
All Americans have the desire of having a healthcare system which is capable of delivering world-class security together with financial security. The system in place should always be accessible and one that impacts the economy positively. Successful healthcare reforms will lead to a maximization of the choices available for consumers put a restrain to the ever increasing medical care costs and make healthcare accessible to more and more Americans. There are a number of organizations that have consistently urged the president and congress on building on the existing systems which strengths in order to achieve health reform solutions that are workable in a bipartisan manner. However, there are some healthcare legislative issues that come up and have effects on various stakeholders such as legislators, consumers and other healthcare professionals. This paper will look at one of the current health legislative issues, who is affected most by…
Mears, B.(2012). Health care's big four issues: What the justices are tackling. Retrieved March 12, 2014 from http://www.cnn.com/2012/06/17/politics/health-care-issues/
ANA.(2010). Nursing Beyond Borders: Access to Health Care for Documented and Undocumented Immigrants Living in the U.S. Retrieved March 12, 2014 from http://www.nursingworld.org/MainMenuCategories/Policy-Advocacy/Positions-and-Resolutions/Issue-Briefs/Access-to-care-for-immigrants.pdf
Goodman, J., (2012). The Impact of the Patient Protection and Affordable Care Act on Job Creators and the Economy. Retrieved March 12, 2014 from http://www.independent.org/issues/article.asp?id=3385
American College of Emergency Physicians, (2013). The Ethics of Health Care Reform: Issues in Emergency - Medicine - An Information Paper. Retrieved March 12, 2014 from http://www.acep.org/Content.aspx?id=80871
Healthcare in the New Millennium
The Future Trends of Healthcare Delivery
The objective of this work is to present a new and improved healthcare delivery system for the new millennium. Future trends in healthcare and how they affect disease management, financial management, technology and the social aspects of health care delivery will be given consideration as well as integration of personal knowledge of the historical, social, ethical, technological and financial aspects of health care service delivery expressed as a vision for health care delivery in the United States.
Never before at any time in history have the challenges for the delivery of healthcare been so great. Neither has history witnessed the rash of serious new diseases emerging on a daily basis. The provision of quality, cost-effective patient care while managing to balance the needs of employees and physicians as well as trustees is a monumental challenge faced by healthcare executives.…
Global Best Practices Among Themes at First Annual World Healthcare Innovations in Technology Congress Presented by the ENBC, PR Newswire 23, June 2004.
Healthcare's Top Business Issues and Responses for 2005 A Capgemini Forecast
Hunter, Derek (2004) New Data on Health Insurance, the Working Poor and the Benefits of Health care Tax Changes WebMemo #492-2004 Apr 12. Online available at http://www.heritage.org/Research/Healthcare/wm492.cfm
On the Minds of Americans: The Crisis of Skyrocketing Health Care Costs 2004 Online available at http://www.house.gove/georgemiller/middleclass/middleclass.html
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
All spending includes state and federal expenditures. Growth figures reflect increases in benefit payments and disproportionate share hospital payments; growth figures do not include administrative costs, accounting adjustments, or costs for the U.S. Territories.
Federal Fiscal Year: Unless otherwise noted, years preceded by "FY" on statehealthfacts.org refer to the Federal Fiscal Year, which runs from October 1 through September 30. for example, FY 2009 refers to the period from October 1, 2008 through September 30, 2009.
Urban Institute estimates based on data from CMS (Form 64) (as of 12/21/11).
From this entire chart, the entire increase in expenditure of…
Clark, Cheryl et al. "State Medicaid Eligibility and Care Delayed Because of Cost." New England Journal of Medicine, 368 (2013): 1263-1265. Print.
Ellwood, Marilyn Rymer et al. An Exploratory Analysis of the Medicaid Expenditures of Substance Exposed Children Under 2 Years of Age in California. U.S. Department of Health and Human Services, 1993. Print.
Goodnough, Abby. "October 25th." The New York Times. 25th October. 2012. Web. 29th March 2013. [ http://www.nytimes.com/2012/10/26/us/spending-on-medicaid-has-slowed-survey-finds.html?_r=0 ].
Grannemann, Thomas W. And Mark V Pauly. Controlling Medicaid Costs: Federalism, Competition, and Choice. Washington DC: American Enterprise Institute, 1983. Print.
The idea with this part of the strategy is to be able to form some kind of a partnership with these individuals. This will help to push for a transformation inside the organization. As, these people will help to provide everyone with: a reason for adapting and pushing others to do so (indirectly). (Turner, 1999, pp. 162 -- 163)
Once this occurs, you could then have these individuals become a part of a committee. They will have the responsibility for making specific recommendations about how this can be implemented. This is important, because this will help everyone to realize that some kind of change is occurring inside the facility. Over the course of time, this will lead to shifts in the operating environment by giving people reason for embracing these changes. (Turner, 1999, pp. 162 -- 163)
The Effectiveness of the Plan
To determine the effectiveness of the plan the…
Nationwide Medical Errors Cost $19.5 Billion. (2010). The Society of Actuaries. Retrieved from: http://www.qualitydigest.com/inside/health-care-news/study-nationwide-medical-errors-cost-195-billion-annually.html
Kovnar, A. (2008). Jonas and Kovnar's Health Care Delivery in the United States. New York, NY: Springer Publishing.
Turner, S. (1999). Essential Readings in Managed Nursing Care. Gaithersburg, MD: Aspen Publishing.
arity: Health Care EIT is one of many luxury and acute care investment properties on the market.
Imatability: Given the lack of available credit for starting new property ventures and construction, the company's current facilities do give it an advantage. Financial barriers to industry entry are higher than they were in the past. This can act as a barrier to 'imatiblity' of its business model.
Organization: Health Care EIT has a fairly concentrated organizational structure. While this can be an advantage in terms of assuring consistency of service, it can also result in narrowness of vision, such as (perhaps) a tendency to focus too much on high-end offerings, when seniors may have less financial leverage than in the past.
Sources, rarity, and imatability of cost advantages
Economies of scale may be possible, given the size of Healthcare EIT. Unlike some of its competitors, the company was an early, first mover…
Executive Officers. (2010). Health Care. REIT. Retrieved November 3, 2010 at http://www.hcreit.com/about-hcn/executive-officers
History (2010). Health Care. REIT. Retrieved November 3, 2010 at http://www.hcreit.com/about-hcn/history
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…
Texas Department of Health Services, Office of Border Health. Available at: http://www.dshs.state.tx.us/borderhealth/
Texas Organization of Nurse Executives. Available at: http://www.texasnurse.org/
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 .
(Menzel, 1990, p. 3) Fisher, Berwick, & Davis alude to the idea of integration in health care, with providers linking as well as creating networks of electronic medical records and other cost improvement tactics.
The United States and other nations over the last twenty or so years, have begun a sweeping change in health care delivery, regarding the manner in which health information is input, stored and accessed. Computer use in the medical industry has greatly increased over the last thirty years the culmination of this is fully networked electronic medical record keeping. (Berner, Detmer, & Simborg, 2005, p. 3) the electronic medical record trend began in the largest institutions first, as hospitals and large care organizations attempted to reduce waste and improve patient care, while the adoption has been much slower among physician's practices and smaller medical institutions. (Hillestad, et al., 2005, pp. 1103-1104) Prior to this time medical…
Resources, and Utilization
" (Arnold & Reeves, 2009). ith medical services price at the present time, illness or some kind of complicated to medical services may take people deprived of health insurance years to reimburse for bills that are medical. Furthermore, I believe that individuals who lost their jobs also are uninsured for the reason that their employer gave health insurance is no longer paying for them. I understand that based on the statistic; there are "way too many around 1 million workers that have lost their health reporting in the first three months of 2009. I think that helping people buy health insurance coverage with low-cost with offering the health plans options for the uninsured is the healthcare reform that is really needed now. In this way, individuals that are without health insurance will be able to afford paying their medical insurance to uphold their well-being.
In conclusion, with the increasing rapidly…
Arnold, P.J., & Reeves, T.C. (2009). International Trade and Health Policy: Implications of the GATS for U.S. Healthcare Reform. Journal of Business Ethics, 63(4), 34.
Belcon, M.C., Ahmed, N.U., Younis, M.Z., & Bongyu, M. (40-74.). ANALYSIS of NATIONAL HEALTHCARE SYSTEMS: SEARCHING for a MODEL for DEVELOPING COUNTRIES - TRINIDAD and TOBAGO as a TEST CASE. Public Administration and Management, 14(2), 10-14.
Bolduc, C.R. (2008). The impact of healthcare reform on HMO administrators. Hospital & Health Services Administration, 17(9), 23-45.
Reiboldt, M. (2010). The Industry Responds to the Passing of Healthcare Reform. The Journal of Medical Practice Management, 18(6), 327-328.
In fact Congress should pass a bill that gives that prescription drug benefit to Medicare patients.
QUESTION NINE: In the United States, healthcare is so expensive that over 45 million people are without health insurance. It is a broken system, leaving out many people, especially children. Recently the executive branch vetoed a bill that would have provided health insurance to millions of middle and low-income children, indicating a lack of government concern for the well being of the population. Bush said it was too expensive, yet it's not too expensive to continue spending billions on an unpopular war in Iraq. Meanwhile, for the past 45 years, Canada has had a "government-funded, national healthcare system..." based on these five principles, according to www.medhunters.com.One, it is universally available to permanent residents; two, it is comprehensive; three, it is available regardless of income; four, it is "portable within and outside" Canada; and five,…
American Association of Colleges of Nursing. (2007). Fact Sheet: Nursing Shortages.
Retrieved Feb. 7, 2008, at http://www.aacn.nche.edu/media/factsheets/nursingshortage.htm .
Duke, Elizabeth. (2004). Report to Congress. The Critical Care Workforce: A Study of the Supply and Demand for Critical Care Physicians. U.S. Department of Health & Human
Services / Health Resources & Services Administration. Retrieved Feb. 6, 2008, at http://bhpr.hrsa.gov/healthworkforce/reports/criticalcare/cc1.htm.
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.
In doing so, organizations:
advance the idea of public assurance that the organization is concerned for patient safety and the quality of care present a safe and capable work environment that adds to worker satisfaction negotiate in regards to sources of payment for care in regards to data on the quality of care pay attention to patients and their families, value their rights, and connect them in the care process as partners produce a culture that is open to learning from the timely reporting of unfavorable events and safety concerns set up joint leadership that sets precedence's for and unremitting leadership for quality and patient safety at all points (Introduction, n.d.).
In 2012 Joint Commission made quite a few changes to the 2012 accreditation decision rules. These rules present the consistent structure that the Joint Commission uses to deliver an accreditation decision limiting unpredictability or prejudice. The first thing that…
2012 Accreditation Decision Rules. (2011). Retrieved from www.jcrinc.com/common/PDFs/fpdfs/.../JCP-01-12-S8.pdf
About Joint Commission International. (2011). Retrieved from http://www.jointcommissioninternational.org/About-JCI/
Common Questions and Answers Regarding JCI Accreditation, Clinical Laboratories, and These Standards. (n.d.). Retrieved from http://www.jointcommissioninternational.org/common/pdfs/jcia/QuestionsandAnswer
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…
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.
The government should provide health care, because the economic characteristics of health care make it ripe for abuse in a market environment. Government should provide as a service to its population those goods that, for one reason or another, are open for abuse in a normal market economy. Normally, the main condition is natural monopoly, which makes the case for government involvement in commodities like electricity, water, or policing. Health care is not a natural monopoly in that there can reasonably be a number of different providers, but it has other characteristics that make it a strong candidate for government intervention.
In even the freest capitalist economies, there are public goods that the government provides. The government provision of certain services is accepted by populations because the alternative -- total anarchy -- results is a severely degraded quality of life. No government services at all is a failed…
Besley and Gouveia write about different modes of health care provision. They discuss in particular some of the cost drivers in the American system, and evaluate some other systems in order to come to some conclusions about what other options exist. They note that insurance is a key issue for a private health care system, and because of this most countries opt for public health care systems, typically with mandatory insurance.
Gupta and Davoodi seek to understand how corruption affects the provision of government services, including health care. Unfortunately, their analysis has significant bias, as they begin with the assumption that government-run programs are inherently corrupt.
Transparency International is an organization that measures the level of government corruption in all the countries of the world. This source was required to examine the claims of Gupta and Davoodi. It was found that in the West there is very little government corruption. While the U.S. has more than most Western nations, it remains a spurious claim on the part of Gupta and Davoodi that corruption is inherent in government programs. Further, the line between corruption (accepting payment in return for favors) and capitalism (accepting payment to provide a service) is not explored.
Lloyd and Sreedhar wrote about Hobbes' moral and political philosophy. Hobbes' seminal discussion about the state of nature is relevant because societies have evolved different forms of governance specifically to avoid the state of nature; an argument that government should not be involved in health care must consider the implications of having such a weak government -- these range from the state of nature to poor health outcomes and quality of life measures.
It would be impractical, for example, to expect Cardiac Medicine, Billing Services, Supply, and Maintenance functions to be supervised by the same individuals. In essence, the many services and functions provided by modern hospitals are so different from one another that they are actually completely distinct operations, each with its own organizational substructure and supervisory hierarchy.
The Hierarchical Nature of Hospital Administration
Generally, the various different areas of hospital services and functions all use a hierarchical supervisory structure. Within medical departments, senior attending physicians supervise residents based on professional seniority and experience. The same is true within nursing services. Other non-medical service areas such as administration and billing function much more similarly to general business offices. Usually, they are headed by a director or supervisor who performs the same role as supervisors responsible for administrating general business offices. Finally, departments such as supply and maintenance operate within a hierarchical structure…
Stated to be barriers in the current environment and responsible for the reporting that is inadequate in relation to medical errors are:
Lack of a common understanding about errors among health care professionals
Physicians generally think of errors as individual that resulted from patient morbidity or mortality.
Physicians report errors in medical records that have in turn been ignored by researchers.
Interestingly errors in medication occur in almost 1 of every 5 doses provided to patients in hospitals. It was stated by Kaushal, et al., (2001) that "the rate of medication errors per 100 admission was 55 in pediatric inpatients. Using their figure, we estimated that the sensitivity of using a keyword search on explicit error reports to detect medication errors in inpatients is about 0.7%. They also reported the 37.4% of medication errors were caused by wrong dose or frequency, which is not far away from our result of…
Discussion Paper on Adverse Event and Error Reporting In Healthcare: Institute for Safe Medication Practices Jan 24, 2000
Patient Safety/Medical Errors Online at the Premiere Inc. page located at: http://www.premierinc.com/all/safety/resources/patient_safety/downloads/patient_safety_policy_position_2001.doc
Medstat / Shortell, S. Assessing the Impact of Continuous Quality Improvement on Clinical Practice: What It Will Take to Accelerate Progress.
Health Policy Monitor (2001) A Publication of the Council of State Governments Vol. 6, No. 1 Winter/Spring 2001 PO18-0101
The research thus concludes the essence of having quality and effective legislation addressing the aspects of overall oral health of the people.
Additionally, the Canadian Dental Association also relates several issues of the overall body health to the oral health of the individual. In view of the article on the relation "oral health -- good life," the article gives information on the essence of good oral health, indicating some of the illnesses of ill oral health (Chattopadhyay, 2011). In this article, the relation between the ill oral health and the overall health of the body is that the mouth is the ingress to the body. Therefore, an individual with ill oral health is at the highest risk of having infection that affects the whole body system severely. According to this article, it emphasizes the need for dentists-patient relation as the dentists is the only person with the skill, expertise and…
Chattopadhyay, a. (2011). Oral health epidemiology: Principles and practice. Sudbury, Mass:
Jones and Bartlett Publishers.
Ramseier, C.A., & Suvan, J.E. (2010). Health behavior change in the dental practice. Ames,
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
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. .
When any organization requires a debt, the organization has to first judge its own position, and there may be deals with the supplier to get a deal that will satisfy everybody. (Considering Alternatives to Bankruptcy) This is not possible when the supplier is a large organization, but it is always worth a try. The next alternative is to try to reduce the payments to a level where the hospital may pay without any difficulties, and some organizations may accept this considering that it is a method through which they will be able to service their own judgment of their social obligations at the cost of the profits on which they will have to pay out a large share as taxes to the government any way. For all these methods to be tried it is better to have associates with the organization who have gone on this route before…
'Considering Alternatives to Bankruptcy" Retrieved from http://www.dummies.com/WileyCDA/DummiesArticle/id-1780,subcat-PERSONAL.html Accessed on 25 June, 2005
Huber, Matthew T. "Developer-Owned Projects Help Hospitals Meet Capital Demands"
Retrieved from http://www.cnybj.com/hcpart_fullstory.cfm?article_id=2490& ; return=stay Accessed on 25 June, 2005
"Preparing a business case" Retrieved from http://www.health.vic.gov.au/borrowing/case.htm Accessed on 25 June, 2005
(eport of the brain tumor progress review)
It must be stated at this point that although it is indeed unfortunate that young children may be diagnosed with brain tumors, it is a fact that cannot be avoided. These tumors, which occur in about 1,500 to 2,000 children who are diagnosed with malignancies every year in children in the United States of America can be of various different types, and may occur in anybody. The prognosis for a child is definitely better than for an adult, and this can mean that with the proper treatment, the child can hope to live a long and fulfilling life. This paper is about the necessity of effective communication for a health care professional or a clinician with a child with brain tumor and his parents, and it is important to note that unless there is excellent communication between them, the therapy would in…
Bhat, Sundeep R; Goodwin, Tress L, et. al. Profile of Daily Life in Children With Brain Tumors:
An Assessment of Health-Related Quality of Life. Journal of Clinical Oncology, vol 23, no 24, August, 2005. pp. 5493-5500.
Cure Search.org, a valuable resource for the childhood cancer journey. http://www.childhoodbraintumor.org/CureSearch.pdf
Deatrick, Janet a; Thibodeaux, Annaka G. Family management style framework: a new tool with potential to assess families who have children with Brain Tumor, Journal of Pediatric Oncology Nursing, Jan-Feb 2006, vol. 23, no.1, pp: 19-27.
4. What is the advantage of a "patch"?
Evidently, the drug rivastigmine causes gastrointestinal side effects, but the patch allows only a small amount to be steadily absorbed into the bloodstream and thus creates fewer negative reactions to the drug. The Novartis website makes the case for a patch over a pill by saying "On average, an older American takes 5 prescription medicines. These medicines may need to be taken at different times and managing them all may seem overwhelming" (Novartis, para. 1). In this case, a patch eliminates having to remember several doses each day of one of the medications.
5. What is "moderate" dementia? What is dementia?
Dementia affects brain function. There is no known cure for dementia. It refers to several illnesses (Alzheimer's disease, Lewy or DLB) involving behavior, memory, communication and learning problems. There are other conditions in the brain which damage nerves or blood…
Activa. (2008). Symptoms of Parkinson's Disease. Activa Deep Brain Stimulation. Retrieved January 20, 2008 from website: http://www.activadbs.com/symptoms.asp .
Medications and treatment. (2008). Parkinson's Disease Foundation Retrieved January 20, 2008 from website: http://www.pdf.org/AboutPD/med_treatment.cfm .
NHS. (2005). Holding Statement. National Institute for Clinical Excellence. Retrieved January 20, 2008 from website: http://www.nice.org.uk/nicemedia/pdf/Alzheimer_holdingstatement.pdf .
NHS. (2007). Final appraisal determination: Donepezil, rivastigmine, galantamine (review) and memantine for the treatment of Alzheimer's disease. Centre Director Report for Guidance Executive. National Institute for Clinical Excellence. Retrieved January 20, 2008 from Website: http://www.nice.org.uk/nicemedia/pdf/GE050705AlzFADSignoffReport.pdf .
Healthcare can be a stressful occupation. When providers encounter individuals who are experiencing problems with their health, it is only natural these patients may be brusque and harried, especially if they feel that they or their loved ones are not getting the attention they need and deserve. It is very easy to take out patient frustrations on nurses. Also nurses may find themselves struggling with long, back-to-back shifts because of inadequate staffing. Nurses must learn to work with one another to make such situations bearable, even when they feel unappreciated. Of course, the patients make it all worth the struggle in the end, but it is very easy to forget this unless nurses work together.
Collaborating with physicians is also essential. Patients must never perceive the workers taking care of their health as in an adversarial position. Although sometimes the different views of different forms of medical practice can be…
Healthcare Master Case Study
Baum, C.M., et al. (2008). eliability, Validity, and Clinical Utility of the Executive Function Performance Test: A Measure of Executive Function in a Sample of People With Stroke The American Journal of Occupational Therapy 62 (4); pg 446.
Study rationale. The research study is designed to assess the validity and reliability of a test for executive function in post-stroke occupational therapy patients. Clinical tests of executive function may not be good predictors of a patient's ability to function in day-to-day life. The Executive Function Performance Test (EFPT) employs ordinary daily living skills in which the post-stroke patients are likely to have engaged in the past, and are reasonable target behaviors for adaptation to independent or supported living arrangements. The test is particularly valuable in that it offers a convenient test for executive function using real-world tasks.
esearch design. An experimental design is employed in this study.…
Baum, C.M., Connor, L.T., Morrison, T., Hahn, M., Dromerick, A.W., Edwards, D.F. (2008). Reliability, validity, and clinical utility of the executive function performance test: A measure of executive function in a sample of people with stroke, The American Journal of Occupational Therapy 62 (4), 446. Retrieved http://www.practicechangefellows.org / documents/Baum_et_al.pdf
Chaytor, N., & Schmitter-Edgecombe, M. (2003). The ecological validity of neuropsychological tests: A review of the literature on everyday cognitive skills. Neuropsychology Review, 13, 181 -- 197. Retrieved http://www.dissertations.wsu.edu/Dissertations/
To gain more employees for the nursing staff, SKMC should increase their level of satisfaction by offering several incentives such as increased living expenses or better housing facilities. Moreover, they should include full medical coverage in the work contract. Regarding the foreign employees they should expand the annual leave from 42 days to at least 60 days in order for the abroad workers to be able to spend two full months with their families back home.
The management of Sheikh Khalifa Medical City might object to these propositions arguing the increased costs they would involve. However, their objection can be counteracted by the fact that satisfied personnel perform better at their jobs, leading to an increased quality of the services offered by SKMC and therefore to an increased number of patients and increased revenues and profits.
Emphasis on culture
To attract more foreign personnel within SKMC, the…
John M. Bryson, September 1995, Strategic Planning for Public and Nonprofit Organizations: A Guide to Strengthening and Sustaining Organizational Achievement, Jossey-Bass Publishing, Revised edition
Janet Shapiro, Strategic Planning Toolkit, Civicus, World Alliance for Citizen Participation, http://www.civicus.org/new/default.asp?skip2=yes, last accessed on March 1, 2007
Jay Cooper, Acting Chief Executive Officer Sheikh Khalifa Medical City, Official Website of SKMC, http://www.skmc.gov.ae/,last accessed on March 1, 2007
International Hospital Recruitment Inc. Canada, Sheikh Khalifah Medical Center, 2004, http://www.ihrcanada.com/hospital/uae/sheikskhalifa_mc.htm , last accessed on March 1, 2007
Access to Healthcare:
For the last two decades, access to healthcare is an issue that has played a crucial role in leading the charge for health care reforms. Access to quality and comprehensive health care services is a crucial aspect for the realization of health equity and for enhancing the quality of health for every individual. Generally, the access to these services means the timely use of individual health services in order to accomplish the best health outcomes ("Access to Health Services," 2012). The achievement of the best health outcomes to access to personal health services requires three major steps i.e. gaining entry into the health care system, identifying a trustworthy health care provider, and accessing the services where they are needed.
Components of Access to Healthcare:
Access to personal health care services incorporates four major components i.e. coverage, workforce, timeliness, and services. Health care coverage is mainly provided through…
The Foundation called specific attention to the prospect of institutional and policy-level strategies to increase the participation of under-represented minorities in the health professions. In response, the Institute Committee on Institutional and Policy-Level Strategies for Increasing the Diversity of the U.S. Healthcare Workforce came out with a report, entitled "In the Nation's Compelling Interest: Ensuring Diversity in the Health Care Workforce." The Committee consisted mostly of academicians, two of whom represented the nursing profession.
In its report, the Committee recognized the importance of increasing racial diversity among health professionals in order to improve access to care, greater patient choice and satisfaction and better educational experiences for practitioners, among other benefits. It also recognized the lack of strategies in reducing institutional and policy-level barriers among health profession educational institutions or HPEIs. In response to the lack, the Committee recommended that health professions education make a clear stand and mission on the…
AHRQ (2007). The national healthcare disparities report, 2006. Agency for Healthcare
Quality and Research, Medscape. Retrieved on June 18, 2009 from http://www.medscape.com/viewarticle/552271
Alabama Nurse (2004). ANA Review: Institute of Medicine report on workforce diversity,
THE COMPANY OVERSEER
Compliance Manager in the Healthcare Industry
The Compliance Manager oversees compliance throughout the healthcare company as an objective and independent function (ACHE, 2012). He makes sure that the board of directors, the management and all the employees thoroughly comply with the rules and regulations of regulatory agencies; that the company policies and procedures are completely followed; and the behavior in the organization follows its standards of conduct. His office receives and endorses compliance matters and issues to the appropriate person or office for investigation and implementation or resolution. It is also the final internal resource to deal with when all formal channels and resources have been exhausted. The Compliance Manager or Officer is a member of the staff of the CEO and the oard of Trustee's Corporate Compliance Committee. He monitors and reports the results of the compliance actions and provides guidance and…
ACHE (2012). Position description -- chief compliance officer. American College of Healthcare Executives: ACHE. Retrieved on June 8, 2012 from http://www.ache.org/ newclub/career/comploff.cfm
Andrews, A. (2011). The future of healthcare: regulation and compliance. Modern Health Care: Crain Communications, Inc. Retrieved on June 10, 2012 from http://www.modernhealthcare.com/article/20110725/supplement/110729994
Ingram, D. (2012). A job description of a compliance coordinator. eHow: Demand
Media, Inc. Retrieved on June 10, 2012 from http://www.ehow.com/about_6085641_job-description-compliance-coordinator.html
Competencies for All Health Managers
Health care management is one of the most rapidly expanding Professions with great opportunities in both direct and non-direct care. Due to great complexity in the health care environment, the health care providers should have specific managerial and leadership skills. According to (Buchbinder and Thompson, 2012) Direct care are those groups that provide a direct care to the client. Where as Non-Direct care is which provides an indirect care to the client by providing services and products to the direct care setups. The health care managers are required in an out patient care setup, clinic and in physician practices. A large hospital setup also requires a large number of health care managers. While the opportunity for managerial jobs position is expected to increase in a non-direct setup as well as in equipment providing industry and pharmaceutical companies due to the increase in the number of…
Buchbinder, J.M., Thompson, S.B. And Shanks N.H. (2010). An Overview of Healthcare Management, Mass: Jones and Barlett Learning. pg. 33-34.
Calhoun, J.G., Follett, L, Sinioris, M.E., Wainio, J.A. And Butler, P.W. (2008). Development of an interprofessional competency model for healthcare leadership. Journal of Health Care Management/American College of Health Care Executives. 53:6,390-1
Oliver, S. (2006).Pg38-47.Leadership in Health Care.Susanoliver.com. Retrieved on 12th January 2013.From http://www.susanoliver.com/pdf/my%20leadership.full%20text.pdf%2006.pdf
Stefl, M.E. & Bontempo, C.A. (2008). Common Competencies for all health care mangers.Journal of Health Care Management 53:6, 360-374
ABC/123 Version X
Definition and Purpose Explain each term in your own words using complete sentences.
Health Care Example Identify an example of each term and discuss how it is used in a health care setting.
References Provide two APA formatted references to support your claims for each term.
Clinical decision support ?
Clinical decision support or CDS is a way of organizing and utilizing information and patient-specific knowledge, streamlined for utility and employed under the right circumstances, to improve the health care that is provided and to improve the health of the patient.
CDS in a health care setting can include a variety of things, such as technology to provide reminders or alerts for patients or providers, or also data reports, and relevant information
Garg, AX, Adhikhari, NKJ, et al. (2005) Effects of computerized clinical decision support systems on practitioner performance and patient outcomes: A systematic review. Journal of…
Maheu, Marlene M.; Whitten, Pamela; & Allen, Ace (2001). E-Health, Telehealth, and Telemedicine: A Guide to Start-up and Success. San Francisco: Jossey Bass.
Norris, A. C. (2002). Essentials of Telemedicine and Telecare. West Sussex, England; New York: John Wiley & Sons, Ltd.
Copyright © XXXX by University of Phoenix. All rights reserved.
Despite of the receipt of federal funding to assist in the set-up of an insurance exchange program, the Minnesota legislature is not cooperating with the Governor Drayton's plans to design a program. Instead, in a classic example of partisan politics, the legislature is going forward with its own plans to design an exchange program. In doing so, the legislature is placing the State of Minnesota in a position of possibly losing the grant provided by the federal government. According to the grant provisions, the state must show it can operate an effective exchange program by the end of calendar year 2012 or the federal government under the terms of ACA will impose a one size fits all exchange on the state. Even the state's most conservative political groups oppose this happening and advocate that the state's executive and legislative branches cooperate in formulating an acceptable state exchange program.
Berkel, Jessica Van. "HCMC fights back against Pawlenty's GAMC Cuts." 3 December 2009. Minnesota Daily . http://www.mndaily.com/2009/12/03/hcmc-fights-back-against-pawlenty%E2%80%99s-gmac-cuts . 7 April 2012.
Gray, Virginia. "Incrementing Toward Nowhere: Universal Health Care Coveragein the States." Publius (2010): 82-113.
Harrington, Scott E. "The Health Insurance Reform Debate." The Journal of Risk and Insurance (2010): 5-38.
Minnesota Department of Human Services. "General Assistance Medical Care." 11 September 2011. http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&Redirected=true&dDocName=id_006257 . 7 April 2012.
Healthcare is amongst the most delicate and subjective services delivered to the social order. Nevertheless, in order to render this care, and for there to be constant improvement, personnel have to obtain accessibility to delicate patient data and information. More so, in order to attain fitting care, the patients in turn have to provide their consent (American College of Healthcare Executives, 2012). Taking this into account, the quality improvement in health care does not overrule the rights of the patients who did wish to be part of the research. This can be perceived from the literature of different peer-reviewed articles on ethical treatment of subjects in clinical research. According to Scollon et al. (2015), the improvement of quality in the practices of patient care laid emphasis on the professionally accountable minimization of disparity in the patient care practices. However, they vouch for a preventive ethics method, which utilizes the informed…
American College of Healthcare Executives. (2012). Health Information Confidentiality. Retrieved 12 January, 2016 from: https://www.ache.org/policy/hiconf.cfm
Gawande, A. (2007, December 30). A lifesaving checklist. New York Times. Retrieved 12 January, 2016 from: www.nytimes.com/2007/12/30/opinion/30gawande.html
Kass, N. E., Faden, R. R., Goodman, S. N., Pronovost, P., Tunis, S., & Beauchamp, T. L. (2013). The Research-Treatment Distinction: A Problematic Approach for Determining Which Activities Should Have Ethical Oversight. Hastings Center Report, 43S4-S15. doi:10.1002/hast.133
Lambert, D. L. (2008). Practicing Dental Hygienists' Attitudes toward the Proposed Advanced Dental Hygiene Practitioner: A Pilot Study. University of Carolina.
health care for the disabled. The writer explores the health care stages that are available for the disabled in every stage of life. The writer uses published works from various sources to illustrate and underscore the need for solid health care access for all disabled individuals in the nation. There were six sources used to complete this paper.
"Different stages of available health care for people with disabilities"
The issue of health care has been a hot topic of debate in this country for many years. Health care costs are skyrocketing, available services are dwindling and the public is screaming with outrage and demand for improvements to the entire health care system. While those who can speak for themselves are having no trouble voicing their upset about the current state of the nation's health care system, there is a population that cannot always speak up. The disabled in this country…
HEALTH CARE DECISIONS FOR THOSE WHO CANNOT CARE FOR:DIANE COLEMAN THEMSELVES. Congressional Testimony; 4/19/2005
Congressional Testimony. 04-19-2005
LONG-TERM HEALTH CARE:MARK R. MEINERS
Congressional Testimony; 4/19/2005
While promoting and encouraging diversity in hiring and advancement policies and actions is a definite area of concern for health care managers and executives, and this necessarily has an effect on the diversity of care ultimately offered to patients, this latter issue should be dealt with between physicians and patients themselves as much as possible (IDHM 2010). Manager involvement in this issue should consist of a broader appraisal of the physician's attitude towards cultural diversity in the patients seen by the physician; it could be that the efficacy and quality of care being provided by this doctor is diminished by a lack of cultural understanding. Developing a full plan of care for the individual patient in question, however, is not something that a manager at the health care organization should become involved in directly.
The ethical provision of healthcare includes meeting each individual patient on their own terms, applying their…
ACHE. (2010). Amercian College of Healthcare Executives. Accessed 4 August 2010. http://www.ache.org/
IDHM. (2010). Institute for Diversity in Health Management. Accessed 4 August 2010. http://www.diversityconnection.org/
overwhelming connections between healthcare costs and the macroeconomic performance of the U.S. economy. The impact of healthcare industry on the macroeconomic performance is evident from the fact that in 2009 healthcare expenditure of the U.S. was 18% of the gross domestic product (GDP) of the country. It was also estimated that should the healthcare costs continue to grow at historical rates, 34% of the U.S. GDP will compose of healthcare spending by 2040 (Whitehouse, 2009). The major sources of funding the healthcare costs are the Federal, State, and local governments of the U.S. Medicare is a healthcare program that subsidizes healthcare for citizens above 65 years of age. Medicaid subsidizes healthcare delivery for people below a certain income level. Approximately 50% of the healthcare expenditure is bore by governments at the federal, state and local level. It is also estimated that Medicare and Medicaid spending of Federal and State governments…
CMS. (2013, Nov). National Health Expenditure Projections 2012-2022. Centers for Medicare & Medicaid Services. Retrieved from: http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/NationalHealthExpendData/NationalHealthAccountsProjected.html
Kolstad, J.T., & Kowalski, A.E. (2012). Mandate-based health reform and the labor market: Evidence from the Massachusetts reform (No. w17933). National Bureau of Economic Research.
The Whitehouse. (2009). Deficit-Reducing Health Care Reform. The Whitehouse. Retrieved from: http://www.whitehouse.gov/economy/reform/deficit-reducing-health-care-reform
CBO. (2011, March). The Economic Case for the Health Care Reform. Congressional Budget Office: Executive Office of the President Council of Economic Advisers. Retrieved from: http://www.cbo.gov/publication/22077
1970s, streamlining American healthcare is a subject that appears significantly in the news. If this revitalized political concern mirrors a rising consent that the present structure has touched its ceiling of difficulty and expenditure, simultaneously that it eliminates so many citizens in order to create the circumstances politically hazardous, something essentially might change. This might be the conclusion of the political, as well as, ideological efforts to identify our general health care principles and objectives that has been uncontrolled for more than two decades. Otherwise, if all the hoopla is merely the "sound and anger" that usually escorts a political disappointment such as our previous presidential election, it might indicate nothing (Patricia, 1993).
Simply one thing is clear. Even though some corporate managers now support a single financier, socialized structure such as the Canadians maintain, they are nonetheless in the underground. Robert Evans, a Canadian health commentator, has plainly associated…
Bloche MG. (2004). Healthcare disparities -- science, politics and race. N Engl J. Med; 350(15):1486-8.
Byrd, W.M., and L.A. Clayton. (2000). An American Health Dilemma: A Medical History of African-Americans and the Problem of Race, Beginning to 1900. New York: Routledge Publishing Co.
Bradford Curie Snell. (1998). American Ground Transport. Crisis in American Institutions, pp. 327-41.
Center for Study of Health System Change. (2004). Rising health costs, medical debt and chronic conditions. Issue Brief. (88):1-5
strategic plan II
An environmental analysis is an important component, and indeed a prerequisite, to the strategic plan. It stands to reason that you cannot set a course for the future without knowing the route you will take, and you cannot know the route until you have the lay of the land. The environmental analysis is "a process in which you look at the outside factors that can have an impact on your business" (Arthur, 2014). The strategic plan depends on the information you gather about the trends in and nature of the external environment, so it is incredibly important that the environmental analysis is taken seriously. There are a number of different tools that have been developed in the management literature that can assist with creating an effective environmental analysis, including the SWOT Analysis, the PESTLE analysis, the Five Forces analysis and the value chain analysis (Downey,…
Arthur, L. (2014). The implications of environmental analysis on strategic plan. Houston Chronicle. Retrieved November 10, 2014 from http://smallbusiness.chron.com/implications-environmental-analysis-strategic-plan-35303.html
Downey, J. (2007). Strategic analysis tools. CIMA. Retrieved November 10, 2014 from http://www.cimaglobal.com/Documents/ImportedDocuments/cid_tg_strategic_analysis_tools_nov07.pdf.pdf
WiseGeek. (2014). What is the role of environmental analysis in strategic management? WiseGeek. Retrieved November 10, 2014 from http://www.wisegeek.com/what-is-the-role-of-environmental-analysis-in-strategic-management.htm
Trust and transparency with the public. Given the leadership position that Methodist Healthcare has it is imperative that it cultivate trust as a core part of its branding strategy with the public segments and audiences it serves.
Financial management and cost controls in place and integrated new IT system and architecture. This is a major critical success factor for Methodist Healthcare to aggressively pursue as it moves to create a more unified approach to financial management across its many medical specialty areas.
Strategic Objectives of Methodist Healthcare
The following are the strategic objectives of Methodist Healthcare. For each of these objectives a strategy for each objective's accomplishment is provided below:
To clearly differentiate Methodist Healthcare in the market
Strategies for accomplishing this objective:
While this first objective is very broad, Methodist Healthcare needs to define who they are different for. Uncovering the unmet needs of physicians is a first step,…
constitute itself as a business plan for a heart hospital, with a determine goals to establish the main factors and outcomes that may determine both the outlet's utility and its success as an economic entity. We will aim to analyze the reason for investing in a heat hospital, the financial assumptions we are dealing with, as well as the risks associated with such a project.
From the very beginning, we need to point out towards the distinct specificity that such a business project implies. When referring to the specificity of a heart hospital, we tend to include it in the larger category of healthcare facilities, where a distinct approach is needed in order to correctly blend the two different levels of description we will describe below.
First of all, any healthcare centre and a heart hospital in particular is designed to help the patients improve their health condition. As such,…
1. CDC/NCHS. American Heart Association 2001-2004. On the Internet at http://www.americanheart.org/presenter.jhtml?identifier=1200026
2. American Heart Association. 2004. On the Internet at
Development of the Team
The team was developed to accommodate the needs of a growing organization. Basically we had two people, and then the team grew quickly to a staff of six, as the team became a much higher priority. This has proved to be incredibly valuable to the organization, and gave me an opportunity to basically build a team from scratch, and to create the culture of that team. One of the things that we realized early on as that we needed to structure the need in such a way that the team worked for each other, to help each other out. That way, we felt that we could cover many of the basic advantages of teamwork, such as increased efficiency, a high level of responsiveness to patient needs, and overall effectiveness as wait times were diminished (Ray, 2017).
For example, we were able to take on projects on…
Healthcare Financial Statements emphasizes on how accountants belonging to a healthcare organization make use of the accounts rule to evaluate their organization's financial statements. This paper also outlines the troubles a company could be into if its manager has no knowledge of interpreting the financial statements. This paper also highlights the steps taken by managers who have no background of finance.
Healthcare Financial Statements
All organizations whether they are linked to business, education or healthcare make excessive use of Accounts and Financial Statements to keep a check on their finances. If financial statements are not maintained then a check on the company's profit or loss or simple money expenditure cannot be analyzed. Hence, it is extremely important for healthcare organizations to acquire professional accounting services. Personnel who are in charge of the accounting department need to establish what and how the procedures will be carried out. An organization that is…
Advanced Financial. Eclipsys Technologies Corporation. 2003. Available on the address http://www.eclipsys.com/solutions/Software/DATASHEET_SearchAmerica_med.pdf. Accessed on 20 Feb. 2004.
Alan R. And Robert D. Applying New AICPA Accounting Rules On Special Reports. Healthcare Financial Management. Apr. 1998.
Don't Sit Back When The Accountants Hold The Floor! Available on the address http://melbrooks.co.za/bus_broc.htm. Accessed on 20 Feb. 2004.
John B. The New Health Care Organizations Guide: Practical Implementation Issues. The CPA Journal. 1 Jul. 1997.
This work will first provide a synopsis of a more detailed review of literature developing the case of transformational leadership model in healthcare, exploring some of the claims of the model as it is observed in practice. (Edmonstone & Western, 2002) the work will then provide a qualitative review of 50 healthcare professionals, from leadership to trade. Ultimately the work will attempt to focus on a single hospital organization setting and review all departments, through a questionnaire regarding the leadership model (based on characteristics of the TrLM) and attempt to determine first if the literature is accurate in its assessment of TrLM being the most common and i.e. popular model in health care and then determine if this leadership model is reflective of better health outcomes for the community served than were provided prior to implementation of the TrLM. Lastly I will determine if some of the…
Aarons, G.A. (2006). Transformational and Transactional Leadership: Association With Attitudes Toward Evidence-Based Practice. Psychiatric Services, 57, 1162-1169.
Bass, B. (1985). Leadership and Performance Beyond Expectation. New York, NY: Free Press.
Bowles, a., & Bowles, N. (2000). A comparative study of transformational leadership in nursing development units and conventional clinical settings. Journal of Nursing Management, 8 (2), 69-76.
Dunham-Taylor, J. (2000). Nurse Executive Transformational Leadership Found in Participative Organizations. Journal of Nursing Administration, 30 (5), 241-250.
Health Care Marketing
Developing a pricing strategy for a clinic weight loss program
Today there are very many people who are struggling with the issue of weight. So many people want a quick and easy solution of loosing weight. This has led to many companies coming up with several clinic weight loss programs. When introducing any new product or service into the market pricing can be quite a tricky issue. The prices charged can have a dramatic effect on ones sales and even the profits. There are several things that to be considered when developing a pricing strategy for a clinic weight loss program. The first thing is finding out what the market is saying. This is achieved through finding out what customers expect to pay for the program and if there are established market prices for the same service. The second thing to put into consideration are the competitors,…
conflict can have many negative implications for an organization if it is mismanaged, some conflict is necessary for an organization to move forward. Conflict must be managed in an effective way so it generates positive policies rather than personal animosity and in-fighting between staff members.
Pinpointing the sources of conflict is essential: is the conflict due to the fact that nurses are understaffed? Are unpleasant shift times being unfairly allocated? s there a personality conflict? Addressing the root cause, particularly if it is an institution-wide, systemic issue, can be a powerful way to address conflict and reduce the likelihood of conflict being stirred up yet again in the future.
Creating mentorship programs can address specific conflict-related issues such as workplace hazing or the tendency of more experienced nurses to 'eat their young' or act cruelly to less experienced subordinate nurses. "There are mentors who believe that if they are hard…
Information sharing between hospitals and physician groups. (2010). Horty Springer.
Executive Function Performance Test (EFPT) for healthcare practitioners who deal with mild and moderate-severity stroke patients. Executive function is important to overall health because it allows us to regulate our actions, plan our behavior, and set goals. Stroke patients frequently suffer from executive-function related losses; this study proposes a measure that will help quantify the extent of executive function loss.
The design of this study was a basic experimental 3x1 design. The authors compared three groups on their performance of the EFPT. The three groups were: mild stroke, moderate stroke, and age-matched control (no stroke). All participants performed the EFPT and stroke group participants were tested 6 months after the stroke event to allow for an even amount of healing time.
The EFPT is noticeably different from other performance-based measures because unlike the Kitchen Task Assessment (its closest relative), it records cues from experimenters that support patient performance. Support cues…
CREATING A COMMUNITY OUTREACH DEPARTMENT
KGW HealthCare has identified some potential opportunities that have arisen due to external pressures that the firm has faced. For example, it was identified that healthcare is being increasingly driven by cost constraints and competition in the market and to meet such challenges the organization will have to stay nimble, flexible, and responsive to the general environment and the emerging trends if it is to stay competitive in the future. This has led the executive management team to the conclusion that it is worthwhile use of the organizations resources to explore an opportunity that has been identified based on their strategic analysis of the internal and external environment.
Consistent with this initiative, there has been a subsequent opportunity identified to retain some of the human resources that have been deemed to be in excess in the operations department and give these employees new…
Healthcare Economics Evaluation
This report is about a proposed healthcare economics investigation. Some early research has been done and will be described based on what was found and how it was found. The report will conclude with a proposed plan for further economic evaluation on that same topic with a great deal the expected and proper form and function of that research to be described in that section. A conclusion will wrap up the report.
Critical Appraisal of the Evidence
The author of this report has chosen how to make health care affordable and have the most amount of people possible covered in the United States as this is one of the more omnipresent issues and matters in American society in the modern time. Health care being at the forefront of the American news cycle is nothing new as it is has been a huge part of the…
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young, one may keep a diary, recording events, thoughts, and feelings. The diary creates a record that can be used to look back on a past time, and provide details that document events that can be used to aid recall. This is especially useful were details may not be remembered, and one will want to create a reminder of the events and/or feelings, and may help us understand more about ourselves. In some cases a diary may also be used to demonstrate where one was on a particular day or time, and can also be used to plan ahead, managing time.
ecord keeping in business has a number of similarities. From an accounting perspective the records that are kept will record the financial transactions. They are recorded not only because it would be impossible for all the transactions to be remembered and recalled in full, but to create a formal…
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HEALTHCAE & INFOMATION TECHNOLOGY
The state of healthcare in the United States is very much influenced and improved through the increased use of technology solutions. Whether it be the use of tablets, laptops, electronic healthcare records and some others, the use of technology has become more and more pervasive as the years and decades roll on. However, not everyone is sold on technology being a saving grace and those same people often think that technology solutions being added to healthcare actually do not help or that they make things worse rather than make them better. However, there is a cacophony of evidence that suggests and proves that electronic healthcare records, electronic administration and the use of information technology in a strategic and adept fashion actually makes things better over the long haul. This is true for patients, administrators, healthcare professionals and the wider network of providers that are typically also…
Bloomfield, G.S., Hogan, J.W., Keter, A., Holland, T.L., Sang, E., Kimaiyo, S., & Velazquez, E.J. (2014). Blood pressure level impacts risk of death among HIV
seropositive adults in Kenya: a retrospective analysis of electronic health records. BMC Infectious Diseases, 14(1), 1-20. doi:10.1186/1471-2334-14-284
Campbell, M. (2010). Technology in Healthcare: The Wave of the Future.
Ahdbonline.com. Retrieved 24 April 2015, from http://www.ahdbonline.com/issues/2008/may-2008-vol-1-no-4/350-article-350
Healthcare Program Improvement
The purpose of the program or project.
The purpose of the quality program is to create a system that will better equip personnel in the workplace to identify barriers to patient flow, create pattern solutions to improve patient flow, and use measurement of data to evaluate the quality improvement plan and to support implementation of the improvement efforts. The patient flow improvement plan will be based on the proven methods of eal Time Demand-Capacity (TDC) management and planning.
The target population or audience.
The program is designed for the staff, practitioners, and clinicians who work within the environments that directly impact patient care and that require the movement of patients into and out of these contexts.
3.The benefits of the program or project
The patient flow quality improvement plan is based on learning outcomes and practices employed in other fields. A number of key concepts are found…
Sweeney, B., Meisner, H., Lovett, P.B., DeEugenio, L., Caliguri, D., DeAngelis, H., Johnston, M., and Premaza, M. (2013, February 26). Use of the Institute for Healthcare Improvement's (IHI) Real Time Demand Capacity model to promote organizational values and optimize patient flow. Philadelphia, PA: Thomas Jefferson University Hospital (TJUH). Retreived
We can compare the healthcare workplace to what is seen by a person when he/she looks through a kaleidoscope: since there are numerous different patterns that appear as the moments pass by. The shortage of nurses which has been publicized widely and the high turnover rates amongst the nurses are some of the unwanted patterns which have occurred. The dependence of healthcare institutions on the nurse-managers for the retention and recruitment of nurses is steadily increasing (Contino, 2004).
There are a number of routes through which the critical care nurses have become the leaders. Most of these routes don't have any educational or managerial training as a part of the process. There is a need for effective strategies for the care leaders who provide critical care in order to inspire the staff and manage the departmental operations in an effective manner to get positive results. One of the strategies…
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