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The ability to schedule online and also have the ability to view records online significantly increased he patient satisfaction levels, judging from how much happier the families seemed to be to get into see the physicians. This same location had in years past been run with completely manually-driven systems and it was common to wait 90 minutes to see a doctor. That was painful and there was this continually re-looping video of Alaska travel videos one of the physicians brought back from vacation. It was an oppressive, boring environment that put internal efficiency at the center of focus for the clinic, not the patient. Now with the online scheduling system and the feedback on what has changed in a medical record, patients appear to be much more satisfied with the result. The staff is also seems to have a higher level of morale as they have much greater control…
Navarro-Espigares, J., & Torres, E.. (2011). Efficiency and quality in health services: a crucial link. The Service Industries Journal, 31(3), 385.
Qu, X., Rardin, R., & Williams, J.. (2011). Single vs. hybrid time horizons for open access scheduling. Computers & Industrial Engineering, 60(1), 56.
Sibona, C., Walczak, S., Brickey, J., & Parthasarathy, M.. (2011). Patient perceptions of electronic medical records: physician satisfaction, portability, security and quality of care. International Journal of Healthcare Technology & Management, 12(1), 62.
hat emerges from these efforts are two essential understandings. First, in spite of whatever evidence may exist to the contrary, system building will continue apace in the hospital industry. hether the battlefield is risky is immaterial, for the battle is joined. Some individual hospitals may decide to remain solo or stay in modest-sized systems where problems are more manageable, at least until some future time when some of the cloud over the battlefield has dissipated. But for most, the name of the game is "go system" (Daugherty 649). The second understanding is the need to get under control the elements of change management that can reduce risk and maximize chances for success. Like surgeons dealing with high-risk surgery, we need to control as many factors as possible surrounding this operation if we are to increase chances for success. Current experience suggests that hospital chains are putting their first standardization efforts…
Arana GW, McCurdy L. Realigning the values of academic health centers: the role of innovative faculty management. Acad Med 70(12):1073-1078. 2005.
Bogdewic SP, Baxley EG, Jamison PK. Leadership and organizational skills in academic medicine. Fam Med 29(4):262-5. 1997.
Cohen JJ. Leadership for medicine's promising future. Acad Med 73(2):132-7. 2008.
Cohen LK. Women as leaders. Int Dent J. 46:558-64. 1996.
5) Celebrate the customer decision and ask for feedback- Many customers will be with us for the duration of their lives. Everyone will inevitably become sick and will need to make tough decisions in regards to their health. Whatever their decision, we must be there to help console or celebrate their success and triumph. The essence of good customer service is genuine appreciation, not flattery. The distinction between the two is profound (MAGIC selling, 2012, p.2).
In regards to compensation, employees will get paid depending on their performance relative to a scorecard barometer. This scorecard serves many purposes. It allows the employees to see how they stand in regards to company expectations. It also allows them to see how they are doing and identify an action play to help improve performance. Dekalb Medical Center is predicated on customer service. Therefore, I believe it prudent to incorporate compensation to the customer…
1) Charles Maynard and Michael K. Chapko. Data Resources in the Department of Veterans Affairs Diabetes Care. May 2004. 27:b22-b26; doi:10.2337/diacare.27.suppl_2.B22
2) Journal of Clinical Epidemiology Volume 54, Issue 12, December 2001, Pages 1195-1203
3) Accuracy of the VA databases for diagnoses of knee replacement. Osteoarthritis and Cartilage, Volume 18, Issue 12, December 2010, Pages 1639-1642
4) Creating a sampling frame for population-based veteran research: Representativeness and overlap of VA and department of defense databases. Journal of Rehabilitation Research and Development Volume 47, Issue 8, June 2002 pp. 763-772
Criminal Behavior by Health Care Provider
While the U.S. federal government has established various programs to deal with abuse and fraud cases in the healthcare industry, healthcare facilities still experience such incidents. An example of a recent criminal act in a healthcare facility is a molestation case that occurred at Stanford Health Care. A man filed a lawsuit against this healthcare provider alleging that he was sexually abused at age 16 while under anesthesia in the hospital (Lee, 2016). The individual sued the hospital for negligence on claims that some of its workers did not report the incident and had knowledge that the abuser had a tendency of having inappropriate sexual contact. He also stated that leaders at the hospital created a toxic environment since some managers grouped together and protected each other while retaliating against those who reported their illegal acts.
This criminal act contravenes the federal government requirement…
Herman Law. (n.d.). Hospitals: Do You Know Who is Caring for You? Retrieved September 12, 2017, from http://www.hermanlaw.com/practices/hospitals/
Lee, J. (2016, September 30). Stanford Health Care Sued for Negligence in Patient Molestation Case. The Mercury News. Retrieved September 12, 2017, from http://www.mercurynews.com/2016/09/30/stanford-health-care-sued-for-negligence-in-patient-molestation-case/
U.S. Department of Health and Human Services. (2005, January 31). Compliance Program Guidance for Hospitals. Retrieved from Office of the Inspector General – U.S. Department of Health and Human Services website: https://oig.hhs.gov/authorities/docs/cpghosp.pdf
The site used for this interview is a healthcare facility that offers a range of exposure to a nursing informatics investigation. The preceptor offered valuable insight into the role of the nurse informaticist at the site, and the concepts and standards utilized therein were readily demonstrable and manifested in terms of how they were implemented or oriented towards providing holistic care to patients and their families. The same was true of the use of telehealth, telemedicine and telenursing tools also available at the site. The facility used administrative software effectively to help oversee all the information needs of the staff, as well. This paper will discuss these points and provide details about what was observed during the investigation.
The Role of the Nurse Infomaticist According to the Interviewed Preceptor
The role of the nurse informaticist according to the interviewed preceptor is in overseeing all aspects of technology use…
Questions1. What does the environment of Middleboro look like?According to the case study materials the environment of Middleboro is calm, tranquil and sanguine. As a much smaller town the overall population is very smalls as compared to many of the neighboring cities and jurisdictions. Due to its smaller size the overall town is much more collectivistic and familial in nature2. What specific problems or issues does the community face?As a smaller town, the community faces many of the more common issues with other cities which are related to taxation, budgets, and economic considerations. From a tax perspective, raising local taxes to fund promising but risky projects is a highly contentious subject. Household incomes in the areas are at or below the median household income for the nation. As a result, higher taxes would place a disproportionate amount of the burden on hard-working middle-class families. In addition, the community faces problems…
Allison, Robert J. A Short History of Boston. Beverly, Mass.: Commonwealth Editions, 2004. LC Call Number: F73.3 .A45 2004
Brown, Richard D. Massachusetts: A Bicentennial History. New York: Norton, 1978.
LC Call Number: F64 .B86
Clark, Judith Freeman. Massachusetts from Colony to Commonwealth: An Illustrated History. Northridge, Calif.: Windsor Publications, 1987.
Electronics Health ecords System at a ural, Mid Size Hospital
Human resources (H) managers at midsize hospitals in the Midwest are faced with some significant challenges in formulating optimal organizational strategies that reduce operational costs while maintaining high levels of patient care. One initiative that can help achieve these dual goals is the use of electronic health records or EHs. This paper provides a proposal for the implementation of an EH system within 3 months taking into account the current federal incentives for implementing EHs based on a budget of $75,000 to implement the project. A strategic plan model for implementing EHs in a midsize rural hospital, including the sequential steps that an H professional must take to implement the strategic plan is followed by a review of companies that provide EH systems to determine the optimal EH system for the rural hospital in question and the technology required for…
Certified EHR technology. (2016). Centers for Medicare and Medicaid Services. Retrieved from https://www.cms.gov/regulations-and-guidance/legislation/ehrincentiveprograms / certification.html.
EHR implementation lessons from the field. (2016). HealthITGov. Retrieved from https:/// / www.healthit.gov/providers-professionals/ehr-implementation-lessons-field.
Health care professional EHR vendors. (2016). HealthITGov. Retrieved from http://dashboard. healthit.gov/quickstats/pages/FIG-Vendors-of-EHRs-to-Participating-Professionals.php.
Hernandez, S.R. & O'Connor, S.J. (2010). Strategic human resource management in health care. New York: Emerald Publishing Group.
When this kind of attitude is common, it means that medical errors will decline and the quality of care that is being provided will increase. (rown, 1992, pp. 18 -- 23)
How will the effectiveness (success) of your plan be measured?
The best way to measure the effectiveness of the strategy is through the use of outside consultants. These are third party individuals who will come into the facility and pose as: customers or staff members. What they are doing is identifying any kind of structural weaknesses. They will then, report their findings to a committee that monitors these issues at the hospital. At which point, the consultants will provide specific recommendations about how these challenges will be continually addressed. This will ensure that hospital is able to respond to the needs of patients and staff members by: objectively looking at different challenges they are dealing with. Once this occurs,…
Drug Errors Common in U.S. Hospitals. (2011). American Chiropractic. Retrieved from: http://www.americanchiropractic.net/medical_statistics/Drug%20Errors%20Common%20in%20U.pdf
Bardick, T. (2002). Role of External Management Consultants. Clinical Leadership, 16 (5), 281 -- 286.
Brown, M. (1992). Physicians and Management in Health Care. Gaithersburg, MD: Aspen Publishers.
Workarounds in Healthcare Facilities
Workarounds refer to the alternative methods "of accomplishing an activity when the usual system / process is not working well" (Pennsylvania Patient Safety Advisory, 2013). In as much as workarounds may temporarily solve existing problems, they also indicate inefficiencies and deficiencies in the current system. Workarounds may at times be effective and more convenient, compared to the system in existence, but a regular use of the same could endanger both the safety of patients and the facility's reputation. A workaround can, therefore, be termed as an at-risk behavior that does not yield concrete long-term solutions to existing problems. Therefore, "workarounds perceived as necessary by the user for patient care, efficiency or safety, may be beneficial, neutral, or dangerous for patients' safety" (Koppel, Wetterneck, Telles & Karsh, 2008, p. 1).
A description of Workarounds in a Selected Facility
Workarounds can take a variety of forms. For instance,…
Flanagan, M.E., Saleem, J. J., Millitello, L.G., Russ, A.L. & Doebbeling, B.N. (2013). Paper- and Computer-Based Workarounds to Electronic Health Record Use at Three Benchmark Institutions. Journal of the American Medical Informatics Association, 20(e1): e59-66.
Intel (2013). Workarounds in Healthcare, a Risky Trend. Retrieved from http://www.intel.com/content/www/us/en/healthcare-it/workarounds-in-healthcare-risky-trend.html
Koppel, R., Wetterneck, T., Telles, J.L. & Karsh, B. (2008). Workarounds to Barcode Medication Administration Systems: Their Occurrences, Causes, and Threats to Patient Safety. Journal of the American Medical Informatics Association, 15(4), 408-423.
Merrill, M. (2009). Using Pen and Paper Workarounds Could Boost EMR Efficiency. Retrieved from http://www.healthcareitnews.com/news/using-pen-and-paper-workarounds-could-boost-emr-efficiency
Leaders in Healthcare Facilities
THE CAUSE AND ITS REMEDIES
Lack of Leadership in Healthcare Facilities
When clinicians provide care, they necessarily assume leadership responsibilities (lumenthal et al., 2012). Existing evidence demonstrates that effective leadership produces the desired clinical outcomes. Yet only scattered residency programs teach and train residents on leadership. Many clinicians are thus poorly prepared to meet the leadership requirement of their daily tasks (lumenthal et al.).
Canada's national health care system urgently recommended drastic changes, which to this day, have hardly been implemented (Goldberg & Page, 2006). illions have been consistently spent yet patients continue to form long lines in waiting rooms to obtain treatment. Emergency rooms remained full and many still do not have primary physicians to turn to. The cause of the problem is not the lack of money but leadership. This report said that 70% of all the strategic initiatives and approved changes have not…
Blumenthal, D.M. et al. (2012). Addressing the leadership gap in medicine" residents'
need for systematic leadership development training. Vol. 87 Issue 4, Academic
Medicine Journal: Association of American Medical Colleges. Retrieved on February
7, 2014 from http://www.ncbi.nlm.nih.gov/pubmed/22361800
Provide sustained technical assistance (Expert Panel Meeting: Health Information Technology: Meeting Summary, 2003)
Evaluation of the process in rural and small communities includes: (1) scope of the project; (2) goals; (3) critical success factors; and (4) technical assistance." (Expert Panel Meeting: Health Information Technology: Meeting Summary, 2003) Community grants have been focused on the provision of 'personal digital assistant (PDA) systems in assisting with the decision support role. The initiative is stated to include: (1) development of toolkits; (2) leveraging known tools; (3) developing capacity; and (4) disseminating best practices. (Expert Panel Meeting: Health Information Technology: Meeting Summary, 2003)
Ormond, Wallin, and Goldenson report in the work entitled: "Supporting the Rural Health Care Safety Net" (2000) state: "The policy - and market-driven changes in the health care sector taking place across country are not confined to metropolitan areas. Rural communities are experiencing changes impelled by many of the same forces…
Healthcare and Healthcare Insurance Country Report: India (2004) Tata Consultancy Services and Microsoft. WebHealthCentre.com. 2004 August. Online available at http://download.microsoft.com/documents/customerevidence/7144_WebHealth_CS.doc
Expert Panel Meeting: Health Information Technology (2003) Agency for Healthcare Research and Quality (AHRQ) 23-24 July 2003. Online available at http://www.ahrq.gov/data/hitmeet.htm
Silberman, P. And Slifkin, R. (nd) Innovative Primary Case Management Programs Operating in Rural Communities: Case Studies of Three States. Working Paper No. 76 North Carolina Rural Health Research and Policy Analysis Program.
Ormond, Barbara a.; Wallin, Susan Wall; and Goldenson, Susan M. (2000) Supporting the Rural Health Care Net. 15 May 2000 Urban Institute
The US Health Care system: beliefs, Values and health
The health care system is a wide area that spans over the medical aspect, the financial aspect, the ethical field, the management aspect, the political angle and the individual aspect of it where the personal beliefs, values and the health of an individual is looked into. This indicates that healthcare is wide in scope and each aspect is important in the well being of individual American.
In the study of this week, the most important and outstanding issue that came up is the fact that in a health care facility, people therein, both the patients, medics and the support staff go through a lot of challenges. These challenges are not restricted only to medical conditions but extend to the personal issues that affect the social life at the family level, at work, career wise, in the school and the community at…
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
The penalties for being out of compliance when OSHA comes knocking should be enough to motivate any healthcare facility to devise a plan to make sure that they are in compliance with OSHA's regulations. The startling thing is that it took an initiative like NEP to wake these facilities up and get them thinking about being compliant. Since they deal with people and their well being on an everyday basis, these are things that they should have been doing all along and not just because there is an increased probability of getting into trouble by OSHA.
Harris, S. (2012). OSHA in Health Care: Out of Sight & Out of Mind? etreived from http://ohsonline.com/articles/2012/04/01/osha-in-health-care.aspx
Healthcare workers. (2012). etrieved from http://www.cdc.gov/niosh/topics/healthcare/
New OSHA inspection initiative focuses on healthcare. (2011). etrieved from http://www.puresafety.com/public/workingwell/?p=1209#.UAa4aFJ6EM
Occupational Safety and Health Administration ("OSHA") Targets Nursing and esidential
Care Facilities. (2012). etrieved from http://www.hancocklaw.com/p/OSHA_Newsletter_212_May_H1768037.PDF
Prepare Your Facility…
Harris, S. (2012). OSHA in Health Care: Out of Sight & Out of Mind? Retreived from http://ohsonline.com/articles/2012/04/01/osha-in-health-care.aspx
Healthcare workers. (2012). Retrieved from http://www.cdc.gov/niosh/topics/healthcare/
New OSHA inspection initiative focuses on healthcare. (2011). Retrieved from http://www.puresafety.com/public/workingwell/?p=1209#.UAa4aFJ6REM
Occupational Safety and Health Administration ("OSHA") Targets Nursing and Residential
Changes to Healthcare Practice and Delivery: A Study of Two Detroit, MI Healthcare Facilities Separated by Twenty Years
Changes to technology and to the political and regulatory landscape have led to many changes in the ways that businesses in all manner of industries operate. Increased communications capabilities, the shrinking size and cost for advanced technologies, and a variety of other changes have provided many businesses with an opportunity to operate more efficiently, and in so doing have also made many industries and markets more competitive. An examination of some typical businesses operating in these industries today as compared to their counterparts that were in operation twenty years ago provides ample evidence of the changes that have occurred and the ways in which businesses have adapted.
The healthcare industry has by no means been immune from these changes, but in fact has changed more than many other industries due…
Anderson, J. & Aydin, C. (2005). Evaluating the organizational impact of health care information systems. New York: Springer.
Armoni, A. (2000). Healthcare information systems: challenges of the new millennium. Hershey, PA: Idea Group.
Wager, K., Lee, F. & Glaser, J. (2009). Health care information systems: a practical approach for health care management. New York: Wiley.
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.
The expectations for these kinds of changes will be to see gradual shifts at first. Where, it may not seem like anything is changing at the facility. However, over the course of time, these kinds of changes will be obvious in the quality of treatment that is being provided will improve. As a result, the strategy will take approximately one year to fully implement a change in the atmosphere of the operating environment.
To ensure that these improvements can continue to be built upon a new system will be introduced of monitoring for shifts that are occurring. In this case, the committee that was established to implement these changes will become way of: monitoring the kinds of treatment that is being provided and the challenges that are facing the facility. This will be accomplished by having outside consultants conduct anonymous surveys of patients, staff members and within the community. They…
Online Customer Surveys. (2011). Key Survey. Retrieved from: http://www.keysurvey.com/solutions/healthcare-surveys.jsp
SWOT Analysis. (2010). Quick MBA. Retrieved from: http://www.quickmba.com/strategy/SWOT/
Badrick, T. (2002). Role of External Management. Clinical Leadership, 16 (5), 281 -- 286.
Bennis, W. (1969). Organizational Development. New York, NY: Addison Wesley.
Are healthcare inequalities UK
Defining Health Inequality
The term healthcare disparity or healthcare differences have been defined in a number of ways. Healthcare inequality can be defined as the difference of the health levels of any tow comparable demographic groups within a certain country or a region even when proper healthcare facilities are available. The inclusive incidences include higher rates of mortality as well as morbidity within the people who belong to lower occupational classes and are poorer. These rates are higher as compared to the mortality rates in the people who belong to better occupational classes being richer and more privileged. Second important aspect that has been highlighted in the definitions of healthcare inequality includes increased rates of occurrence of mental healthcare-based issues in people from poor classes.
A number of countries have been highlighted with healthcare inequalities including Canada and UK. Since 1980, the documentation of…
Asthana, S, and Dr. Halliday, J 2006, What works in tackling health inequalities?: pathways, policies and practice through the life course, Studies in poverty, inequality, and social exclusion, The Policy Press.
Barron K. 2009, Health inequalities: written evidence; Volume 422 of HC SeriesPaper (Great Britain. Parliament. (Session 2007-08). House of Commons)) Written evidence, The Stationery Office.
Davies P. 2007, The NHS in the UK 2007/08, 9th edn, The NHS Confederation.
Dowler E. 2007, Challenging health inequalities: from Acheson to choosing health, Health and Society Series, The Policy Press.
ecause unions retain the exclusive right to negotiate on behalf of its members, the individual worker may have little recourse to easily address incompetent leadership.
The Disadvantages of Unionized Labor for Healthcare Employers:
The primary disadvantages of unionized labor for healthcare employers correspond to the relative loss of control over issues and workplace elements commonly transferred to workers (through their unions), which accounts for the traditional resistance with which many employers responded to unionization attempts. On the one hand, unionized workforces are able to secure better pay and benefits from employers than would have been available to workers without union representation; likewise, employers must cede control over many aspects of operational and personnel decisions traditionally within administrative control.
On the other hand, particularly in light of the beneficial effect that unionized nursing has had on the quality of patient care and reduction in patient mortality, it is difficult to conceive…
Daft, R. (2005) Management (7th ed.) Mason: Thomson South Western.
Nevins, J., Commager, H. (1992) a Pocket History of the United States.
New York: Pocket Books
Seago, J., Ash, M. (2002)
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.
The experiences of seniors within the healthcare delivery system will alter how all Americans view healthcare. The healthcare delivery systems and overall organizational structure in the United States has been slow to adjust but that rest of the world is currently in flux that will migrate into our system. Technological advances in communication have made telehealth and telemedicine vialbel solutions to our outdated healthcare industry orgainzational structre. While these types of advances are only in their infancy, "...there seemed to be broad acceptance that telehealth and telemedicine had provided positive benefits to the worlds healthcare delivery system." (Telehealth Applications) Our technoloically challenged seniors have actually discovered the trend within the healthcare system and telehealth and telemedicine seems to be an advance that will find worldwide support so we as a nation will be reqquired to jump on the bandwagon.
In conclusion, this article review focused on new Healthcare Delivery Systems…
Farnsworth, Chris. "The Truth About Fraud" Washington Monthly 01 May 1997.
Joshua-Amadi, Mabel. "Recommendations: A Study in Motivation: Recruitment and Retention in the NHS" Nursing Management. February (2003).
Soloye, Daniel J. "Privacy and Power: Computer Databases and Metaphors for Information Privacy" Stanford Law Review July (2001).
Telehealth Applications. (2004) "Current Telehealth Applications" Retrieved October 26, 2004, at http://www.startegis.com/epic/internet/inict-tic.nsf/PrintableE/it07545e.html
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.
Health Care oles in Communication
Communication is a fundamental piece of health care education and has been shown to improve health outcomes, patient compliance, and patient satisfaction. Quality health care emphasizes knowledge and utilization of communication skills. Health care professionals often express anxiety and lack of confidence and are deficient in a creating a situations that are conducive to open and candid communication with patients (Kameg et. al., 2009).
Effective communication involves gathering information, establishing a relationship or connection with a patient, and supporting the person through words and other non-verbal forms of interactions. Effective communication involves not only the interactions between the staff and the patient but also the interactions between staff and the interactions between the staff in front of the patient. Many times the high demand for services in a health care facility cause the staff to overlook the importance of good communication skills and enables situations…
Beer, J.E. (2003). Nonverbal Communication: Communicating across cultures. Cultures at work. Retrieved May 29, 2011 from http://www.culture-at-work.com/nonverbal.html
Coiera, E. (2006, May). Communication systems in healthcarre. Clinical Biochemist Reviews. nursing.Vol. 27, Issue 2, 89-98. Retrieved May 28, 2011 from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1579411/
Gamble, T.K. & Gamble, M. (2006). Communication works. Burr Ridge, IL: McGraw-Hill.
Health Communication. (2010). Health communication. Healthy people 2010: Objectives for improving reproductive health. Office of Disease Prevention and Health Promotion. Retrieved May 29, 2011 from http://www.hhs.gov/opa/pubs/hp2010/hp2010rh_sec2_healthcomm.pdf
Health Care Access Ethical Dilemma
Access to health care services is not equitable in the United States. The 15% of Americans without health insurance coverage find it extremely difficult to access health care services (Trotochaud, 2006). This is an injustice that should be addressed. Patients going to rural health care facilities face myriad challenges that are occasioned by stigmatization. Stigmatization of illnesses that patients grapple with occasions ethical conflicts. In the process, patients' right to privacy and confidentiality are often violated. There are practical guidelines that can be used to minimize ethical conflicts. It is imperative that confidentiality and trust be made paramount under circumstances where healthcare professionals deal with patients with stigmatizing illnesses.
A typical example of confidentiality, overlapping relationships and lack of willingness to seek care can be attested to in a situation where a woman working at a local store finds out that her partner is HIV-positive…
Trotochaud, K. (2006). Ethical Issues and Access to Healthcare. Journal of Infusion Nursing,
Tummala, A. & Roberts, L.W., (2009). Ethics Conflicts in Rural Communities: Stigma and Illness. Hanover, NH: University Press of New England.
Technology is one of the main drivers of change in healthcare, and it is up to healthcare organizations to join the rest of the world in adopting new technologies to run their industry better. In most industries, something like electronic record keeping has been done for decades and nobody was wringing their hands about it. It is absurd that this is even an issue for healthcare companies. The best thing is to stop talking about this as if it is an "issue" or a "challenge," and just get it done. If you were to design the health care system from scratch, of course everything would be electronic. The development and adoption of these technologies will improve the quality of healthcare immensely, so the only real question is not how will this challenge affect healthcare, but how quickly can healthcare get its act together and join the 21st century.…
Kumbroch, D. (2014). Affordable Care Act creates big demand locally for healthcare workers. WHNT. Retrieved November 17, 2014 from http://whnt.com/2014/09/17/aca-creates-big-demand-for-healthcare-workers/
Wister, A. (2009). The aging of the baby boomer generation: Catastrophe or catalyst for improvement? Health Innovation Forum. Retrieved November 17, 2014 from http://www.healthinnovationforum.org/article/the-aging-of-the-baby-boomer-generation-catastrophe-or-catalyst/
On the other hand, the industry will most likely insist on the service quality segment rather than on the price transparency. A constant improvement of the services provided within the healthcare facility will not only produce the appropriate competition on the market, but it will also provide the incentives for the other healthcare organizations, thus rising overall quality levels in the market. This will rather change the way hospitals price their services rather than price transparency.
Nevertheless, price transparency will change ridiculous situations in which the client is charged $35,000 to change a battery in a pacemaker. It will drive such prices lower, encouraging price competition.
1. A Call for Transparency in Healthcare Cost and Quality. On the Internet at http://blogs.msdn.com/healthblog/archive/2006/05/16/599064.aspx.Last retrieved on June 30, 2007
2. Feld, Stanley. What Is Real Price Transparency? Medicine: Healthcare System. May 2007. On the Internet at http://stanleyfeldmdmace.typepad.com/repairing_the_healthcare_/2007/05/what_is_real_pr.html.Last retrieved on June 30, 2007…
1. A Call for Transparency in Healthcare Cost and Quality. On the Internet at http://blogs.msdn.com/healthblog/archive/2006/05/16/599064.aspx.Last retrieved on June 30, 2007
2. Feld, Stanley. What Is Real Price Transparency? Medicine: Healthcare System. May 2007. On the Internet at http://stanleyfeldmdmace.typepad.com/repairing_the_healthcare_/2007/05/what_is_real_pr.html.Last retrieved on June 30, 2007
Call for Transparency in Healthcare Cost and Quality. On the Internet at
Healthcare Finance: hat is the break-Even analysis approach and its application in health care organizations?
Unfortunately, hospital and health care budgeting of resources has become increasingly important in this cost-conscious era of health care. The last decades of cost-controlled medicine have required fiscally conscious approaches to the healthcare for many organizations, often at the expense of patient services. A financial analyst must strive to minimize this, yet still keep the organization afloat. A segment that does not make money or at least break even for the health care provider may have to be eliminated.
Health care facilities may take longer to break even on their initial investment than other forms of businesses. Also, the break-even period for primary care is different compared to tertiary care. Still, developing any break-even action plan begins with a clear understanding of any significant shortfalls against benchmark, with a special focus on provider productivity in…
Halley, Marc D. & Lloyd. (Nov 2000) "How to Break Even on an Acquired Primary Care Network." Healthcare Financial Management. Retrived 17 Apr 2005 at http://www.findarticles.com/p/articles/mi_m3257/is_11_54/ai_66936335/pg_2
Health Care Drugs
There are many ethical and moral decisions to be made with drugs are available in health care facility. As department manager, a set of procedures and protocols regarding the handling, storing and monitoring of drugs is necessary to ensure the safety of the patients and employees. Within this set of procedures, generic drugs, controlled drugs, and all charting is necessary so that all drugs can be documented in order to keep track of everything and to keep all employees honest (Pamela Anderson, 2010). This is because no medicine is without side effects and some are worse than others."In any situation where care-workers are responsible for the looking after and giving of medicines to other people, be they young or old, healthy or sick, it is important to follow a set of general principles to ensure that this is done safely. In some ways this is similar to…
About the Prescription Drug Monitoring Program. (2010). Retrieved May 12, 2012, from http://drugcontrol.flgov.com/pdmp/about.html
Pamela Anderson. (2010). Medication Errors: Don't let them happen to you. Retrieved May 12, 2012, from American Nurse Today: http://www.americannursetoday.com/article.aspx?id=6356&fid=6276
The Handling of Medicine in Social Care. (n.d.). Retrieved May 12, 2012, from http://www.rpharms.com/support-pdfs/handlingmedsocialcare.pdf
Healthcare Quality Management
PDCA Modeling in Healthcare
Psychiatric emergencies in medical settings may be particularly challenging since the staff does not encounter them frequently and may not have experience dealing with behavioral crisis intervention. The purpose of this exercise is to help staff improve understanding and coping with nonmedical emergencies that occur in medical settings using the PDCA cycle.
X is a 41-year-old male admitted to a medical unit with a diagnosis of possible stroke. The patient is ambulatory, 5'10," and 350 lbs. Mr. X presented to the emergency department the day before after apparently losing consciousness at home. The initial CAT scan of his head was negative. It is suspected that Mr. X may be an IV drug user since his urine toxicology screening came back positive for opiates. The medical staff thinks that Mr. X had a seizure prior to admission, but he has shown no abnormal signs…
Bennet, L., & Slavin, L. (2009, April 3). What Every Health Care Manager Needs to Know. Retrieved from Continous Quality Improvement: http://www.cwru.edu/med/epidbio/mphp439/CQI.htm
i Six Sigma. (N.d.). Focus - PDCA. Retrieved from I Six Sigma: http://www.isixsigma.com/dictionary/focus-pdca/
Pestka, E., Hatterberg, D., Larson, L., Zwygart, L., Cox, A., & Cox, D. (2012). Enhancing Safety in Behavioral Emergency Situations. Medsurg Nursing, 335-341.
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 health care industry is heavily regulated and has several special risk areas that need to be looked out for. An effective compliance program is necessary in order to mitigate these risks. In addition to the challenges that are associated with taking care of patients, health care providers are subject to huge and sometimes intricate sets of rules that govern the coverage and reimbursement of medical services. Because federal and state sponsored health care programs play such a big role in paying for health care, compliance with these rules are necessary in order to avoid penalties that can occur. These penalties can include such things as recoupment of improper payments, along with sanctions imposed by Medicare and Medicaid against health care businesses that engage in abuse or fraudulent practices (Corporate esponsibility and Corporate Compliance: A esource for Health Care Boards of Directors, (n.d.).
A good health care administrator will…
Corporate Responsibility and Corporate Compliance: A Resource for Health Care Boards of Directors. (n.d.) Retrieved April 3, 2009, from Office of the Inspector General Web site:
Health Administration. (n.d.). Retrieved April 3, 2009, from Web site:
The issue of grey and black markets often arose as a result of the shortages of experienced health care personnel. The system could not adapt to a flexible environment as it was led by rigid official procedures and the mentality of the people who controlled it was commanding, their vision short-sighted and hardly beneficial in such a situation (Barr and Mark, 1996).
The breaking up of Soviet Union which brought crippling economic and political problems to the countries also aggravated the health care situation making it reach an all-time low. The collapse of the health care system ran by the government led to the belief that turning towards a market economy or more capitalistic notions and perceptions would have been a better idea. The competition in the private sector would have had improved efficiency and averted an inevitable collapse of the health care system in the Soviet Union. This transformation,…
Balabanova, D., Haerpfer, C., McKee, M., Pomerleau, J., Rose, R. (2004). Health service utilization in the former Soviet Union: evidence from eight countries. Health Services Research
Barr, D.A. And Mark G. (1996). The Current State of Health Care in the Former Soviet Union: Implications for Health Care Policy and Reform. American Journal of Public Health. 86, 3.
Lewis, M. (2002). Informal Health Payments in Central and Eastern Europe and the Former Soviet Union: Issues, Trends and Policy Implications. In Funding Health Care, European Observatory on Health Care Systems Series, edited by E. Mossialos, a. Dixon, J. Figueras, and J. Kutzin, pp. 184-205. Buckingham: Open University Press.
Mikesell, J.L. And Mullins, D.R. (2001), Reforming Budget Systems in Countries of the Former Soviet Union. Public Administration Review. 61. 5.
Health Care -- Regulatory Scheme and Licensure Requirements -- Operating a Health Care Organization
California's licensing process for health care organizations is governed by the State's Health and Safety Code, with responsibility for licensing, licensing, inspecting, regulating and/or certifying shouldered by State and Federal agencies. In a straightforward yet rigorous process aided by online application packets and checklists, these agencies are intent on ensuring compliance with State and Federal laws and regulations.
The process for becoming licensed to operate as a health care organization in California is governed by §1200 -- 1209 of the California Health and Safety Code (California State Legislature, 2003). These code sections broadly deem the term "clinic" or "primary care clinic" to mean an "organized outpatient health facility," whether a community clinic, free clinic, specialty clinic or clinic corporation required to be licensed (California State Legislature, 2003). The requirements and processes outlined in these code sections…
Health Care Finance
Greenwald engages in a discussion comparing the U.S. health care system to, well, other health care systems. An interesting methodological fault is that Greenwald cherry-picks his examples. In one paragraph, he compares the U.S. with Canada, in other the UK, and in another Spain. he problem, methodologically, is that he can cherry-pick data from whatever country best suits his argument. What this means, in terms of interpretation, is that Greenwald's findings need to be taken with a grain of salt. As an example, Greenwald notes higher wait times in three countries for urgent coronary artery bypass. Nobody likes high wait times, but Greenwald's U.S. figure doesn't factor in the uninsured, whose wait time is infinity. hey just die. he issue many have with the U.S. system is not that performance is poor; it is that performance is only good when you can afford it.
his cuts to…
This cuts to the heart of the difference between the U.S. And other industrialized countries. The trade-off between quality of care and universal care exists in any nation. The trade-off that other countries have made is that they have chosen universal care, even when there are times when service standards are lower. In the U.S., there has never been a strong collective motivation to make that trade-off. There are reasons for this, and they are more social that medical. While some have argued that lobbyists are the issue, I disagree with that assessment, because most other nations adopted universal health care long before lobbyists took over the U.S. government. The lack of universal health care in the U.S., therefore, is more related to social factors. The erosion of the manufacturing base has in turn eroded the sort of jobs where working class Americans can get health insurance; replace such jobs with part-time retail and the number of insured will decrease. Further, at-risk groups such as the poor, African-Americans, Native Americans and the disabled are disproportionally uninsured (Link & Phelan, 1996). There is a certain lack of concern with the well-being of these groups that has resulted in a lack of desire to provide insurance for them. It's kind of the elephant in the room -- while Canada and Europe were developing universal health care, a lot of parts of the United States were having trouble wrapping their head around desegregation in schools. We should not be so naive as to think this mentality does not play a role in public opposition to universal health care. As well, health care costs were manageable and for most, the system has worked reasonably well. This means there was no impetus for change -- only recently with the explosion of health care costs has there been concern about paying for health insurance even from the middle class.
There are a number of reasons why health care costs are lower in other nations. Greenwald notes that American health care facilities are more likely to invest in the most modern equipment. I wish he did not cherry-pick his supporting evidence ("seniors in Miami in the last six months of their lives receive the best care anywhere in the world") because this is a fairly demonstrable reality. At the top end, the U.S. health care system is usually better than in other countries. The fault Greenwald has is not following through and asking why this is. He is correct in pointing out that the best care can and should cost more. But facilities invest so heavily for two key
Health Care Strategic Management
There may be many reasons for change, but there is a demand now in United States that the changes in healthcare market take place now to remove the present inconsistency in quality and efficiency. The main reasons driving the reasons for change have been seen to be patient safety and quality, the move towards digitalization, demographic changes, workforce issue, financial issues, and the search for excellence. There have been many reports about quality and patient safety since the report by the Institute of Medicine's eport was released in 1999 about medical errors, and the situation has only got worse and not improved. The recent reports state that over 200,000 persons die every year due to medical errors as the principal reason. The second main reason for change is that all records being kept in the hospitals are shifting to a record without films and paper. This…
Managing Healthcare in a Changing European Environment. Retrieved from http://www.bettermanagement.com/Library/Library.aspx?LibraryID=12242 Accessed on 31 May, 2005
Pexton, Carolyn. Overcoming the Barriers to Change in Healthcare System. Retrieved from http://healthcare.isixsigma.com/library/content/c050413a.asp Accessed on 31 May, 2005
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…
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
Access and Availability
The biggest problem in terms of access to healthcare is in rural areas. Our investigation found that there are very few if any rural clinics or healthcare facilities.
Access to healthcare is also limited to those that can afford insurance or qualify for Medicare or Medicaid. The unemployed and the poor are at a major disadvantage when it comes to gaining access to healthcare. The location of healthcare facilities is limited to the larger municipalities.
The entity that is responsible for the healthcare system is the United States Government. In addition, Puerto ico has a governor and a cabinet in place to ensure that the appropriate laws are carried out. The entity that makes laws concerning healthcare is outside of the country but the entity that enforces these laws is inside the country. Services are evaluated by state run entities and agencies of the United States…
The World Factbook -- Puerto Rico. Retrieved November 8, 2004 from; http://www.cia.gov/cia/publications/factbook/geos/rq.html#People
Puerto Rico: Estimated Number of Persons Living with AIDS at the End of 2002. Retrieved November 8, 2004 from; http://www.statehealthfacts.kff.org/cgi-bin/healthfacts.cgi?action=profile&area=Puerto+Rico&category=HIV%2fAIDS&subcategory=Persons+Living+with+AIDS&topic=All+Ages
HIV / AIDS Among Hispanics. Retrieved November 8, 2004 from; http://www.cdc.gov/hiv/PUBS/Facts/hispanic.pdf
Puerto Rico: Total Number of Adults with Diagnosed Diabetes, 2002. Retrieved November 8, 2004 from;
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,
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
Health care, and that too, a quality health care is one of the most basic needs of any human being. In current times, where the fast paced lives are getting faster each day, work stresses are increasing, streets are being storm with junk foods and fast foods, and pollution and congestion is increasing, human lives are getting more and more prone to physical and mental diseases. As a result, the importance of health care systems and health care facilities increases. While, surgeons and doctors are generally seen as the captain of the ship as far as health sector is concerned, very important personnel of the health sector are the nurses. Once quite ignored, the importance of the nursing profession was highlighted by Florence Nightingale, one of the nursing pioneers. Florence Nightingale broke the conventional perceptions associated with the profession of nursing and took it to a new level, explored various…
Lee, H. & Winters, C. (2006). Rural nursing: concepts, theories and practice. New York:
Joel, A. & Kelly, L. (2002). The nursing experience: trends, challenges and transitions. New York: Mc Graw Hill.
Lumby, J. & Picone, D. (2000). Clinical Challenges: focus on nursing. St. Leonards, N.S.W: Allen and Unwin.
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. .
Health Care Finance
There is a clear relationship between the present value and future value factors.
According to the research, "the future value (FV) measures the nominal future sum of money that a given sum of money is worth at a specified timed in the future assuming a certain interest rate, or more generally, rate of return" (Smart Notes 2013). On the other hand, the present value is the exact value that is assigned based on the date of payment or previous series of payments that were made prior to the inquiry. They are related in the notion that they reflect compounding interest, which is the interest rate that is added to the original principle. As such, individuals can compute the potential future value factor using an equation that relates the present value. The equation can be seen below:
(Smart Notes 2013)
ased on this correlative relationship, the present value…
O'Neill, Michael. (2011). Future Value / Present Value Concepts. Accounting Support Page. Web. Retrieved 10 Oct 2013 from http://seattlecentral.edu/faculty/moneil/A230/AppxC/Ch15AppxA.htm
It may be most appropriate when there is a question of adding a new service or getting rid of a current service, but makes less sense for a department which is expected to continue in service.
Incremental budgeting is a part of the rolling forecast system. If there is a sudden spike in revenue, for example, it may make sense to do an incremental budget to take into account the new variable.
-down budgeting means that the CEO or CFO dictates how much money is present, and allocates it to each department. This has the benefit of control of expenditures, but the drawback that the department managers feel no responsibility to hew to a budget in which they had little or no input.
A s-up: This method starts at the department level and builds to an overall picture. While each department may want to have its needs fulfilled, there needs…
Economist. (2007, January 18). The Ivory Trade. Economist, p. n.p.
Fleisher, C.S. (1991). Using an Agency-Based Approach to Analyze Collaborative Federated Interorganizational Relationships. Journal of Applied Behavioral Science, 116-130.
Malkiel, B. (1996). A Random Walk Down Wall Street. New York: WW Norton.
Robinson, J.C. (1997). Physician-Hospital Integration and the Economic Theory of the Firm. Medical Care Research and Review, 3-24.
Healthcare Organization Case Study
Health Care Organization Case Study
Health Care Organization Case Study
Banner Healthcare represents a set of diverse healthcare related facilities that provide healthcare services to societies in USA and beyond. Banner seeks to establish a healthier life for communities through developing a healthy environment. Banner Healthcare is arguably the largest healthcare provider in the country. The organization spans seven states, including Arizona, California, Colorado, Nevada, Alaska, Nebraska and Wyoming. The organization operates 20 hospitals, including healthcare facilities. The organization offers such services as hospice care, home care and physician services. Banner Healthcare also provided $130 million as their contribution to charity. The organization is a healthcare leader in all the communities it offers its services. The agency has shown tremendous growth in the past years. They admit over 190 000 patients every year and have a workforce in excess of 29-000. The emergency departments…
Banner Health, (2008). Here Now: Making a Difference. Retrieved from http://www.bannerhealth.com/_communityupdate/Banner_Health_Community_Update.pdf on 18 May 2016
Harrington, C. & Estes, C. (2008). Health Policy: Crisis & Reform in the U.S. Health Care Delivery System, 5th Ed. Jones & Bartlett Publishers
Wolf, J., Hanson, H. & Moir, M. (Eds.) (2011). Organization Development in Health Care: High Impact Practices for a Complex and Changing Environment. IAP
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
healthcare administration and governance is medical staff credentialing and "delineation of privileges." As a senior manager, you will be directly involved in making sure that physicians practicing in your organization are qualified for the services they offer and procedures they perform. You must protect patients' safety as highest priority in this regard. hat steps will you take in the process of physician credentialing and delineation of privileges for your hospital or clinic?
The delineation of privileges may be one of the most important aspects to healthcare management. If the professionals that are tasked with treating patients are not properly trained or qualified then it is likely that patient care will suffer. Therefore, credentials for the delineation of privileges must be designed individually based on the particular roles of the employees in the organization. They should also follow best practices and national standards. Each position in the hospital should be designed…
Haynes, D. (2008, September 13). What Nurses Want. Retrieved from The Washington Post: http://www.washingtonpost.com/wp-dyn/content/article/2008/09/12/AR2008091203367.html
Strategic Management of a Healthcare Facility in St. Louis
In the late 1800's and early 1900's St. Louis was a major center for automotive and other heavy manufacturing but the industrial restructuring of the Midwest during the latter half of the century has resulted in consistent economic decline of the St. Louis region. Today however as the rest of the country faces a slowing economy this region is showing new signs of growth. [Kotkin, 2002] Due to changing socio-demographics, the demand for health care and advanced medical technologies is growing consistently with a concomitant rise in health expenditure. [Zhou 2001] Health expenditure in the U.S. has risen from 7.4% of the GNP in 1970 to 15% of the GNP in 1995.[Zhou, 2001] The Health care sector deals with not only the clinical medical services, but also include methods which finance them, for e.g. insurance, benefit schemes, Medicare and Medicaid. eforms…
1. Kotkin, J, 2002 St. Louis: On the Way to Somewhere? Rebuz Inc.
2. Author not available, 1997, Economic Report of the President. Government Printing Office, Washington, D.C. [accessed on 4/4/03]: http://www.umsl.edu/services/govdocs/erp/1997/chap3.htm
3.Author not available, 1996, Focus... Non-Elderly Missourians without Health Insurance, March 1996, Vol. 30, No. 1 [accessed on 4/4/03]: http://www.dhss.state.mo.us/MonthlyVitalStatistics/March96Vol30No1.html
4. Author not available, January 1999, Focus... Managed Care (MC+) in Medicaid Population, January 1999 Vol. 32, No. 11[accessed on 4/4/03] at http://www.dhss.state.mo.us/MonthlyVitalStatistics/Jan99Vol32No11.html
health care system has focused on the prevention and cure of disease and illness. When people got sick, every bit of energy and finances went into trying to figure out how to stop it. This was true even when the patient had a disorder or a disease that was deemed incurable. For many years when someone got a disease in which there was no cure, it did not change the method of treatment. The medical community, the family and the patient continued to try every possible avenue to stop the progress. Often times the patient would submit to painful and disorienting treatments, because they didn't want to disappoint their family members or their doctors. At the same time the medical community was expanding the length of life so that many people were living longer than ever before. These two things began to clash. At what point do people stop trying…
Public health system suffers from chronic underfunding http://home.aigonline.com/content/0,1109,16263-694-ceo,00.html
NEWS FROM AROUND AFRICA http://www.hospicecare.com/Newsletters/july2003/page8.html
Healthcare & Medical Market in Morocco http://www.tradepartners.gov.uk/healthcare/morocco/profile/overview.shtml
What is Hospice? http://www.hospicefoundation.org/what_is/
Health Care Focus
Any American who has paid the least bit of attention to the country's economic standing throughout the past few years has an understanding that the United States Health Care System is an entity that comes into the discussion of economics as quickly as any finance-based corporation or business. In recent years, the issue of health care has come into play within the discussion of economics, in addition to becoming one of the biggest industries within the country in terms of economic profit and business generation. In his article for the Kansas City Business Journal, journalist David Twiddy takes a look at how the connection between economics and health care has come to fruition within the state of Kansas, where health care remains one of the state's leading industries.
In Kansas, $10.2 billion in payroll was generated in the health care industry in 2011 alone, as more than…
Last year, hospitals saw their collective labor force swell by 18% to 73,890 and their payroll grow by 30%.
"Hospitals and health services truly represent an economic anchor in our state," association CEO Tom Bell said in a release.
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
healthcare has been moving from a total "organic" model to a more holistic viewpoint of the patient and their individual needs. Healthcare professionals have come to realize that within any organization, nothing is ever in isolation. Research has shown us many things that can be improved using the holistic and multi-cultural models, as well as the direction(s) we are suggesting with our new program. Clearly, the empirical research shows us that there are many modifiers that can create illness, modify illness patterns, contribute to healing, and act in a preventative manner (Adler, 1994). This is particularly true when dealing with chronic diseases like AIDS. Specialized AIDS units within a modern healthcare facility offer a team of experts who are familiar with the various permutations of the disease and who have greater responsibility and autonomy within the nursing staff. This should, in theory, increase both objective and subjective outcomes for the…
Adler, N., et.al. (1994), "Health Psychology: Why do Some People Get Sick and Some
Stay Well?," Annual Review of Psychology, 45. http://arjournals.annualreviews.org/oi/abs/10.1146/annurev.ps.45.020194.001305
Aiken, L., Sloan, D. (1997). Effects of Specialization and Client Differentiation on the Status of Nurses: The Case of AIDS. Journal of Health and Social Behavior. 38 (3): 203-22.
Chow, M.k, et al. (2010). The benefits of using a mixed methods approach -- quantitative with qualitative -- to identify client satisfaction and unmet needs in an HIV healthcare centre. AIDS Care. 22-94): 491-98.
Aaron, H.J. 1994. Thinking About Medical Costs. Health Affairs, 13, 5 (winter): 8-13 in Hong, G-S and Kim, S.Y. (2000). Out-of-Pocket Health Care Expenditure Patterns and Financial Burden across the Life Cycle Stages. Journal of Consumer Affairs. 34. 2.
Acs, G. And John S. 1995. Trends in Out-of-Pocket Spending on Health Care, 1980-1992. Monthly Labor eview, 35-45 in Hong, G-S and Kim, S.Y. (2000). Out-of-Pocket Health Care Expenditure Patterns and Financial Burden across the Life Cycle Stages. Journal of Consumer Affairs. 34. 2.
Cote, J. And Latham, C. (2003). Exchanges between Healthcare Providers and Insurers: A Case Study. Journal of Managerial Issues. 15, 2.
Health, United States. (2003). Chartbook on trends in the health of Americans. HHS, Centers for Disease Control and Prevention (CDC). National Center for Health Statistics in Lesnik, J. (2006). Community Health Centers: Health Care as it Could Be. Journal of Law and Health. 19, 1..…
Aaron, H.J. 1994. Thinking About Medical Costs. Health Affairs, 13, 5 (winter): 8-13 in Hong, G-S and Kim, S.Y. (2000). Out-of-Pocket Health Care Expenditure Patterns and Financial Burden across the Life Cycle Stages. Journal of Consumer Affairs. 34. 2.
Acs, G. And John S. 1995. Trends in Out-of-Pocket Spending on Health Care, 1980-1992. Monthly Labor Review, 35-45 in Hong, G-S and Kim, S.Y. (2000). Out-of-Pocket Health Care Expenditure Patterns and Financial Burden across the Life Cycle Stages. Journal of Consumer Affairs. 34. 2.
Cote, J. And Latham, C. (2003). Exchanges between Healthcare Providers and Insurers: A Case Study. Journal of Managerial Issues. 15, 2.
Health, United States. (2003). Chartbook on trends in the health of Americans. HHS, Centers for Disease Control and Prevention (CDC). National Center for Health Statistics in Lesnik, J. (2006). Community Health Centers: Health Care as it Could Be. Journal of Law and Health. 19, 1..
In the field of nursing, there are a variety of challenges which are having an impact on practices. To deal with these issues, various theories have been developed. They are focusing on the way specific approaches can improve quality and enhance professionalism. In the case of treatment and care, these issues are problematic as many nurses are often overworked and can spend only a select amount of time with patients. To address these issues, Watson's Theory of Human Caring was developed. It is a practice based theory that concentrates on several different areas to include: kindness, transpersonal relationships, spirituality and enhancing the environment. These theories are augmented with my experiences in the field to improve quality and alleviate suffering. This is important, as it showing how Watson's views are critical in providing better attention and support to patients. (Watson, 2011)
At the heart of this approach, is a…
Evaluation of Teaching Experience
Watson's Theory of Human Caring is focusing on how to improve safety and quality inside the clinic. This is achieved by concentrating on several different variables in conjunction with each other. The most notable include: practicing kindness, cultivating spiritual practices, being supportive, teaching, creating a healing environment, assisting with basic needs and allowing for open miracles to occur. In this case, the theory can become a credo for all nurses and healthcare professionals inside the facility to follow. This means placing more of an emphasis on monitoring the patient's condition, educating them about their role in the treatment and alleviating suffering as much as possible. (Jones, 2007) (Kelly, 2013)
The way it will be applied is to show how the lack of
Strategic Healthcare Management
How is the strategic planning process for a healthcare organization different from that of other service industries?
It is often said that there is no good time to become ill -- however, from the health care provider's point-of-view, an unplanned rise in community ailments is an unfortunate unplanned excess cost to the organization as well as an unfortunate blow to a number of individual's states of health. This is why strategic planning of health care costs for organizations must evaluate the appropriateness, necessity, and quality of the prescribed services on a retrospective basis, as well as on a prospective or concurrent basis. ((ProPAC, 1996)
In contrast to other service industries, it can be more difficult for healthcare organizations to plan for seasonal rises and lows in demands placed upon the institutions and its works. True, flu and allergy season brings certain predictable demands for flu shots and…
CDC. (14 Nov 2005) "Patient Screening Form: Who should and who should not get a flu shot?" Retrieved 12 May 2005 at http://www.cdc.gov/flu/professionals/flugallery/shortageflyers.htm
CDC (20 Jan 2005) "Updated Infection Control Measures for the Prevention and Control of Influenza in Health-Care Facilities Retrieved 12 May 2005 at http://www.cdc.gov/flu/professionals/infectioncontrol/healthcarefacilities.htm
Medicare Payment Advisory Commission. (March 1998) "Report to the Congress: Medicare Payment Policy."
Prospective Payment Assessment Commission (ProPAC). (June 1995) Medicare and the American Health Care System. Report to the Congress, Washington, DC: Prospective Payment Assessment Commission.
A good example of this can be seen with popular Chinese talk show host Yang Lang donating $72 million, to start his own foundation to: help support and develop the health care system. This is important, because it shows how both international and domestic-based non-profits are addressing these underlying problems facing the health care sector. (Dobryzski, 2010)
Clearly, the biggest challenges facing the health care systems in the United States and China are vastly different. Yet, they are also wrestling with similar problems, as they face the issue of increasing numbers in the elderly population. In the case of the United States, this is challenging because there are a variety of disadvantages that must be addressed to include: they have access to some of the most cutting edge procedures, there is large number of choices about health care providers and the elderly can be able to receive effective treatment for…
Advanced Practice Nurses. (2010). Bukisa. Retrieved from: http://www.bukisa.com/articles/352958_advanced-practice-nurses-a-global-role
Health Systems. (n.d.). WHO. Retrieved from: gis.emro.who.int/HealthSystemObservatory/.../Conceptual%20frameworks. Ppt Health Care in China. (2006). IBM. Retrieved from: http://www-05.ibm.com/de/healthcare/downloads/healthcare_china.pdf
More About RN's. (2011). ANA. Retrieved from: http://www.nursingworld.org/especiallyforyou/studentnurses/rnsapns.aspx
Opportunities in the Health Care Sector. (2006). Grail Research. Retrieved from: http://www.grailresearch.com/pdf/ContenPodsPdf/Opportunities_in_the_China_Healthcare_Sector.pdf
status of Florida State's health care facilities and anticipates what kinds of steps should be taken to cater to the future population based on their developed needs. It has 15 sources.
With improved health care facilities and advanced medical innovations, populations of the world are increasing in their age as they live longer. As a result of this there has been a marked increase in the demands for health care facilities. The U.S. is one of the world's most advanced countries also sees this trend and mostly in its largely populated states. One of these is Florida. Florida one of America's biggest states, ranking 4th in the recent years has seen gradual change in the health care consumer attitude as well as growth. Not only the urban but the rural population has increased in the demand for health care and the government's legislative is responsible for addressing these needs. In…
Author not available, [March 26, 2001]. Deficit compels Florida governor to accelerate move to managed care. Mental Health Weekly.
Author not available, . Department of Elder Affairs Official Website, accessed on 5-4-03 available at http://elderaffairs.state.fl.us/doea/2A281CONS/C01.html
McDowell, J.C. (Winter 2003). Is There a Doctor in the House? 23 The Journal of the James Madison Institute 10.
Author not available, . Florida Health State, accessed on 5-4-03 available at http://www.floridahealthstat.com/x-insglossary.shtml
The topic of this research is "PPACA- Patient Protection an Affordable Care Act." PPACA has created a great impact in the healthcare industry of United States of America. The study is based on the critical analysis of the act by reviewing the performance since its inception.
Arguably the most prominent recent healthcare reform has been PPACA (Patient Protection and Affordable Care Act). PPACA is also known as the Affordable care act and Obamacare. It was signed by the President Obama in the year 2010 in collaboration with the Healthcare econciliation Act. This act is considered to be one of the most major reforms passed in the healthcare system of United States; the last such major reform was passed in the year 1965 in the form of Medicaid.
When this provision Act was passed in 2010, there were 50 million…
Barr, Donald A. Introduction to U.S. Health Policy: The Organization, Financing, and Delivery of Health Care in America. JHU Press. 2011
Blendon RJ, Benson."Public opinion at the time of the vote on health care reform." N. Engl. J. Med. 362 (16): e55. 2010
Elmendorf, Douglas. "CBO's Analysis of the Major Health Care Legislation Enacted in March 2010." Congressional Budget Office. 2011
Feldman, Arthur M. Understanding Health Care Reform: Bridging the Gap between Myth and Reality. CRC Press. 2011
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
oman Clings to Hope of Having Dead Fiancee's Baby
Today medical science is capable of things only imagined in the past. One of these possibilities stems from the technique of Invitro fertilization and cryobiology. It is now possible to freeze a man's sperm and impregnate a woman with it at some future time. This practice raises many ethical issues as far as the legal professions are concerned, primarily informed consent, ownership of the sperm and many other issues. However, it also raises issues for the medical profession as well. Now it is possible, but the primary question remains, should we? This research will examine the role of the nurse in relation to her ethical obligations and the moral issues imposed upon her concerning this tricky moral issue.
Recently a court case surface where a woman wants to have he fiancee's sperm inseminated into her in order to get pregnant with…
ANCI. National Competency standards of the Registered Nurse. Domain: Professional and Ethical Practice. June, 2002. http://www.anci.org.au/codeofethics.htm . Accessed March,
Artificial Conception Act 1985 - Section 3 (1-3). http://www.austlii.edu.au/au/legis/act/consol_act/aca1985203/s3.html#procedure
Accessed March, 2003.
Davies, Julie-Ann. Sandy Plans to Win Her Race Against Life. The Age Newspaper. May 27,