Healthcare Institutions
Financial Environments Paper
Healthcare institutions: Nonprofit, for-profit, and government-administered
"Three types of entities -- nonprofit, for-profit, and government" exist within the American healthcare industry (Horowitz 2015). All available evidence indicates that this status affects the business model choice of all of these institutions. "In this econometric analysis of American Hospital Association data for every U.S. urban, acute care hospital (1988 -- 2000), more than thirty services were categorized as relatively profitable, unprofitable, or variable. For-profits are most likely to offer relatively profitable medical services; government hospitals are most likely to offer relatively unprofitable services; nonprofits often fall in the middle" (Horowitz 2015). Thus it is important to understand how these various organizations view profitability, given its material effect upon how they allocate resources and impact patient care.
Not-for-profit healthcare institutions like the Mayo Clinic are dependent upon donors, government funding, foundations, and also from revenue from activities. Unlike for-profit institutions they are…...
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References
Aurora's role as a not-for-profit organization. (2015). Aurora Healthcare. Retrieved from:
Educational Mission and Nursing Practice Statements
Educational Mission Statement
The University of Iowa is known for its world-class academic programs, including the professional preparation and training that is provided through the College of Nursing. The formal mission statement for the College of Nursing University of Iowa is as follows:
"The mission of the College of Nursing is to prepare nurse leaders and to be forerunners in the discovery, dissemination and application of nursing knowledge. As a state supported higher degree program in nursing, the college is committed to preparing nurse clinicians, scholars, and educators to meet the health needs of the people of Iowa. As part of a research intensive university, the College of Nursing supports its research mission through national and international leadership in innovative educational and practice programs and the generation of new knowledge" ("UOI, Nursing," 2014).
State supported colleges and universities are somewhat unique in their missions and goals, differing from…...
Healthcare Partnership in the Community
Discuss an example of healthcare partnership in your community and specifically cite examples that show how nurses, both individually and collectively, influenced the care provided. What obstacles were confronted and what strategies were employed in order to effectively overcome them.
One community healthcare partnership that is salient in my mind is Texas Department of State Health Services' program on tuberculosis or TB. This group of projects is specifically handled by the Office of Border Health, specifically because communicable diseases transmitted over the Texas-Mexico border will inadvertently affect the state of community health of both countries (i.e., the U.S. And Mexico). Under the program, two projects have been successful and known for its accomplishment in helping decrease TB prevalence in communities near the Texas-Mexico border: Proyecto Juntos and TBNet.
Proyecto Juntos specifically centers on "bilateral TB control," centering its efforts to curbing TB prevalence by monitoring the health of…...
Health Care Communication
As the nation's health care resources become more and more strained, health care professionals are being asked to do more with less. They are being pressured to find cheaper ways to improve the quality of health care they deliver. Given the current circumstances, this sounds difficult and even unreasonable, but it may not be entirely impossible.
One simple way for medical professionals to improve the quality of health care they provide is by improving their health care communication skills. Health care communication is "The art and technique of informing, influencing, and motivating individual, institutional, and public audiences about important health issues. The scope of health communication includes disease prevention, health promotion, health care policy, and the business of health care as well as enhancement of the quality of life and health of individuals within the community." (U.S.D.S.H.S., 2000, p.11-20).
In health care, as in all aspects of life, communication is…...
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Bibliography
U.S. Department of Health and Human Services. (2000). Healthy People 2010: Volume I, Focus Area 11: Health Communication (second edition) Washington, DC: U.S. Government Printing Office.
Zachariae, R. et. al. (2003). The relative importance of physician communication, participatory decision making, and patient understanding in diabetes self-management. British Journal of Cancer, 88(5), 658-65.
Heisler, M. et. al. (2002). The relative importance of physician communication, participatory decision making, and patient understanding in diabetes self-management. Journal of General Internal Medicine, 17(4), 243-52.
Safran, D.G. et. al. (1998). Linking primary care performance to outcomes of care. Journal of Family Practice, 47(3), 213-20.
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.
eferences
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 2,
Success in several high-profile areas, such as stroke prevention, acute coronary intervention, or nosocomial infection have the benefits of focusing the organization on a task which can bring tangible results, measured in clinically-relevant ways.
Specific Program for our Institution
This memo recommends that we choose five treatment areas, and implement specific quality improvement programs for each one. The focus on each should include procedures which are important to the overall quality of this institution's morbidity and mortality results. Given the hospital's focus on acute care, the following procedures might be candidates for quality improvement programs:
Ischemic stroke treatment
ACS treatment (acute coronary syndrome).
Trauma in the ER related to gunshot wounds.
Maternal ward delivery performance
Nosocomial infection reduction.
In each case, the procedures should proceed as outlined above: (1) an identification of the problem, (2) identification of best practices as demonstrated in peer-reviewed clinical trials, (3) adoption of the best practices procedures, and (4) measuring and monitoring…...
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Bibliography
CancerCenter. (2007). Cancer Treatment Centers of America. Retrieved November 23, 2007, from CCA: www.cancercenter.com
Civitarese, L.A. (1999). Congestive Heart Failure Clinical Outcomes Study in a Private Community Medical Group. Journal of American Board of Family Practice, 467-472.
Dana Farber. (2005). Dana-Farber attains nation's highest honor for nursing excellence; first cancer center in New England to earn Magnet recognition. Boston: Dana Farber Cancer Institute.
Katzan, I.L. (2003). Quality Improvement and Tissue-Type Plasminogen Activator for Acute Ischemic Stroke. JAHA, 799-800.
educe Patient Falls in a Hospital Environment
Method of Obtaining Necessary Approval(s)
Description of Current Problem
Explanation of Proposed Solution
Implementing Change
esources equired for Implementation
isk and quality management is a fundamental and important aspect to many health care organizations and patient lives are often at stake. This is especially true in nursing facilities or hospitals that house elderly patients because of the level of direct patient interactions that occur on a daily basis and the specific needs of this population. There are many potential risks that can emerge from this population. Three common risks were identified from a literature review based on evidence-based practices. One common risk deals medication error and making sure patients receive the right dosage of the correct medication at the right time. Another risk that is becoming increasingly common is the risk of the spread of infection and in severe cases infections that are resistant to common antibiotics. However,…...
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References
Colon-Emeric, C., Schenck, A., Gorospe, J., McArdle, J., Dobson, L., Deporter, C., & McConnell, E. (2006). Translating Evidence-Based Falls Prevention into Clinical Practice in Nursing Facilities: Results and Lessons from a Quality Improvement Collaborative. Journal of the American Geriatrics Society, 1414-1418.
Renteln-Kruse, W., Krause, T., & Georgr, D. (2007). Incidence of In-Hospital Falls in Geriatric Patients Before andAfter the Introduction of an Interdisciplinary Team -- BasedFall-Prevention Intervention. The American Geriatric Society, 2068-2076.
care in regards to EM when patients go from outpatient to inpatient to specialists
Effective Communication
The CMS (Centers for Medicare and Medicaid Services) uses the phrase 'care transition' to refer to patient transference between care settings (like hospitals, nursing facilities, home care, primary care, specialist care, or long-term patient care). Care coordination throughout the continuum of healthcare proves critical to patient treatment management, execution and assessment. Transferring health information of patients from one care location or level to another during patient transfers guarantees care continuity and fosters effective patient treatment. Direct communication between different healthcare providers is vital to smooth patient transition across healthcare settings. Partial knowledge of patient health details and absence of an EH (electronic health record) that may be accessed anywhere will restrict acute care professionals' capacity of accessing the patient's community pharmacy and ambulatory care records, especially if the professional is not the patient's primary care…...
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References
Rupal Patel Mansukhani, Mary Barna Bridgeman, Danielle Candelario, & Laurie J. Eckert. (2015). Exploring Transitional Care: Evidence-Based Strategies for Improving Provider Communication and Reducing Readmissions. Pharmacy and Therapeutics, 690-694.
Sharon Silow-Carrol. (2012). Using Electronic Health Records to Improve Quality and Efficiency: The Experiences of Leading Hospitals. Commonwealth Fund.
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 claims…...
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Bibliography
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.
honored to meet a delegation of nurses from ten different countries, because I feel we have a lot to learn from each other in terms of different philosophies of nursing. At the same time, we are all shifting more to evidence-based practice, which transcends linguistic and cultural differences. One of the most difficult things to explain would be access to care, as the United States has the top equipment and doctors in the world but the highest cost of care, too. I would try to explain that although many Americans support the Affordable Care concept, and would even like to see Obamacare taken a step further to improve access and quality of care, many citizens remain uninformed and believe that the current profit-driven model is acceptable.
Most problems can be framed as a policy issue, because policy has real implications for day-to-day practice. Longest's policy framework demonstrates how American policymaking…...
1. Nursing Theorist Overview
Theory guides nursing practice and provides a framework for nurse leadership and healthcare management (McKenna, Pajnikar & Murphy, 2014). All prominent nursing theorists like the individuals covered in the multimedia presentation have influenced nursing practice in some way or another, and all do resonate with me on a personal and professional level. I will incorporate elements of all theorists into my practice in terms of interpersonal communications and attitudes towards health and healing. Of the theorists covered in the presentation, those of Florence Nightingale resonate the most because of her inclusion of environmental factors implicated in patient care. Environmental factors like lighting or ventilation can have a profound impact on perceptions of quality of care, too, which has a strong bearing on the efficacy of the healthcare institution (Sabza & Pirani, 2016). The environmental factors that Nightingale identified as being important to patient care also have a…...
esearch is an investigation conducted on the sources and study materials for the researcher to establish facts and offer new conclusions on a given subject matter. Currently, research is the main factor considered before an organization implements an idea on the product service to be offered to the customers. In this case, it is important for the health care institutions to utilize research concerning the benefits of Electronic Medical ecords (EM) (Greenberg et al., 2016). EM is an electronic record of any information related to health care of individuals, which can be gathered, created, consulted, and managed by nurses, clinicians, and other authorized staff within healthcare organizations.
With the help of research conducted, health care institution can understand the benefits of EM systems before implementing the systems. The research will enable the healthcare managers, stakeholders, and other authorities to compare the benefits of EM systems…...
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References
Greenberg, A. E., et al., (2016). Development of a Large Urban Longitudinal HIV Clinical Cohort Using a Web-Based Platform to Merge Electronically and Manually Abstracted Data from Disparate Medical Record Systems: Technical Challenges And Innovative Solutions. Journal of the American Medical Informatics Association, 23(3), 635-643.
Hazlehurst, B. L., et al., (2015). CER Hub: An Informatics Platform for Conducting Comparative Effectiveness Research Using Multi-Institutional, Heterogeneous, Electronic Clinical Data. International Journal of Medical Informatics, 84(10), 763-773
IntroductionThe pricing model for telemedicine has yet to be standardized as the industry is just being to burgeon. As a result, many competitors use various pricing model that depend heavily on their business models. For startup with large amounts of cash and financial backing, many are willing to charge much lower profits in order to generate loyal and entrenched followers. Many technology-based companies such as Amazon and Microsoft followed this strategy during their start up phases. Amazon for example, generated substantial loses for a majority of its existence as it looked to generate a lower customer following while also building out its product offerings. Microsoft used the same tactic in order to become the dominate word processing software. Once it became dominate, it then was able to charge higher prices and add additional services. Pricing for startup telemedicine organizations look to be employing the same technique. This can very disruptive,…...
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References:1. David U. Himmelstein, et al., “A Comparison of Hospital Administrative Costs in Eight Nations: US Costs Exceed All Others By Far.” Health Affairs 33 no. 9 (2014): 1586-1594. Available at 2. Gerard F. Anderson, et al., “It’s the Prices Stupid: Why the U.S. Is So Different from Other Countries.” Health Affairs 22 no. 3 (2003): 89-1053. Matthew B. Frank, et al. “The Impact of a Tiered Network on Hospital Choice,” Health Services Research, forthcoming at http://www.hsr.org (2015)http://content.healthaffairs.org/content/33/9/1586.full.html.
The reason why, is because this is a sign that the quality of care that is being provided in declining. What normally happens is staff members, will often become frustrated with: health care environments that are inefficient and where management has an attitude of indifference. This is problematic, because it can spread through the organization like cancer by: eating away at the fundamentals that made the facility great.
Once this occurs, it will have an impact on: the costs, efficiency and profitability of the hospital. This is the point that this could undermine the reputation of facility and it could have an impact on the brand. When this takes place, it is a sign that many hospitals are falling into a downward spiral of: declining quality of care and increasing costs. At which point, it only becomes a matter of time until: some kind of major restructuring must occur or…...
A patchwork of laws provided narrow privacy protections for selected health data and certain keepers of that data." (Administrative Simplification in the Health Care Industry) Therefore, new technologies such as relational databases have simplified the data gathering and maintenance processes of all types of healthcare related data like the physician information process. It is not unheard of today for healthcare and insurance providers matching or 'sinking data' on a monthly or quarterly basis because of the availability of better communication capabilities as well as compatible database comparison processes.
Even the doctors themselves have access to providers' systems and databases today. Through automatic telephone systems, business to business Internet portals, and tape or disk delivery processes, all of a physician's personal, office and patient information can be updated easily. In many cases, the entire process including security and confirmation is a completely hands free operation. In other words, without human intervention,…...
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Works Cited
Administrative Simplification in the Health Care Industry. Ed. HIPAA. Health and Human Services. 23 Oct. 2004 http://www.hipaa.com/.
1. The benefits and challenges of switching to Electronic Medical Records in healthcare settings. 2. The impact of Electronic Medical Records on patient care and outcomes. 3. The role of Electronic Medical Records in improving healthcare efficiency and reducing costs. 4. The importance of data security and privacy in Electronic Medical Records systems. 5. The potential for interoperability and data exchange between different Electronic Medical Records systems. 6. The future of Electronic Medical Records and the potential for advanced technologies like artificial intelligence and machine learning. 7. The ethical considerations and implications of Electronic Medical Records, particularly in regards to patient consent and data sharing. 8. The....
The mental health implications of COVID-19 on healthcare workers are significant and multifaceted. The pandemic has placed immense pressure and stress on healthcare workers as they face increased workloads, long hours, high levels of uncertainty, and the risk of exposure to the virus.
Some of the key mental health implications include: 1. Increased levels of anxiety, fear, and distress due to the constant exposure to COVID-19 and the feelings of vulnerability. 2. Burnout and exhaustion from working long shifts, dealing with high patient volumes, and witnessing the suffering and death of patients. 3. Post-traumatic stress disorder (PTSD) symptoms from experiencing traumatic events and....
British Occupation and the Shaping of Nyasaland's Administration and Development Nyasaland, present-day Malawi, underwent significant changes during British occupation, which began in 1891. The British imposed their colonial administrative system, implemented economic policies, and established educational and healthcare institutions, all of which had profound effects on the country's development. Administrative System: Establishment of Colonial Rule: The British declared Nyasaland a protectorate in 1891, bringing it under direct British colonial rule. The British established a governor and an executive council to govern the territory. Indirect Rule: The British adopted a policy of indirect rule, where they governed through existing local authorities, such as....
In the healthcare workplace, ethical considerations and dilemmas play a crucial role in the decision-making process, ultimately impacting patient care, staff relationships, and organizational culture.
Healthcare professionals must navigate complex ethical considerations on a daily basis, such as respect for autonomy, beneficence, non-maleficence, and justice. These principles guide how decisions are made regarding patient treatment, confidentiality, resource allocation, and end-of-life care. Additionally, healthcare workers may face ethical dilemmas when there are conflicts between these principles or when there is uncertainty about the best course of action.
Ethical considerations also extend to staff relationships within the healthcare workplace. Respect, trust, and collaboration are....
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