1903). The management goal for HCH is to improve the effectiveness of health care delivery to the homeless and indigent of Milwaukee in close partnership with the community. In this regard, the management of the HCH community health center requires careful and timely coordination between the community health care specialists, including family practice physicians and advanced practice nurses, who provide accessible primary care preventive health services.
There are also management issues related to how the Milwaukee agency is administered according to the policies and procedures promulgated by the national organization. For example, in order to provide more one-on-one contact with clinicians who have expertise in homelessness, the HCH Network also identifies clinicians from each of the five Clusters to work with the health center team in Milwaukee. This Network representative serves on the national organization's Cluster's Steering Committee; in this capacity, the primary responsibility of the Network representative is to…… [Read More]
Technology on Health Care Services:
There are several promising breakthroughs that have been made in the health care sector in the past decade. These promising breakthroughs have emerged due to the influence of information technology in this field. The main goal of these improvements in health care is to enhance the possibility of prolonging and improving people's lives amid the rise in the occurrences of diseases. Some of the recent developments that have emerged from the impact of technology include HPV vaccine, drug-eluting stents, human genome mapping, targeted cancer therapy, and natural orifice surgery.
As technological advancements have had a considerable impact on the health care field, they have resulted in the development and emergence of the medical technology concept. The concept of medical technology is described as the advancements in the equipments, processes, and procedures with which health care or medical services are delivered. The major technological…… [Read More]
Funding Health Care Services
The writer of this work is a senior advisor of XYZ Health Care Organization and has been tasked with making a recommendation regarding how health care expenses associated with the following services should be funded within your state. The recommendations made will then be a part of a proposal that will be shared with state legislators.
State of Alabama
The State of Alabama has several programs funding healthcare. For example in 1997, legislation was passed to make provision of health care to children of families who were not able to purchase private health insurance. This program is known as the Child Health Insurance Program (CHIP) at the federal level and is called ALL Kids in Alabama. It is reported that the original U.S. legislation "provided $24 billion in aid to be used over a ten-year period. The Department of Public Health is reported to be…… [Read More]
Nurse in Improving Health Care Services (South Africa)
Nurses in South African community play a role in many important ways to the enhancement of individuals' health. They are pioneers of changes to systems in the community that assist the health. Besides, they play key roles in dealing with illness, impairment, and damage protection and in promotion of health. Nurses in this community function in progressively diverse environments like community health centers, educational institutions, street clinics, youth centers, and medical outposts with different associates whilst fulfilling the health needs of the communities around them.
Nursing is mainly assisting individuals (sick or well) in the performance of those actions leading to wellness, or its restoration (or to a relaxing death) that they would execute unaided if they had the necessary strength, will, or information. It is the exclusive contribution of nurses to help individuals to be independent of such assistance as soon…… [Read More]
Veteran Access to Healthcare Services
As he stood on the steps of the U.S. Capitol's East Portico in early 1865, President Abraham Lincoln articulated what would become the motto of the Department of Veterans Affairs, "To care for him who shall have borne the battle and for his widow and his orphan." This lofty goal, though, has not been fulfilled in recent years and millions of combat veterans returning from tours of duty in Afghanistan and Iraq are experiencing debilitation injuries such as posttraumatic stress disorder and traumatic brain injuries without being provided adequate access to the healthcare services for which they are eligible. To its credit, the Department of Veterans Affairs has taken a number of steps to help improve access to healthcare services for its veteran population, but reports from across the country confirm that tens of thousands of eligible veterans are still being denied timely access to…… [Read More]
Visiting Nurse Service of New York provides in home health care services to numerous patients throughout the state of New York. It was founded by one of the most famous nurses of the 19th and 20th centuries, Lillian Wald. It is a not-for-profit organization that seeks to administer health care services at affordable rates to its burgeoning population of patients. As of yet, there are no plans to expand the practice outside the borders of New York.
The lengthy history of this organization offers it a degree of familiarity and trust with its customer base. Additionally, Wald's involvement provides a degree of credibility within the healthcare industry as a whole.
Human esources: The storied history of this organization is partly responsible for its ability to attract myriad employees (approximately 15,000) (Hoover's, 2015), who are able to serve a broad spectrum of the population by speaking numerous languages.
Not-For-Profit Status:…… [Read More]
ole of Public-Private Partnerships in Healthcare
Public-private partnerships in healthcare have emerged as a useful framework in recent years in which to provide high quality healthcare services, especially to vulnerable populations. By drawing on the wide range of resources that are available in the community, government healthcare organizations can improve both the quality and accessibility of healthcare services. For instance, according to Cook (2009), "Public-private partnerships involving governments, foundations, private companies, and non-governmental organizations have proven to be valuable allies in fighting the infectious diseases and epidemics that ravage the world's poorest and most vulnerable communities" (p. 2). In addition, public-private partnerships in healthcare can provide a synergistic effect wherein the overall effects of each constituent partner are enhanced to the benefit of healthcare recipients (Bedi, 2007).
Provide an example of a public-private partnership that impacts health or care in your community or practice specialization
Each year, the U.S. Department…… [Read More]
elderly population is continues to rise nationally and this also true for the Sunnydale and Shadyville communities. In order to be prepared for both the rise in the aging population and any competition in the healthcare from Shadyville it is important to consider all potential providers. This paper will briefly look at the facets of nursing homes, assisted living, home health care, and hospice in this context.
Nursing homes are the highest level of care for elderly adults outside of having them formally hospitalized (Santerre & Neun, 2012). The residents in nursing homes typically need significant help with their Activities of daily Living (ADLs). Nursing homes provide custodial care which means that the home assists with all daily activities including getting in and out of bed, providing assistance with feeding, bathing, and dressing. Most nursing homes also provide for activities for their higher functioning residents such as crafts,…… [Read More]
Quality of Care Provided by Nurse Practitioners
The use of nurse practitioners in providing primary care services has increased in the recent past as the number of trained NPs also increases. This study focuses on examining the cost-effectiveness and quality of care provided by nurse practitioners given their increased used in the primary care setting. The research was carried out on a group of ten female participants with a background in the healthcare profession. This paper provides an analysis and discussion of the data collected from interviews of these participants. The study shows why nurse practitioners provide high quality primary care services that are characterized by high levels of patient outcomes and satisfaction.
Cost Effectiveness and Quality of Care Provided by Nurse Practitioners
Nurse practitioners (NP) are being utilized as a point of contact in delivery of primary care for patients throughout the United States and the United Kingdom. Trained…… [Read More]
Measuring Outcomes, Assessment, and esearch
Health leader measures and metrics for assessment and evaluation of effectiveness, efficiency, performance, efficacy, and quality
Area of measurement
Specific measurement items
Business value (financial)
eturn on investment and cash flow
Value of employee
Satisfaction and retention of employee
Learning and growth value
Time to develop new services
Improvement of quality
Value of customer
Satisfaction of patients
The four areas are given focus by senior management of health care systems, to measures past and current operational performances plus the progress towards attaining future organizational goals (Grigoroudis et al., 2012). The measures mentioned under the health leaders provide additional details concerning the underlying factors and interdependencies that affect the overall performance. Thus, this balanced scorecard tool concerns itself with the continuous and total management of quality. Hospitals are forced to use the Six Sigma process to measure the important things…… [Read More]
The primary item of significance gleaned from Needleman’s “Assessing the Financial Health of Hospitals” is the value of revenues and expenses associated with medical care facilities. Balancing these two financial concepts (and their tangible realities in a hospital) is one the main reasons such institutions are able to remain operating. When one considers medical facilities, one immediately thinks about equipment, personnel, and attempting to achieve patient objectives. However, there is a very pragmatic reality associated with maintaining the operations of such facilities. Perhaps the most demonstrable way to measure that reality is by subtracting expenses from revenues to preserve a positive balance so the facility in question can continue to serve its constituents.
In the context of this reality, it was elucidating to learn about the various ways medical clinics have to earn revenues. Again, most people simply consider various facets of billing, insurance companies, and co-payments forms of revenue…… [Read More]
Reproduction and Sexual Health Promotion among Muslim Women in Pelvic Examinations
Contemporary research publications are increasingly acknowledging the influence of culture and religion on reproductive and sexual health (Arousell & Carlbom, 2016). The religious influences can partly explain the disparities in reproductive and sexual health outcomes. Religions such as Islam reflect upon the meaning of sexuality and provide a framework of what is considered bad or good sexuality, characteristics of female and male sexuality, and family planning strategies (Arousell & Carlbom, 2016). Pelvic exams are among the topics considered controversial among the Muslim community as their integrity is mostly questioned. This paper explores the impact of Islam on the relationship between healthcare providers and female patients, highlighting approaches to ensure that pelvic exams are conducted while respecting the needs of the Muslim patients.
Challenges of Conducting Pelvic Exams among Young Muslim Women
Studies indicate that most young Muslim women are…… [Read More]
healthcare service programs have been continually evolving to meet the needs stakeholders. The Leukemia and Lymphoma Society (LLS), is focusing on helping those individuals who are suffering from these conditions. They are conducting an evaluation study to determine the best way to provide various kinds of solutions to the public. This is designed to offer everyone with services that are meeting their social, health and human resource needs. (Chen, n.d.)
To achieve these objectives there is a focus on conducting a study on its Information esource Center (IC). This was achieved by completing a number of steps in the process. The most notable include: understanding the political / organizational environment, defining the relationship between evaluator / sponsor, determining the levels of evaluation, gathering reconnaissance, engaging stakeholders, describing the program and concentrating on what lessons were learned. These different areas are providing executives with an understanding of how to achieve the…… [Read More]
The lack of training and overreliance on experience, combined with the difficult of overcoming some of the communication barriers also contributes to the intransigence of this problem.
There are some areas for further study that flow from this research. One critical area of further study is with regards to training programs. Study on this subject should address each of the areas of miscommunication individually, and should focus on the effectivness levels of different types of training programs. Now that practitioners understand the nature of the problem, the time has come to focus on the development of best practices with respect to finding solutions. Some broader study should also be done on finding ways to reduce medical illiteracy. There are a number of options, including spending more time with clients discussing their situations, or presenting information online that can be referenced by patients to help them gain a better understanding. The…… [Read More]
UK Mental Health Policy
Mental healthcare service delivery in the UK has been subjected to a series of significant imperative policy in the last few decades, and number of people suffering from mental illness is on the increase. ecent statistics reveal that one out of four people in the UK has been diagnosed of mental problem. (Mental Health Foundation, 2013, Singleton, Bumpstead, O'Brien et al. Meltzer 2001). Although, mental disorders are widespread in the UK, however, mental disorders are predominant in some group than other group. (McGorry, Nordentoft, & Simonsen, 2005).
BME (Black and Minority Ethnic) group are four times more likely to experience psychosis than white people. (National Mental Health, 2010, Heller, et al. 1996). Evidence reveals that incidence of psychosis is significantly higher within Black-African and African-Caribbean groups than the White British Population living in the UK. (Cooper et al., 2008) . Black Caribbean have a record of…… [Read More]
Concierge Care Background
The concierge medical service has many benefits over the traditional model of healthcare that most people are accustomed to. The concierge service in healthcare can be considered a luxury service in which doctors are paid a fee beyond that of their standard insurance premium. Furthermore, preventative care most likely has the most potential to improve the lives of U.S. citizens, however, despite the benefits associated with preventative care, it is difficult to implement preventative care because this type of program could be difficult to profit from, and can even decrease profits from future treatments. Yet, there are some innovative models that can be used to bridge the gaps in the current health care environment.
Dr. Green and Dr. Jones could utilize the concierge model to service the portion of their clientele that could afford to pay the premiums. Currently, the patient census consists of about forty percent…… [Read More]
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…… [Read More]
Healthcare Financial Management
To quote Jonathan Clark at the beginning of his article, "Improving the revenue cycle can be a daunting task due to the scope and complexity of the interdepartmental process." Of the suggestions offered by the authors, which concept(s) give you the greatest insight into creating an improved evenue Cycle process in the organization where you work (or one in which you are familiar)? Be sure to identify which article or author you are referencing.
In his comprehensive advisory article to improve the medical industry's revenue capturing capabilities, entitled Strengthening the evenue Cycle: A 4-Step Method for Optimizing Payment, Jonathan Clark provides a series of sensible solutions to the ongoing dilemma of payment optimization. David Hammer also provides guidance to healthcare finance professional in his article The Next Generation of evenue Cycle Management, by reminding them that the key performance indicators (KPIs) which dictated policy in previous years…… [Read More]
"Studies of the relationship between managed care penetration in the health care market and expenditures for Medicare fee-for-service enrollees have demonstrated the existence of these types of spill over effects" (Bundorf et al., 2004).
Managed care organizations generate these types of spillover effects by increasing competition in the health care market, altering the arrangement of the health care delivery system, and altering physician practice patterns. Studies have found that higher levels of managed care infiltration are linked with lower rates of hospital cost inflation and lower physician fees are consistent with competitive effects. "Other studies demonstrate the impact of managed care on delivery system structure including hospital capacity, hospital admission patterns, the size and composition of the physician workforce and the adoption and use of medical equipment and technologies. More recent evidence has linked market-level managed care activity to the process, but not the outcomes of care" (Bundorf et al.,…… [Read More]
(Menzel, 1990, p. 3) Fisher, Berwick, & Davis alude to the idea of integration in health care, with providers linking as well as creating networks of electronic medical records and other cost improvement tactics.
The United States and other nations over the last twenty or so years, have begun a sweeping change in health care delivery, regarding the manner in which health information is input, stored and accessed. Computer use in the medical industry has greatly increased over the last thirty years the culmination of this is fully networked electronic medical record keeping. (Berner, Detmer, & Simborg, 2005, p. 3) the electronic medical record trend began in the largest institutions first, as hospitals and large care organizations attempted to reduce waste and improve patient care, while the adoption has been much slower among physician's practices and smaller medical institutions. (Hillestad, et al., 2005, pp. 1103-1104) Prior to this time medical…… [Read More]
However, they contradict themselves trough supporting one's right to commit physician-assisted suicide, since this would virtually mean that the individual who is no longer willing to live is not provided with health care meant to prevent him or her from dying (Epstein, 1999, p. 1).
Among those opposed to the fact that health care is becoming increasingly better are those who are in their twenties and are obliged to work hard in order to pay for their own medical insurance and for that of the underprivileged (Bonner, 2010).
Contemporary health care is basically provided by groups forced to pay taxes in order for others to benefit out of the process. The fact that health care is a privilege and not a right was made obvious ever since the 1954 foundation of the Department of Health, Education, and elfare. The name contained the term welfare with the intention of highlighting how…… [Read More]
In fact Congress should pass a bill that gives that prescription drug benefit to Medicare patients.
QUESTION NINE: In the United States, healthcare is so expensive that over 45 million people are without health insurance. It is a broken system, leaving out many people, especially children. Recently the executive branch vetoed a bill that would have provided health insurance to millions of middle and low-income children, indicating a lack of government concern for the well being of the population. Bush said it was too expensive, yet it's not too expensive to continue spending billions on an unpopular war in Iraq. Meanwhile, for the past 45 years, Canada has had a "government-funded, national healthcare system..." based on these five principles, according to www.medhunters.com.One, it is universally available to permanent residents; two, it is comprehensive; three, it is available regardless of income; four, it is "portable within and outside" Canada; and five,…… [Read More]
It means they have an equal opportunity to receive contraception, prenatal counseling and services, post-natal services for mother and child, preventative healthcare services, vaccinations, and dentistry services, from earliest childhood and through their lives into their elderly years when they require more medical services to remain healthy and active. To the extent everyone in a given community or society has the same relative access to healthcare services and to the extent those services received are of comparable quality, healthcare access could be described as being equitable. On the other hand, to the extent everyone in a given community or society does not have the same relative access to healthcare services and to the extent those services received are not of comparable quality, healthcare access could be describes as being inequitable (Kennedy, 2006; eid, 2009).
Healthcare Equity in the Contemporary United States
Unfortunately healthcare access in the U.S. is not equitable…… [Read More]
Health Care Market
In discussing the market for a health care good or service, one must first understand that in speaking of "health care," one is actually speaking of the entire health care industry, along with each of the goods and services that are produced and exchanged within this market. From organ transplant operations and blood donation to therapeutic massages and nursing home activity programs, the span of health care goods and services is both vast and varied. Further, in viewing today's uncertain economy, the market for health care goods and services is one that brings with it many different questions that must be addressed in order for a stakeholder to fully comprehend what decisions need to made in order to turn a profit.
Scarcity of esources
Scarcity of resources within this market significantly influences the decisions that stakeholders are forced to make. With scarcity of resources comes limited action…… [Read More]
Information technology and computers have also begun to affect, in ways that are both bad and good, family life, community life, education, freedom, human relationships, democracy, and many other issues. By looking into the broadest sense of the word it can be seen that cyber ethics should actually be understood as a branch of applied ethics, and ethics should be something that is believed in by all that provide medical information, whether via the Internet or in some other way, since providing false or fraudulent information could be damaging and potentially deadly for many people.
This particular branch of ethics analyzes and studies information technology and what type of ethical and social impacts it has. Within recent years this new field has led to countless courses, workshops, articles, journals, and many other ways of expression. With the World Wide Web becoming so popular when it comes to health care information,…… [Read More]
" (Arnold & Reeves, 2009). ith medical services price at the present time, illness or some kind of complicated to medical services may take people deprived of health insurance years to reimburse for bills that are medical. Furthermore, I believe that individuals who lost their jobs also are uninsured for the reason that their employer gave health insurance is no longer paying for them. I understand that based on the statistic; there are "way too many around 1 million workers that have lost their health reporting in the first three months of 2009. I think that helping people buy health insurance coverage with low-cost with offering the health plans options for the uninsured is the healthcare reform that is really needed now. In this way, individuals that are without health insurance will be able to afford paying their medical insurance to uphold their well-being.
In conclusion, with the increasing rapidly…… [Read More]
Not only is there cost competition, but the real cost of a lot of services have actually gone down over the past fifteen years despite a tremendous increase in demand and enormous technological change. For example, the cost of conventional LASIK vision correction surgery has dropped radically, even as the procedure has become more technically superior (Herrick and Goodman, 2007).
Many experts have suggested that the solution to the health care system's troubles is to have a more market-based approach. Consumer-directed health plans are at the heart of this idea. If people are made to spend more of their own money, they'll be more practical users of care and look for better value at lower prices. This is how other industries work, and people don't complain much about them. It has been asked why health care should be any different. People think that the government should get out of the…… [Read More]
In the current era of managed care in medicine, physicians and other healthcare providers and institutions have been under tremendous pressure to reduce costs. In that regard, avoiding unnecessary hospitalization is one of the most important goals of lowering the costs of healthcare delivery (Stanhope & Lancaster, 2004). Toward that end, diverse strategies have evolved to provide as many healthcare services as possible on an ambulatory basis.
Hospitals and insurance companies now encourage patients to participate in preventative medicine and routine testing intended to lower the costs associated with hospitalization over the long-term. The strategy is simply to reduce the incidence of serious illnesses, particularly those that typically develop over many years and which are capable of prevention through behavior modification and early detection through diagnostic testing (Stanhope & Lancaster, 2004).
Because state and federal governments must absorb much of the costs of uncompensated medical services, the many administrative agencies…… [Read More]
(ennie; Fontanarosa, 2006)
Apart from financial reasons, millions are not bale to access healthcare due to a lot of barriers inclusive of geography, racial differences and immigrant status. The people who do not have access to required care, that might comprise incapability to get primary care chronic care, specialist care, or emergency care stand at risk for severe health consequences. As per a recent report, absence of health insurance was linked with considerably lowered application of recommended healthcare services for cancer prevention, cardiovascular disease threat reduction, and diabetes management within the lower-income as also higher-income adults. Apart from the concerns, trouble, and stress directly associated to their illness, patients those who lack insurance or are underinsured also encounter increased levels of debt, threatening calls from collection agencies, anxiety, and possible insolvency. (ennie; Fontanarosa, 2006)
Impact of reform measures on the nursing profession:
The U.S. healthcare system is considered among the…… [Read More]
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…… [Read More]
Health Care Past, Current, And Future
The health of any nation should be a top priority for leaders and elected political representatives, but in the United States it took several centuries for the nation to begin to come to terms with providing health care for its citizens. This paper covers the gradual implementation of health care services and doctor training facilities in the U.S., and also covers the recent attempt by President Barack Obama to reform a chaotic, poor-functional and expensive health care system. Thesis: It is a scandal of massive proportions that a well-functioning, citizen-friendly universal health care system cannot be instituted in America, the world's most democratic superpower. Until the divisive and toxic political climate can be reformed, there is no chance of major reforms -- or for universal health care coverage -- in these United States.
Past Health Care Services -- Early America
Health care in colonial…… [Read More]
S. healthcare structure do not include the unobserved disparities. This may sound very rudimentary, even silly to point out, but in by understanding that the numbers are actually worse than they appear, and that the rising costs of healthcare services re associated with both what we see and can't see, it is easier to understand how costs rise so quickly.
It is also a sobering fact that what we cannot observe is still out there, existing beyond the scope of the government and social programs designed to help people overcome obstacles to access to healthcare and health insurance. The ethnic group that is most unobserved within the bounds of many of the studies and statistics related to the disparities in the U.S. healthcare industry is non-Mexican Latinos (Bustamante, et. al., 2009). This group represents a major portion of the U.S. population that currently lacks access to healthcare. In understanding this…… [Read More]
Surgeons in Canada report that, for heart patients, the danger of dying on the waiting list now exceeds the danger of dying on the operating table. Emergency rooms there are so overcrowded that patients awaiting treatment frequently line the corridors. Not only is there a long wait for care, but care is frequently denied to patients who prognosis is poor. In ritain kidney dialysis is generally denied patients over the age of 55. At least 1,500 ritons die each year because of lack of dialysis.
Countries with national health care systems also lag far behind the U.S. In the availability of modern medical technology. In Canada, high-technology medicine is virtually unavailable. In addition to being biased against new medical technologies, national health care systems generally discriminate against nontraditional practitioners, such as naturopaths and chiropractors.
It is true that Canada spends only about nine percent of its GDP on health care,…… [Read More]
When considering the ever-changing and highly competitive economic landscape of the modern world; governments, businesses and institutions must remain diligent in their care and compassion for their citizens and staff members. With the current exponential growth and advancement of technology and the computerization of business and learning, voters, workers and consumers have become much more connected to the organizations they patronize (Kurzweil). Accordingly, these important groups are faced with the continuous task of finding new ways to understand and subsequently accommodate the needs of their followers, while simultaneously securing lucrative business models and job environments. One of the most important needs presented in all demographics is reliable healthcare. Thus, with the inelasticity in the demand for healthcare, countries need to determine an applicable system, whereby citizens can have access to the medical services they will inevitably need. Collective access to healthcare represents the main problem in field of…… [Read More]
Healthcare Legislative Bill
The expanded and improved Medicare for all Acts
The Expanded and mproved Medicare for All Act was introduced to the House of Representatives in 2009 and seeks to lobby for the implementation of a common single-payer health care system throughout the United States o0f America. The bill if enacted would require that all medical care costs be paid for automatically by the government instead of private insurances for the same. The move will significantly alter the role of private insurance companies as merely offering supplemental coverage especially when the kind of medical care sought is not all that essential (McCormick, 2009).
With the Expanded and mproved Medicare for All Bill, the country's national system will be paid for through taxes and the monies that will replace the regular insurance premiums. Proponents of the bill argue that by eliminating the need for private insurance companies in the national…… [Read More]
Healthcare spending by the New York State persistently surpasses its earnings. That difference continues to be expanding and is also anticipated to broaden unless of course there happen to be severe, continuous modifications in spending budget actions. Lieutenant Governor ichard avitch, in "A 5-Year Strategy to Deal with the State of New York's Spending budget Deficit" released during March 2010, approximated this structural disproportion within the state's spending budget to become no less than $13 billion. The structural inequality isn't simply the consequence of the economic downturn that started during 2007, and a commonly strengthening economic climate is not going to get rid of it.
To help the State of New York in providing the solutions and dedication to quality that its residents rely on, structural modifications are needed. The aim of this paper is actually to summarize one particular realignment - solving an outright inequity involving the state as…… [Read More]
Health Care eform:
In March 2010, after protracted public and political debate, the Patient Protection and Affordable Care Act (PPACA) was enacted into law by President Barack Obama. This legislation was one of the many health care reforms initiatives that have sought to rectify major features of the health care system in the United States such as service delivery, care coordination, and financing. Since its enactment, PPACA is considered as a milestone along the historical continuum of health care reform in America. Generally, health care reform in the United States is an issue that has continued to evolve based on the ever-growing health care needs of the population. However, this issue has been characterized with several challenges that are mainly influenced by the public's response to reform efforts.
Principal Features of U.S. Health Care System:
The Patient Protection and Affordable Care Act (PPACA), which is commonly known as the Affordable…… [Read More]
At which point, the overall costs of care will be passed on to the tax payer in the form of higher taxes. This leads to a decrease in the overall quality of care and it will not slow the price increases, as the government seeks to restrict access to these services. Then, when the program becomes broken (such as: what is happening to Social Security) removing or reforming the bureaucracy is nearly impossible. (Messerili, 2010)
A second argument that many critics make about universal health care is: it will stifle innovation. Whenever, the government is running any kind of program, they will place a large number of restrictions and regulations on the industry. When this takes place, you are causing some of the best and brightest minds to seek careers in other fields, as the restrictions from the government are too cumbersome. A good example of this would be: the…… [Read More]
(Wolf, 2008) When you put all of these different elements together, it means that denying health care services to undocumented workers and their families will cause their underlying levels of health to slowly deteriorate. If something serious does occur, these people will more than likely be forced to fend for themselves.
Conducting research in these two areas would be beneficial in influencing health care policy / outcome by: highlighting the overall human cost of the problem on the industry and society. Where, the act of denying them access to health care and the lingering effects could be considered a human rights issue. As a result, the research that would be conducted would be beneficial, in highlighting the overall harsh conditions that these families are forced to endure. Once you present the situation in this light, this will shift the debate from one of a cost issue to being about: basic…… [Read More]
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…… [Read More]
Healthcare Strategic Management
In healthcare programs, I would like to implement a free healthcare service to poor people at least once a week. This is to provide assistance to those who are not blessed enough to fund their health checkups and care. Even if this program will not show profit, I believe that providing the needy with the health service that they need can help in the maintainance of good health to all people.
The poor health of people that I see in many countries, specifically in African nations, as well as those in the different communites in the U.S. particularly in the slam areas, has triggered me with the plan of providing free health services to the needy. I have the idea that if they cannot maintain a good living for themselves, at least helping them monitor and check their health status can lessen their burdens in life. In…… [Read More]
THE SIX STAKEHOLDES GOUPS FO IVEVIEW EGIONAL MEDICAL
The six stakeholder groups for the iverview egional Medical Center are as follows: clerical staff, medical laboratory technicians, nurses, housekeeping staff, patients, and physicians. The hospital is comprised of 700 people who all play as stakeholders for the hospital.
TAGETS MAKET OF EXISTING POGAMS AND THE GAPS IN MC MAKETING STATEGY
An addition added to the MC is the Heartburn Treatment Center. A nurse manager is utilized in the Heartburn Treatment which is similar to that of the management model used in the ED. PH monitoring, which uses the Bravo capsule, is considered one of the diagnostic procedures. This procedure is used on qualified patients, and the Nurse First program stressed the role of the hospital's commitment to the care of the patient. Usually, the nurse is the first person viewed by the patient in the ED, not individuals that…… [Read More]
Why access to healthcare has become an issue in the U.S.
According to a 2010 Gallup Poll, Americans named access to services the "top issue" in health care ("Americans Name Healthcare Access Top U.S. Health Issue," 2010). Empirical research also reveals that access is the top problem in the American health care system at the moment, as "tens of millions of adults under age 65 -- both those with insurance and those without -- saw their access to health care worsen dramatically over the past decade," (Galewitz, 2012). The reasons for the problems related to access stem from social justice and cost barriers (Galewitz, 2012). Health care is simply too expensive for most Americans. As a result, many are delaying seeking treatment. The situation is as true for the insured as the uninsured, showing that health care access is a systemic problem (Young, 2012, p. 1). The 2010 Patient…… [Read More]
Health Care Administration Profession
As a health care manager, the reason for choosing this profession and the day-to-day activities which fill my schedule are often vary different. As a health care professional, I entered this profession to make a contribution to the health and well being of my fellow soldiers. I chose to become a part of the support system which keeps the military functioning, and able to freely commit themselves to the defense of our country. As a health care manager, my time is filled with responsibilities which revolve around 4 categories that have little to do with the daily care of the soldiers and civilians who use our facilities. My job responsibilities focus on the Administrative, financial, legal, ethical, and financial aspects of keeping the medical care facilities operational (so that the other health card staff, such as doctors and nurses, can tend to the medical well-being of…… [Read More]
The SG2 report (2010, p. 9) also mentions academic medical centers (AMCs), which will have enter into affiliation agreements in order to comply with the reformed care laws. This will furthermore mean more integrated physician networks and it integration, as mentioned above.
Two further important factors are mentioned by Moyers (2010). She notes that the inclusive nature of health care definitions for occupational therapists is a significant step forward in terms of recognizing the profession as a legitimate health care service. Occupational therapy, for example, is specifically included in the "Innovations in the Health Care Workforce" section of the new legislation. This is significant, because occupational therapists will now be eligible for state workforce grants, slots on the national commission on workforce, and other similar privileges enjoyed by other health care providers.
Other items, excluded from the bill, is the second item the author mentions. She notes that one of…… [Read More]
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…… [Read More]
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…… [Read More]
Health care reform has the objective of getting more people insured, and leveraging government bargaining power to lower the cost of health care. Our organization needs to be ready for this. We have the baby boomers joining Medicare, and Medicare is seeking to lower health care costs; so are private insurers. As an organization, we need to bring our costs down in order to remain profitable. This need not be hard -- every other country in the world does it. In this context, streamlining operations, eliminating waste, bargaining with suppliers and finding ways to streamline services to increase customer turnover are all measures that I would undertake in order to ready the organization for the full implementation of health care reform. Eliminating waste is a critical component of maintaining profitability within the health care system (Berwick & Hackbarth, 2012).
Something I would do differently with respect to health care planning…… [Read More]
Meanwhile, without any competition, such as n the form of a public healthcare insurance system, the private healthcare insurance industry also continually increases premium fees virtually at will (Kennedy, 2006; eid, 2009). Furthermore, by refusing policies to high-risk patients, private health insurers essentially "cherry pick" the lowest risk patients while leaving the most expensive medical services to be furnished at the public's expense by public funds available to provide healthcare for low-income individuals (Kennedy, 2006; eid, 2009). That is why, at the very least. The future of American healthcare insurance must include a public option (Kennedy, 2006).
The Issue of Government Healthcare Insurance Lobbying
The principal way that the private healthcare insurance industry maintains its control over American healthcare is through political lobbying of government representatives (Kennedy, 2006). In fact, there are approximately six healthcare industry lobbyists in Washington for every publicly elected representative. Throughout the 2009 negotiations in Washington…… [Read More]
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…… [Read More]
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…… [Read More]
Nursing homes, residential care facilities, and home health care will be core issues on the agenda for representatives in that area. In areas with substantial populations of non-native English speakers, a nurse might need to lobby for a greater wealth of bilingual health care services.
Community nurses are also becoming increasingly aware of the issues related to health care access including the growing number of underinsured or underinsured citizens. When communicating with lawmakers who have little first-hand knowledge of what health care costs are like or how health care integrates with the community, nurses need to focus on the issues that legislators understand. Policies related to access to health care can be framed in ways that achieve direct and immediate results. For example, a nurse might propose a strong network of community health and outreach centers that provide information on preventative care in multiple languages. Similarly, a nurse might work…… [Read More]
In 2004, a Ten-Year Plan to Strengthen Health Care was announced, primarily intended to improve access to medical services, decrease wait times, and update medical equipment and ensure accurate reporting and enhance public health promotion and prevention programs. Shortly thereafter, the Canadian Supreme Court affirmed the nation's health care philosophy and the immediate need to implement further improvements envisioned by the ambitious 2004 plan in striking down a Quebec law that had prohibited private medical insurance for covered services:
The evidence in this case shows that delays in the public health care system are widespread and that in some serious cases, patients die as a result of waiting lists for public health care...In sum, the prohibition on obtaining private health insurance is not constitutional where the public system fails to deliver reasonable services."
According to legal experts, the decision could "open the door to a wave of lawsuits challenging the…… [Read More]
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,…… [Read More]
For example, prior to 2007, there were approximately 1 million confirmed cases of hospital-acquired ("nosocomial") infections in American hospitals and other healthcare institutions (clinics, nursing homes, etc.), resulting in the premature and preventable deaths of nearly 100,000 patients who would otherwise have survived the illnesses or surgeries for which they originally received treatment in those institutions (eid, 2009).
Approaches to educing Healthcare Costs
Because the problem of treating those nosocomial infections alone was the source of an estimated $1 - $2 billion, the Centers for Medicare and Medicaid (CMS) terminated reimbursement for several kinds of urinary tract infections in healthcare institutions in 2007, to force healthcare providers to take the necessary steps to prevent those infections (eid, 2007). Another important component to fighting healthcare costs are the oversight mechanisms, such as the Health and Human Services Inspector General's Audit Services and Medicare's recently enacted ecovery Audit Contractor (AC) program. In…… [Read More]
Healthcare Reform Models
Health Care Reform Models
Shim and colleagues (2012) argue for taking advantage of provisions within the Patient Protection and Affordable Care Act (ACA) of 2010 that emphasizes preventive and integrated care. They propose that the primary care setting is ideal for screening patients for signs of mental illness and associated risk factors. A mental health wellness program could also include coaches and other experts that interface with patients on an individual basis, including at the patient's home.
Long-Term Behavioral Health Care
Bao and colleagues (2012) examined four patient populations defined by disease severity and ability to pay, and then assessed how these four groups will fare under the behavioral health provisions in the ACA. Patients with private insurance and suffering from mild to moderate mental illness will probably receive the best care at a Patient-Centered Medical Home (PCMH). The authors suggest that the presence of…… [Read More]
Health Care Rationing
How Health Care Rationing Could Improve the Health of the U.S. Population
Health care rationing has often been viewed as something horrific and voiced in the American media as a scare tactic by politicians. For instance, in September 2009 former U.S. vice presidential candidate Sarah Palin claimed that reforms proposed by the Obama administration would bring "rationing" into the American medical system (Hoffman, 2013). However, Palin's claims are rather short sited. In fact, every medical system in the world is rationed or limited in one way or another by its capabilities. For example, Harvard Medical School researchers released a study concluding that 45,000 Americans die every year because they lack health insurance and access to health care (Hoffman, 2013). The medical system does not provide services for many individuals and this could be considered a rationing of health care services.
Cardiovascular disease, cancer, and diabetes now cause…… [Read More]
At the same time, 25% of Americans do not have any kind of health insurance coverage or not enough to pay for all of their expenses. (Amadeo) This can have an impact upon their financial well being, as a person must spend money that they do not have, to treat different conditions that could be life threatening. Once this begins to occur, is when the total number of bankruptcies will begin to rise sharply. As nearly half of all the filings that are made are: medical related, due to the overwhelming costs and the inability to pay them. (Amadeo) These different challenges are creating sudden shift in the economy that are: having short- and long-term impacts upon economic growth.
What is happening is rising health care costs are beginning to become a hidden tax on: businesses and consumers. As they are slowly eating away at any kind of added investments…… [Read More]
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…… [Read More]
Unless the physicians can succinctly argue their case for care and services, the managed care entity will, for reasons of medical necessity, deny access to care and services.
What Cost-Added atio Based on Illegal Immigrant Population?
The argument by opponents that loopholes exist that would allow illegal immigrants to access Obama's proposed legislation on healthcare services is rendered moot in lieu of the fact that those illegal immigrants are currently receiving healthcare services Medicaid and through Immigration and Naturalization Services (INS). The Federal eimbursement of Emergency Health Services Furnished to Undocumented Aliens states:
"Section 1011 of the (Medicare Prescription Drug, Improvement, and Modernization Act (MMA) (P.L. 108-173)) MMA appropriated $250 million dollars in FY 2005 through 2008 for payments to eligible providers for emergency health services provided to undocumented aliens and other non-specified citizens who are not eligible for Medicaid (Centers for Medicare and Medicaid Services, 2009, found online, p.…… [Read More]