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Personal Health Plan
How would I go about creating a mentally healthy classroom?
Being an important setting within communities, educational institutions have almost widespread accessibility to youngsters and have been consequently in a special place to encourage emotional and mental wellness. This requires, in my opinion, the following elements:
• endorsing resilience
• improving connectedness to school
• cultivating individual identification and self-worth
• applying psychological health teaching programs for example Psychological Well being Matters
• offering supportive pastoral health care and assistance systems
• endorsing means for seeking support
• providing a secure as well as supportive learning and also social atmosphere
• offering programs to boost defensive elements
• creating clear procedures for the recognition, assistance and recommendation of scholars at an increased risk
• assisting young adults in stress
• applying school processes for offering instant crisis assistance, distressing incident management, as well as postvention assistance for…
Nastasi, B.K., Pluymert, K., Varjas, K., & Moore, R.B. (2002). Exemplary mental health programs: School psychologists as mental health service providers. Bethesda, MD: National Association of School Psychologists.
National Association of School Psychologists. (2002). School psychologists: Providing mental health services to improve the lives and learning of children and youth. [Brochure]. Bethesda, MD: Author. Retrieved from www.nasponline.org.
The six major concepts and definitions of HBM are as follows, with the corresponding self-assessment information following a (/).
Perceived Susceptibility: refers to a person's perception that a health problem is personally relevant or that a diagnosis of illness is accurate."/relevance of family history of disease
Perceived severity: even when one recognizes personal susceptibility, action will not occur unless the individual perceives the severity to be high enough to have serious organic or social complications."/all the diseases or illnesses associated with family history and listed above are potentially deadly or life altering
Perceived benefits: refers to the patient's belief that a given treatment will cure the illness or help to prevent it."/my personal belief in the fact that reduction of weight and BMI and the health related behaviors needed for these changes are preventative measures as well as beneficial to my life
Perceived Costs: refers to the complexity, duration, and…
Health Belief Model (HBM): Nursing Theories" CurrentNursing.com http://currentnursing.com/nursing_theory/health_belief_model.htm
Healthy People 2010 objective 19-1, Accessed February, 22, 2008
Healthy People 2010 objective 19-2, Accessed February, 22, 2008
Having friends committed to a healthy lifestyle can also promote healthy behaviors (Thompson 2009).
Q3: Finally, what is needed to maintain optimal personal health throughout one's lifetime?
Maintaining a healthy weight, getting enough sleep, eating a nutrition-dense diet, drinking enough water, exercising, and maintaining a positive social network that encourages healthy habits are all critical to maintaining optimal personal health throughout one's lifetime. These healthy habits should begin during childhood, so that enjoying physical activity and nutritious food in reasonable portions become a routine -- much like brushing one's teeth every day! Having age-appropriate screenings and treatments such vaccinations and screening for scoliosis when one is young; receiving regular screening for diabetes, high cholesterol and heart disease throughout one's life; cervical cancer screenings for women three years after they become sexually active; yearly mammograms for women after the age of forty; colorectal cancer after the age of fifty for both…
Cancer detection guidelines. (2009). American Cancer Society. Retrieved January 4, 2009 at http://www.cancer.org/docroot/PED/content/ped_2_3x_ACS_Cancer_Detection_Guidelines_36.asp
Healthier U.S.. (2009). Official website of Healthier U.S.. Retrieved January 4, 2009 at http://www.healthierus.gov/
Thompson, Clive. (2009, September 13). Are your friends making you fat? The New York Times.
Retrieved January 4, 2009 at http://www.nytimes.com/2009/09/13/magazine/13contagion-t.html
Academic: Personal -- Health Information
Academic Subject: Information Technology
Has health information been successfully protected?
Has health information been used in appropriate ways under law?
What are the weaknesses concerning health information?
Social: Personal -- Obesity
Academic Subject: Health
Is obesity a health epidemic?
Has treatments for obesity been successful?
How has the food environment affected obesity?
Scientific: Personal -- Chemical toxins in rainwater.
Academic Subject: Science
How safe is rainwater to drink?
Does acid rain contaminate rainwater?
How toxic is rainwater?
Cultural: Personal -- Undocumented Immigrants
Academic Subject: Sociology
Possible academic topics: How do the undocumented immigrants affect the American society?
Should the United States take care of undocumented immigrants?
Should undocumented immigrants be required to become legal citizens?
Enthymeme: Over ten million immigrants remain illegal because the immigration system is slow to document them and underfunded.
This research proposal is to conduct research to…
11.2 Million Illegal Immigrants in the United States in 2010: No Change from 2009. (2012). Retrieved from U.S. Immigration Support: http://www.usimmigrationsupport.org/illegal-immigrations-no-change.html
Current Immigration System Hurting U.S. Economy. (2012). Retrieved from U.S. Immigration Support: http://www.usimmigrationsupport.org/immigration-economy.html
Personal Professional Healthcare Communication Paper
What is Healthcare Communication?
Communication can be generally defined and the method of imparting information from a source to targets. The process of sharing thus has its own set of rules and for human communication the written and spoken words are used. There is also a series of communication called non-verbal which is also significant. There are behaviors that show what a person thinks or feels is also communication. (Berry, 2007)
These types of communication applies in the health care settings too. Health communication may be defined as the study of the means of communication and its strategies not only to communicate to individuals but to the community thus creating decisions on health questions. Thus for the health service the communication within itself and the society concerned with individual and public health, is a very important field that requires specialization and research in medical information…
Berry, Dianne. (2007) "Health Communication: Theory and Practice." Open University Press:
Diebold Institute for Public Policy Studies. (1995) "Healthcare Info structures: The
Development of Information-Based Infrastructures for the Healthcare Industry." Praeger: Westport, CT.
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
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,…
Administrative Simplification in the Health Care Industry. Ed. HIPAA. Health and Human Services. 23 Oct. 2004 http://www.hipaa.com/.
HMO Patients Can Contact Their Doctors Electronically as Blue Shield of California Expands Online Communication Services. Ed. Unknown. October 29, 2003. Relay Health. 23 Oct. 2004 http://www.relayhealth.com/rh/general/news/newsRecent/news49.aspx .
Hoffer, Prescott, and McFadden. Modern Database Management. 7th ed. Add City: Add Publisher, Add Year.
(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…
Granger, David; Young, Audrey. (1999) "Healthcare and the Underserved: America's Poor and Managed Care." Project of the Standing Committee on Health Policy: American Medical Student Association. Retrieved 10 September, 2007 at http://www.amsa.org/pdf/hlthcareunderserved.pdf
N.A. (2002, Jun 1) "Collective bargaining in the nursing profession: salient issues and recent developments in healthcare reform" Hospital Topics. Retrieved 10 September, 2007 at http://goliath.ecnext.com/coms2/summary_0198-95081_ITM
N.A. (n. d.) "Nursing's Agenda for Healthcare Reform." The American Nurses Association
Inc. Retrieved 10 September, 2007 at http://www.needlestick.org/readroom/rnagenda.htm
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…
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.
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;
Healthcae Regulation Reseach
Regulation is a key aspect in the health cae industy. Regulation is necessay to safeguad the public inteest. In paticula, egulation in the health cae industy is all the moe significant as it diectly impacts the life and health of consumes (Field, 2006). The vaious egulatoy institutions implement health cae egulations to safeguad the geneal public fom vaious health isks and augment public health and well-being. Health cae egulations and standads ae impeative and fundamental to make cetain that thee is compliance and to povide safe health cae to evey peson that has accessibility to the healthcae system. They ae established and executed at the local, fedeal and state levels (Field, 2006).
Selected Health Cae Regulation
The selected health cae egulation is the HIPAA Pivacy Rule. The HIPAA Pivacy Rule was allotted by the United States Depatment of Health and Human Sevices to limit the usage and…
Pritts, J. (2008). The importance and value of protecting the privacy of health information: Roles of HIPAA Privacy Rule and the Common Rule in health research. National Academies.
Health Plan for Life
How to Utilize a Nutritional Program to Attain Personal Health Goals
The importance of a healthy diet cannot be stressed enough. One of the main problems that plague our society today is a high percentage of overweight people. Indeed, struggling with weight is a lifelong problem for many in today's society, and this stems from the fact that both our food and our lifestyle has a great impact on how many live and eat. The aforementioned two facts refer to the fact that first, our food is produced very poorly and many eat the cheap, mass produced food instead of organic, farm-based food, and second, our lifestyle is highly dependent on cars, and is quite sedentary both in our workplace and often times at home. It is also important to mention here that stress also has a great impact upon how our diet fluctuates.
Sources provided by customer, document titled Managing your Weight. ]
Health and Social Sciences
Health, Well Being and Social Care in UK
Sociological Perspective of Health and Well Being in UK
Psychological Perspective of Health and Well Being in UK
Psycho-Social Needs of Service Users in UK
Health and Social Sciences
This report casts light upon the various aspects of physical and mental health of people living in United Kingdom. The selected sample chosen for this study belongs to the settings of people who do not belong to UK from their old generations and they are spending the lives of homelessness there. In other words, the paper is about physical and mental health of people who belong to other areas of the world but are settled in UK for education of job purpose. Since they are outsiders, they do not have permanent place to live in, they make temporal arrangements depending upon their requirements. Their priorities are different…
BBC News, 2011. Archbishop calls for NHS bill to cover spiritual health. [Online] Available at: < http://www.bbc.co.uk/news/uk-politics-15570290 > [Accessed 07 Oct 2012]
Department of Health, 2012. Public Health, adult social care and the NHS. [online] Available at: < http://www.dh.gov.uk/en/index.htm > [Accessed 07 Oct 2012]
International Health Insurance, 2012. 3 Easy Steps to Health Insurance. [Online] Available at: < http://www.international-health-insurance.com / > [Accessed 07 Oct 2012]
Men's Health News, 2012. The Hardest Workout You're not Doing. [online] Available at: < http://news.menshealth.com/the-hardest-workout-youre-not-doing/2012/02/10 / > [Accessed 07 Oct 2012]
Health and Safety Legislation in elation to Employee Protection for Accidents at Work
Every individual within a workplace environment has the legal rights to protection against any work related risk, which may arise on the course of duty performance. Generally, the employees' health and safety legislation impose a range of duties to both employers and employees. The employees' health and safety guides apply to the self-employed as well as the diverse categories of employees such as manufacturers, designers, and suppliers. In different states, the legislation expresses a wide-based duty guideline within the Health and Safety at Work Acts. These regulations or acts are further spelt out in details within the subsidiary regulations, including those dealing with health and safety management, accident and/or risk management (Johnson & Geraldine, 2013, p. 57), as well as other emerging issues specific to health and safety of employees at work. This paper aims at providing…
Chamberlin, K.W., Cottle, M. & Neville, R. (2007).Responsibilities in notifying accidents to the health and safety authorities.Health and Safety Management, 4(3), 67-78.
Hansson, P. (2008). Employment laws and employee accident claims. Employment, Safety and Health, 14(5), 27-42.
Johnson, W.B. & Geraldine, C.K. (2013).The management of health, safety and welfare of employees at work.Employment Rights and Conditions, 3(1), 56-68.
Occupational Health and Safety Act (2000).Workplace injuries management and workers compensation.Journal of Employees' Safety and Health, 73(4), 78-97.
Healthcare for Mentally Impaired Patients
Probing what information is available about the current status of placement or accommodation and level of personal healthcare available to mentally impaired and emotionally disturbed individuals, it is clear that the analysis is as diverse as there are different mental illnesses. While statistics on managed care treatment for people with severe and disabling mental illnesses are sparse, it is evident that the financial responsibility to care for and house these patients is enormous.
According to Dr. David Satcher, the Surgeon General (1999), approximately 20% of the U.S. adult population has a mental illness. He says, "These illnesses include anxiety disorders, mood disorders, anorexia nervosa, and severe cognitive impairment. More serious mental illnesses include ipolar disorder and schizophrenia. Mental illness accounts for 15% of overall burden of disease -- more than malignant cancer and respiratory diseases -- and as far back as 1996 the direct cost…
Boulard, G. (2000, April). Forgotten Patients the Mentally Ill. State Legislatures, 26, 12. Retrieved February 13, 2004, from Questia database, http://www.questia.com .
Callahan, D. (1993, October) Minds and hearts: priorities in mental health services.
The Hastings Center Report.
Fox, M. & Kim, K. (2004, January) Evaluating a Medicaid Home and Community-based Physical Disability Waiver. Family and Community Health. Vol 27: 37.
This is related to the fact that the use of pesticides is very poorly regulated. (Protect Farm orker's Health) the use of pesticides has become an area of research and concern by the health authorities. This aspect has been well documented but experts are of the opinion that there are "...insufficient studies examining the effects of multiple pesticide exposure." (Rosenbaum and Shin, 2005)
2.2.3. Access to health benefits and care
The general consensus from the literature on the subject is that migrant and seasonal farm workers and their families are "…overwhelmingly uninsured." (Rosenbaum and Shin, 2005) the 2005 study of the health of migrant farm works by Rosenbaum and Shin indicates that in 2000, "…85% of migrant and seasonal farm workers were uninsured, compared to 37% of low-income adults nationally." (Rosenbaum and Shin, 2005) the study also found that both migrant and seasonal farm workers had less access to health…
Health Problems among Migrant Farmworkers' Children in the U.S. ERIC Digest.
September 27, 2008.
ILO warns on farm safety Agriculture mortality rates remain high Pesticides pose major health risks to global workforce. September 27, 2008.
Overview of America's Farmworkers. September 27, 2008.
Discuss the Challenges of eference Pricing-describe it, is it currently feasible, what are the pitfalls if it was part of your job assignment to build and manage such a program to control cost. What are the advantages and pitfalls if you are an individual using this "reference pricing" as an element of your personal health insurance program?
eference pricing has enormous potential to curb rising healthcare costs. In this situation, the insurance company or other stakeholder sets a target price that reflects what is considered a fair market value. Then if the consumer selects a healthcare service that is less than that amount, they are obligated to pay nothing. However, if the consumer selects a service that is greater than the reference price, then they are obligated to pay the difference. This system gives the consumer an incentive to participate in controlling costs whereas they might not otherwise…
Lechner, A., Gourevitch, R., & Ginsburg, P. (2013). The Potential of Reference Pricing to Generate Health Care Savings: Lessons from a California Pioneer. National Institute for Healthcare Reform, Brief No. 30.
Political Calculations. (2015, May 8). Did Obamacare Bend the Health Care Cost Curve? Retrieved from Townhall Finance: http://finance.townhall.com/columnists/politicalcalculations/2015/05/08/did-obamacare-bend-the-health-care-cost-curve-n1995787/page/full
The White House. (N.d.). The Affordable Care Act and Trends in Health Care Spending. Retrieved from The White House: https://www.whitehouse.gov/sites/default/files/docs/fact_sheet_implementing_the_affordable_care_act_from_the_erp_2013_final1.pdf
health, safety, nutrition interrelated. How health, safety, nutrition interrelated? Give examples readings relations importance. Think relationship preventative health care health promotion.PAGE 1 Emotional regulation important skill learned early childhood. Your textbook states "One important aspects emotional regulation predicts development. Preschoolers elementary-age children express a great deal anger, hostility, negative emotions show poorer social competence school isolated rejected peers (Eisenberg al,.
Individuals' health is often a cumulative of factors. These come in relation to certain safety extends that a person can assume, as well as other, external elements, external in that they come about as the result of other people's actions. For example, smoking will not only affect the individual in cause but as well those around him. Further, individuals can be predisposed to particular illnesses due to hereditary traits, which is why medical controls, especially for children, are proper safety measures that do not only diagnose but as well help…
Consumer Product Safety Commission. (2013). Recalls: Toys R Us recalls Imaginarium Activity Walker due to choking hazard. cpsc.gov. Retrieved from http://www.cpsc.gov/en/Recalls/2013/Toys-R-Us-Recalls-Imaginarium-Activity-Walker/
Food Safety and Inspection Service. (2011). Strategic plan FY 2011 -- 2016. United States Department of Agriculture. Retrieved from http://www.fsis.usda.gov/wps/wcm/connect/65602d92-d017-4edc-8536-5ed6aaa6b52a/Strategic_Plan_2011-2016.pdf?MOD=AJPERES&CACHEID=0934ae30-583b-46e9-be35-1603c707228c
Marotz, L.R. (2012). Health, safety and nutrition for the young child (Seventh Edition). Australia, Canada, Mexico, Singapore, Spain, United Kingdom, United States. Retrieved from http://abiiid.files.wordpress.com/2012/04/health-safety-and-nutrition-for-the-young-child-7th-edition.pdf
Heritage Assessment Tool
Heritage Assessment Tool: Cultural values and health beliefs
Cultural sensitivity is an integral part of effective nursing. Although the definitions of concepts such as 'health' and 'wellness' might seem on their surface to be self-evident, these notions are, in fact, highly mutable and particular to the individual and his or her culture. Cultural insensitivity can result in patients becoming alienated from the medical system and this results in poorer, ineffectual care. One of the reasons instruments such as the Heritage Assessment Tool can be so useful is that it can be a clear and efficient way to establish the culturally-contextual health beliefs of a patient whose experiences and values that are different those of the physician, nurse, or other healthcare provider treating the patient.
The first family I interviewed was a Chinese-American household. Although the family was relatively assimilated and the children were second-generation residents…
Health Care Trends
With the passage of the Affordable Care Act the personal health of every American has become an important issue. While most health care funds are spent treating diseases and other health problems, there has recently been a push toward focusing on prevention of health problems. For example, "chronic diseases such as heart disease, cancer, stroke, and diabetes are now responsible for more than 75% of health care costs." (Berman, 201, p.328) But as these health problems are almost entirely preventable a focus on prevention could save a great deal of money that would be better spent elsewhere. Therefore many Americans are beginning to endorse policies that prevent health problems before they start. Some of these ideas involve incentives to reward people for healthy behavior while others involve penalties to punish those who do not. However, research indicates that punishments are not as effective as incentives when it…
Blacksher, Erika. (2008). "Carrots and Sticks to Promote Healthy Behaviors." Hasting
Center Report. Retrieved from http://onlinelibrary.wiley.com/doi/10.1353/hcr.0.0002/abstract
Berman, Micah. (Fall 2011). "From Health Care Reform to Public Health Reform."
Journal of Law, Medicine, and Ethics, vol. 39 (3). Retrieved from http://onlinelibrary.wiley.com/doi/10.1111/j.1748-720X.2011.00603.x/abstract
Technology gives us more capabilities than we ever had before, and health care organizations need to ensure that their staff members are aware of the regulations surrounding the use of technology in the workplace, both for work-related activities and private activities. The prompt was of a nurse who took photos of a celebrity and texted them to her friend. This action constitutes a violation of HIPAA, wherein the Privacy ule holds the health care providers must safeguard information from your medical records, any information that is recorded by the health care provider, billing information and any other health information (HHS.gov, 2015). Furthermore, there has clearly been an ethical violation committed with regards to the recording of the patient without their consent, and the distribution of that material. Patient information is always confidential in nature, by ethics even if not by law (Mulholland, 1994). This paper will examine the situation…
HHS.gov (2015) Guidance materials for consumers. U.S. Department of Health and Human Services. Retrieved March 19, 2015 from http://www.hhs.gov /ocr/privacy/hipaa/understanding/consumers/index.html
HIPAA (2007). Subtitle B -- Requirements relating to health care access. Retrieved March 19, 2015 from http://www.gpo.gov/fdsys/pkg/CFR-2007-title45-vol1/pdf/CFR-2007-title45-vol1-part164.pdf
Li, K. (2014). Health smartphone applications on chronic disease monitoring: Development and regulatory considerations. The University of Hong Kong. Retrieved March 19, 2015 from http://hub.hku.hk/bitstream/10722/206932/1/FullText.pdf?accept=1
Milholland, K. (1994). Privacy and confidentiality of patient information: Challenges for nursing. Journal of Nursing Administration. Vol. 24 (2) 19-24.
Health Promotion Case Study
In this scenario the individual has been asked by a local law firm to come into the organization and establish a wellness program to promote the health of its employees. The firm includes a team of 20 lawyers, 3 managers, 45 paralegals, 5 administrative assistants, 2 information technologists and 4 part-time housekeeping and maintenance staff. The partners agreed last year to install a fully equipped gym in their building because otherwise they would receive a discount on the health insurance if 85% of the employees were participating in the gym at least an average of 90 minutes a week. At the time of renewal of the health care benefits package, the organization was disqualified from the discount because only approximately 10% of the employees were participating in the gym. This case involves a solution for engaging more of the law firm employees in health promotion activities…
Wieczner, J (2013) Your Company Wants to Make You Healthy. The Wall Street Journal. Retrieved from: SB10001424127887323393304578360252284151378
Gaines, M. (2012) How to Motivate Employees to Exercise. Chron. Retrieved from: http://work.chron.com/motivate-employees-exercise-1860.html
Garity, C. (nd) Corporate Fitness and Active Aging. Retrieved from: http://wellness.nifs.org/blog/bid/39826/Corporate-Fitness-Programs-Can-Motivate-Employees-to-Exercise-at-Work
Personal Healthcare Technology
Sunrise Hospital and Medical Center and the Sunrise Children's Hospital
The Sunrise Hospital and Medical Center, which includes the Sunrise Children's Hospital, is an approximately 55-year-old facility located in Southern Nevada; it serves the greater Las Vegas area and the surrounding communities. The Sunrise Health and Medical Center is proud of its quality initiatives to ensure patient safety and comfort, including direct approaches to pharmaceutical safety such as safe medication dosing via smart pump technology, and bar coding on medications. As well, the Sunrise Health and Medical Center does not discriminate with respect to HIV / AIDS or in any manner related to employment, program participation, admission and/or treatment.
Sunrise has been rated as the most popular area hospital for 15 years in patient surveys. As well, Sunrise Health and Medical Center has developed community outreach programs for health education in a variety of areas, often based…
Appari, A., & Johnson, M.E. (2010). Information security and privacy in healthcare: Current state of research. International Journal of Internet and Enterprise Management, 6 (4), 279-314. Retrieved from http://www.ists.dartmouth.edu/library/501.pdf
Ayanian, J.Z., & Weissman, J.S. (2002). Teaching hospitals and quality of care: A review of the literature. The Milbank Quaterly, 80(3), 569-593. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2690120/pdf/milq0080-0569.pdf
Baker, J.J., & Baker R.W. (2000). Health care finance: Basic tools for nonfinancial managers. Gaithersburg, MD: Aspen
Byington, R., Keene, R., Masini, D. (2006). The impact of federal and state funding levels on strategic decisions and how those decisions affect patient care. The Internet Journal of Healthcare Administration. (4)2. Retrieved from https://ispub.com/IJHCA/4/2/5827
Health disparities refer to a certain kind of health-related difference closely tied to economic or social disadvantage. They negatively impact groups of individuals systematically subject to greater economic and social barriers to a hygienic environment and health, on the basis of their ethnic or racial group, age, gender, religion, mental health, socioeconomic standing, geographic location, gender identity or sexual orientation, physical, cognitive, or sensory disability, or any other characteristics that are associated historically with marginalization or discrimination (Department of Health & Human Services, 2011b).
Of all industrialized countries, the U.S. expends maximum resources on the area of healthcare; despite this, millions of U.S. citizens do not enjoy a chance to live a healthful life. Overall population health in the U.S. has witnessed improvements over time, but health disparities for underserved, racial minority and ethnic minority communities continue. Vulnerable population clusters such as ethnic and racial minorities, disabled individuals,…
Center for Disease and Control. (2013). Conclusion and future directions: CDC health disparities and inequalities report -- United States, 2013. CDC Health Disparities and Inequalities Report -- United States, 2013, 62(3), 184.
Cooper, M. (2016). Clark County fighting minority health disparities. Retrieved from http://www.springfieldnewssun.com/news/news/local/clark-county-fighting-minority-health-disparities/nq5wj/
Department of Health & Human Services. (2011a). HHS action plan to reduce racial and ethnic health disparities: A nation free of disparities in health and health care.
Health, U. D. o., & Services, H. (2011b). National partnership for action to end health disparities. Health Equality & Disparities.
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…
Clark, J. (2008). Strengthening the revenue cycle: a 4-step method for optimizing payment. Healthcare Financial Management, 62(10), 44.
Hammer, D.C. (2007). The next generation of revenue cycle management. Healthcare Financial Management, 61(7), 49.
Seddon, J. (2008). Think system. Management Services, 52(2), 10.
Wilson, D.B. et al. (2004). 3 steps to profitable managed care contracts. Healthcare Financial Management, 58(5), 34.
Health Care Reimbursement and Billing
Both Mrs. Zwick and Mr. Davis face significant issues in the presented scenarios. Mrs. Zwick has multiple considerations under Medicare Parts A, B and D, in addition to her hospital-acquired urinary tract infection. Meanwhile, Mr. Davis must address the severe time constraints and costs of COBRA in light of his job termination. These two scenarios underscore current difficulties and complexities of current health care in the United States.
Discussion of Mrs. Zwick's coverage under Medicare Parts A, B and C
Medicare Part A (often called "hospital insurance") (U.S. Department of Health and Human Services, 2011, p. 15) assists in covering inpatient hospitalization and skilled nursing facilities, hospice and home health care (U.S. Department of Health and Human Services, 2011, p. 14). There is usually no monthly premium if you and/or your spouse paid Medicare taxes while employed (U.S. Department of Health and Human Services, 2011,…
Ethical implications of Mrs. Zwick's incurring costs related to her hospital-acquired condition are applicable despite the rehabilitation facility's exemption from POA/HAC Medicare laws. Having no first-hand knowledge of the cause of the urinary tract infection, no clear indication that I work at the rehabilitation facility and neither the privilege nor the duty of diagnosis, it would be unethical for me to tell Mrs. Zwick about my suspicions. Rather, a nurse is required to maintain his/her professional boundaries (American Nurses Association, 2001, p. 6). Simultaneously, a nurse is supposed to assure "responsible disclosure of errors" to patients and act to stop bad practices and promote best practices (American Nurses Association, 2001, p. 6). Consequently, a nurse in my position faces a dilemma: lack of personal knowledge and authority vs. my concern for the patient's well-being and constant improvement of the profession. In the face of this dilemma, I would: contact the rehabilitation facility's newly-hired nurse and advise/remind him/her of the duty to report to the appropriate supervisor and responsible disclosure to Mrs. Zwick; contact Mrs. Zwick's personal physician and explain the entire situation; direct Mrs. Zwick to discuss her health issues with her personal physician, who can review, diagnose and discuss the ramifications of her medical records, including but not limited to the urinary tract infection (American Nurses Association, 2001, p. 7). The desired outcomes would be: the rehabilitation center's absorption of Mrs. Zwick's costs related to her hospital-acquired infection through pressure exerted by its own nursing staff and Mrs. Zwick's personal physician; Mrs. Zwick's awareness of the true cause of her infection by health care providers who are directly responsible and capable.
Explain how the COBRA will allow Mr. Davis to continue his insurance coverage while he is out of work.
Due to Mr. Davis' termination from an employer of more than 20 employees, he can obtain coverage for himself, his spouse and his dependent children for up to 18 months (U.S. Department of Labor, 2012). In addition, due to his chronic cycle cell anemia, he may be entitled to an additional 11 months' extension for disability (U.S. Department of Labor, 2012). His employer is required to give a qualifying event notice to COBRA; then, COBRA sends a notice of the right to elect to continue coverage and an explanation of the steps that must be taken to continue coverage; Mr. Davis, his spouse and either or both of them in behalf of dependent children may elect for continuation of coverage
4% per year for the entire projection period." (Centers for Medicare and Medicaid ervices. 2009).
ources of Funds
The current funding climate on "health spending is fairly evenly split between the private and public sectors, with private health spending accounting for 54% of total health spending in 2007" (Kaiser Family Foundation. March 2009). Taken in totality, health insurance accounts for 71% of all funding sources with a categorical breakdown of: private health insurance at 32% of total spending, Medicare, 20%, Medicaid 15%, and other government programs four percent. Additionally 12% of funds flow from out-of-pocket programs, while other third party and investment programs account for 13%" (Centers for Medicare and Medicaid ervices. 2009).
pecifically, hospital care receives its 759.1 billion of spend from 24.4 billion of out-of-pocket expenses, and 669.3 billion of health insurance payments, of which private plans accounted for 265.9 billion, Medicare 220.4 billion, Medicaid 136.1 billion, and…
Specifically, hospital care receives its 759.1 billion of spend from 24.4 billion of out-of-pocket expenses, and 669.3 billion of health insurance payments, of which private plans accounted for 265.9 billion, Medicare 220.4 billion, Medicaid 136.1 billion, and other insurance programs 47 billion; other third parties accounted for 65.3 billion in spending. Physician and clinical services respectively spent 505.9 billion in 2009 with funding sources of: 47.9 billion out-of-pocket, and 407.3 billion in health insurance, of which 237.7 billion was private insurance, Medicare of 109.4 billion, Medicaid of 39.9 billion, and other insurance programs 20.3 billion; other third parties accounted for 50.6 billion. (Centers for Medicare and Medicaid Services. 2009).
Health Expenditure Trends
The trends in health care spending for hospital care and physician and clinical services have risen in lockstep over the last decades, and are projected to continue their upward trajectory through the coming projected period 2009-2019. Specifically, hospital care has demonstrated a total increase of 27.2 billion dollars spent in 1970 to 759.1
Personal Digital Assistants in Healthcare
Current Applications and Future Trends in the Use of Personal Digital Assistants in Healthcare
Today, healthcare practitioners enjoy a wide range of digital equipment that can help them provide more efficient healthcare services, including laptop computers, cellular telephones and personal digital assistants, or PDAs. These devices have been used in various ways by clinicians to improve their ability to deliver more timely and accurate diagnoses and treatments, and it is clear that the use of these devices will continue to increase in the future. The purpose of this study is to provide a current snapshot of how personal digital assistants are being used in various healthcare settings, including military and government tertiary facilities and the use of PDAs on the battlefield in times of war, but with a specific focus on how PDAs are being used in nongovernmental healthcare facilities today. To this end, a…
Blow, F.C., Barry, K.L., Walton, M.A. et al. (2006). The efficacy of two brief intervention strategies among injured, at-risk drinkers in the emergency department: Impact of tailored messaging and brief advice. Journal of Studies on Alcohol, 67(4), 568.
Cieslak, D.M., & Van Winkle, M. (2004). Carry your office in the palm of your hand; a pocket-size device is your computer when you're on the road. Journal of Accountancy, 198(2), 52.
Corbett, M.L. (1996, January). Choosing the perfect PDA: Personal digital assistants help busy professionals. Black Enterprise, 26(6), 34.
Greisler, D.S., & Jackson, J.R. (2000). The changing nature of physician power: Understanding physician power and its future. Journal of Power and Ethics, 1(4), 260.
Such equipment should be adequate to ensure personnel are protected from chemical exposure to the eyes, skin, and respiratory tract. PPE may be upgraded or downgraded by the site industrial hygienist, HSM, or qualified Site Safety Officer based upon site conditions and air monitoring results (Levin, et al., 2002)
Work practice and administrative controls
Administrative controls or work practice controls are changes in work procedures such as written safety policies, rules, supervision, schedules, and training with the aim of reducing the interval, frequency, and sternness of exposure to hazardous chemicals or situations. Workers who handle hazardous chemicals in the workplace should be familiar with the administrative controls required fewer than 29 CF 1910.1200, and the OSHA Hazard Communication Standard. This controls are perhaps most important, because they impact your people directly. On the one hand, they are the simplest, since all it takes is education. On the other hand, education…
Annual report on 9/11 health (September, 2009). Retrieved on March 20, 2010 from http://www.nyc.gov/html/fdny/pdf/2009_wtc_medical_working_group_annual_report.pdf
Burright, D. et al., (1999). Evaluation guidelines for air sampling methods utilizing chromatographic analysis. OSHA Salt Lake Technical Center, U.S. Department of Labor: Salt Lake City, UT.
Harris, J.S., (ed.) (1997). Occupational medicine practice guidelines: Evaluation and management of common health problems and functional recovery in workers. The American College of Occupational and Environmental Medicine. Beverly, Mass.: OEM Press.
Levin, S. et al.,. (2002). Health effects of World Trade Center site workers. America Journal of Industrial Medicine 42:545 -- 547.
Centralization and decentralization of HM
Centralized HM operations are conducted within the HM department and they assume that all employee related actions be implemented by the human resources specialists. Such an endeavor creates a context in which the human resource actions are taken in an objective and professional manner. Specifically, the decisions are made based on the organizational benefits and the technical considerations at an overall organizational level. In the case of decentralization nonetheless, the human resource decisions are taken in a less formal manner and they are influenced by personal bias of the medical staff conducting the interviews. The benefit is nevertheless that of the staff decisions being made not on grounds of organizational benefits, but on skills and abilities at a medical level.
A centralized human resource department then supports organizational gains and objectives, whereas a decentralized human resources act supports professional and medical benefits. It is expected…
Connor, E.T., Educational tort liability and malpractice, University of Iowa, http://www.uiowa.edu/~c07p134/tort.htm last accessed on March 3, 2011
Salvador, F.A., Which is better? Formal authority or informal authority? Entrepreneur, http://www.entrepreneur.com.ph/features/article/which-is-better-formal-authority-or-informal-authority last accessed on March 3, 2011
Website of Medicare, http://www.medicare.gov last accessed on March 3, 2011
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
Personal Academic and Professional Objectives
From an academic perspective, a certificate in Electronic Health Record System Consultant will in basic terms first and foremost equip me with the necessary skills required for the maintenance, collection as well as analysis of healthcare data relied upon by healthcare providers in the delivery of services to patients. If I successfully complete the training, I am convinced that I will have developed professional skills necessary for the effective management of all medical information as well as records of patients.
Further, by undertaking a certificate in Electronic Health Record System Consultant, I seek to acquire hands-on skills not only in regard to coding diagnoses but also in the relevant reimbursement procedures. I am convinced that the certification in this case will prepare me to offer my services in a wide variety of settings including but not limited to government agencies, electronic health record system software…
Health Promotion Lesson Plan
The concept of health promotion is thought of as "the science and art of helping people change their lifestyle to move toward a state of optimal health" (Dunphy et al., 2011, p 25). Serious heart conditions can be prevented, which is why it is so important to utilize community education techniques in order to help try to warn community members of the complications before they occur. This current lesson plan works to create three separate community lesson plans, based on specific age ranges. The age 18-29 focuses primarily on the use of social media and health advocacy efforts in association with the American Heart Association. For ages 30-49, there is also a focus on these two, combined with more community oriented issues, and for 50-60, there is much more of a focus on financial training along with community organized workshops.
Prevention has become a major issue…
References McLeod, Saul. (2010). Erik Erikson. Developmental Psychology. Simply Psychology. Web. http://www.simplypsychology.org/Erik-Erikson.html
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…
Daly, John. (2005). Professional Nursing: Concepts, Issues, and Challenges. New York:
Springer Publishing Company.
Gorsky, Martin. (2010). Good Health for America? History Today, 60(2), 1-6.
McCarthy, Robert L., and Schafermeyer, Kenneth W. (2007). Introduction to Health Care
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…
Kennedy, E. (2006). America: Back on Track. Viking Press: New York.
Reid T. (2009). The Healing of America: A Global Quest for Better, Cheaper, and Fairer
Health Care. New York: Penguin Books.
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.
(Menzel, 1990, p. 3) Fisher, Berwick, & Davis alude to the idea of integration in health care, with providers linking as well as creating networks of electronic medical records and other cost improvement tactics.
The United States and other nations over the last twenty or so years, have begun a sweeping change in health care delivery, regarding the manner in which health information is input, stored and accessed. Computer use in the medical industry has greatly increased over the last thirty years the culmination of this is fully networked electronic medical record keeping. (Berner, Detmer, & Simborg, 2005, p. 3) the electronic medical record trend began in the largest institutions first, as hospitals and large care organizations attempted to reduce waste and improve patient care, while the adoption has been much slower among physician's practices and smaller medical institutions. (Hillestad, et al., 2005, pp. 1103-1104) Prior to this time medical…
Resources, and Utilization
the Allied health care staffing agency is a staffing agency that focuses on the niche of the nursing jobs within the healthcare industry in Chicago
The Allied healthcare staffing agency works to recruit registered nurses belonging to all medical Specialties, Practical Nurses that are licensed also called LPNs, Nursing Assistants that are certified also called CNAs and Specialists from the allied health sciences. These professionals would be hired both from the area of the metro city as well as the suburbs and placed within the hospitals, the neighborhood medical centers, Adult care facilities, clinics, and rehabilitation centers.
The mission of the Allied Healthcare Staffing Agency is to provide the best opportunities of employment both to its collaborators which are the local healthcare organizations as well as serving the entire nursing community to provide amply amount of job opportunities to choose from in a time when the turnover of…
Bureau, U.C. (2000). Census 2000 Demographic Profile Highlights:. chicago illinois, fact sheet .
commerce, U. d. (2010). bear facts, state illinois. bureau of economic analysis .
directory, a. h. (2010). free stats & national stats. Retrieved september 7, 2011, from american hospital directory: www.ahd.com
Lindberg, R.C. (1991). To Serve and Collect: Chicago Politics and Police Corruption from the Lager Beer Riot to the Summerdale Scandal. chicago: praeger publications.
Healthcare in the United States: Where We Have Been, Where We Are Going
The current healthcare crisis in America is not one that happened over night. It is one that has been building for more than a quarter century. There was a time in America when healthcare was a stellar institution: research, cures, technological advances, and treatments. The focus of healthcare was maintaining and improving the quality of life. Then, during the early 1980s, managed care became an entity between the physician, the patient, and the healthcare provider of hospital services. It began subtly, but has, today, become one of the most aggressive and successful business ventures of our time; and it has been the unmaking of a once stellar and progressive American institution.
Managed care is a "distinctly American" product (Birenbaum, 1997). It was legislation introduced by the Nixon Administration with the intent to regulate healthcare and to maintain…
Bernstein, A.B., Hing, E., Moss, A.J., Allen, K., Siller, A., and Tiggle, R. (2003). Health Care in America: Trends in Utilization. Hyattsville, MD: National Center for Health Statistics.
Birenbaum, A. (2002). Wounded Profession: American Medicine Enters the Age of Managed Care. Westport, CT: Praeger.
Birenbaum, A. (1997). Managed Care: Made in America. Westport, CT: Praeger.
Committee on Health Care Access and Economics Task Force on Mental Health (2009). Improving Mental Health Services in Primary Care: Reducing Administrative and Financial Barriers to Access and Collaboration. The Official Journal of the American Academy of Pediatrics, March, 30, 2009, pp. 1248-1251.
Each of these was included in the initial Senate bill, but was struck from the final Senate version. Despite the victories, the group isn't ready to pledge support for health reform bills. The AMA will not endorse any legislation unless Congress gets rid of the mandated payment cuts of more than $200 billion over 10 years in the government's Medicare program for the elderly. The cuts are part of Congressional action that was passed in 1997 in order to cut costs in the Medicare program, but have never gone into effect. There are also several hospitals, insurers, pharmaceutical manufacturers and advocacy groups that are withholding final support. Most of these groups have pledged support to health care reform in principle while working privately through lobbyists to protect their industries (Eaton and Pell, 2010).
Healthcare lobbyists range from very large companies and corporations to very small groups who are all looking…
BREAKING: Health care lobby invests in reform summit. (2010). Retrieved March 1, 2010, from Citizens for Responsibility and Ethics in Washington Web site:
Eaton, Joe and Pell, M.B. (2010). Lobbyists Swarm Capitol to Influence Health Reform.
Retrieved March 1, 2010, from the Center for Public Integrity Web site:
He further goes on to say that, "I am my brother's keeper and I am my sister's keeper" to bolster this point.
In a separate interview, epublican National Committee chairman Michael Steele refutes Obama's speech and maintained that Obama's call for healthcare reform as moral obligation is simply a "gimmick" and Obama's choice of going as far as this means that the White House is running scared as it needs to financially shore up its base.
The article closes on White House's denial that Obama is preparing to initiate a government-run "public option" for healthcare that will compete against private healthcare companies. As a matter of fact, Obama is working on the intensification of his healthcare reform call by reaching the channels of grass roots supporters via online and telephone meeting.
Collinson, Stephen. "Obama makes moral case for health reform." 20 Aug. 2009. Yahoo! News.
9 Sept. 2009.
Collinson, Stephen. "Obama makes moral case for health reform." 20 Aug. 2009. Yahoo! News.
9 Sept. 2009.
While it may not be just to hold an organization liable, absolutely, for every instance of employee negligence, there is a rationale for imposing such liability in many cases. For example, many types of industries entail potential danger to others that are inherent to the industry.
Individual workers are not likely to be capable of compensating victims of their negligence, but the employer benefits and profits financially by engaging in the particular industry. Therefore, the employer should not necessarily escape liability for compensating all harm caused by their activities, regardless of fault in particular instances.
10.A nurse is responsible for making an inquiry if there is uncertainty about the accuracy of a physician's medication order in a patient's record. Explain the process a nurse should use to evaluate whether or not to make an inquiry into the accuracy of the physician's medication order.
Like other highly trained professionals, experienced nurses…
Abrams, N., Buckner, M.D. (1989) Medical Ethics: A Clinical Textbook and Reference for the Health Care Professionals. Cambridge, MA: MIT Press
Caplan, a.L., Engelhardt, H.T., McCartney, J.J. Eds. (1981) Concepts of Health and Disease: Interdisciplinary Perspectives. Reading, MA: Addison-Wesley
Starr, P. (1984) the Social Transformation of American Medicine.
New York: Basic Books
" ("Let My Baby Live..." NP) Other messages of the campaign were to stress the need to avoid high risk pregnancy, prior to age 18 or after age 35 and to stagger pregnancies by two years to help the maternal body recover and be strong enough to care for the developing infant and go through labor successfully. The campaign, promoting these ideas states that it has been successful in reaching its goals, and has currently reached 66% of the population in the regions where the campaign was launched. ("Let My Baby Live..." NP) There is not mention as to whether the campaign will end, or be expanded to a broader audience in Turkey.
Turkey's example program could serve as a template for other health issues that need to be expressed to the public in Turkey and in other nations with challenged health care delivery infrastructures and limited public knowledge of…
Brennan, Teresa. Globalization and Its Terrors. London: Routledge, 2003.
Kaul, Chandrika, and Valerie Tomaselli-Moschovitis, eds. Statistical Handbook on Poverty in the Developing World. Phoenix: Oryx Press, 1999.
Weiker, Walter F. The Modernization of Turkey: From Ataturk to the Present Day. New York: Holmes & Meier Publishers, 1981.
E-Health Project in Turkey" International Telecommunications Network Website Retrieved November 15, 2007 at http://www.itu.int/ITU-D/e-strategies/e-applications/Turkey_E-health/index.html
(Findlay, 2001, 90 -- 119) (McLeod, 2003, pp. 895 -- 908)
What is the possibility of bias entering the study? If the study is susceptible to bias, state and explain the type of bias that may enter the study and what steps can be incorporated to minimize the entry of bias.
The possibility for bias in the study is low. The reason why, is because researchers will have limited access to the patients they are seeing (through: the use of anonymous surveys). This will dramatically reduce the possibilities of bias existing. (Findlay, 2001, 90 -- 119) (McLeod, 2003, pp. 895 -- 908)
ased on your hypothesis/proposal, how will the proposed generated results help to develop an effective health policy for the target population of your chosen topic?
The proposal will help to develop an effective health policy. This is accomplished by: providing specific insights about how the increasing utilization of…
Findlay, S. (2001). Direct to Consumer Promotion. Pharmaco Economics, 19 (2), 109 -- 119.
Kryst, M. (2005). A Population-Based Survey. Headache, 34 (6), 341- 350.
McLeod, P. (2003). Physicians and Practice Characteristics. Medical Care, 41 (8), 895 -- 908.
Healthcare Partnership in the Community
Discuss an example of healthcare partnership in your community and specifically cite examples that show how nurses, both individually and collectively, influenced the care provided. What obstacles were confronted and what strategies were employed in order to effectively overcome them.
One community healthcare partnership that is salient in my mind is Texas Department of State Health Services' program on tuberculosis or TB. This group of projects is specifically handled by the Office of Border Health, specifically because communicable diseases transmitted over the Texas-Mexico border will inadvertently affect the state of community health of both countries (i.e., the U.S. And Mexico). Under the program, two projects have been successful and known for its accomplishment in helping decrease TB prevalence in communities near the Texas-Mexico border: Proyecto Juntos and TBNet.
Proyecto Juntos specifically centers on "bilateral TB control," centering its efforts to curbing TB prevalence by monitoring…
Texas Department of Health Services, Office of Border Health. Available at: http://www.dshs.state.tx.us/borderhealth/
Texas Organization of Nurse Executives. Available at: http://www.texasnurse.org/
Health Care Situation: Medical Error Due to Doctors' Bad Handwriting
Identify a health care news situation that affects a health care organization such as a hospital, clinic or insurance company.
I have identified the following health care news situation as the topic of my paper: "Poor Handwriting of Doctors and its implied risks for the Patient, Hospital and Medical Malpractice Insurance." Poor handwriting of physicians resulting in poor legibility of entries into patients' medical records carries very dramatic risks for all above-mentioned interest bearers. It can result in severe health danger for the patient and - in extreme situations - even cause a patient's death. Doctors' bad penmanship has long been seen a problem within organized medicine and the patient safety movement. Three American Medical Association (AMA) policies dating back to 1992, urge doctors to "improve the legibility of handwritten orders for medications" and review all orders for accuracy and…
Berwick, Donald M. & Winickoff, David E. (1996). The truth about doctors' handwriting: a prospective study. BMJ Vol. 313 (21-28 December 1996). 1657-1658. www.bmj.com/content/313/7072/1657.full, accessed 21 August 2011.
Bruner, Anne & Kasdan, Morton.L. Handwriting Errors: Harmful, Wasteful and Preventable.
1-4. www.kyma.org/uploads/file/.../Harmful_wasteful_and_preventable.pdfSimilar, accessed 22 August 2011.
Gallant, Al. (22 November 2009). For a secure electronic health record implementation, user authentication is key. 1-2). searchhealthit.techtarget.com/.../User-authentication-is-critical-for-pl.., accessed 24 August 2011.
Health Care Communication
Background- Within the modern nursing paradigm, there must be a clear link between a health outcome and the process that helps ensure those outcomes. Typically, outcomes are classified in terms of preventability, impact, severity and an overall holistic view of the client's safety issues. Positive behaviors that impact individuals either rescue or protect patients from potential or actual events. This is also part of the issue with modern communication and dissemination of information to patients, stakeholders, and the community (Burns and Grove, 2005).
At the heart of healthcare as an institution is, of course, the need to care for the sick and the injured. However, in the contemporary model of healthcare, effective communication during a crisis is not only important, but also vital. Communication by healthcare professionals takes the concern and worry out of the situation; offers a quicker resolution, makes better control of information possible, earns…
Alligood, et.al. (2002). Nursing Theorists and their Work. Philadelphia: Mosby.
Burns, N. And Grove, S. (2004). The Practice of Nursing Research. St. Louis:
D'Antonio, P., et al., eds., (2007). Nurses Work: Issues Across Time and Place. New York:
What is diversity?
Diversity refers to the differences that occur among people and groups which should be taken into account in the healthcare setting. In the healthcare environment diversity and the recognition of diversity is an extremely important concept as it deals with recognizing the needs and requirements of the individual, as well as the needs and requirements of different groups. Furthermore, diversity is seen in a positive light in the healthcare context, as understanding diversity means that the healthcare professional is in a better position to understand the needs of the patient and to improve the treatment of people from different groups or areas of society.
Discuss and give examples of how people are diverse.
People can be diverse in various ways. One could refer to gender differences, as well as cultural and ethnic diversities. Understanding these differences becomes important in dealing with specific…
Davidhizar, R., Dowd, S., Newman-Giger, J. ( 2008). Model for cultural diversity in the radiology department. Retrieved from http://findarticles.com/p/articles/mi_hb3387/is_n3_v68/ai_n28683141/
The American Public Health Association (APHA) is founded. This organization is concerned with the social and economic aspects of health problems.
The National Quarantine Act is signed into law. This legislation is designed to prevent entry into the country of persons with communicable diseases.
1899 the National Hospital Superintendent's Association is created. It later becomes the American Hospital Association.
Patel & ushefsky, 1995, p. xvii)
The seeds of health care legislation and centralization began before 1875 but began to take hold as the most accepted manner in which to ensure safe and scientifically founded health care for many and to begin to ensure that diseases that commonly plagued a newly urbanized and highly stressful environment of mass immigration could be dealt with, in a more centralized and practical manner. Founded earlier in 1847, the American Medical Association began to have a concrete and centralized role in the health care decisions…
Therefore, a competitive health industry does not improve the situation for the uninsured; often, it makes it worse.
In order for such a system to function properly, there needs to be a great deal of government subsidizing for those who cannot afford the health care costs. The health care industry would have to take some huge steps toward reform. For example, the industry should put a cap on medicinal costs to the patient and petition the federal government to step in the assist those in need. Another option would be for the health care industry to strongly petition the govewnremtn for a greater amount of research grants in order to improve the overall health of our nation. As such, patients will be spared the extra costs trickling down to them as a result of competition and forces caused by related expenses.
The national health care crisis currently in our nation…
The health of any single person is the most important and most limiting factor about that person's ability to complete physical tasks and live a useful and purposeful life. Healthcare is a term that is widely used but never discussed in how it can best be accessed. The purpose of this essay is to identify and describe a useful plan that helps solve the dilemma of people acquiring a proper and useful source of healthcare. The ethical component of the situation will also be introduced to help demonstrate how practical this plan can be.
To many, healthcare is often associated with doctors, nurses, hospitals, drugs and surgery. It seems that more people are sick or are diseased with some sort of affliction than ever before. Tanner (2008) made the point that "a closer look shows that nearly all health care systems worldwide are wrestling with problems of rising…
Cohen, J. (2008). Does Preventive Care Save Money? The New England Journal Of Medicine, 14 Feb 2008. Retrieved from http://www.nejm.org/doi/full/10.1056/NEJMp0708558
Lowes, C. (2011). Reviewing Medical Ethics. Philosophy International Journal Of Health, 12 June 2012.
Tanner, M. (2008). The Grass is Not Always Greener: A Look at National Health Care Systems Around the World. CATO Institute, 18 Mar 2008. Retrieved from http://www.cato.org/publications/policy-analysis/grass-is-not-always-greener-look - national-health-care-systems-around-world
Hispanic Community and Healthcare
This paper is an examination of how the Hispanic community experiences healthcare. The data from a number of articles related to the subject form the basis for the conclusions reached in the analysis.
One study looked at whether Hispanic-specific training should be included for healthcare worker training. It was found that there is a serious lack of training that is currently implemented regardless the community examined. Healthcare workers were unaware of social conventions that were normal among their Hispanic clients which limited the effectiveness of the healthcare treatment given. Because women were unable to discuss personal problems with male healthcare workers and males had similar issues with females, it was difficult for the various agencies to be truly effective. The recommendation, of course, was to include a training curriculum that included cultural training.
Another issue that Hispanic individuals faced is that they were underrepresented in…
Health Policies Medicare
hen everyone in our country finally starts to reach the age of 65 years of age or older, then every person will become eligible for Medicare. It is clear that there are some elderly that are having minimum health concerns while others recurrently are dealing with medical issues for which they will have to seek out treatment by the doctor. However, research is starting to display that there are at least five top conditions that are enhancing on medical and drug spending. It is obvious that Heart disease circumstances are the number one medical issue that the those that are considered elderly are facing and that is becoming very costly to them. Most are unaware that the second one is the disease cancer and it could be internal or external for various elderly patients. Other issues such as joint ailments a lot of the times can cost…
Wenzlow, Audra T., et al. "Effects of a Discharge Planning Program on Medicaid Coverage of State Prisoners with Serious Mental Illness." Psychiatric Services 62.1 (2011): 73-8.
Sommers, Benjamin D. "Loss of Health Insurance among Non-Elderly Adults in Medicaid." Journal of General Internal Medicine 24.1 (2009): 1-7.
Verdier, James, and Allison Barrett. "How Medicaid Agencies Administer Mental Health Services: Results from a 50-State Survey." Psychiatric Services 59.10 (2008): 1203-6.
Harman, Jeffrey S., Allyson G. Hall, and Jianyi Zhang. "Changes in Health Care use and Costs After a Break in Medicaid Coverage among Persons with Depression." Psychiatric Services 58.1 (2007): 49-54.
Healthcare Legislative Bill
The expanded and improved Medicare for all Acts
The Expanded and mproved Medicare for All Act was introduced to the House of Representatives in 2009 and seeks to lobby for the implementation of a common single-payer health care system throughout the United States o0f America. The bill if enacted would require that all medical care costs be paid for automatically by the government instead of private insurances for the same. The move will significantly alter the role of private insurance companies as merely offering supplemental coverage especially when the kind of medical care sought is not all that essential (McCormick, 2009).
With the Expanded and mproved Medicare for All Bill, the country's national system will be paid for through taxes and the monies that will replace the regular insurance premiums. Proponents of the bill argue that by eliminating the need for private insurance companies in the national…
Institute of Medicine of the National Academies of Science, (2010), Insuring America's Health: Principles and Recommendations
The American Journal of Medical Practices, (2011), The Impact of single-payer Medicare
Program, New York
Healthcare spending by the New York State persistently surpasses its earnings. That difference continues to be expanding and is also anticipated to broaden unless of course there happen to be severe, continuous modifications in spending budget actions. Lieutenant Governor ichard avitch, in "A 5-Year Strategy to Deal with the State of New York's Spending budget Deficit" released during March 2010, approximated this structural disproportion within the state's spending budget to become no less than $13 billion. The structural inequality isn't simply the consequence of the economic downturn that started during 2007, and a commonly strengthening economic climate is not going to get rid of it.
To help the State of New York in providing the solutions and dedication to quality that its residents rely on, structural modifications are needed. The aim of this paper is actually to summarize one particular realignment - solving an outright inequity involving the state as…
California Public Employees' Retirement System, "Facts at a Glance: Health," September 2010, http://www.calpers.ca.gov/eip-docs/about/facts/health.pdf .
Citizens Budget Commission, Out of Balance: A Comparison of Public and Private Employee Health Benefits in New York City, December 2009, http://www.cbcny.org/sites/default/files/REPORT_Survey_12162009.pdf .
City of New York Office of Labor Relations, "New York City Summary Program Description, Health Benefit Program," 2010, http://www.nyc.gov/html/olr/downloads/pdf/healthb/full_spd.pdf.
Government Finance Officers Association, "Recommended Practices, Health Care Cost Containment 2004," http://www.gfoa.org/downloads/corbaHealthCareCostContainment.pdf .
Healthcare management (Strategic operations plan)
Several studies, including Kelly arnes, show that healthcare generally moves from "costly settings" such as hospitals into cheaper and more flexible options, such as retail clinics and mobile health
What this actually shows as a future trend is that the global recession has played an important role in defining the customer profile. Clients are no longer interested solely in the best available services, but in low-cost services. For this, they look at flexible options and, in the same context of flexibility, they look more and more towards customization. Customization includes customized treatments and customized location (home, hospital, clinics, mobile)
At the same time, the demand for innovation remains key. The Harvard usiness Review points to the demand for innovation in emerging markets, such as China and India, but this is also true, to a different degree, for the U.S. market
. Innovation can take different…
1. Barnes, Kelly. Factors affecting 2014 Medical Cost Trend. PriceWaterHouse Coopers. On the Internet at http://www.pwc.com/us/en/health-industries/behind-the-numbers/index.jhtml . Last retrieved on March 6, 2014
2. Top Trends in Healthcare, medicine & pharmaceuticals. What's Next. On the Internet at http://www.nowandnext.com/?action=top_trend/list_trends§orId=10 . Last retrieved on March 6, 2014
3. N.a. Megatrends in Global Health Care. On the Internet at http://hbr.org/web/extras/insight-center/health-care/globaltrends/2-slide . Last retrieved on March 6, 2014
4. Child Trends. (2013). Fertility and birth rates. Available at: http://www.childtrends.org/?indicators=fertility-and-birth-rates
Insomuch, I have worked closely with customers on a myriad of issues to ensure their needs were met. Such concern for my constituents has transcended to an elevated level of service for individuals in the healthcare field.
Additional Information for Consideration
Although I may not be a traditional candidate, I have always worked hard to attain my goals. egardless if goals seemed to be unreachable, I have always persevered in the most trying of conditions. Pierce (2003) defines nursing quite well, "Nursing is the protection, promotion, and optimization of health and abilities, the prevention of illness and injury, and the alleviation of suffering through the diagnosis and treatment of human response and advocacy in the care of individuals families, communities, and populations. Moreover, nursing addresses the organizational, social, economic, legal, and political factors within the healthcare system and society. These and other factors affect the cost, access, and quality of…
Cafazzo, D. (n.d). Nurses will be charting own futures. The News Tribune, D.1.
Hensick, J. (1996). Guest editorial. Our contract with America: Nursing's social policy statement. Michigan Nurse, 69(5), 3.
Kagan, S.H. (2004). The advanced practice nurse in an aging society. Nurse Practitioner,
Personal Perspectives on Living With a Disability
The objective of this work is to examine a work in writing that provides a first-hand perspective on the psychosocial issues involved with living with a disability of a disabling illness. personal perspectives on living with a disability. Questions addressed in this study include those as follows: (1) what type of disability or disabling illness did the person have? (2) provide a description of how this disability/illness affects the individual's perceptions of his/her identity? (3) What forms of prejudice or discrimination did he/she encounter from others? How did he/she cope with it? And (4) What did you learn from this individual's account of his/her experience that would help you as a therapist in working with another individual who has a similar illness or disability?
Type of Disability or Illness
Anthony Galvez relates that in September 2005 he was diagnosed with a "non-malignant brain…
Galvez, Anthony (2010) Reversal: When a Therapist Becomes a Patient. Health and Fitness. Google Books. Retrieved from: http://books.google.com/books?id=3E1hch-CMDcC&dq=Reversal:+When+a+Therapist+Becomes+a+Patient+by+Eric+Anthony+Galvez+ (PT+with+brain+tumor)&source=gbs_navlinks_s
Contracts with doctors often contain a clause which doesn't allow the doctors to discuss
Health care 7 with their patients financial incentives to deny treatment or about treatments not covered by the plan (Glazer, 1996). This has caused many consumers, especially those with chronic illnesses, to form organizations with the American Medical Association and physician specialty groups to promote legislation forbidding "gag rules" (Glazer, 1996). One group, Citizen Action, has 3 million members and "has been lobbying in state legislatures for laws that would require plans to disclose how they pay their doctors; give patients the right to choose specialists outside the plan; and provide appeals for patients who get turned down for expensive treatments" (Glazer, 1996).
The doctor-patient relationship is also affected if a patient must switch to a new doctor under managed care. Having a longterm relationship with a primary doctor is important because he or she is…
Bennett Clark, Jane (1996, July). What you should ask your HMO.
Kiplinger's Personal Finance Magazine. pp. 92-93.
Glazer, Sarah (1996, April 12). Managed Care. CQ Researcher, 6,
Koop, C. Everett (1996, Fall). Manage with care. Time. pp. 69.