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Telehealth / Telemedicine
The concept of telehealth holds that there are a range of medical services that can be delivered remotely. Some early telehealth might have been conducted over the phone, perhaps a patient calling to get an opinion of whether he/she needed to travel to the nearest medical facility or not. For people living in remote areas, this was important. Countries like Australia and Canada, almost by necessity, helped pioneer telehealth and the United States has similarly utilized the technique.
The concept of telehealth is like an umbrella, with many different things encompassed within its definition. These include online support groups, online health information, communication with health care providers, remote monitoring, and video or online doctor visits (Mayo Clinic, 2016).
Modern telecommunications have only accelerated the use of telehealth, but they have also broadened the scope of what can be accomplished using telehealth technology. For example, the use of…… [Read More]
Telehealth and Home Monitoring Equipment
This is a paper that outlines the features of telehealth products and how effective they are for the consultants and users. It has 15 sources.
In contrast to the past when people could not e treated in time to prevent loss of life present-day planning has greatly influenced the fate of those in need and modifications have occurred in the way that health care is administered. Currently though, the jo is far from complete, as there are yet more efforts eing made in order to further ameliorate healthcare services in the country.
According to geographical oundaries, there appears to e a need for extension of healthcare in order to reach those who might consume valuale time traveling to healthcare centers in case of emergency. Especially in case of individuals suffering with CHF, a remedy for such patients would e most welcomed.
Presently, Telehealth is…… [Read More]
telehealth in nursing and the ability to provide quality care has received much attention of late and there are several studies that examine the role of telehealth in supporting patients and helping nurses provide quality care.
The study by Geennhalgh, herton, Sugarhood, Hinder, Procter et al. (2013) conducts a qualitative phenomenological study on how telehealth and telecare help elderly persons with their assisted living needs. The study finds that these tools are helpful to varying degrees depending on the patients' needs and the nurses' role in providing care.
Gorst, Coates and Armitage (2016) conduct a qualitative study on how patients' beliefs and personal feelings regarding telehealth impact their quality of care. The study employed interviews with 8 patients to find out how patients feel about this type of care: most liked it but most also valued face-to-face time with care givers.
Brewster et al. (2014) use both qualitative and quantitative…… [Read More]
educing Nursing Turnover by Implementing Innovative E-Health: A New Strategy for Incentivizing Nurses and Improving Organizational Culture
Nursing turnover rates are a serious issue for hospitals: they are costly and result in lost time and energy in continuously training new staff (Twibell, 2012). Identifying the main reasons for nursing turnover and addressing them can lead to better nurse retention (Trivellas, Gerogiannis, Svarna, 2013).
The problem of nurse retention has been identified by academic scholars in journals like the Journal of Nursing Administration, which has estimated the cost of replacing a single nurse to be approximately $82,000 (Twibell, 2012). As Twibell (2012) reports, job satisfaction is the main reason new nurses leave and the poor sense of job satisfaction is related to too heavy workloads and the lack of their ability to guarantee patient safety. While Twibell goes on to suggest that these issues can be addressed by implementing…… [Read More]
E-medicine and Telehealth are ways of sharing medical information pertaining to patients through the use of electronic/digital communication portals. Various technologies enable health care providers to use these means -- from smart phones to email to virtual connections, Telehealth is bringing the 21st century to paient-provider relationships and helping more adequately and efficiently to facilitate the provider in meeting the individual needs of the patient (MayoClinic, 2015).
One way to meet these needs is through providing home care services that allow providers to support an alternative (more traditional) approach to health care via home visit services. Telehealth makes this possible as medical information can be accessed by the practitioner on the go and records virtually taken with one wherever one goes so that the patient does not have to be troubled to visit the clinic.
For this reason alone, investing in Telehealth can be worth it. The statistical…… [Read More]
Telehealth innovations facilitate the capability of providing healthcare through telecommunications technology. These are implements that can be employed to address as well as enhance the health status of children in schools. In the contemporary, rural areas within the United States are expanses that are still lacking proper and adequate healthcare. To address and transform this, school-based telehealth care has been unveiled and instituted as means of rendering care to children. In particular, school-based health clinics make the most of telemedicine technology to provide children with the accessibility to primary healthcare services (Kim, 2013). The purpose of this essay is to delineate the manner in which rural school-centered telehealth clinics can be employed in the nursing field to deliver suitable healthcare to children.
The topic argued, discussed and deliberated in the essay encompasses the establishment and efficacy of rural school-based telehealth clinics. The statement of focus in the article…… [Read More]
The American federal government has declared its decision to promote and incorporate telehealth services into healthcare coverage for its citizens. Obamacare adopted this practice only federally, via Medicare, and that too in specific situations. The authority of deciding telehealth services to be provided under Medicaid chiefly continue to be under state government jurisdiction. Major barriers challenge telehealth acceptance and adoption, with the overall country and individual states unable to fully appreciate telehealth’s cost-effectiveness. The proposed Telehealth Parity Act (TPA) will revolutionize Medicare telehealth reimbursement, besides expanding Medicare recipients’ coverage. States will perhaps slowly do away with their respective parity-related regulatory restrictions which constrain professionals and organizations, shifting their emphasis to telehealth integration into routine healthcare coverage.
Telehealth tools will aid practitioners in providing superior-quality, economical healthcare, which is crucial to the growing value-based imbursement trend. All things considered, telehealth boasts significant advantages if the healthcare system expends…… [Read More]
Chronic obstructive pulmonary (COP) is one of the serious diseases in the United States that places a great burden on patients as well as healthcare systems based on its associated high rate of hospitalization, outpatients visit and readmissions. (Sarah et al. 2016). Over the years, the COP has become a major public health issue globally with more than 65 million cases. (Sarah et al. 2016). In 2010, the United States recorded a direct cost of $32.1 billion based on the prevalence of the COP disease. In the UK, 1.6% of the population is suffering from the COP contributing to the burden of over £800 million per annum with the direct medical costs of approximately £625 million annually. (Sarah et al. 2016). Despite its associated direct costs burden, the prevalence of the COP is likely to increase because of a rise in aging population.(Sarah et al. 2016).
The telehealth…… [Read More]
Telenursing: Is it for Me?
Fifty years ago, the kind of technology depicted in science-fiction films may have seemed like an unattainable fantasy. Today, it is a reality. Advancements in technology in every sector of life have made it so that human beings now have more communicative power than ever before: information can be conveyed digitally and electronically faster than the blink of an eye. This technology is now being instituted in the health care industry in the form of telehealth. Telehealth is a form of medicine that utilizes telecommunications technologies and electronic storage to make long-distance clinical care a real and effective practice in today's world (Hebda, 2013). This paper will provide an assessment of one area of telehealth, which is telenursing and include a discussion of the advantages and disadvantages for the patient as well as legal and ethical principles for the nurse using telenursing.
One of the…… [Read More]
Because patients have an active role in their care plan and are in
more frequent contact with their healthcare provider, they gain a better
understanding of their condition and become more compliant in their care."
(Moore, 1) This speaks directly to the challenges in healthcare relating
to diabetes, which is a condition that can best be controlled through
effective personal lifestyle habits and a sound treatment of one's body.
Being able to take proper routine measures to monitor, medicate and treat
one's self can be facilitated through telehealth consultation, reducing the
need for travel and doctor visits for those who might be less mobile due to
age and infirmity.
The importance of reducing hospital visits for both cost to
healthcare and strain on the patient can be especially appealed to where
diabetes is concerned. The chronic nature of the condition and the related
ability of the patient to control certain…… [Read More]
Telehealth Strategies to Support Adolescents with Diabetes and CKD
Children and youth who must undergo dialysis because of chronic kidney disease (CKD) are typically provided age appropriate educational materials for self-care. Key objectives of efforts to strengthen self-care education are the maintenance of optimally beneficial diet and, although direct evidence has not yet been shown for children, maintenance of blood pressure that is below the 90th percentile for height, age, and gender ("NIH," 2014). Longitudinal studies may point to strategies that result in earlier detection, and perhaps even enable diabetic kidney disease to be prevented (Lane, 2005). In the interim period, research that identifies enhanced methods for assisting and encouraging children and youth to adhere to their dietary regimens are an important support to utilize ("NIH," 2014).
Guidelines for optimizing the benefits of a customized diet for children and youth with chronic kidney disease have been provided by the National…… [Read More]
Early Detection and Management of Diabetic Neuropathy in a Clinical and Homecare Setting
The objective of this study is to examine early detection and management of diabetic neuropathy in a clinical and homecare setting and specifically through examination of articles published after 2002. The information from each source will be summarized listing the strengths and weaknesses of each article in separate paragraphs. As well, this work will utilize table or graphs to present the findings.
O'eilly, Caryl Ann (2005) Managing the Care of Patients with Diabetes in the Home Care Setting, Diabetes Spectrum, July 2005. Vol. 18. No. 3. etrieved from: http://spectrum.diabetesjournals.org/content/18/3/162.full
The work of O'eilly (2005) reports that more patients than ever before are released earlier from hospitals and rehabilitation center and that those with diabetes are included in this trend. Diabetes is reported to be ranked second following congestive heart failure as the primary diagnosis at…… [Read More]
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…… [Read More]
Nursing Change Project
The organization at focus in this nursing change project and the nursing managers in cohesion implemented an evidence-based nursing practice model in the health care organization. As noted in the work of Keele (nd) there has been several models that have provided contributions on the conceptual level to the implementation of evidence-based nursing. One of these models is the Stetler model (Stetler, 2001), also included is the Iowa model (Titler, et al., 2001), the John Hopkins Evidence-ased Practice Model (Newhouse, et al., 2007), the ACE Star Model (Stevens, 2004), the Caledonian Development Model (Tolson, ooth & Lowendes, 2008), and the Evidence-ased Practice Model for Staff Nurses (Reavy & Tavernier, 2008). (p.75) The model chosen by the organization and reported in this work in writing is most similar to the Evidence-ased Practice Model for Staff Nurses (Reavey & Tavernier, 2008). The process utilized for the Evidence-ased Practice Model…… [Read More]
Obesity is a global epidemic affecting almost all population cohorts. Rates of obesity are rising worldwide. According to the World Health Organization (WHO, 2013), the obesity epidemic “is not restricted to industrialized societies,” with millions of obesity-related cases burgeoning in developing countries (p. 1). With billions of cases worldwide, obesity has therefore been described as the “major health hazard of the 21st century,” (Zhang, Liu, Yao, et al., 2014, p. 5153). Given the global nature of the disease, clinical guidelines have become increasingly standardized, but it is still necessary to tailor interventions to specific populations to create age appropriate, culturally appropriate, and gender appropriate treatment interventions. After a brief discussion of obesity pathophysiology, this paper will evaluate standard practices at local, state, national, and international levels. Access to care and treatment options also determine disease outcomes. Therefore, this paper will also address…… [Read More]
" (Tyson, 1)
The participants in the program has responded universally in favor of the program and have described it as a way of gaining access to critical support services which are inaccessible due to age, travel restriction and disability. Though the Tyson article denotes that many participants in the program do require some adjustment time to become comfortable with the flow of videoconferencing, most have ultimately reported that the reduction in travel time has been an enormous assistance in removing barriers to counseling. In this particular program, a focus on relieving alcohol and drug addiction symptoms following rehabilitation in the remote rural regions of Montana would demonstrate the importance of having a more accessible mode of gaining such support services. (Tyson, 1)
Indeed, the Tyson article suggests that the counterpoint to providing these opportunities is the danger that such individuals are likely to lapse back into addiction. This is…… [Read More]
ABC/123 Version X
Definition and Purpose Explain each term in your own words using complete sentences.
Health Care Example Identify an example of each term and discuss how it is used in a health care setting.
References Provide two APA formatted references to support your claims for each term.
Clinical decision support ?
Clinical decision support or CDS is a way of organizing and utilizing information and patient-specific knowledge, streamlined for utility and employed under the right circumstances, to improve the health care that is provided and to improve the health of the patient.
CDS in a health care setting can include a variety of things, such as technology to provide reminders or alerts for patients or providers, or also data reports, and relevant information
Garg, AX, Adhikhari, NKJ, et al. (2005) Effects of computerized clinical decision support systems on practitioner performance and patient outcomes: A systematic review. Journal of…… [Read More]
Benchmark-esearch Critique and PICOT statement
This article is a research critique on the paper titled 'Home Telehealth for Patients with Chronic Obstructive Pulmonary Disease (COPD): An Evidence-Based Analysis' by J. Franek. The research paper under review was published by the Ontario Health Technology Assessment Series.
Although there isn't a direct statement that refers to Problem statement, there is a title that highlights the "Objective of the Analysis." There is an excerpt of the objectives below. The discussion in the objective statement is only centred on the evaluation steps. There is evidence in the literature that the effects of COPD were openly revealed as being core elements of the problem statement in the first place.
"For patients experiencing multiple comorbidities, it is essential to observe routine self-management support. Such support consists of the necessary education to enlighten parents to pick out the symptoms in good time. They will consequently manage their…… [Read More]
Technology in Medicine: Distant Medical Surveillance Technology for Diabetics in the Less Developed Area of Texas
An estimated 26 million Americans live with diabetes. When not properly treated, diabetes could be fatal as it occupies the seventh position on the list of major mortality causes and it is also a strong causative factor of renal failures, sight damage and clinical limb removals among Americans. Diabetes occurrences are approximately 17% higher in less developed areas. Ethnicity and race are also major factors in determining the risk of suffering from the disease as it affects the smaller factions more. Distant medical surveillance can be very helpful in acquiring daily data about a diabetic's sugar levels, dangerous signs, feeding habits and therapy devotion. This method could help patients take their medications appropriately. Even though certain patients could decide not to adhere to their treatments and thus render this technology useless, the group who…… [Read More]
"A step backward -- or is it forward?" Diabetes Care, 31, 1093-1096.
Huan-Cheng C., Yue-Cune C., Su-Mei, L., Mei-Fang, C., Mei-Ching, H., & Chin-Lin, P. et al. (2007). The effectiveness of hospital-based diabetes case management: an example from a northern Taiwan regional hospital. Journal of Nursing esearch, 15, 296-309.
Khamaisi, M., az, I. (2006). Endothelial dysfunction in diabetes: the role of proteik kinase c. Vascular Disease Prevention, 3, 305-312.
Loganathan, ., Searls, Y.M., Smirnova, I.V., & Stehno-Bittel, L. (2006). Exercise-induced benefits in individuals with type 1 diabetes. Physical Therapy eviews, (11), 77-89.
Ohman-Strickland, P.A., Orzano, a.J., Hudson, S.V., Solberg, L.I., DiCiccio-Bloom, B., & O'Malley, D. et al. (2008). Quality of diabetes care in family medicine practices: influence of nurse-practitioners and physician's assistants. Annals of Family Medicine, 6, 14-22.
Ohshiro, Y., Takasu, N. (2007). ole of protein kinase c-? activation in diabetic nephropathy. Diabetes, 24(3), 61-64.
Sharma, S., Kulkarni, S.K., &…… [Read More]
This 1996 Act was part of a Civil ights concern that as information became more electronically disseminated, it would lead to misuse of that information (U.S. Department of Health and Human Services, 2010). Certainly, one of the benefits of electronic information is that on one hand it is available to a larger number of people, but it is also verifiable on who views that information at what time. This protection, though, is part of the ethics of individual rights. It has, however, affected scholarly research and the ability to perform retrospective, chart-based research and evaluations. One study, in fact, said that HIPAA managed rules led to a 73% decrease in patient accrual, triple the time recruiting patients, and tripling (at least) of mean recruiting costs (Wold and Bennett, 2005). However, despite the few incidents in which the regulation of this information is detrimental, most civil rights advocates praise the legislation…… [Read More]
Non-Profit Business Plan for Care on the Horizon
Imagine a community of elderly people of diverse backgrounds and ethnicities. Now imagine that each and every one of them must provide for themselves and their health care by leaving their homes and making a difficult trek to the local health care facility, where they will have to wait in line, sometimes for hours, before they can be quickly seen and just as quickly dispatched back home. What an exhausting way to live -- especially in one's old age, when retirement is supposed to be a more pleasant and less fatiguing way of life.
Such communities exist all over the nation but especially in NY. In many cases, there is no one who can properly look after such people, at least not in the traditional sense, where home care is a natural and effective remedy to such situations. Fortunately, our organization has…… [Read More]
Environmental Interventions for Patients With Dementia
Dementia is a neurocognitive disorder that has been treated in various ways throughout all history. The modern era has proposed pharmacological interventions in the past but these have proved dangerous and degrading to the quality of life that dementia patients and their loved ones prefer. For this reason, environmental interventions have emerged as an alternative method for treating elderly dementia patients. This intervention method consists of altering the environment in which the patient lives by accommodating for the needs of the patient with clearly identifiable pathways, open spaces for communication, naturalistic settings, adequate stimuli and private rooms for quiet. This paper discusses the fundamental principles of environmental interventions for patients with dementia and includes a justification for this approach as a suitable alternative to prevailing psychoactive drug interventions. It also includes a discussion of the historical context of the disorder, its current description according…… [Read More]
This is necessary to provide a seamless platform on which health solutions can be effectively integrated and deployed. Without using such a platform, the development of electronic health care facilities will be more difficult to deploy. In other words, Tele-health is part of the overall healthcare ICT (Information Communications Technology) solutions that enables healthcare to be pushed out to the edge, for local delivery, and to be more evenly, efficiently and effectively distributed.
Broadband communication is the underlying technology of choice when discussing electronic applications. It is certainly important for inter-healthcare provider communications delivering sufficient bandwidth capacity between sites. The delivery of home care electronic should not rely on the broadband technology is not universally accessible, particularly in rural and remote areas, and it can also be prohibitively expensive. Some broadband technologies can be delivered to remote locations, such as satellite-based technology, but this is impractical and too costly to…… [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]
Evolution of Healthcare Information System
Evolution of health care information system
Over the last twenty years, technology in provision of healthcare has evolved tremendously and what was available then now seems primitive in comparison. Today, patient care is at a much higher level. The management of healthcare institutions has become far more efficient through the growth of technology. esearch is now more readily available. The growth of technology has proved beneficial to not only the healthcare workers, rather, more so to the patients. Nowadays, treating a patient correctly and effectively is easier than it was then; the patient is also more secure due to machines that can monitor all his processes and new technology has also enhanced the skills of the healthcare workers in handling their patients (Bavova, 2013).
This paper seeks to discuss highlight similarities and differences between healthcare provision twenty years ago and today, as a result of…… [Read More]
Communication is one of the most important aspects of nursing, as the case study of the student and the instructor indicates. The student nurse failed to communicate to the instructor the patient's abnormal oxygen saturation reading -- a reading that could have had very serious consequences for the patient. An entire week going by before this information is relayed to another nurse is highly unacceptable, considering how much emphasis is placed upon preventing medical errors from occurring (Cimiotti, Aiken, Sloane, Wu, 2012). Thus, it is imperative that student nurses appreciate the ramifications of failures in communication -- ramifications that could be potentially fatal for patients and, by extension, legally adverse for the health care facility. Stressing the crucial importance of nurse to nurse communication is vital to the well-being both of the health care organization and the well-being of the patient.
Importance of Nurse to Nurse Communication
The…… [Read More]
The demographics of the site chosen for this paper, NH Clinic, consist of a vast group of clinical professionals working at 21 different hospitals across the country. NH Clinic staffs nearly 500 outpatient ambulatory and physician practices as well. The Clinic supports more than 6,600 beds, employs over 15,000 nurses and is affiliated with nearly 14,000 physicians. Its total workforce consists of over 61,000 workers and NH Clinic is the biggest private employer in the state (NH eports and Facts, 2016).
The staff employed by NH Clinic is as diverse as the state's population itself, with a variety of persons of ethnicities and cultures employed throughout the ranks of the Clinic. It has men and women of a many different races, religions, beliefs and backgrounds in positions of management, throughout the administration, and up and down lower level chains as well. NH Clinic celebrates diversity in its…… [Read More]
Quality of Work Life of Health Care Providers in Saudi Arabia
In iyadh, the quality of work life of health care providers is not as high as it should or could be, according to researchers (Alhousaini, 2006; Almalki, FitzGerald, Clark, 2012). Almalki et al. (2012) have shown that "30.3% of nurses in iyadh were not offered any training courses or continuing education programs and 65.9% were offered very short courses (1 to 5 days per year)" (p. 30). Overall, health care providers have expressed dissatisfaction with their work life (Almalki et al., 2012). Likewise, Abu-Zinadah (2006) has indicated that work life in conditions in iyadh are sub-par for health care providers and could be improved considerably through attention to work hours and other variables. In iyadh as well as in other regions throughout the Kingdom, a lack of clinical experience can negatively impact a health care providers' quality of work…… [Read More]
Planned change in the eldercare advocacy organization
In the coming years, many countries will experience a dramatic shift in healthcare infrastructure due to an expanding elderly population size. However, the changes may vary across countries depending on many factors such as the kind of social welfare available in each country, the political environment which determine policies, the level of healthcare available and individual expectations in each country. Due to this wide variance, the innovations within this space will also vary greatly. What this means to the healthcare manager is that managing innovations becomes very hard (Shlutz, Andre & Sjovold, 2015 p 42). This also impacts on performance management which is fast gaining popularity in the public sector as a means to improve on accountability. Unfortunately, it has been cumbered by a series of challenges in its implementation; this is in spite of the frameworks developed over the last couple of…… [Read More]
The healthcare industry has widely adopted IT solutions in the development and maintenance of information systems for this sector. These information system applications will go a long way in boosting medical care goals by reducing costs significantly, increasing efficiency in the process and achieving a zero error. With this, client satisfaction will be realized. At the core of this is the electronic medical records (EHR) which is representative of all the health information of an individual that is available in a database and can be shared across healthcare service providers (Rouse, 2016). Also integral to this system are two components; mobile health (mHealth) and telehealth (telemedicine). Though the two are interconnected, they have a slight difference. Telehealth includes home monitoring of health conditions through desktops, laptops and other online material (Terry, 2016), while mobile health is restricted to mobile devices.
Considering the impact of electronic medical records (EHR), it is…… [Read More]
esearch has shown that good communication amid patients and health care providers is directly connected to a person's happiness, treatment adherence and affirmative health results (Cultural Competency for Health Care Providers, 2007).
The goal of a lot of provider-oriented health it tools is to make relevant patient information flawlessly and unmistakably accessible to providers at the point of care. In so doing, these tools can decrease clinical indecision related to blurred or mistaken patient information that may be found in a handwritten medical record. In the nonexistence of desired information or in the presence of blurred or uncertain data, providers may undervalue patient precise information while at the same time overweighting their own medical viewpoints, suppositions, prejudices, or stereotypes about certain kinds of patients. If apparent and precise patient information is accessible to the clinician, the utilization of this information should augment, getting rid of the need for relying on…… [Read More]
Jurisdiction issues may also affect the insurance and the coverage provided by the agency as insurance coverage is also restricted to certain regions and not outside those jurisdictions.
Identity Theft: Another issue or the problem is that of identity theft, which is considered to be the fastest growing crime in America as millions of victims have been reported over a period of last couple of years. Giving out information on website whether it is email or other security or personal details requires care & caution on part of both consumers as well as WebMD management.
Jargons: The information available for the consumers at times can be in a technical language. Jargons may create confusion among the consumers and may misguide them. Most information is available in easy to understand language but the provision of glossary of terms may help the consumers in understanding the true meaning of the content available…… [Read More]
Technology Integration Poses New Ethical Dilemmas for Healthcare
Imagine studying the effects of globalization on healthcare. What would one find from his or her research? Is there a possibility that policies need changed? How does this affect one's licensure? One will study in depth this trend and find ways to solve the issues that arise before it is too late.
Within the United States, "globalization of healthcare encompasses both exporting patients (medical tourism) and importing medical services (outsourcing)" (Herrick, 2007). This makes competition increase, which means that what happens in the U.S. could rival that of Japan; consequently, healthcare would have to improve their quality and provide patients with more choices (Herrick, 2007). Whatever the case, many tasks are getting outsourced to those in foreign countries (Herrick, 2007). This includes "long-distance collaboration-incorporating the services of foreign medical staff into the practice of American medical provides" (Herrick, 2007). One has to…… [Read More]
Technological and social challenges of information technology in health care
Information technology has transformed all aspects of society and healthcare is no exception. One 2010 survey of physicians conducted by the Medical Group Management association found that seven of the top ten challenges identified by physicians had to do with health information technology: implementing electronic records-keeping, keeping track of Medicare reimbursement and compensation, and bi;; collections via new information management systems (Sarasohn-Kahn 2010). However, significant challenges exist in implementing health information technology effectively, so it can realize its promise to create a more efficient healthcare system. "Clinical information systems do not communicate with each other automatically because integration of existing data standards is lacking. Data standards for medical specialties need further development. Database architectures are often designed to support single clinical applications and are not easily modified to meet the enterprise-wide needs desired by all end-users" (Kardry et al. 2010).…… [Read More]
omen's Health -- Focused on prevention and care for breast health, mammography, etc.
Transplant Programs - Swedish is one of seven kidney transplant centers and one of just four liver transplant centers serving the entire Pacific Northwest. The Organ Transplant Program at Swedish is at the forefront of new advances in transplantation surgery, including pancreas transplants and transplants between unrelated living organ donors and recipients (Swedish Medical Center, 2011).
Service design, operational activities, strategic decisions- Swedish is nothing but on the move -- strategically and tactically. In October, 2011, Swedish opened a new full-care facility with a 550,000 square foot campus in the city of Issaquah, southeast of Seattle city proper. This new facility was designed to be an entirely new hospital experience. Some of the operational innovations include a new Childbirth Center with eight new Labor/Delivery/Recovery rooms that include sleeping areas for partners, iPod access and a hotel room…… [Read More]
These recommendations include increased funding for bilingually staffed mobile mental health care clinics in Mexican and Salvadorian migrant areas, increased youth violence counseling in areas of Vietnamese refugees, and an increased presence of mental health community centers in areas of Chinese immigrant areas. By tailoring services to the areas they serve, the non-English speaking communities could be more quickly treated, and more effectively counseled (Smith, et al., 2004).
There is no question that psychological services, including drug and alcohol treatment, counseling, psychiatry, violence therapy, and general psychological services are available in the Central Valley area for the non-English speaking residents of the community. However, based on studies of the unique populations, it is clear that more specific care is needed to provide these populations with adequate mental health services. It is only through additional funding, and more programs, tailored to suit the needs of local clients, that all citizens of…… [Read More]
For instance, a study by the Harvard Team determined that fully 11 per cent of the lowest income group (with a monthly household income below U.S.$1,282) suffered from poor health compared with just 3 per cent of the highest income group (i.e., households with an income above U.S.$5,128) (amesh). As this author points out, the current approach to the delivery of healthcare services in Hong Kong has some definite strengths - as well as weaknesses -- that must be taken into account when formulating strategy for the future. In this regard, amesh emphasizes that, "Hong Kong's accessible and equitable health-care system has been achieved at a rather modest cost, and the concentration of public subsidies on in-patient care, which is expensive, has fostered a system that is both efficient and equitable. Centralized provision in public facilities reduces scope for supplier-induced demand and duplication of facilities, thus reducing overall costs" (p.…… [Read More]
4G Phones and Technology
In the field of telecommunications, the term 4G is the fourth generation of mobile communication standards; obviously the successor to 3G. In general, a 4G system provides mobile ultra-broadband Internet access to devices, amended mobile web access, gaming, High Definition television, video conferencing, and Voice Over IP technology. Most Android and indows-enabled cellular devices are not 4G capable, but not ever location is able to access 4G technology. However, one real advantage of 4G is that it can provide an internet data transfer rate higher than any current cellular services, other than broadband and i-Fi connections (Cox, 2012).
4G is not a new technology, and has been on the market commercially since at least 2008. However, Since 2010 Smartphone technology has grown so much that aggressive speed and market expansion have pushed the envelope and consumer expectations for coverage and more rapid downloads. Even with the…… [Read More]
iPads for PTSD
There is a high incidence of Post-Traumatic Stress Disorder (PTSD) among veterans of the current conflicts in Iraq and Afghanistan. The United States' all-volunteer forces have been engaged in combat for ten years and many military members have completed multiple tours. Some individuals are more susceptible than others (Corbett, 2002). Although sufferers of PTSD are in the minority of those returning from war zones, numbers are still sufficiently high to tax the military's health care system. There are simply not enough mental health professionals to meet the need.
Online counseling and special PTSD apps for smart phones and tablet computers have been demonstrated as effective solutions, at least in part. Military officials stress that neither online counseling nor apps replace one-on-one treatment in a clinical care setting. However, they can be beneficial to sufferers and provide some intermediate relief until actual treatment can be provided.
Project Proposal…… [Read More]
Business Review of VNA-TIP Homecare
Home healthcare and hospice providers pride themselves on their ability to provide the best quality care to the most needy patients. The mission of the Visiting Nurse Associations of America (VNAA) is "to support, promote and advance nonprofit providers of homecare, community health and hospice to ensure quality care for their communities" (2010). This mission is the goal of hundreds of home healthcare providers around the country. Hospice is a service that supplies an even greater need. This service is provided, through Medicare funding, to individuals who are terminal and have a doctor estimated less than six months to live. Both of these services are primarily the purview of non-profit groups funded by donation and government grants. There are very few such companies which operate on a for-profit basis.
One of those companies is the subject of this review. It is important to note that…… [Read More]
Care, Treatment, and Education Plan for a Patient with Cardiac Problems
P. Presenting with Cardiomyopathy and Congestive Heart Failure
Mr. P is a 76-year-old male with cardiomyopathy and congestive heart failure who has been hospitalized frequently to treat CHF symptoms. He has difficulty maintaining diet restrictions and managing his polypharmacy. He has 4+ pitting edema, moist crackles throughout lung fields, and labored breathing. He has no family other than his wife, who verbalizes sadness over his declining health and over her inability to get out of the house. She is overwhelmed with the stack of medical bills, as Mr. P always took care of the financial issues. Mr. P is despondent and asks why God has not taken him.
Considering Mr. P's condition and circumstance, write an essay of 500-750 words that includes the following: Describe your approach to care. ecommend a treatment plan. Describe a method for providing…… [Read More]
hat is the key point or concept that emerged from the activity? hy is that important to you and why is it important to nursing?
One key point in this paper is that while much has been accomplished in the field of nursing research, much remains to be done. Reading through the introductions of the people who were pivotal in the development of nursing research institutions -- and the recollections from the speakers about how the struggles were all worthwhile -- was educational background and interesting. But what really jumped off the page at me -- and are important to me and to the future of nursing -- were several passages on the last page of this document.
All the talk related to the value and history of research notwithstanding, these points stand out: a) research outcomes must be linked to actual nursing care and to health trends…… [Read More]
Affordable Care Act
Affordable Health Care
Healthcare is very expensive in the U.S. today but it is also something that everyone needs. That is why affordable healthcare would be a great program for families in America: they could have the care they require at a cost that would not impoverish them at the same time. However, with the passing of the Affordable Care Act (ACA), healthcare costs and premiums have actually gone up for many families (Durden, 2015). Through the ACA, the government is requiring healthcare insurance be mandated for every citizen in the U.S.; however, those citizens with a limited income or who cannot afford to pay for health insurance are penalized because the premiums offered by the insurance companies are too high. This paper will show how even though having mandatory healthcare for everyone is a great idea, seniors and low income families cannot afford the insurance premiums.…… [Read More]
Wide Web Consortium and HIPAA Applicable ules
In the contemporary business environment, compliance and security standards have become the crucial factors to a successful business and assist in gaining the confidence of top global clients. The W3C (World Wide Web Consortium) is one of the standards, which develops the interoperable technologies that include guidelines, specifications, tools and software to assist the Web achieving its full potential. Moreover, the W3C is a forum for commerce, communication information, and collective understanding primarily aimed to pursue its mission through development of Web guidelines and standards. Since 1994, the W3C has launched a publication of over 100 standards referred as W3C recommendations. The W3C also engages in software development, outreach, education, and serve as an open forum for Web discussion. To assist Web reaching its full potential, fundamental Web technologies allow the software and hardware accessing the Web to allow the technologies working together.…… [Read More]
Department of Veterans Affairs Medical Center, Oklahoma City, Oklahoma
Today, the Department of Veterans Affairs (VA) operates the nation's largest healthcare system through the Veterans Health Administration (VHA), including 152 medical centers (VAMCs), 800 community-based outpatient clinics and numerous state-based domiciliaries and nursing home care units (About VA, 2016). As the second-largest cabinet agency in the federal government, the VA's budget exceeds the State Department, USAID, and the whole of the intelligence community combined) with more than $60 billion budgeted for VHA healthcare (Carter, 2016). One of the VHA's largest medical centers that provides tertiary healthcare services to eligible veteran patients is the Oklahoma City VA Medical Center (OKC VAMC) in Oklahoma City, Oklahoma. Like several other VAMCs, the OKC VAMC has recently been implicated in a system-wide scandal concerning inordinately lengthy patient waiting times and misdiagnoses which may have contributed to the deaths of some veteran patients and jeopardized…… [Read More]
obert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine
The Institute of Medicine (IOM) has published a guide for the future of nursing in the U.S., the purpose of which is to facilitate nurses, health care providers and community leaders with the tools they need to implement effective changes towards improving the health of their communities. This paper will discuss the key messages of the IOM report, the importance of the report for nursing, and what the state is doing in terms of its Action Coalition to achieve the goals outlined by the report.
The key messages of the IOM report, Future of Nursing: Leading Change, Advancing Health are that nurses should 1) maximize their education and training in their practice by working to implement everything they have learned, 2) pursue further education/training through a program of continuing education that supports progress, and…… [Read More]
The general impression of Mrs. Smith so far are that she is nearing an end-of-life phase: she is becoming weaker, tired, does not feel like going out much, and experiences a general sadness -- though she says she does not feel "sad exactly." Her general mood is pensive, somewhat concerned about her frailty -- definitely concerned about having another fall like she had last year and becoming dependent upon caretakers. Her fears are founded on the experience of friends and just an overall awareness of the fact that she is aging -- now 80 -- and will not be able to live independently forever. This is no doubt causing some slight depression -- which is not uncommon or unusual in seniors at this age (Shulman, 2007). Likewise her gait pattern -- slow, "reduced walking speed, arm swing and vertical head movements" are indicative of "sadness and depression" (Michalak…… [Read More]
EBP is to facilitate strategy to eradicate short cycle return to second readmission of psychiatric patients on hospital beds. Doing so will assist health care providers in addressing the issue of bed shortage. eduction of readmission rates allows more space to be available for other patients and helps to cut costs as well as bring about better conformity with governmental regulations.
The search process used in this literature review began with searching key words in online databases such as Cochran eview, CINAHL, and other nursing research journal databases. Google Scholar was used as the primary search engine, with filters set to permit results from these particular databases. Key words used included "reducing readmission rates," "readmission psych," "causes of readmission psych hospital," "psych hospital readmission," "reduction of psych readmission," and other combinations of key words identified by relevant articles found after conducting these searches. More than a thousand articles…… [Read More]
Veteran/Purple Heart Recipient
Highly qualified and well-rounded healthcare administrator that has a strong and diverse background in healthcare, operations, facility management, strategic planning, Lean, healthcare development and redesign background. This includes sixteen years of hands-on patient care experience as well as over ten years' experience successfully providing executive level leadership in clinical, administrative, facility planning and overall hospital disciplines. Highly skilled with implementing and managing complex issues at all levels in order to plan, develop, organize, decipher and perfect policy. Able to evaluate hospital-wide operational management programs and needs. Sixteen years of in-depth management experience with healthcare-related development projects for both ambulatory and non-ambulatory settings throughout all disciplines of healthcare. Active security clearance.
PROFESSIONAL STRENGTHs & CERTIFICATIONS
• BLS certified
• HIPAA-Trained & Certified
• Certified in Food Protection and Safety
• Advanced skills with Microsoft Office, Defense Medical Logistics Standard Support Automated Information System, Armed Forces Health…… [Read More]
Making available recovery program treatment besides collaborating with partnership to leverage resources and knowledge is a role that I perform in efforts of helping clients access care. I am also involved in continual community-based quality improvement programs that are designed to support care access and quality.
B. Veteran Centered Care
With respect to centered care, I normally assist with provision of alternatives to inpatient care for mental health linked problems. Additionally, I make CVT available for weekend and evening hours. As a MHICM practitioner, I perform various administrative and clinical functions for clients and my team. Clinical tasks entail stress and crisis management, group therapy, advocacy and treatment planning. I also ensure that patient preferences with respect to appointments and mental health care providers are maintained.
C. Performance Measures
I offer administrative and clinical supervision for my team besides facilitating cohesiveness communication, education programs and systems concerning community-based services. Given…… [Read More]