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Urgent Care Facilities
The type of facility chosen is the Urgent Care facility, a relatively new but rapidly growing aspect of the U.S. Health care system. Research shows that Urgent Care provides relatively inexpensive ambulatory care for certain types of medical issues. The savings inherent in using Urgent Care, plus its increasing ability to treat patients of all types and ages have contributed to its increasingly widespread use.
The types of services that are provided at this facility, including a description of both inpatient and outpatient services
Urgent Care facilities are relatively young in the U.S. health care industry, first appearing approximately 40 years ago in response to the need for less expensive "urgent" care that does not rise to the level of "emergency" and/or "inpatient care." Urgent Care facilities do not provide inpatient care; rather, they provide outpatient care of "urgent medical issues." The Palo Alto Medical Foundation, a…
American Academy of Urgent Care Medicine. (2012). Definition of urgent care medicine. Retrieved April 22, 2012 from AAUCM.org Web site: http://aaucm.org/About/UrgentCare/default.aspx
Palo Alto Medical Foundation. (2012). The urgent care doctors. Retrieved April 22, 2012 from PAMF.org Web site: http://www.pamf.org/urgentcare/team/
Palo Alto Medical Foundation. (2012). What is urgent care? | When to use urgent care. Retrieved April 22, 2012 from PAMF.org Weg site: http://www.pamf.org/urgentcare/whentouse/
Steinberg, J. (2012, April 20). Hospital's urgent care centers win accolades. Retrieved April 22, 2012 from ERMS.tourolib.org Web site: https://erms.tourolib.org/url/http://proquest.umi.com/pqdweb?did=2639423111&sid=11&Fmt=3&clientId=14844&RQT=309&VName=PQD
One of the reasons that a lot of these centers are affordable is because half of urgent care centers are preserved by physician groups and another 38% by hospitals, which are providing their own centers distinct from emergency rooms (Alexander, 2012). More customers are using urgent care centers as their chief area of admission to the healthcare system, and 32 million more will enter in 2014 when the Patient Protection and Affordable Care Act is in effect (Krug, 2006) Emergency rooms and primary care physicians and will not be able to handle the enlarged volume, according to the study.
Another thing that helps with the cost is the fact that the patients can get things such as the X-rays, urine samples and blood work done at these centers in a very well-organized method (Weinick & Mehrotra, 2010). Even at some of these centers, employees do monitor how long individuals have…
Davidson, M.B., Ansari, a., & Karlan, V.J. (2007). Effect of a nurse-directed diabetes disease management program on urgent Care/Emergency room visits and hospitalizations in a minority population. Diabetes Care, 30(2), 224-7.
Finn, M.J., & Neill, M.A. (2005). Bio-emergency preparedness in Rhode Island: A role for urgent care centers? Medicine and Health Rhode Island, 88(11), 395-7.
Krug, S.E., Bojko, T., Dolan, M.A., Frush, K.S., & al, e. (2006). Pediatric care recommendations for freestanding urgent care facilities. Pediatrics, 116(1), 258-60.
Many Emergency Department Visits Could be Managed at Urgent Care Centers and Retail
Urgent Care Centers
The Need for Urgent Care Centers
As humans we are exposed to various illnesses throughout our lives, some more severe than others. Due to this, we are constantly in need of doctors, nurses, hospital and other health related centers. Urgent care, which is defined as "the delivery of ambulatory medical care" by the Urgent Care Association of America (UCAOA), and the centers with which it is associated are vital to our society as well. This paper will therefore provide detail upon the topic of this essay, including an argument for the need of an urgent care center within one's community. It will also include, as part of this detailing of the topic, cost advantage issues and other issues involving the quality of care as superior to those services offered in hospitals or other health care facilities.
The primary issue to be tackled in this paper is why…
The combination of these effects can also contribute to greater economic growth in a region over time. The greatest opportunity of all is to transform these low income and poverty level regions with better medical care so they can pursue better paying jobs due to their family's health being stabilized. While urgent care facilities treat all age ranges, concentrating on infant and young adults will have an inordinately higher rate of impact across entire communities than not focusing on a given age group at all.
There is unfortunately always the threat of litigation and lawsuits. This is an unfortunate, unpleasant fact, especially in the state of California. This has led to many free urgent care facilities being closed or even sued despite their nonprofit status (Bindman, Grumbach, Bernheim, Vranizan, Cousineau, 2000). The threat of lack of partial government funding as many states and regions of the world face cutbacks…
Anthopolos, R., & Becker, C.. (2010). Global Infant Mortality: Correcting for Undercounting. World Development, 38(4), 467.
Andrew B. Bindman, Kevin Grumbach, Susannah Bernheim, Karen Vranizan, & Michael Cousineau. (2000). Medicaid managed care's impact on safety-net clinics in California. Health Affairs, 19(1), 194-202.
Fitzgerald, B.. (2010, May). Casting a wider net to attract donations. NJBIZ, 23(18), 10.
Maureen Lewis. (2007). Informal Payments And The Financing Of Health Care In Developing And Transition Countries. Health Affairs, 26(4), 984-97.
Wait Times in Outpatient Centers Compared to Traditional Emergency ooms
It is reasonable to suggest that many if not most people find themselves in need of urgent medical care at some point in their lives and until a few years ago, the traditional emergency room was the only option available. Over the past 20 years or so, though, there has been an explosion in the number of outpatient centers that provide a wide range of urgent medical care including various surgical procedures. This growth in the number of outpatient centers has resulted in an increased interest in determining how efficient these respective healthcare venues are in treating patients. To this end, this paper reviews the relevant literature concerning traditional emergency rooms and outpatient centers and proposes a strategy for recruiting and selecting a sample population to compare the average waiting times for each. An overview of the characteristics of the…
Alijani, G. S. & Kwun, O. (2015, July 1). The effect of emergency waiting time on patient satisfaction. Journal of Management Information and Decision Sciences, 18(2), 1-4.
Brady, M. C., Scher, L. M. & Newman, W. (2013, October). "I just saw Big Bird. He was 100 feet tall!" Malingering in the emergency room: Four instruments can help you make a rapid assessment of a patient feigning symptoms. Current Psychiatry, 12(10), 33-39.
Emergency room. (2015). In Merriam-Webster dictionary. Retrieved from http://www.merriam-webster.com/dictionary/emergencyroom .
Hsia, R. Y, Kellermann, A. L. & Shen Y-C. (2011, May 18). Factors associated with closures of emergency departments in the United States. Journal of the American Medical Association, 305(19), 1978-1985.
Evolution of Health Care Information Systems Physician's Office Operation
Filling in the hole of health care information technology will endorse safe, capable, patient-centered, and patient care that is fruitful in a timely way. In this essay, the theme is to look into two modern health
care organizations and then compare and contrast many characteristics that will involve the kind of evidence systems are using at the moment, investigate the transmission of information 20 years ago and how the substitute of data today. Furthermore, this essay will cover two major events and technology developments that have inclined present Health Care Informational Services practices.
Compare and Contrast Doctor's Workplace Operation
These day's doctor's office operation is familiarizing to the health care reform that was sanctioned in 2010 by the Obama organization. During sometime in October of 2013, the exchanges in health insurance was available on the market for customers on order to…
Burke, D., Wang, B., & Wan T.T.H. & Diana, M. (2009). Exploring Hospitals' Adoptionof IT. Journal of Medical Systems, 21(9), 349 -- 355.
Callen, J., & Braithwaite, J. & . (2008). Cultures in Hospitals and TheirInfluence on Attitudes to, and Satisfaction with, the Use of Clinical InformationSystems. Social Science and Medicine, 65(4), 635-639.
Finchman, R., & Kohli, R. & . (2011). Editorial Overview -- The role of IS inHealthcare. Information Systems Research, 22(3), 419-428.
com). A certain amount of errors is to be expected, but there should not be so many that it demonstrates a certain level of skewedness about the model in its entirety. Thus, if the NHI model is the one which is selected, then it needs to be tested against a range of different scenarios. The following demonstrate some truly relevant what-ifs: what if the doctors only move half the projected volume; what if medicare slashes rates; what if competitors open a comparable program (dgapartners.com).
There are a range of factors which can change or adjust once a healthcare facility opens their doors for business. And as much as this facility is attempting to engage in a solid humanitarian effort, at the end of the day, it's still a business and people need to get paid. Thus, before engaging in further developmental activities, one needs to determine in what ways the…
Brakatu Ofori-Adjei, a. (2007). Microfinance: An Alternative Means of Healthcare Financing for the Poor. Ghana Medical Journal, 193-194.
Burnstein, L., Harris, R., & Love, L. (2012, August 30). Top Four Legal Issues to Consider When Opening an Urgent Care Center. Retrieved from Mondaq.com: http://www.mondaq.com/unitedstates/x/194082/Healthcare/Estate+planning+is+important+step
Burnstein, M., Harris, R.L., & Love, L. (2012, August 20). Top Four Legal Issues to Consider When Opening an Urgent Care Center. Retrieved from Mondaq.com:
Terrace Hospital Marketing Plan
Marketing trategy -- Terrace Community Hospital
ummary- Terrace Hospital is a smaller, community hospital, located in a suburb of a major city. There are a number of large urban hospitals within 45-60 minutes of Terrace, but the focus for Terrace is as an expanded clinic that provides basic services for urgent care, seniors, obstetrics, general practice, counseling and education programs, radiology, complete blood work, and an osteo-care unit for citizens of the outlying communities that are 45-60 minutes from Terrace, and thus quite a distance from the urban hospitals. The hospital is reviewing its marketing plan in order to focus more on profitable and complete care, knowing that more complicated specializations are more available in the urban center.
Major Health Concerns -- Quality pediatric care, childhood obesity and Type-II diabetes, alcohol and cigarettes, substance abuse, TDs, geriatric care, obesity and cardio-renal issues.
Target Patients- The community…
Buckley, P. (2009). The Complete Guide to Hospital Marketing. Marblehead, MA: HCPro, Inc.
City University of New York. (2011). Marketing Planning, Strategic Planning and the Marketing Process. Retrieved from: http://academic.brooklyn.cuny.edu/economic/friedman/mmmarketingplanning.htm
Eckrich, D.; Schlessinger, W. (2011). An Application of the marketing concept in health-care services planning. Journal of Marketing Research. Retrieved online from: http://www.www.aabri.com/manuscripts/10571.pdf
HR Council. (2012). HR Planning. Retrieved from: http://hrcouncil.ca/hr-toolkit/planning-strategic.cfm
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:
In the current era of managed care in medicine, physicians and other healthcare providers and institutions have been under tremendous pressure to reduce costs. In that regard, avoiding unnecessary hospitalization is one of the most important goals of lowering the costs of healthcare delivery (Stanhope & Lancaster, 2004). Toward that end, diverse strategies have evolved to provide as many healthcare services as possible on an ambulatory basis.
Hospitals and insurance companies now encourage patients to participate in preventative medicine and routine testing intended to lower the costs associated with hospitalization over the long-term. The strategy is simply to reduce the incidence of serious illnesses, particularly those that typically develop over many years and which are capable of prevention through behavior modification and early detection through diagnostic testing (Stanhope & Lancaster, 2004).
Because state and federal governments must absorb much of the costs of uncompensated medical services, the many administrative agencies…
References Stanhope, M., Lancaster, J. (2004) Community and Public Health Nursing (6th ed.) St. Louis: Mosby.
It is true, healthcare is not free. Yet, in an environment where so many are uninsured, it is clear that the free market method of private insurance is not working. This is where the Patient Protection and Affordable Care Act comes into play. All tax payers will see an increase in tax rates in order to help provide quality healthcare for the millions of uninsured Americans in need. Still, "the wealthiest 2% of Americans will take the biggest hit," with the majority of average Americans seeing very little increases in their taxes (Cass, 2012). This ultimately means that individuals making more than $250,00 annually will take the brunt of the tax increases. Also, increased taxes on certain activities, like smoking and tanning, will also help allocate funding for the healthcare reform bill. Still, the government is also allowing for greater tax credits "that start in 2014 to help them pay…
Agency for Healthcare Research and Quality. (2010). Disparities in healthcare quality among racial and ethnic minority groups. National Healthcare Quality and Disparities Report. Web. http://www.ahrq.gov/research/findings/nhqrdr/nhqrdr10/minority.pdf
Cass, Connie. (2012). PPACA's tac hikes are coming" Who pays? Life Health Pro. Web. http://www.lifehealthpro.com/2012/08/09/ppacas-tax-hikes-are-coming-who-pays
Leadership & Management, Health Care
Leadership & Management in Health Care
President Clinton's Secretary of Health and Human Services, Donna Shalala, used to tell a story about her mother, who was 86 at the time but still a full-time attorney representing several clients who lived in nursing homes. She would tell Shalala, "Donna, I don't care whether they are good nursing homes or bad nursing homes, you have to watch them like a hawk" (Cited in White House, 1998, quoted by Hovey 2000, 43). Clinton's presidency was very aware of health care issues, even if it was unable to solve them. Shalala's remarks were delivered at a press conference regarding nursing home regulation; arguably, under the current administration, issues of health care for the aged have gotten more problematical rather than less.
Despite relatively little action regarding health care for the aged by the federal government, there is little…
Fox-Grage, W., & Shaw, T. (2000, April). The crisis ahead in long-term care. State Legislatures, 26, 30. Retrieved June 30, 2004, from Questia database, http://www.questia.com .
Froeschle, M.L., & Donahue, P.M. (1998). Academic health care: Leadership in time of change. Journal of Leadership Studies, 5(4), 60. Retrieved June 30, 2004, from Questia database,
Identify the three types of health organizations? Please explain
Three types of health organizations include managed services organizations (MSOs), preferred provider organizations (PPOs), and independent practice associations (IPAs). MSOs refer to organizations like Medicare, which usually serve as gatekeepers to patients by seriously limiting their choices with regards to medical care. PPOs refer to the generally contracted services, such as those garnered through the employer's plan or personal insurance. IPAs are private practices that bill directly to clients.
Identify the 4 levels of service. (hint: the 4th is rarely used)
The four levels of services include primary, secondary, tertiary, and quaternary care. Primary care is often of a routine nature, and pertains to standard procedures such as diagnostics or treatment interventions. Secondary care refers to areas of specialization in medicine. Because the consumer generally needs a referral to access secondary care, and because the consumer has usually already seen…
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
The delivery health care system takes into account the assimilation of physicians, healthcare facilities, together with other medical services with plan to facilitate the provision of the total continuum of medical care for its consumers. In a whole incorporated system, the three fundamental components including physicians, medical facilities and the membership to health plans are counterpoised in terms of equating medical resources with the necessities of patients and purchasers (Coddington, Moore, and Fischer., 1994). One of the key concerns in the present delivery of healthcare is cost. Increasing costs of healthcare has been a major worry in the past number of years, making the United States to have one of the most expensive systems of healthcare. The main objective of this paper is to analyze the different costs linked to healthcare delivery system, and delineate the manner in which these costs impact different populations and how it also affects…
Healthcare is one of those industries and fields of work where the promotion of innovation and change management is key. It is also one of those fields where managing that change through tried-and-true practices such as evidence-based practice and so forth is a must. One change that is changing nursing a lot, especially when it comes to the advanced levels of nurses, is the flattening of the hierarchy that typically exists when it comes to what nurses are allowed to do, what they are expected to do and what they must do. Whether it be the aging of the population, the shortage of some types of doctors (or doctors in general) or general access to quality care for patients in general, there is often a distinct reason for the need and thus the prior mentioned need for innovation and proper change management in the nursing field is necessary…
Bassett, E. (2010). Doctors face cash flow problems with Medicare. Fort Worth Business
Press, 22(47), 29.
Delgado, C., & Mitchell, M. M. (2016). A Survey of Current Valued Academic Leadership
Qualities in Nursing. Nursing Education Perspectives, 37(1), 10-15. doi:10.5480/14-1496
The CW 70.41.250 is a law that provides cost disclosure to health care providers. It is a state law that offers some control over the spiraling expenses of health care by creating transparency within hospital and medical bills (Wash. State, 2016). Made to ensure health care providers provide only necessary services and reduce inflationary rates, CW 70.41.250 also gives the option for a health care provider or physician to inform patients of such expenses to further increase transparency and perhaps fuel a more communicative provider-patient relationship.
A hospital's chief executive officer licensed under this chapter as well as superintendents of state hospitals must maintain and establish a procedure for releasing to health care providers and physicians that have admitting privileges the expenses of all ordered health care services for their patients. This includes copies of hospital charges if they make orders for inpatient/outpatient services. The health care provider…
Adler, R. (1992). Overview of the Washington Health Care Information Act: Rights and Duties of Provider and Patient - Adler Giersch PS. Adler Giersch PS. Retrieved 7 April 2016, from http://www.adlergiersch.com/overview-of-the-washington-health-care-information-act-rights-and-duties-of-provider-and-patient/
ASPE,. (2015). Standards for Privacy of Individually Identifiable Health Information. ASPE. Retrieved 7 April 2016, from https://aspe.hhs.gov/basic-report/standards-privacy-individually-identifiable-health-information
Grass, J. (2013). The Impact of Obamacare on Financial Disclosure Laws for Nonprofit Hospitals: Some Say They Don't Go Far Enough, 3(5). Retrieved from http://www.americanbar.org/publications/gpsolo_ereport/2013/december_2013/impact_obamacare_financial_disclosure_laws_nonprofit_hospitals.html
U.S. Dept of State,. (2016). The Privacy Act: U.S. Department of State - Freedom of Information Act. Foia.state.gov. Retrieved 7 April 2016, from https://foia.state.gov/Learn/PrivacyAct.aspx
Palese et al. (2011). According to Wood & Haber (2014) " the critique is process of critical appraisal that objectively and critically evaluates a research report's content for scientific merit and application to practice." Using the text's understanding of this examination this essay will explore the article and examine it for practical use and valid argument.
The problem that this research is premised upon is the idea that nurse's caring has gone mostly under examined in relation to patient's view of quality of care. The role of caring within the nursing profession is described as the factor which inspired this research. The variables within this examination are the patients' satisfaction measured against the practice of caring executed by nurses in their professional duties.
This problem is clearly identified and can be empirically tested as the article revealed in its conclusions. To help lessen the distortion of the ideas and values…
LoBiondo-Wood, G., & Haber, J. (Eds.). (2014). Nursing research: Methods and critical appraisal for evidence-based practice. Elsevier Health Sciences.
Palese, A., et al. (2011). Surgical patient satisfaction as an outcome of nurses' caring behaviors: A descriptive and correlational study in six European countries. Journal of Nursing Scholarship, 43(4), 341-350.
National Health Care Spending in the United States
For several years now, health care spending in the U.S. has been on the rise. In that regard, containing the situation has become a major headache not only for the government but also for consumers and employees looking for ways of keeping up with raising costs. In this text, I explain my position on the national health care spending in the U.S. In so doing, I will review the current health care expenditures at the national level and whether the same can be said to be sufficient or insufficient. Further, I will also make recommendations on where in my own opinion additions or cuts seem necessary. Next, I will discuss how the health care needs of the public are paid for. This paper will also provide a forecast of the various health care system needs going forward and why it is necessary…
Chantrill, C. (2011). U.S. Healthcare Spending. Retrieved September 22, 2011, from http://www.usgovernmentspending.com/us_health_care_spending_10.html
Healey, B.J. & Lesneski, C.D. (2011). Transforming Public Health Practice: Leadership and Management Essentials. John Willey and Sons.
The Tax Foundation (2010). Net Cuts to Medicare, Increased Medicare Tax on High-Income Earners Comprise Bulk of Funding. Retrieved from http://www.taxfoundation.org/research/show/26067.html
Health Care and Health for All:
In what the World Health Organization termed as Health for All, the International Conference on Primary Health Care in 1978 expressed the need for health workers, urgent government action, and the world community to safeguard and support health for all. In order to achieve health for all people across the globe, the Conference made various declarations including health being an essential human right and a significant world-wide social goal. One of the critical aspects towards the achievement of this Health for All initiative is primary healthcare.
Declarations on Primary Health Care:
As an essential health care service, primary health care can be made universally accessible to people and families through the full participation of the community and at a cost that the community can afford ("Declaration of Alma-Ata," n.d.). Primary health care acts as the initial level of contact of people, families, and communities…
Bassett, M.T. (2006, December). 'Health for All In the 21st Century.' American Journal of Public Health, 96(12), 2089. Retrieved from http://www.medscape.com/viewarticle/565796_2
"Declaration of Alma-Ata." (n.d.). International Conference on Primary Health Care -- World
Health Organization. Retrieved December 30, 2011, from http://www.who.int/hpr/NPH/docs/declaration_almaata.pdf
"Global Strategy for Health for All by the Year 2000." (n.d.). World Health Organization.
All spending includes state and federal expenditures. Growth figures reflect increases in benefit payments and disproportionate share hospital payments; growth figures do not include administrative costs, accounting adjustments, or costs for the U.S. Territories.
Federal Fiscal Year: Unless otherwise noted, years preceded by "FY" on statehealthfacts.org refer to the Federal Fiscal Year, which runs from October 1 through September 30. for example, FY 2009 refers to the period from October 1, 2008 through September 30, 2009.
Urban Institute estimates based on data from CMS (Form 64) (as of 12/21/11).
From this entire chart, the entire increase in expenditure of…
Clark, Cheryl et al. "State Medicaid Eligibility and Care Delayed Because of Cost." New England Journal of Medicine, 368 (2013): 1263-1265. Print.
Ellwood, Marilyn Rymer et al. An Exploratory Analysis of the Medicaid Expenditures of Substance Exposed Children Under 2 Years of Age in California. U.S. Department of Health and Human Services, 1993. Print.
Goodnough, Abby. "October 25th." The New York Times. 25th October. 2012. Web. 29th March 2013. [ http://www.nytimes.com/2012/10/26/us/spending-on-medicaid-has-slowed-survey-finds.html?_r=0 ].
Grannemann, Thomas W. And Mark V Pauly. Controlling Medicaid Costs: Federalism, Competition, and Choice. Washington DC: American Enterprise Institute, 1983. Print.
Care for Populations
When it comes to the well-being of the overall population, community and public health are both vital areas to consider. However, how the community rallies around its members and how it bands together in times of crisis are not the only kinds of issues that have to be looked at. Those are important, but it is the day-to-day workings of a community that provide more indication as to how it treats the population and whether an overall sense of well-being can be expected. How that same community responds to public health issues is also worthy of consideration. If a community does not take public health seriously, that could be very disastrous for the overall population. Sickness can spread quickly when people are not taking care of themselves and one another.
It also spreads when the people in a community are not focused on the severity of the…
Barzilai, G. (2003). Communities and law: Politics and cultures of legal identities. Ann Arbor: University of Michigan Press.
Chipuer, H.M., & Pretty, G.M.H. (1999). A review of the sense of community index: Current uses, factor structure, reliability, and further development. Journal of Community Psychology, 27(6): 643-658.
Cohen, A.P. (1985). The symbolic construction of community. Routledge: New York.
Garrett, L. (2000). Betrayal of trust: the collapse of global public health. New York: Hyperion.
Universal healthcare is the only saving formula for this nation, which is doomed in a health care crisis of unprecedented proportions. There is a urgent need to transform healthcare from its present state of commercialism towards the humanitarian approach which guarantees 'healthcare for all' independent of their social or financial circumstances. A shared and collective responsibility of healthcare management is the only viable formula for America. It is high time we learn from Canada, UK and other European nations and restructure the current broken state of our healthcare. The successful passing of the USNHC act (H.R. 676) is the only way for America to wake up from its healthcare nightmare. Will the powerful insurance industry hold its ground yet again and resist this awakening leaving all the citizens doomed? This is an important question for all the citizens of our country.
1) Science Daily, 'American Values lamed for U.S.…
1) Science Daily, 'American Values Blamed for U.S. Healthcare Crisis',
Accessed May 11, 2009, Available at, http://www.sciencedaily.com/releases/2008/12/081204160558.htm
2) Laura K. Altom, BS, MSIII and Larry R. Churchill, PhD, Ann Geddes Stahlman
'Pay, Pride, and Public Purpose: Why America's Doctors Should Support
Within this section of Chapter One, a historical perspective of NHS will be provided. This discussion will identify problem areas that have emerged in relation to NHS with an attempt made to address the manner in which such problems have historically influenced reform efforts.
With the passage and associated provisions of the NHS Act of 1946, NHS was implemented in the UK in 1948. The NHS Act of 1946 served as the means by which a pattern of health service finance and provision was established in the UK following World War II (Baggot, 1998). According to Baggot, on the basis of the Act, the principle of collective responsibility by the state for the establishment of a comprehensive health service system was introduced, allowing for the planned use of services by the entire population at no cost. It was also intended that equality of access to services would be…
Baggott, R. (1998). Health and Health Care in Britain. London, Macmillan,
Barlow, M. (1998). The Fight of My Life. Toronto: Harper Collins
BMA Central Consultants and Specialists Committee (1990). Guidance on Clinical
Directorates London: BMA.
Also, as care is prioritized, those individuals deemed to be in a less urgent need of care are given a lower priority, which results in a wait list. Finally, as physicians are compensated on the same level of salary, fewer people may be attracted to the profession for its financial rewards. In a public system, patients shop around less for providers because most providers charge the same fees. ithin a public system there is less 'siphoning' of middle-income people to higher-cost physicians with short waiting lists.
Visit: http://www.csc-surgery.com/contact.php.hatexactly is this hospital? hat would your policy response be?
According to its website, the Cambie Surgery Centre is a private healthcare clinic. The site notes that the "BC provincial government looks to private health care facilities like the Cambie Surgery Centre to help ease the long public wait lists." The hospital is a paying hospital that uses sophisticated technology to perform its…
Cambie Surgery Centre." Official website. 7 Apr 2008. http://www.csc-surgery.com/contact.php
Economies of scale." Investopedia. 7 Apr 2008. http://www.investopedia.com/terms/e/economiesofscale.asp
Economies of scope." Investopedia. 7 Apr 2008. http://www.investopedia.com/terms/e/economiesofscope.asp
Green, David G., Ben Irvine & Ben Cackett. "Health care in Germany." 2005.
In fact Congress should pass a bill that gives that prescription drug benefit to Medicare patients.
QUESTION NINE: In the United States, healthcare is so expensive that over 45 million people are without health insurance. It is a broken system, leaving out many people, especially children. Recently the executive branch vetoed a bill that would have provided health insurance to millions of middle and low-income children, indicating a lack of government concern for the well being of the population. Bush said it was too expensive, yet it's not too expensive to continue spending billions on an unpopular war in Iraq. Meanwhile, for the past 45 years, Canada has had a "government-funded, national healthcare system..." based on these five principles, according to www.medhunters.com.One, it is universally available to permanent residents; two, it is comprehensive; three, it is available regardless of income; four, it is "portable within and outside" Canada; and five,…
American Association of Colleges of Nursing. (2007). Fact Sheet: Nursing Shortages.
Retrieved Feb. 7, 2008, at http://www.aacn.nche.edu/media/factsheets/nursingshortage.htm .
Duke, Elizabeth. (2004). Report to Congress. The Critical Care Workforce: A Study of the Supply and Demand for Critical Care Physicians. U.S. Department of Health & Human
Services / Health Resources & Services Administration. Retrieved Feb. 6, 2008, at http://bhpr.hrsa.gov/healthworkforce/reports/criticalcare/cc1.htm.
Statistics show that hospitals bore more than $5 billion in costs in treating uninsured patients. This creates a huge financial pressure on them and there is no alternative but to have the uncompensated care costs to be charged to the insured patients. As a recent article from the California healthcare foundations quotes "They prepare for this reality by: Setting prices for the insured that are higher than expected costs.." [CHA] These financial details clearly indicate that immediate action has to be undertaken in terms of restructuring the healthcare system so as to facilitate hospitals in managing the overwhelming burden they are expected to handle.
Diminishing Insurance Coverage
One further reason that contributes to the problem is the declining rate of insurance coverage offered by corporates to their employees. The trend seems to be worsening as statistics indicate. Job-based coverage, which stood at 60.4% in 2003 has dropped to 59.8% in…
State of California, "Gov. Schwarzenegger Tackles California's Broken Health Care System, Proposes Comprehensive Plan to Help All Californians," Accessed on Apr 15th 2007, Available at, http://gov.ca.gov/index.php?/press-release/5057/
Author not available, "Top 10 Indicators: California's Health Care System Is Broken," Accessed on Apr 15th 2007, available at http://www.chhs.ca.gov/docs/Top%2010%20Indicators%20010807.pdf
California Hospitals' Financial Condition: On Life Support," California Healthcare Association, June 2004
Dr.Barry Simon, "Emergency Rooms on Front Line of Health Care," Contra Costa Times, 12/22/06
Lee is only the first step in the process of building a team that is able to cover all aspects of Mrs. Lee's care. The team approach involving a social worker, nurse, physician, pharmacist, and physical therapist affords Mrs. Lee a full range of professionals attending to her various needs.
Although Mrs. Lee has a number of problems that need to be addressed the one problem that must be addressed immediately is her elevated blood pressure. Hypertension is an important risk factor for the development and worsening of many complications of diabetes and an elevated blood pressure is like walking around with a detonated bomb. Within moments, and with little warning, a diabetic patient can suffer a stroke or heart attack as a result of an elevated blood pressure. Well over fifty percent of diabetics suffer from hypertension and proper treatment of hypertension can minimize most of the tangential problems…
Calle-Pascual, A.L. (2002). A preventive foot care programme for people with diabetes with different stages of neuropathy. Diabetes Research and Clinical Practice, 111-117.
Caminal, J. And Barbara Starfield, et. al.(2004). The role of primary care in preventing ambulatory care sensitive conditions. European Journal of Public Health, 246-251.
Deichmann, R.E. (1999). Improvements in Diabetic Care as Measured by HbA1c After a Physician Education Project. Diabetes Care, 1612-1616.
Epstein, M. (1997). Diabetes and hypertension: the bad companions. Journal of Hypertension, 55-62.
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…
Goldberg, a. (2002, April 29). Internal Report: Telehealth, Privacy, & Health Care: Review, Expectations & Proposals. Goulston & Storrs, Boston, MA.
Lovata, F. (2000, May 21-24). Telemedicine via the Internet: Successful Program Strategies. American Telemedicine Association Conference,
Puskin, D., Mintzer, C., & Wasem, C. (1997). Chapter 14, Telemedicine: Building Rural Systems for Today and Tomorrow. In P. Brennan, S. Schneider, & E. Tornquist (Eds.), Information Networks for Community Health. (p. 276). Computers in Health Care Series. Springer-Verlag.
Telecommunications: Protecting the Forgotten Frontier. (2001, August). SC Magazine-Info Security News, 12 (8), 36-40.
Access to Healthcare:
One of the major issues facing the United States health sector is the problem of access to care services. Generally, many Americans have insufficient access to these services to an extent that the issue goes beyond insurance coverage. Notably, America has the largest number of uninsured people as many citizens cannot afford the increasing premiums or deductibles of their current coverage while others have no health insurance at all. The other reasons attributed to the problem of access to healthcare include deficient cultural competency, language barriers, and weakened health care literacy. Therefore, the issue of access to healthcare incorporates four major components i.e. timeliness, workforce, coverage, and services. Since access to healthcare is a major issue in the current health care system, there is an urgent need to address this problem.
The solutions to the problem of healthcare access requires the development of various initiatives and designs…
Feinson, C. (2005, January 27). Current Issues in Access to Healthcare. Retrieved May 31, 2013,
"Improving Healthcare Access: Finding Solutions in a Time of Crisis." (2004, November).
National Policy Consensus Center. Retrieved May 31, 2013, from http://www.policyconsensus.org/publications/reports/docs/Healthcare.pdf
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
We can compare the healthcare workplace to what is seen by a person when he/she looks through a kaleidoscope: since there are numerous different patterns that appear as the moments pass by. The shortage of nurses which has been publicized widely and the high turnover rates amongst the nurses are some of the unwanted patterns which have occurred. The dependence of healthcare institutions on the nurse-managers for the retention and recruitment of nurses is steadily increasing (Contino, 2004).
There are a number of routes through which the critical care nurses have become the leaders. Most of these routes don't have any educational or managerial training as a part of the process. There is a need for effective strategies for the care leaders who provide critical care in order to inspire the staff and manage the departmental operations in an effective manner to get positive results. One of the strategies…
Adams, J., Erickson, J., Jones, D., & Paulo, L. (2009). An evidence-based structure for transformative nurse executive practice, Nursing Administration Quarterly, 33(4), 280-87
Advisory Board Web site. (2004). Available at: http://www.advisory.com .
Ales, B.J. (1995). Mastering the art of delegation. Nurs Manage. August; 26: 32A, 32E.
American Organization of Nurse Executives (2005). AONE Nurse Executive Competencies. Nurse Leader, 3(1), 15-22.
Affordable Care Act and EMS
The affordable care act is a medical insurance program that came into existence during the Obama regime. This came as a subsequent addition to the Medicaid and Medicare programs as fronted in the year 1965. The motive behind the creation of this scheme was to improve the affordability and accessibility of medical care to all the American citizens. Just like America, every society around the globe is made up of the less privileged and the rich. Therefore, the country's leadership opted to have this kind of insurance scheme so that everyone, regardless of the economic status can access cheap medical attention and in a convenient way. This forms the basis of the Affordable care act. This program offers many opportunities in the future for the Emergency Medical Services (EMS) organization. In this case, there are chances for the people to benefit from the same.
Catalano, J.T. (2015). Nursing Now! Today's Issues, Tomorrow's Trends. New York: F.A. Davis
Cone, D. et al., (2014). Emergency Medical Services: Clinical Practice and Systems Oversight, 2 Volume Set. New York: John Wiley & Sons
Copeland, C.W. & Carey (au), M.V. (2011). Upcoming Rules Pursuant to the Patient Protection and Affordable Care Act (PPACA). New York: DIANE Publishing
Faguet, G. (2012). The Affordable Care Act: A missed opportunity, a better way forward. New York: Paperbag.
Trust and transparency with the public. Given the leadership position that Methodist Healthcare has it is imperative that it cultivate trust as a core part of its branding strategy with the public segments and audiences it serves.
Financial management and cost controls in place and integrated new IT system and architecture. This is a major critical success factor for Methodist Healthcare to aggressively pursue as it moves to create a more unified approach to financial management across its many medical specialty areas.
Strategic Objectives of Methodist Healthcare
The following are the strategic objectives of Methodist Healthcare. For each of these objectives a strategy for each objective's accomplishment is provided below:
To clearly differentiate Methodist Healthcare in the market
Strategies for accomplishing this objective:
While this first objective is very broad, Methodist Healthcare needs to define who they are different for. Uncovering the unmet needs of physicians is a first step,…
Globalization and American Health Care
What explains the directionality of flows in health care? Patients, health workers, managerial practices?
Globalization has brought in the information revolution and this has again brought changes in the medical profession and the way health care is being administered. It has also brought in unforeseen problems and expansion of the health care issues and running debates on health care is still strong. The flows of healthcare primarily have to deal with the patient -- how the patient is induced to seek treatment and the process of the treatment and the final discharge and post treatment care. This also involves lot of information exchange, and abiding by insurance contracts, payment options and quality care for the patients. (Phillips, 2005)
The second set is the personnel who include doctors, paramedics and all staff. The flow of work of these sections follows the patient and there are changes…
Bloche, Maxwell Gregg. (2003) "The privatization of health care reform: legal and regulatory perspectives" Oxford University Press.
Briesacher, Becky; et al. (2003) "Racial and Ethnic Disparities in Prescription Coverage and Medication Use" Health Care Financing Review, vol. 25, no. 2, pp: 63-66.
Edelheit, Jonathan. (2007) "Understanding the American Healthcare System" Global
Healthcare Magazine, Retrieved 14 June, 2011 from http://www.globalhealthcaremagazine.com/issue-detail.php?item=5&issue=1
The issue of grey and black markets often arose as a result of the shortages of experienced health care personnel. The system could not adapt to a flexible environment as it was led by rigid official procedures and the mentality of the people who controlled it was commanding, their vision short-sighted and hardly beneficial in such a situation (Barr and Mark, 1996).
The breaking up of Soviet Union which brought crippling economic and political problems to the countries also aggravated the health care situation making it reach an all-time low. The collapse of the health care system ran by the government led to the belief that turning towards a market economy or more capitalistic notions and perceptions would have been a better idea. The competition in the private sector would have had improved efficiency and averted an inevitable collapse of the health care system in the Soviet Union. This transformation,…
Balabanova, D., Haerpfer, C., McKee, M., Pomerleau, J., Rose, R. (2004). Health service utilization in the former Soviet Union: evidence from eight countries. Health Services Research
Barr, D.A. And Mark G. (1996). The Current State of Health Care in the Former Soviet Union: Implications for Health Care Policy and Reform. American Journal of Public Health. 86, 3.
Lewis, M. (2002). Informal Health Payments in Central and Eastern Europe and the Former Soviet Union: Issues, Trends and Policy Implications. In Funding Health Care, European Observatory on Health Care Systems Series, edited by E. Mossialos, a. Dixon, J. Figueras, and J. Kutzin, pp. 184-205. Buckingham: Open University Press.
Mikesell, J.L. And Mullins, D.R. (2001), Reforming Budget Systems in Countries of the Former Soviet Union. Public Administration Review. 61. 5.
Despite its problems and issues, single-payer system is still a reasonably good answer to healthcare insurance problems in the U.S. However there are some changes we might need to introduce in order improve single-payer system and to minimize the problems associated with national healthcare insurance. Instead of completely replacing it with multi-payer insurance system, countries like South Africa and Australia have adopted another measure. This measure is meant to improve single-payer system while still fully retaining it. These countries have introduced expansion in the role played by private insurance companies. This means while everyone has access to healthcare with single-payer system, if they still need additional benefits, they can buy private insurance. Preker et al. (2) explains: "Expanding the role of private insurance alongside a universal single-payer insurer is one way of balancing the tradeoffs between single and multi-payer insurance systems….Private insurance coverage can accommodate consumer needs that…
Steven R. Machlin, MS and Kelly Carper, Med. National Health Care Expenses in the U.S. Civilian Non-institutionalized Population, 2004 Medical Expenditure Panel Survey November 2006
John C. Goodman, Gerald L. Musgrave, Devon M. Herrick, Lives at risk: National Center for Policy Analysis (U.S.) Rowman & Littlefield Publishers, Inc.; 1 edition (August 28, 2004)
Alexander S. Preker; John Langenbruner (Editor) Spending Wisely: Buying Health Services for the Poor. "World Bank Publications; 1 edition (June 2005)
Overview of the Uninsured in the United States: An analysis of the 2005 Current Population Survey. U.S. Department of Health and Human Services. ASPE ISSUE BRIEF September 22, 2005 http://aspe.hhs.gov/health/reports/05/uninsured-cps/index.htm
Promoting Dignity in Individual Care
Dignity is something everybody has a right to. I have actually picked this topic due to the fact that it is a fundamental part of nursing because in order to meet the duty of a registered nurse, the first objective is to appreciate the individual you are looking after. Dignity is a sensation of being valued, appreciated, having actual self-respect, sustained sense of pride and having the ability to reveal empathy and compassion for individuals that the registered nurses take care of. So for me it's essential to lay out the concepts in dignity and regard when caring for individuals who are prone to illnesses.
First of all we will look at principles in nursing concerning dignity and regard, dealing with an individual as a specific entity, who, when in individual healthcare setup can be a fundamental part of any clients recovering procedure. Allowing…
Barrett, D., Wilson, B., and Woollands, A. (2009). Care Planning. A guide for Nurses. Harlow: Pearsons Education
Birrell J., Thomas P. And Alban Jones C. (2006). Promoting privacy and dignity for older patients in hospital. Nursing Standard. Vol. 20, Iss. 18, pp. 41-46.
British Geriatrics Society 2010. [online] Do not forget the person!! Available: http://www.bgs.org.uk/campaigns/dignity2010.html .
Clark, H., Gough, H. And Macfarlane, A (2004) It pays dividends: direct payments and older people. Bristol: The Policy Press.
Apart from that, Chennai has become the eye specialist city and Kerala has become the ayurvedic center for healing. These facilities are being made use of by the non-Indian nations (Connell, 2011).
Huge market at hand
The population is surging, the patterns of diseases are altering, salary levels are rising, clinical needs aren't attended, health issues aren't being attended, demand for quality care is needed at moderate prices and medical tourism is all set to rise. So is the need for modern equipment. In any case, demand for modern equipment is needed in India on a basis of 12%-15% yearly. Many foreign companies commence their initial 500 surgeries in India after getting approval from FDA. Medical services are still shallow by the way. China has 106 doctors while India has 60 doctors per 1000. Australia has 247 doctors per 1000 people. The rural areas suffer a lot from this lack…
Connell, J. (2011). Medical Tourism. CABI - Business & Economics.
Dhawan, J (2007). The Changing Face of Indian Economy. Atlantic Publishers & Dist.
Gulati, S., & Taneja, U. (2012). Specialty Hospitals Leveraging Information Systems For Greater Success. Internet Journal of World Health & Societal Politics, 7(2).
Herzlinger, R.E. (2008). Fortis Healthcare. Harvard Business School.
Health Care Finance
Greenwald engages in a discussion comparing the U.S. health care system to, well, other health care systems. An interesting methodological fault is that Greenwald cherry-picks his examples. In one paragraph, he compares the U.S. with Canada, in other the UK, and in another Spain. he problem, methodologically, is that he can cherry-pick data from whatever country best suits his argument. What this means, in terms of interpretation, is that Greenwald's findings need to be taken with a grain of salt. As an example, Greenwald notes higher wait times in three countries for urgent coronary artery bypass. Nobody likes high wait times, but Greenwald's U.S. figure doesn't factor in the uninsured, whose wait time is infinity. hey just die. he issue many have with the U.S. system is not that performance is poor; it is that performance is only good when you can afford it.
his cuts to…
This cuts to the heart of the difference between the U.S. And other industrialized countries. The trade-off between quality of care and universal care exists in any nation. The trade-off that other countries have made is that they have chosen universal care, even when there are times when service standards are lower. In the U.S., there has never been a strong collective motivation to make that trade-off. There are reasons for this, and they are more social that medical. While some have argued that lobbyists are the issue, I disagree with that assessment, because most other nations adopted universal health care long before lobbyists took over the U.S. government. The lack of universal health care in the U.S., therefore, is more related to social factors. The erosion of the manufacturing base has in turn eroded the sort of jobs where working class Americans can get health insurance; replace such jobs with part-time retail and the number of insured will decrease. Further, at-risk groups such as the poor, African-Americans, Native Americans and the disabled are disproportionally uninsured (Link & Phelan, 1996). There is a certain lack of concern with the well-being of these groups that has resulted in a lack of desire to provide insurance for them. It's kind of the elephant in the room -- while Canada and Europe were developing universal health care, a lot of parts of the United States were having trouble wrapping their head around desegregation in schools. We should not be so naive as to think this mentality does not play a role in public opposition to universal health care. As well, health care costs were manageable and for most, the system has worked reasonably well. This means there was no impetus for change -- only recently with the explosion of health care costs has there been concern about paying for health insurance even from the middle class.
There are a number of reasons why health care costs are lower in other nations. Greenwald notes that American health care facilities are more likely to invest in the most modern equipment. I wish he did not cherry-pick his supporting evidence ("seniors in Miami in the last six months of their lives receive the best care anywhere in the world") because this is a fairly demonstrable reality. At the top end, the U.S. health care system is usually better than in other countries. The fault Greenwald has is not following through and asking why this is. He is correct in pointing out that the best care can and should cost more. But facilities invest so heavily for two key
economic tools and concepts which can be applied in the contemporary issues and typical, dynamic situations that are existent in today's health care industry. There have been numerous economic changes in the economy of the United States which in turn have come to have an impact and fashioned the current trends in the health care of the nation. These include economic aspects such as the financial recession which have had an impact on consumer patterns which in turn influences the level of demand for health care. For instance, most dental practitioners are private doctors and therefore the consumers make appointments as much as they wish. This implies that as a result of aspects such as recessions, the consumers will cut down their appointments unless they are urgent or in case of emergencies (Keegan et al., 2013).
In the same manner, recession affects the level of demand as it brings about…
Gold, S. (2011). How European nations run national health services. The Guardian. Retrieved 19 August 2015 from: http://www.theguardian.com/healthcare-network/2011/may/11/european-healthcare-services-belgium-france-germany-sweden
Kowalczyk, G., Freeland, M., & Levit, K. (1988). Using marginal analysis to evaluate health spending trends. Health care financing review, 10(2), 123-129.
Rosenbaum, S. (2011). The Patient Protection and Affordable Care Act: implications for public health policy and practice. Public Health Reports, 126(1), 130.
Schmitz, A. (2012). Supply and Demand in Health-Care Markets, Theory and Applications of Economics. Retrieved 19 August 2015 from: http://2012books.lardbucket.org/books/theory-and-applications-of-economics/s20-01-supply-and-demand-in-health-ca.html
Other ways to celebrate achievements would be to send thank-you cards, congratulatory notes, make phone calls, and send emails.
4. Being able to set challenging goals - people often strive to achieve what is expected of them, but if they are presented with a set of challenging goals they will work even harder to accomplish them.
5. Being able to provide the necessary tools to succeed - no team will stay motivated if they do not have the necessary tools that are required to do their job. This includes: equipment, internal support, inventory, marketing materials, and training among other things.
6. Performance management - teams expect their leader to manage individuals who do not perform up to standard. Many managers often ignore these situations because they are afraid to deal with them. They hope instead that the situation will resolve itself. This is never the case; bad situations that are…
5 Little-Known Giant Health Care Issues Facing the United States. (2007). Retrieved November
11, 2009, from Nursing Online Education Database Web site:
Francis, Margaret. (2007). Effective Management. Retrieved November 11, 2009, from Changing
Ineffective Communication Between Shifts in Acute Care Settings
A recent statistics of the adverse effects arisen from ineffective communication between shifts in acute care setting range from 2.6% to 7.6%, however, Okoniewska, et al. (2015) believes that the adverse effects on in-patients can be between 19% and 23%. (Classen, esar, Griffin. et al. 2011).
The Study aims to discuss the adverse effective arisen from ineffective communication between shifts within acute care settings.
Consequences of not solving the problem
Without implementing the strategies that can enhance effective communication between shifts in an acute healthcare setting, the issue can lead to mortality, readmission, and post-hospital adverse effects. Moreover, poor communication between shifts can lead to medication problems resulting to therapeutic errors. (Okoniewska, et al. 2015). Moreover, lack of intervention to address the problem can lead to medical errors, which can lead to patients' harms. Communication failure has also been identified as…
Aebersold, M., Averhart, V., Keenan, G., Kocan, M. J., Lundy, F., Tschannen, D. (2011). Implications of Nurse-Physician Relations: Report of a Successful Intervention. Nursing Economics. 29 (3):127-135.
Almost, J., Wolff, A., Mildon, B., Price, S., Godfrey, C., Robinson, S., . . . Mercado-Mallari, S. (2015). Positive and negative behaviors in workplace relationships: a scoping review protocol. BMJ Open, 5(2). doi:10.1136/bmjopen-2015-007685
Carlson, E. A. (2012). Improving Patient Safety Through Improved Communication and Teamwork. Orthopaedic Nursing, 31(3), 190-192.
Classen, D.C., Resar, R, Griffin. F, et al. (2011). "Global trigger tool" shows that adverse events in hospitals may be ten times greater than previously measured. Health Aff (Millwood). 30(4):581 -- 589.
A Model Healthcare Delivery System
The healthcare delivery system also referred to in short as the HCDS is the most effective system that works for most healthcare organizations in all countries with fair, effective and efficient distribution of resources. It is a fast growing service that demands attention from various quarters and domains. At the optimal level, the service program presents relief and hope to the individual, and the general population. The system offers a balanced quality care service through efficiency and fairness. HCDS varies across the world but its focus is constantly on enhancing healthcare access, quality of service and coverage. The success of the program is dependent on the availability of certain basic resources (Kumar & Bano, 2017, p. 1).
HCDS is how the society has responded to the health determinants. The idea of a healthcare system contemplates involving the people that are likely to be served…
alph Peterson, CMH:
There are a number of solutions to the current problem of City indigents frequenting the ED that CMH is now experiencing because of City Hospital's diversion. City cannot afford to treat all of the indigents and neither can we. However, there are a number of steps that we could take to solve this problem. In this memo, I will list and describe these steps. Below is a brief bullet point outline of what I propose.
People who come to the ED regularly go there because they believe it is the only place they can receive primary care. In some cases, it is. This does not mean, however, that CMH must bear the burden of this cost. Even though the problem is that the indigents are unable to pay for their care, there are several options available for relieving this burden and helping these indigents at the same…
CNNMoney. (2013). Who loses out under Obamacare? CNNMoney. Retrieved from http://money.cnn.com/2013/07/25/news/economy/obamacare-medicaid/
DeLia, D., Cantor, J. (2009). Emergency department utilization and capacity. The Synthesis Project Research Synthesis Report, 17: 1-32.
Goodell, S., DeLia, D., Cantor, J. (2009). Emergency department utilization and capacity. The Synthesis Project Policy Brief, 17: 1-6.
F. The uninsured are increasingly using the ED for their non-emergency needs.
III. The effects of emergency room overcrowding can be deadly.
A. Boarding patients, or keeping already treated or stabilized patients in the ED, prevents patients from receiving the inpatient care they need.
B. Long wait times and inefficient service can mean loss of life
IV. Possible solutions demand health care system overhaul.
A. More efficient hospital registration would streamline emergency room procedures.
B. Standing orders would allow nurses and EMTs to proceed on critical care without doctors.
C. Special fast-track and sub-waiting areas would alleviate hallway overcrowding.
D. Re-budgeting will allocate more funds to emergency admissions.
E. Reducing non-urgent visits via universal healthcare initiative would reduce unnecessary use of the emergency room.
F. Increasing hospital capacity for acute inpatient needs would replace boarding.
G. Hospitals can add support staff during critical hours.
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
Research Proposal for Catheter Associated Urinary Tract Infections
Catheter Associated Urinary Tract Infections (CAUTI) affects timely reimbursement and prolongs patient stays in the healthcare facility. Many hospitals strive for ways to reduce CAUTIs and take specific medical measures to aid patients in recovery from the same and avoid recurrence of the cases of CAUTIs. These deliberate measures ensure so they can have better patient outcomes and improve patient care. This also improves the reimbursement received from insurance providers.
The research seeks to investigate the effect of frequent CAUTI education, among the in-hospital patients with indwelling urinary catheter, conducted over six months.
Background and Significance of the Problem
It is common medical knowledge that urinary catheters have the potential to cause urinary tract infections, known as catheter-associated urinary tract infections (CAUTIs). Indwelling catheters are a part of many plans of care, specifically for emergent and critical care patients within…
Mex Am / Hispanic Am. Hlth Care
Sub- cultural Scholarly Paper: Hispanic-American Health
Due to the rising cost of health care and lack of communication and cultural attitudes towards health many Hispanics are faced with poor health, obesity, and in most cases serious illness. This paper provides insight into health concerns, dilemmas of the subculture, and the specifics revealed in the interview process as relates to the individual, the family and ultimately, the community and the culture's collective society.
Subcultural Scholarly Paper: Hispanic-American Health
The theoretical framework used to evaluate this subculture is Purnell's Model. This is a subculture study of Hispanic-Americans in relation to their lack of knowledge concerning their personal healthcare.
Description of Subculture:
One way to address the challenges of providing health care to differing cultures is through advances in the development of competence among cultural providers in the healthcare field as per the minority which…
Basiotis, P.P., Carlson, A., Gerrior, S.A., Juan, W., and Lino, M. (2004). "The Healthy Eating Index, 1999-2000: Charting Dietary Patterns of Americans." Family Economics and Nutrition Review, Vol. 16, Number 1, p. 39.
"Healthy People 2010: Objectives Draft for Public Comment." National Alliance for Hispanic Health. Available: http://www.hispanichealth.org/pdf/hp2010.pdf Accessed November 27, 2004.
'Hispanic Health Data." (n.a.) National Council of La Raza. Available: http://www.nclr.org/content/programs/detail/25670 . Accessed November 27, 2004.
National Alliance for Hispanic Health. Available: www.hispanichealth.org. Accessed November
They will need others to contemplate on some issues as well as complete the required tasks. Therefore, an ENTJ leader will need to accompany a team as expected. That is to say, that a team player should remain incorporated in the leadership processes, if this is a necessary component that will enable completion of the set task. Here, one will establish that the leadership associations remain a two-way corporation/correspondence to enhance personal freedom. In addition, the development of the policies in for instance the community healthcare provision, will have established structures that allow effective coordination of activities involved such that implementation of the appropriate strategies are done as expected (Sperry, 2002). Still in as the working as a team is concerned, organizations structure that concern making decisions, and essential detailed examination of the elements of the structure to answer the arising questions are vital considerations. Moreover, bringing together the necessary…
Berens, L.V. (2001). Quick guide to the 16 personality types in organizations: Understanding personality differences in a work place. United Kingdom: Telos Publications.
Sperry, L. (2002). Effective leadership: Strategies for maximizing executive productivity and health. Los Angeles, CA: Psychology Press.
Wiseman, J., & Guy, P. (n.d.). Leadership skills for professionals: Strategies for managing change. medicine.mcgill.ca Retrieved from http://www.medicine.mcgill.ca/facdev/PowerPoints%20and%20Presentations/Leadership
Medicare Health Care eform
The Medicare is an American health program that is administered by the federal government and serves as a health insurance for people aged 65 years and above. The Medicare is also designed for people with disabilities and people diagnosed with the renal disease. (Davis, Cathy, & Stuart, 2013). The Medicare is currently being funded by the premiums, payroll tax, surtax from general revenue. In 2015, over 55 million American enrolled for the Medicare services where 46 million people are people aged 65 years and above and 9 million are young people. On the average, Medicare covers half of the health costs and the enrollees are to cover the remaining costs through a separate insurance, supplemental insurance, or out-of-pocket. Since the inception of the Medicare, the cost of funding the program continues to increase, and the rising costs of funding are becoming unbearable both for the current…
Blum, J. (2011). Improving Quality, Lowering Costs: The Role of Health Care Delivery System. Center for Medicare Management.
Davis, K. Cathy, S. & Stuart, G. (2013). Medicare Essential: An Option to Promote Better
Care and Curb Spending Growth, Health Affairs 32, no. 5: 901 -- 9.
Golberstein, E. Kayo, W. Yulei, H. et al. (2013). Supplemental Coverage Associated with More Rapid Spending Growth for Medicare Beneficiaries, Health Affairs, 32, no. 5. 873 -- 81.
Change Strategy Worksheet and Simple SWOT Analysis
Would the strategy best facilitate change for the short or long-term and why?
Education and communication
The strategy would enhance both long-term and short-term change. It prevents the presence of resistance especially where there is inadequate information about The New Hire Orientation Project. The step is essential because people will start to adjust to the new system even before the project is established. More so, the strategy allows employees and other stakeholders to understand the primary reasons for establishing the change (Zeng, 2014). Education will also play a significant role because it will enable the employees to connect the practicum change with the institution's short- and long-term objectives. For this reason, they will help with the implementation of the change.
Participation and involvement
I would facilitate change for the short-term. In this case, it is effective in situations where the initiators do not…
Campbell, R. J. (2008). Change Management in Health Care. The Health Care Manager. Volume 27, Number 1, pp. 23-39
Eacott, S. (2011). Leadership Strategies: Re-Conceptualising Strategy for Educational Leadership. School Leadership & Management, 31(1), 35-46
Goksoy, A. (2015). Organizational Change Management Strategies in Modern Business. IGI Global
Karlsson, C., & Tavassoli, S. (2015). Innovation strategies of firms: What strategies and why? J Technol Transf The Journal of Technology Transfer. doi:10.1007/s10961-015-9453-4
chief economic principle that must be confronted in the horrifying picture Steven Brill paints in "Bitter Pill: Why Medical Bills Are Killing Us" is the devastating effect caused by economic monopoly. Brill tiptoes around the issue, and basically defines monopoly by the concept of "powerless buyers" -- -but the economic conditions that render buyers powerless are economic conditions that restrict a buyer's freedom of choice, which is precisely the problem with American medicine in Brill's article. Doctors -- or by extension the Medical Industry -- represent a monopoly. There may be a plethora of pharmeceutical companies that exist, and which ostensibly compete under heavily regulated industries (which include a close government supervision on potentially monopolistic new inventions, such that copyrights and patents in pharmaceuticals are guarded under law for a mere fraction of the time that the copyrights and patents, for example, involved with Walt Disney's trademark cartoon character Mickey…
esearch shows that Social media is playing a huge part when it comes to the health care industry. One study done by DC and Interactive Group shows that beyond 90% of individuals from the ages 18-24 mentioned they would rely on health data discovered on social media channels. The study showed that one in two adults utilize their smart phone to find health information. Even patients are going to the internet to converse about the care they are getting: 50% of individuals mentioned they would share negative or positive situations of a medical facility or hospital, and 52% made the point they would not waver to post comments about a nurse, doctor, or healthcare supplier on social media (iberio, 2013).
Monitoring Patient Vital Signs via Mobile Computing vs. In-Patient Visits
The Internet is exceptional for the reason that it provides the chance to the public and healthcare professionals…
Freeman, K. (2012, May 23). How Social Media, Mobile Are Playing a Bigger Part in Healthcare. Retrieved from http://mashable.com/2012/12/18/social-media-mobile-healthcare/
Riberio, A.M. (2013, August 7). Wireless Monitoring of Patients Vital Signs. Retrieved from http://cdn.intechopen.com/pdfs/31522/InTech Wireless_monitoring_of_patient_s_vital_signs.pdf
VanVactor, J.D. (2011). Strategic health care logistics planning in emergency management. Disaster Prevention and Management,, 21(3), 299-309.
Prior to Launching Technology Initiatives
Over the past seven years, many healthcare organizations, like OUUCH, have begun to transition from the traditional paper-based systems to EH systems. esearch has shown that over a period of time. EH systems can improve quality of care for patients, provide more accurate information, and overall improve safety issues relating to reducing mistakes with patients. In the exploratory study, "Change factors affecting the transition to an… [EH] system in a private physicians' practice: An exploratory study," Aaron D. Spratt, Social Security Administration and Kevin E. Dickson (2008), Southeast Missouri State University, report that the U.S. health care industry reportedly ranks among the world's leading inefficient information enterprises. Although the system needs major changes, the transition process however, creates a high change in the business aspect of an organization. Spratt and Dickson (2008) explain that for an EH system to be successful, doctors must be involved…
Amatayakul, M. (2009). EHR vs. EMR: what's in a name? Healthcare Financial
Management. Healthcare Financial Management Association. Retrieved May 13, 2010
from HighBeam Research: http://www.highbeam.com/doc/1G1-202487730.html
Bennett, D. (2009). EMR market includes small and large system vendors. Managed Healthcare
The variability in problems faced by the King Edward Hospital NHS Trust during the period in question, instigated a multi-level response in knowledge sharing and inclusion on practice. Kotter's theory relies upon such a method, where strategies are an exercise multi-tiered obligation.
As Kotter points out, the transformation model may not be suitable for organizations that are in pursuit of prompt change, and the series of responsibilities which result from consortium relationships may apply to one or all organizations within the scope of his definition of institutional cultures: 1) Developing Social Construct; 2) Oriented Social Construct; 3) and Pluralistic Social Construct types. Evidence-based practice in healthcare is compatible with Kotter's proposition. Process methodology including the '8-Steps' process in three (3) phases -- 1) Creating Climate for Change, 2) Engaging and Enabling the Organisation, and 3) Implementing and Sustaining the Change -- is illustrated in Figure 1.
Abidi, S.S., 2001. Knowledge management in healthcare: towards 'knowledge-driven' decision-support services. International Journal of Medical Informatics, 63 (1-2), pp. 5-18.
Abidi, .S.S. et al., 2009. Knowledge sharing for pediatric pain management via a Web 2.0 framework. Studies in Health Technology and Informatics, 150, pp. 287-91.
Abidi, S.S. et al., 2004. Knowledge management in pediatric pain: mapping online expert discussions to medical literature. Studies in Health Technology and Informatics, 107 (Pt 1), pp. 3-7.
Austin, M.J., 2008. Knowledge management: implications for human service organizations. Journal of Evidence-Based Social Work, 5 (1-2), pp. 361-89.
This is exactly where the problem usually starts.
There are a number of reports published which revealed that even the physicians are not so keen into attending more seminars and trainings to learn the new systems (Ball, 1992). Physicians are expectedly always busy. They sometimes work from hospital to hospital. They are always on call hence they really find it hard to squeeze in their thigh schedule the time for further training and semi-are regarding the system. At some point in time, physicians will also worry about their income that will be affected if they will get a time off just to attend the training.
In the same manner, most of the administrators, who will manage the new systems for the hospitals, also show signs of hesitance regarding the training. It must be noted that the being considered as a 'wired hospital' the institution must have uniform data standards (Aspden…
Aspden, P., J.M. Corrigan, J. Wolcott, and S.M. Erickson. 2003. Patient Safety: Achieving a New Standard for Care. Washington, DC: National Academies Press.
Ball, M. 1992. "Computer-Based Patient Records: The Push Gains Momentum." Health Informatics 9 (1): 36-38.
Bates, D.W., J.M. Teich, J. Lee, D. Seger, G.J. Kuperman, N. Ma'Luf, D. Boyle, and L. Leape. 1999. "The Impact of Computerized Physician Order Entry on Medication Error Prevention." Journal of the American Medical Informatics Association 6 (4): 313-21.
Benefits of it to Medical Profession http://www.cica.org.uk/bre-cica_survey/ranking_of_it_benefits.htm . September 25, 2006
Patient expectations and goals
When one is unwell, there are expectations that the individual has and these vary from one patient to another bearing the peculiarity of the sickness the person suffers from. However, there is the other level that determines the differing in the goals that the patients have, and that is the duration or type of care that the patient is put under, be it long-term care, acute care or home care. All these present varying goals and expectations due to the different needs that the patients have.
Long-term care patients
Long-term care is when one needs help of another on the emotional or physical needs over a prolonged period of time. This is often given to people with the patients who need the greatest medical care needs. Due to their health condition, the expectations and goals of these patients include having a highly trained medical practitioner,…
National care Planning Council, (2013). About Long-Term Care. Retrieved September 6, 2013 from http://www.longtermcarelink.net/eldercare/long_term_care.htm
The Regents of University of California, (2013). Acute Care or Emergency. Retrieved September 6, 2013 from http://www.ucsfhealth.org/acute_care_or_emergency/
SWOT analysis can help to identify internal and external factors that can foster or hinder organization or program success. A SWOT analysis organizes the Strengths, Weaknesses, Opportunities, and Threats of an organization or program. The identification of weaknesses and threats indicates factors that have a negative impact on the organization or program and need to be addressed. Strengths and opportunities are factors that have a positive impact on the organization or program and should be maintained. This knowledge is important for strategic planning (Hill & Jones, 2012). This paper provides a SWOT analysis of the author's practicum organisation, an urgent care clinic. The clinic mainly treats a wide variety of medical conditions requiring immediate attention, including minor injuries, coughs and colds, breathing difficulties, eye and ear problems, fever, headaches and migraines, uncontrollable bleeding, stomach problems, skin problems, poisonings, and seizures.
• Wide variety of…
Assign to Occupy
CONGESTION ISSUES AND SOLUTIONS
Prolonged or increased waiting time for patients at the Emergency Department lead to an increase in both morbidity and mortality among critically ill adult patients admitted for inpatient beds. The gathering of ED records of the St. Margaret Mary Healthcare Centers of Dyer, Indiana, aimed at developing a report on overcrowding, identified the main causes as the lack of available inpatient beds and the lack of nurses to care for patients. Long-term solutions are identified and suggested.
ackground/Significance -- Overcrowding at the ED occurs primarily because of overwhelmed ED manpower and sheer physical incapability because of the massive number of patients requiring or receiving care. Overcrowding, lack of ED staff and the delay of transfer to assigned bed, the lack of physical beds and un-timely discharges lead to increased boarding times at the ED.
Problem Statement -- Patients with assigned medical/surgical…
Bramwell, J. (2012). Going with the flow: three strategies help improve throughput.
HFMA: Healthcare Financial Management Association. Retrieved on September 22,
2012 from http://www.hfma.org/Templates/Print.aspx?id=29334
DeLia, D. (2007). Hospital capacity, patient flow and emergency department use in New Jersey. Institute for Health: Rutgers Center for State Health Policy. Retrieved on September 22, 2012 from http://www.state.nj.us/health/rhc/documents/ed_reports.pdf