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Benjamin Proffitt
Discussion 7
COLLAPSE
Top of Form
Job Oppurtunities
Indirect care settings are defined as services that are
related to patient care but do not require interactions between
the healthcare provider and the patient. There is a vast amount
of jobs and professions related to Indirect care that make this an
extremely explosive market for those seeking to join the
medical field. Indirect care organizations are organizations
such as pharmaceutical companies, insurance carriers, health
information technologists and many more. Job oppurtunities for
those seeking a degree and employment in the field of health
care administration could seek out jobs in these fields to include
the Director of Quality control, the chief executive officer, the
chief financial officer etc. These positions are extremely
impactful on the product and services these organizations
provide and allow them to better support direct care facilities in
providing safe, quality patient care with the latest and most up
to date services and technologies. While ultimately, all
companies are seeking to make profits in order to enhance their
company and pay their employees it is important to look at how
indirect care supports direct care oganizations.
Correleation
Although not directly involved in the intracicies of
patient care, there is a direct correleation to the work done in
indirect care facilities with direct care facilities. One of the
most major sector of indirect care, and likely the fastest
growing is the field of Healthcare Information Technology.
Healthcare information technology or HIT is defined as “the
application of information processing involving both computer
hardware and software that deals with the storage, retrieval and
use of healthcare information, data, and knowledge for
communication and decision making.” (Alotaibi & Frederico.,
2017). One way that healthcare technology influences direct
care organizations is through the use of automated reminders
and alerts in computers that support clinicians and support staff
with safety nets in the clinical decision making process. For
example, hard stops in Electronic health records, which are
stops implemented that cause a user to address the issue at hand
before continuing with care have been shown to decrease
prescription errors by 22% (Feldman et al., 2018).
Another major implementation that Healthcare
information technology has implemented is the development of
the Electronic Health Record. The electronic health record has
been a major introduction in the world of healthcare that has
improved the quality of care, patient outcomes, safety and
reduced medication errors, redundant testing, and improved
overall communication between providers. With their creation,
medical organizations that participate in direct care have been
able to significantly increase their productivity, abandon old
outdated and dangerous paper charting and have been provided
tools to analyze data and trends. This among many other
examples in multiple fields goes to show that indirect care
organizations are a significant part of the field of direct care.
As they would have no job without the existance of direct care,
direct care organziations would be completely obsolete without
indirect care.
Job Opening
A job I found when searching for Indirect care positions is
the Senior Manager Data Manager for Otsuka Pharmacuetical
Companies. This role is responsible for representing the Otsuka
Pharmacuetical Company Data Management department in a
leadershuo role. Some of the requirements for this position as
they relate to the knowledge, skills and abilities that we have
discussed throughout this course are strong computer skills, or
what we have referred to as strong technical skills. The ability
to remain organized and understand/ interpret organization
policy and procedures. Strong oral and written skills, strong
interpersonal skills, and strong decision making skills. It is not
uncommon for these knowledge skills and abilities to be lis ted
on these upper level management positions in both direct and
indirect care organizations. Both the text and nearly all
research articles around this topic lead to the same results.
Being a person capable of learning and growth, who possess
strong interpersonal skills with a desire and knack for leading
are the keys to success in the field of health care
administration.
Biblical Perspective:
2 Thessalonians 3:10-12 says “For even when we were with
you, we would give you this command: If anyone is not willing
to work, let him not eat. For we hear that some among you walk
in idleness, not busy at work, but busybodies. Now such persons
we command and encourage in the Lord Jesus Christ to do their
work quietly and to earn their own living.” I interpret this line
in scripture in a couple of ways. First, to work hard in anything
that you do. We are involved in an extremely important field as
it relates to the health and safety of others. Laziness and
contempt could vary well be the difference in a patients
wxperience or life. My second interpretation is to do something
you are passionate about. Do not walk idly through work, but
work as if you love your work.
Alotaibi, Y. K., & Federico, F. (2017). The impact of health
information technology on patient safety. Saudi medical
journal, 38(12), 1173–1180.
https://doi.org/10.15537/smj.2017.12.20631
Feldman, S. S., Buchalter, S., & Hayes, L. W. (2018). Health
Information Technology in Healthcare Quality and Patient
Safety: Literature Review. JMIR medical informatics, 6(2),
e10264. https://doi.org/10.2196/10264
Manca D. P. (2015). Do electronic medical records improve
quality of care? Yes. Canadian family physician Medecin de
famille canadien, 61(10), 846–851.
Discussion 4
Julius
COLLAPSE
Top of Form
The healthcare field is large and is made up of various
organizations that focus on specifics areas of expertise or issues
within the field. The healthcare field also provides many job
opportunities at either the clinical or administrative level.
Upon reviewing the Appendix A in the textbook, there are
numerous organizations that support specific jobs, clinical
settings, and community initiatives. Each of the organizations
have established mission, vision, goals to maintain and advance
their area of focus. In Appendix A, there are 35 organizations
that are listed that provide support and job opportunities
through establishing standards to be followed by direct care
settings, accreditation for facilities, or certifications for
specifics positions. With healthcare constantly growing and
evolving healthcare professionals and healthcare providers
utilize this organizations to obtain guidance on new regulatory
policies and standards. As Christians we also have organizations
such as church groups, the Bible, and other Christian resources
that provide us with support and guidance to get through the
challenges of life. For James 1:5-8 states:
“If any of you lacks wisdom, let him ask God, who gives
generously to all without reproach, and it will be given him. But
let him ask in faith, with no doubting, for the one who doubts is
like a wave of the sea that is driven and tossed by the wind. For
that person must not suppose that he will receive anything from
the Lord; he is a double-minded man, unstable in all his ways”
(English Standard Version 2008/2020).
Within this post I will focus on 3 organizations, examining how
they provide job opportunities, how they are interrelated, and
the support they provide to direct care organizations.
The Joint Commission (TJC)
The Joint Commission was established in 1951. Its mission is
“continuously improve health care for the public, in
collaboration with other stakeholders, by evaluating health care
organizations and inspiring them to excel in providing safe and
effective care of the highest quality and value” (The Joint
Commission [TJC], 2021). While its vision states, “that all
people always experience the safest, high quality, best-value
health across all settings” (TJC, 2021). The Joint Commission
provides accreditations and certifications to approximately
22,000 health care organizations in the United States. These
organizations consist of hospitals, ambulatory centers,
outpatient surgery centers, behavioral health centers, home
health organizations, and nursing centers. The Joint
Commission also provide quality reports that include dates of
accreditation, Hospital National Quality Improvement Goal
performance, and specialty awards. The Joint Commission
supports direct care settings by establishing standards that to
ensure quality care. They also provide resources to prepare for
CMS/Medicare surveys, emergency management, infection and
prevention control, and medication safety. There are various job
opportunities within this organization such as surveyors, project
managers, and business analyst.
National Committee for Quality Assurance (NCQA)
The National Committee for Quality Assurance (NCQA) was
founded in 1990. The mission of the NCQA is to improve the
quality of health care. While its vison is “Better health care.
Better choices. Better health” (National Committee of Quality
Assurance [NCQA], 2021). The ways that the NCQA look to
improve the quality of healthcare is utilizing evidence-based
standards, certifications, accreditations, and programs. They
support direct care settings by the Healthcare Effectiveness
Data and Information set that measures performance in
healthcare. Job opportunities within this organization consist of
senior mangers in accreditation policy, surveyors, and product
managers.
American Medical Association (AMA)
The American Medical Association was established in 1847
with the purpose of promoting the art and science of medicine
and the betterment of public health. The way that the AMA
supports direct care settings is by representing physicians in the
courts and legislative initiatives that remove obstacles affect
patient care, focuses on preventing chronic disease, confronting
public health issues, and provides training (American Medical
Association [AMA], 2021). The job opportunities that this
organizations offer consist of account managers, directors of
specific departments, and product managers.
How These Organization Interrelate?
In conclusion of my research of these support organizations, I
found that each primarily have the common goal of improve the
quality of healthcare services. Though they may each have
different areas of focus, each put a concerted effort holding
facilities accountable by setting quality standards that ensure
that providers are giving, and patient are receiving quality
services. Another characteristic that is seen throughout these
organizations is an emphasis on advancing healthcare weather
that be in performance or through legislative efforts. There are
many scriptures in the Bible that mention the importance of
supporting other’s efforts and doing good for others. For
Philippians 2:4 states, “not looking to your own interest but
each of you to the interest of the others” (English Standard
Version, 2008/2020).
KSA’s for Potential Position
One of the positions that I am interested in pursuing upon
completion of this program is a director of rehabilitation. A
director of rehabilitation must be knowledgeable on the
business side of therapy. Though healthcare can is about
providing quality services to patient, directors are responsible
for budgeting and ensuring that profit expectations are met. To
be able to accomplish this a director must be organized, exhibit
good time management skills, and ability to be effective while
being efficient. As a director, I would be responsible for
managing a group of therapist and therapy assistants that
provide occupational, physical, and speech therapy. In any
management position communication is vital so that staff
members understand the expectations and goals that are
established. To be an effective communicator, one must have
interpersonal skills. Buchbinder and Thompson (2010) mentions
“interpersonal skills are those skills that enable a manger to
communicate with and work well with others regardless of
whether there are peers, supervisors, or subordinates” (p. 21).
As a healthcare manager, interpersonal skills are not only
utilized when communicating with staff members it also
essential when communicating with patients and family
members. In this role a director must be able to update patient
and family on progress in therapy and insurance allowances.
According to Riggio and Tan (2013), “Interpersonal skills are a
critical, if not essential, part of effectively managing and
leading others. Interpersonally skilled managers are more
successful and interpersonally skilled leaders are more
effective” (p.11). During my time in this program, I look
forward to understanding and developing my knowledge, skills,
and abilities for this position to be successful in this role.
References
American Medical Association (2021). About. https://www.ama-
assn.org/about
Buchbinder, S. B., & Thompson, J. M. (2010). Career
opportunities in health care management: perspectives from the
field. Jones and Bartlett Publishers.
National Committee of Quality Assurance (2021). About
NCQA. https://www.ncqa.org/about-ncqa/
Riggio, R. E., & Tan, S. J. (2014;2013;). In Riggio R. E., Tan S.
J.(Eds.), Leader interpersonal and influence skills: The soft
skills of leadership.
Routledge. https://doi.org/10.4324/9780203760536
The Joint Commission (2021). About
Us. https://www.jointcommission.org/about-us/
Bottom of Form
Bottom of Form
1
U.S. Health Care Systems for Small Populations, Part 4
U.S HEALTH CARE SYSTEMS 7
U.S. Health Care Systems for Small Populations, Part 4
Kianna James
University of Phoenix
MHA/599
05/04//2021
Professor Jackie Lucas
U.S. Health Care Systems for Small Populations
The primary level of care at Kansas City comprises public
health nurses and physicians who prioritize service to the local
people. The secondary level at Kansas City comprises
physicians with primary health care training and working both
in the government and private healthcare institutions. The
secondary level of care, unlike the primary, focuses on offering
specialist services to the customers. Kansas City consists of
various secondary-level healthcare facilities specializing in
optician services, orthopedic services, and minor and severe
surgery services. Therefore, the leadership structure and the
departments influence the efficiency at which this facility
serves its population. Organizational chart 1 shows the
leadership structure and the clinical departments for the Kansas
City facility.
Chart 1: Clinical leadership and clinical departments in Kansas
City Facility
The roles of each department is indicated in the leadership
approach that this facility uses as follows:
Board of directors:
The board in Kansas City facility is expected to define and
investigate the overall mission and technique for critical
operations. The Clinical Purpose Statement will be completed
as a guide for long-term goals and preventive measures for the
medical clinic (Kershaw, 2011). Part of this commitment is
based on making critical decisions in the facility's best interest
in the dynamic healthcare industry. The creation of this general
atmosphere will influence the manager's strategy, methods, and
decisions.
Appropriate oversight by the Board of Directors will include the
recruitment of an Executive Director. The emergency clinic
shall define detailed responsibilities for the general manager
and make reasonable assumptions consistent with the primary
goals of the medical clinic. Given these critical elements, the
Board of Directors shall be responsible for the progress of the
Chief Executive Officer, conducts review and evaluation to
ensure that these assumptions are met.
Those on the Board shall maintain close correspondence with
the Executive Director when appointing and reassigning
suppliers to ensure that medical clinics provide patients with
reliable and excellent care (Kershaw, 2011). Part of the Board's
obligations shall be to regulate the certification process for
clinical staff. The CEO must confirm that all recruitment in the
state is duly authorized. There is evidence of legal and
completed training at a licensed school, no experience with
disciplinary action by former managers. Those involved have
legal and current protection against violations, significant at all
times.
Pediatricians A-C:
Pediatricians in Kansas will address significant experts in the
clinical benefits needs of infants, children, young people, and
energetic adults. Most pediatricians will be more wide experts,
though some may invest massive energy in pediatric operation
or in more certifiable illness that is more typical in more young
people (Keagy & Thomas, 2012). Pediatrician commitments in
this facility will consolidate noticing the prosperity,
improvement, and headway of their patients. Pediatricians will
also reliably see their patients for tests and all examinations.
These tests will happen routinely from birth until two and
subsequently all around once consistently through energy.
Practice Manager:
Practice managers have an enormous number of obligations
while managing the step-by-step exercises for clinical practice
and developing its business approach. The practice managers in
Kansas will be responsible for'; enrolling new staff,
orchestrating specialist benefits, making workforce systems,
settling work conflicts, taking care of staff, mentioning clinical
supplies, ensuring consistency with all organization rules,
guaranteeing clinical records are taken care of suitably,
completing money, preparing obligations, conveying security
claims, performing inside consistence surveys, and displaying
new clinical advantages (McAlearney & Kovner, 2017). In this
facility, practice managers aim to deal with the business parts of
medicine to extend specialists' time, decay patient backup time,
and overhaul patient thought.
Nurses:
The nurses in Kansas City will conduct a regular review of
patients, help experts make a thought arrangement and do that
care plan with medication and treatment association. Nurses use
an arrangement of clinical equipment for both noticing and
performing prescriptions. They may similarly do definitive
tests, take vitals and interpret the results. Nursing implies
another large piece of the work. They will also assist patients
with sorting out some ways to make sound choices. After a
clinical assurance, the chaperon associates the patient and
gatekeepers appreciate the end and sort out some way to manage
it. At inpatient workplaces, nurses in this facility will handle
the delivery rules, helping patients understand what to do after
they get back. Nursing commitments similarly join heaps of
authoritative work and documentation (McAlearney & Kovner,
2017). Specialists record patient records similarly as current
indications and file all that they do during patient monitoring,
including when medications are directed and the aggregates.
Medical Assistants:
Medical assistants shall work near physicians, especially in
outpatient or pedestrian areas Kansas City clinical facilities.
These parties are expected to be fully trained to perform
relevant and clinical tasks, as confirmed by the professional
analysis of the medical assistants. The duties of these meetings
in Kansas City include explaining treatment modalities to
patients, preparing patients for evaluation, assisting physicians
with evaluations, collecting and planning samples for research
facilities, performing basic laboratory tests, and training
patients on drug regimens and abnormal diets.
Front desk receptionists:
The front-desk receptionist in Kansas City will be responsible
for recording incoming calls, routing calls to appropriate staff,
greeting and reviewing all patients for office organization,
including work desks for patient rounding, assessing security
cards, entering all segment data into electronic social records,
and introducing recommendations for ESDM office visits, and
close collaboration with doctors and Kansas City's staff. Key
responsibilities include
· capturing patient segments and validating safety data with
each visit,
· retrieving patient baseline data to comply with the current
state and rules of use of critical electronic health records, and
· reviewing relevant patient data in EMR, including patient
consent.
References
Keagy, B. A., & Thomas, M. S. (2012). Essentials of physician
practice management. John Wiley & Sons.
Kershaw, B. (2011). The future of nursing – Leading change,
advancing HealthThe future of nursing – Leading change,
advancing health. Nursing Standard, 26(7), 31-
31. https://doi.org/10.7748/ns2011.10.26.7.31.b1274
McAlearney, A. S., & Kovner, A. R. (2017). Health services
management: A case study approach.
HEALTH CARE SYSTEM
4
U.S. Health Care Systems for Small Populations, Part 2
Kianna James
University of Phoenix
MHA/599
04/19//2021
Professor Jackie Lucas
Healthcare system
State of health care in your selected city
The health care state in Kansas City is one of the most crucial
sectors that control the city's economy. Health care is a
fundamental part of society as people's lives depend on the
services offered in the healthcare facilities. Over the past few
years, the people in Kansas City have paid more attention to the
health care system because of the growing economic size of the
sector and the amount of budget allocated to improve the
healthcare facilities in the region. The city consists of three
different healthcare system levels that serve the people in
different ways (Elson, Oermann, Duehlmeyer & Bledsoe, 2020).
The first level is the primary level of care, which mainly
focuses on providing healthcare facilities to the public. The
primary level gives priority to the community members because
of the direct link with society. People living in Kansas City
have a direct contact number to reach out to the health facilities
in emergencies.
The primary level of care at Kansas City comprises public
health nurses and physicians who prioritize service to the local
people. The secondary level at Kansas City comprises
physicians with primary health care training and working both
in the government and private healthcare institutions. The
secondary level of care, unlike the primary, focuses on offering
specialist services to the customers. Kansas City consists of
various secondary-level healthcare facilities specializing in
optician services, orthopedic services, and minor and severe
surgery services (Vaupel, 2018).
The secondary services are present in the infirmaries and
outpatient hospital facilities located in diverse locations in
Kansas City. The final healthcare level present in Kansas City
consists of the tertiary level of care (Vaupel, 2018). The tertiary
level of care plays a vital role in the community as it deals
mainly with offering referral patients to the secondary care
facilities. The tertiary healthcare facilities in Kansas City most
deal with emergency cases. After the patient situation is under
control, the practitioners refer the client to secondary facilities
to better provide services (Lavin, Harper & Barr, 2015).
Consequently, the tertiary level of care handles intensive and
complicated patient situations that other healthcare facilities
fail to offer better service.
Source:Picture of proposed Kansas City Mental Health Clinic
Center: (Google)
Proposal for a new or improved service
The improved service proposed for Kansas City is the provision
of services to children with disability cases. Although various
healthcare facilities offer pediatrician services in Kansas City,
none handles children with disabilities. The number of children
with disabilities in Kansas City is on the rise, and it is only fair
that the authority builds healthcare that only treats children
with disabilities. Children with a disability require unique needs
and help in almost every aspect of life (Elson, Oermann,
Duehlmeyer & Bledsoe, 2020). The majority of the children
with disabilities experience specific illnesses more frequently,
unlike normal children. Parents that have children with
disabilities, in some cases, feel offended in taking sick children
to the general hospitals. According to researchers, children with
a disability require assistance from many domains to meet the
unique needs because of their physical inability. Authorities
ought to developing a healthcare facility that offers treatment
options to children with disabilities to facilitate unity in
families, as parents would have a better solution to the ailment
affecting disabled children (Lavin, Harper & Barr, 2015).
Consequently, private investors ought to tap into the
opportunity, as it will offer more profits shortly.
References
Elson, E. C., Oermann, C., Duehlmeyer, S., & Bledsoe, S.
(2020). Use of telemedicine to provide
clinical pharmacy services during the SARS-CoV-2
pandemic. American journal of
health-system pharmacy : AJHP : official journal of the
American Society of Health-
System Pharmacists, 77(13), 1005–1006.
https://doi.org/10.1093/ajhp/zxaa112
Lavin, M., Harper, E. & Barr, N. (2015). Health Information
Technology, Patient Safety, and
Professional Nursing Care Documentation in Acute Care
Settings OJIN: The Online
Journal of Issues in Nursing, (20) 2.
Vaupel, A. (2018). Top of the List: KU Hospital rockets higher
(plus, a visualization of KC's
health system market). Kansas City Business Journal,
https://www.bizjournals.com/kansascity/news/2018/10/26/bigge
st-hospitals-and-health-
systems-in-kc-metro.html
Running head: U.S HEALTH CARE SYSTEMS 1
U.S HEALTH CARE SYSTEMS 8
U.S. Health Care Systems for Small Populations 3
Kianna James
University of Phoenix
MHA/599
04/26//2021
Professor Jackie Lucas
U.S. Health Care Systems for Small Populations
Various factors such as the target population, size of the
healthcare facility, and the target department are considered
when designing the health care system. In this case, the target
population is small, and the systems for every process should be
simple, flexible, and more efficient than those intended to target
high populations. The workflow diagram presents logical steps
that users can use to navigate the system and interact with it
when seeking different services. This activity focuses on the
three processes, including patient check-in-out, billing, and
patients’ visit in healthcare facilities targeting small
populations.
A workflow diagram explaining Patient check-in and check-out
process
Patients visits the healthcare facility and expect to be checked
in before receiving services and checked out upon clearance
from the facility. This steps involved in this process are as
follows:
A. Check in- at this step, patients’ details are keyed into the
system to authenticate them before validating their treatment.
B. Before authentication, the patients’ details are unlocked to
allow the database administrator to verify them from their
databases and the state government’s site.
C. When checking out, the same details are presented to the
database admin who then integrates them to other healthcare
facility’s systems to check whether the patient is approved for
checking out or not. One key aspect that is checked at this point
is clearance from the billing department and completion of
treatment process from the office discharge department.
D. The last step of checking out allows the patient to be
discharged from the facility.
Some key features that make this system appropriate for small
facilities include its simplicity, integration and coordination,
and innovations (Mühlbacher et al., 2013). The patients do not
have to spend much time queuing to be checked out upon
clearance from the healthcare facility.
Figure 1: Patients check-in-out workflow diagram
A workflow diagram explaining Patient visits process
Patients must not seek healthcare facility’s physical admission
especially if they are seeking routine checks. Figure 2 presents
the processes that a patient and the facility can use for such
admissions as follows:
A. Checking documents
B. Waiting for approval from the physician
C. Conducting additional examination
D. Checking the details with the admitting department
E. Coordinating with the house department
F. Leaving the ED
This system is simple and serves universal coverage as it does
not limit its service to patients from one region. The integration
of this system to others also indicates the patients’ visit process
system (Hicks, 2020). Despite limitations such as delays in the
waiting process, particularly when the patients’ details are
keyed for the first time, this systems’ advantages outdo the
limitations.
Figure 2: Workflow diagram for patients' visit process
A workflow diagram explaining Billing process
The billing process is one of the challenging ones in any
organization. Therefore, the system below is sophisticated in
the following ways: Firstly, the system is integrated with all
other departments as patients should prove that they are cleared
in each of them to be allowed to leave. Secondly, some patients
may be allowed to undergo treatment before paying for services,
implying that there would be a need to backtrack the entire
system before discharging them. The patients’ payment should
also be recorded in the database for future references, especially
when linking them with the insurance companies (Berg et al.,
2019). However, despite being sophisticated, the system serves
all purposes in a small facility. Its data may not be an issue to
the facility as it would process and retrieve the details
efficiently.
Figure 3: Workflow diagram for Billing Process
Conclusion
In conclusion, these workflow diagrams present logical steps
that users can use to navigate the system and interact with it
when seeking different services. The systems showcase
simplicity, universal coverage, and resilience enough to serve a
small facility. Despite some limitations, the three systems prove
to be efficient for both patients and the facility. For instance,
they address the queuing issue that would take much time and
lead to ineffective service delivery.
References
Berg, K., Doktorchik, C., Quan, H., & Saini, V. (2019).
Meaningful information in the age of big data: A scoping review
on social determinants of health data collection for electronic
health records. https://doi.org/10.21203/rs.2.16433/v1
Hicks, L. (2020). Economics of health and medical care. Jones
& Bartlett Publishers.
Mühlbacher, A. C., Bethge, S., & Schulman, K. A. (2013).
Patient-centered health care delivery systems: A
framework. International Journal of Integrated
Care, 13(5). https://doi.org/10.5334/ijic.1274
HEALTH CARE SYSTEM
5
U.S. Health Care Systems for Small Populations, Part 1
Kianna James
MHA/599
Professor Jackis Lucas
04/12/2021
Health Care System
Map of the city
Source: Internet, 2020.
Types and locations of medical services
The increasing complexity of the healthcare system within the
United States has been attributed to increased specializations i n
the health industry. The Kansas City located in Kansas consists
of various medical services mainly located in the city center.
The population in Kansas City has a diversified range of
medical services to select when in need of medical care
treatment. One of the standard medical services present in
Kansas City consists of the general hospitals that provide short-
term medical care (Elson, Oermann, Duehlmeyer & Bledsoe,
2020). The majority of Kansas City healthcare facilities focus
on delivering services related to curing diseases, injuries, and
emergency cases. Most hospitals in Kansas City offer 24 hours
delivery of services to ensure that patients in the region have
proper healthcare lifestyles.
Consequently, the hospitals have highly skilled doctors and
nurses to treat patients. The hospitals within the region entail
modern technological facilities to enable doctors to offer better
services to patients. Technology has helped doctors treat
patients at a faster rate reducing the long line of patients
waiting for service delivery.
The second medical service offered in Kansas City, Kansas,
consists of ambulatory surgical centers that offer patients the
option of having same-day emergency surgeries. The
ambulatory surgical centers' services do not require intensive
hospital care as the patients return home the same day after
undergoing surgery. The medical service takes care of minor
surgeries that take less than an hour to perform by a specialist.
The centers further take care of post-operation patients that
might need routine checkups by the specialist. The third
category of the medical services offered at Kansas City, Kansas,
consists of the doctor's office specializing in consultation and
specialization in one common practice (Elson et al., 2020). The
doctors in this healthcare space offer the patients solutions to
complicated ailments and prescription of medication to help
cure the sickness. The doctor's office usually handles cases that
need the immediate intervention of acute conditions that do not
require the patient to go to the hospitals.
The final category of the medical services in Kansas City,
Kansas, consists of the nursing homes that take care of the
patients who constantly require the nurse's attention. The
nursing home mostly takes care of the elderly patients who
require the nurses' attention on a 24 hours basis with the
availability of therapy. The nursing homes further assists the
elderly with performing a primary function such as walking,
eating, and bathing.
Demographics (population, age, gender, etc.)
Kansas City consists of almost 152,590 citizens, with primarily
white ethnicity (Elson et al., 2020). According to the census
conducted in the previous year, the city is the third-largest city
in Kansas, with the population increasing at a diminishing rate
of 4.91 percent. The majority of the Kansas City population
consists of whites that make up almost 56.1 percent of all the
humans living in the region. The African American is the
second largest ethnic group of people living in Kansas Ci ty,
attributing to 23.26 percent of the overall population. Other
races account for approximately 9.65 percent of the population,
while the Asian, which is the smallest population in the city,
contribute to 4.92 percent (Elson, et al., 2020). The remaining
percentage of people consists of mixed races such as Pacific
Islanders and Native Americas, that the numbers keep on
changing without a constant number.
Income and employment
According to the census information retrieved from the National
government statistics bureau, household income average
consists of almost 57, 202 dollars (Elson, et. al, 2020). The
statistics information regarding earning of the population of
Kansas City is specific on individual or ethnic background.
Consequently, the poverty level is almost at a rate of 19.78
percent meaning that majority of the people in the region have
the ability to afford medical healthcare (Elson, et. al, 2020).
The population has the ability to live a decent lifestyle as
majority of the adults have an employment to provide a salary.
The earned salary helps the people manage to pay bills and
afford a decent healthcare system.
Residential details
According to the National Government Statistics Bureau
(NGSB), the rental in Kansas City on a median analysis entail
approximately 885 dollars per month. Subsequently, the house's
value following the median is 95,600 dollars (Elson, et al.,
2020). The majority of the adults that earn a salary can afford
housing in Kansas City.
Include a rationale of why you selected the city, including if
you have any prior experience or knowledge about the existing
health care system in that city.
I selected the Kansas City because I once lived in the city while
pursuing my first certificate in nursing. I had prior information
on the existing healthcare system as I did my internship at the
Truman Medical Center.
Reference
Elson, E. C., Oermann, C., Duehlmeyer, S., & Bledsoe, S.
(2020). Use of telemedicine to provide
clinical pharmacy services during the SARS-CoV-2
pandemic. American journal of
health-system pharmacy : AJHP : official journal of the
American Society of Health-
System Pharmacists, 77(13), 1005–1006.
https://doi.org/10.1093/ajhp/zxaa112

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1 day agoBenjamin Proffitt Discussion 7COLLAPSETop of Fo

  • 1. 1 day ago Benjamin Proffitt Discussion 7 COLLAPSE Top of Form Job Oppurtunities Indirect care settings are defined as services that are related to patient care but do not require interactions between the healthcare provider and the patient. There is a vast amount of jobs and professions related to Indirect care that make this an extremely explosive market for those seeking to join the medical field. Indirect care organizations are organizations such as pharmaceutical companies, insurance carriers, health information technologists and many more. Job oppurtunities for those seeking a degree and employment in the field of health care administration could seek out jobs in these fields to include the Director of Quality control, the chief executive officer, the chief financial officer etc. These positions are extremely impactful on the product and services these organizations provide and allow them to better support direct care facilities in providing safe, quality patient care with the latest and most up to date services and technologies. While ultimately, all companies are seeking to make profits in order to enhance their company and pay their employees it is important to look at how indirect care supports direct care oganizations. Correleation Although not directly involved in the intracicies of patient care, there is a direct correleation to the work done in
  • 2. indirect care facilities with direct care facilities. One of the most major sector of indirect care, and likely the fastest growing is the field of Healthcare Information Technology. Healthcare information technology or HIT is defined as “the application of information processing involving both computer hardware and software that deals with the storage, retrieval and use of healthcare information, data, and knowledge for communication and decision making.” (Alotaibi & Frederico., 2017). One way that healthcare technology influences direct care organizations is through the use of automated reminders and alerts in computers that support clinicians and support staff with safety nets in the clinical decision making process. For example, hard stops in Electronic health records, which are stops implemented that cause a user to address the issue at hand before continuing with care have been shown to decrease prescription errors by 22% (Feldman et al., 2018). Another major implementation that Healthcare information technology has implemented is the development of the Electronic Health Record. The electronic health record has been a major introduction in the world of healthcare that has improved the quality of care, patient outcomes, safety and reduced medication errors, redundant testing, and improved overall communication between providers. With their creation, medical organizations that participate in direct care have been able to significantly increase their productivity, abandon old outdated and dangerous paper charting and have been provided tools to analyze data and trends. This among many other examples in multiple fields goes to show that indirect care organizations are a significant part of the field of direct care. As they would have no job without the existance of direct care, direct care organziations would be completely obsolete without indirect care. Job Opening
  • 3. A job I found when searching for Indirect care positions is the Senior Manager Data Manager for Otsuka Pharmacuetical Companies. This role is responsible for representing the Otsuka Pharmacuetical Company Data Management department in a leadershuo role. Some of the requirements for this position as they relate to the knowledge, skills and abilities that we have discussed throughout this course are strong computer skills, or what we have referred to as strong technical skills. The ability to remain organized and understand/ interpret organization policy and procedures. Strong oral and written skills, strong interpersonal skills, and strong decision making skills. It is not uncommon for these knowledge skills and abilities to be lis ted on these upper level management positions in both direct and indirect care organizations. Both the text and nearly all research articles around this topic lead to the same results. Being a person capable of learning and growth, who possess strong interpersonal skills with a desire and knack for leading are the keys to success in the field of health care administration. Biblical Perspective: 2 Thessalonians 3:10-12 says “For even when we were with you, we would give you this command: If anyone is not willing to work, let him not eat. For we hear that some among you walk in idleness, not busy at work, but busybodies. Now such persons we command and encourage in the Lord Jesus Christ to do their work quietly and to earn their own living.” I interpret this line in scripture in a couple of ways. First, to work hard in anything that you do. We are involved in an extremely important field as it relates to the health and safety of others. Laziness and contempt could vary well be the difference in a patients wxperience or life. My second interpretation is to do something you are passionate about. Do not walk idly through work, but
  • 4. work as if you love your work. Alotaibi, Y. K., & Federico, F. (2017). The impact of health information technology on patient safety. Saudi medical journal, 38(12), 1173–1180. https://doi.org/10.15537/smj.2017.12.20631 Feldman, S. S., Buchalter, S., & Hayes, L. W. (2018). Health Information Technology in Healthcare Quality and Patient Safety: Literature Review. JMIR medical informatics, 6(2), e10264. https://doi.org/10.2196/10264 Manca D. P. (2015). Do electronic medical records improve quality of care? Yes. Canadian family physician Medecin de famille canadien, 61(10), 846–851. Discussion 4 Julius COLLAPSE Top of Form The healthcare field is large and is made up of various organizations that focus on specifics areas of expertise or issues within the field. The healthcare field also provides many job opportunities at either the clinical or administrative level. Upon reviewing the Appendix A in the textbook, there are numerous organizations that support specific jobs, clinical settings, and community initiatives. Each of the organizations have established mission, vision, goals to maintain and advance their area of focus. In Appendix A, there are 35 organizations that are listed that provide support and job opportunities through establishing standards to be followed by direct care settings, accreditation for facilities, or certifications for specifics positions. With healthcare constantly growing and
  • 5. evolving healthcare professionals and healthcare providers utilize this organizations to obtain guidance on new regulatory policies and standards. As Christians we also have organizations such as church groups, the Bible, and other Christian resources that provide us with support and guidance to get through the challenges of life. For James 1:5-8 states: “If any of you lacks wisdom, let him ask God, who gives generously to all without reproach, and it will be given him. But let him ask in faith, with no doubting, for the one who doubts is like a wave of the sea that is driven and tossed by the wind. For that person must not suppose that he will receive anything from the Lord; he is a double-minded man, unstable in all his ways” (English Standard Version 2008/2020). Within this post I will focus on 3 organizations, examining how they provide job opportunities, how they are interrelated, and the support they provide to direct care organizations. The Joint Commission (TJC) The Joint Commission was established in 1951. Its mission is “continuously improve health care for the public, in collaboration with other stakeholders, by evaluating health care organizations and inspiring them to excel in providing safe and effective care of the highest quality and value” (The Joint Commission [TJC], 2021). While its vision states, “that all people always experience the safest, high quality, best-value health across all settings” (TJC, 2021). The Joint Commission provides accreditations and certifications to approximately 22,000 health care organizations in the United States. These organizations consist of hospitals, ambulatory centers, outpatient surgery centers, behavioral health centers, home health organizations, and nursing centers. The Joint Commission also provide quality reports that include dates of accreditation, Hospital National Quality Improvement Goal performance, and specialty awards. The Joint Commission supports direct care settings by establishing standards that to ensure quality care. They also provide resources to prepare for CMS/Medicare surveys, emergency management, infection and
  • 6. prevention control, and medication safety. There are various job opportunities within this organization such as surveyors, project managers, and business analyst. National Committee for Quality Assurance (NCQA) The National Committee for Quality Assurance (NCQA) was founded in 1990. The mission of the NCQA is to improve the quality of health care. While its vison is “Better health care. Better choices. Better health” (National Committee of Quality Assurance [NCQA], 2021). The ways that the NCQA look to improve the quality of healthcare is utilizing evidence-based standards, certifications, accreditations, and programs. They support direct care settings by the Healthcare Effectiveness Data and Information set that measures performance in healthcare. Job opportunities within this organization consist of senior mangers in accreditation policy, surveyors, and product managers. American Medical Association (AMA) The American Medical Association was established in 1847 with the purpose of promoting the art and science of medicine and the betterment of public health. The way that the AMA supports direct care settings is by representing physicians in the courts and legislative initiatives that remove obstacles affect patient care, focuses on preventing chronic disease, confronting public health issues, and provides training (American Medical Association [AMA], 2021). The job opportunities that this organizations offer consist of account managers, directors of specific departments, and product managers. How These Organization Interrelate? In conclusion of my research of these support organizations, I found that each primarily have the common goal of improve the quality of healthcare services. Though they may each have different areas of focus, each put a concerted effort holding facilities accountable by setting quality standards that ensure that providers are giving, and patient are receiving quality services. Another characteristic that is seen throughout these organizations is an emphasis on advancing healthcare weather
  • 7. that be in performance or through legislative efforts. There are many scriptures in the Bible that mention the importance of supporting other’s efforts and doing good for others. For Philippians 2:4 states, “not looking to your own interest but each of you to the interest of the others” (English Standard Version, 2008/2020). KSA’s for Potential Position One of the positions that I am interested in pursuing upon completion of this program is a director of rehabilitation. A director of rehabilitation must be knowledgeable on the business side of therapy. Though healthcare can is about providing quality services to patient, directors are responsible for budgeting and ensuring that profit expectations are met. To be able to accomplish this a director must be organized, exhibit good time management skills, and ability to be effective while being efficient. As a director, I would be responsible for managing a group of therapist and therapy assistants that provide occupational, physical, and speech therapy. In any management position communication is vital so that staff members understand the expectations and goals that are established. To be an effective communicator, one must have interpersonal skills. Buchbinder and Thompson (2010) mentions “interpersonal skills are those skills that enable a manger to communicate with and work well with others regardless of whether there are peers, supervisors, or subordinates” (p. 21). As a healthcare manager, interpersonal skills are not only utilized when communicating with staff members it also essential when communicating with patients and family members. In this role a director must be able to update patient and family on progress in therapy and insurance allowances. According to Riggio and Tan (2013), “Interpersonal skills are a critical, if not essential, part of effectively managing and leading others. Interpersonally skilled managers are more successful and interpersonally skilled leaders are more effective” (p.11). During my time in this program, I look forward to understanding and developing my knowledge, skills,
  • 8. and abilities for this position to be successful in this role. References American Medical Association (2021). About. https://www.ama- assn.org/about Buchbinder, S. B., & Thompson, J. M. (2010). Career opportunities in health care management: perspectives from the field. Jones and Bartlett Publishers. National Committee of Quality Assurance (2021). About NCQA. https://www.ncqa.org/about-ncqa/ Riggio, R. E., & Tan, S. J. (2014;2013;). In Riggio R. E., Tan S. J.(Eds.), Leader interpersonal and influence skills: The soft skills of leadership. Routledge. https://doi.org/10.4324/9780203760536 The Joint Commission (2021). About Us. https://www.jointcommission.org/about-us/ Bottom of Form Bottom of Form 1 U.S. Health Care Systems for Small Populations, Part 4 U.S HEALTH CARE SYSTEMS 7
  • 9. U.S. Health Care Systems for Small Populations, Part 4 Kianna James University of Phoenix MHA/599 05/04//2021 Professor Jackie Lucas U.S. Health Care Systems for Small Populations The primary level of care at Kansas City comprises public health nurses and physicians who prioritize service to the local people. The secondary level at Kansas City comprises physicians with primary health care training and working both in the government and private healthcare institutions. The secondary level of care, unlike the primary, focuses on offering specialist services to the customers. Kansas City consists of various secondary-level healthcare facilities specializing in optician services, orthopedic services, and minor and severe surgery services. Therefore, the leadership structure and the departments influence the efficiency at which this facility serves its population. Organizational chart 1 shows the leadership structure and the clinical departments for the Kansas City facility. Chart 1: Clinical leadership and clinical departments in Kansas City Facility The roles of each department is indicated in the leadership approach that this facility uses as follows: Board of directors: The board in Kansas City facility is expected to define and investigate the overall mission and technique for critical operations. The Clinical Purpose Statement will be completed as a guide for long-term goals and preventive measures for the medical clinic (Kershaw, 2011). Part of this commitment is based on making critical decisions in the facility's best interest in the dynamic healthcare industry. The creation of this general
  • 10. atmosphere will influence the manager's strategy, methods, and decisions. Appropriate oversight by the Board of Directors will include the recruitment of an Executive Director. The emergency clinic shall define detailed responsibilities for the general manager and make reasonable assumptions consistent with the primary goals of the medical clinic. Given these critical elements, the Board of Directors shall be responsible for the progress of the Chief Executive Officer, conducts review and evaluation to ensure that these assumptions are met. Those on the Board shall maintain close correspondence with the Executive Director when appointing and reassigning suppliers to ensure that medical clinics provide patients with reliable and excellent care (Kershaw, 2011). Part of the Board's obligations shall be to regulate the certification process for clinical staff. The CEO must confirm that all recruitment in the state is duly authorized. There is evidence of legal and completed training at a licensed school, no experience with disciplinary action by former managers. Those involved have legal and current protection against violations, significant at all times. Pediatricians A-C: Pediatricians in Kansas will address significant experts in the clinical benefits needs of infants, children, young people, and energetic adults. Most pediatricians will be more wide experts, though some may invest massive energy in pediatric operation or in more certifiable illness that is more typical in more young people (Keagy & Thomas, 2012). Pediatrician commitments in this facility will consolidate noticing the prosperity, improvement, and headway of their patients. Pediatricians will also reliably see their patients for tests and all examinations. These tests will happen routinely from birth until two and subsequently all around once consistently through energy. Practice Manager: Practice managers have an enormous number of obligations while managing the step-by-step exercises for clinical practice
  • 11. and developing its business approach. The practice managers in Kansas will be responsible for'; enrolling new staff, orchestrating specialist benefits, making workforce systems, settling work conflicts, taking care of staff, mentioning clinical supplies, ensuring consistency with all organization rules, guaranteeing clinical records are taken care of suitably, completing money, preparing obligations, conveying security claims, performing inside consistence surveys, and displaying new clinical advantages (McAlearney & Kovner, 2017). In this facility, practice managers aim to deal with the business parts of medicine to extend specialists' time, decay patient backup time, and overhaul patient thought. Nurses: The nurses in Kansas City will conduct a regular review of patients, help experts make a thought arrangement and do that care plan with medication and treatment association. Nurses use an arrangement of clinical equipment for both noticing and performing prescriptions. They may similarly do definitive tests, take vitals and interpret the results. Nursing implies another large piece of the work. They will also assist patients with sorting out some ways to make sound choices. After a clinical assurance, the chaperon associates the patient and gatekeepers appreciate the end and sort out some way to manage it. At inpatient workplaces, nurses in this facility will handle the delivery rules, helping patients understand what to do after they get back. Nursing commitments similarly join heaps of authoritative work and documentation (McAlearney & Kovner, 2017). Specialists record patient records similarly as current indications and file all that they do during patient monitoring, including when medications are directed and the aggregates. Medical Assistants: Medical assistants shall work near physicians, especially in outpatient or pedestrian areas Kansas City clinical facilities. These parties are expected to be fully trained to perform relevant and clinical tasks, as confirmed by the professional analysis of the medical assistants. The duties of these meetings
  • 12. in Kansas City include explaining treatment modalities to patients, preparing patients for evaluation, assisting physicians with evaluations, collecting and planning samples for research facilities, performing basic laboratory tests, and training patients on drug regimens and abnormal diets. Front desk receptionists: The front-desk receptionist in Kansas City will be responsible for recording incoming calls, routing calls to appropriate staff, greeting and reviewing all patients for office organization, including work desks for patient rounding, assessing security cards, entering all segment data into electronic social records, and introducing recommendations for ESDM office visits, and close collaboration with doctors and Kansas City's staff. Key responsibilities include · capturing patient segments and validating safety data with each visit, · retrieving patient baseline data to comply with the current state and rules of use of critical electronic health records, and · reviewing relevant patient data in EMR, including patient consent. References Keagy, B. A., & Thomas, M. S. (2012). Essentials of physician practice management. John Wiley & Sons. Kershaw, B. (2011). The future of nursing – Leading change, advancing HealthThe future of nursing – Leading change, advancing health. Nursing Standard, 26(7), 31- 31. https://doi.org/10.7748/ns2011.10.26.7.31.b1274 McAlearney, A. S., & Kovner, A. R. (2017). Health services management: A case study approach.
  • 13. HEALTH CARE SYSTEM 4 U.S. Health Care Systems for Small Populations, Part 2 Kianna James University of Phoenix MHA/599 04/19//2021 Professor Jackie Lucas Healthcare system State of health care in your selected city The health care state in Kansas City is one of the most crucial sectors that control the city's economy. Health care is a fundamental part of society as people's lives depend on the services offered in the healthcare facilities. Over the past few years, the people in Kansas City have paid more attention to the health care system because of the growing economic size of the sector and the amount of budget allocated to improve the healthcare facilities in the region. The city consists of three different healthcare system levels that serve the people in different ways (Elson, Oermann, Duehlmeyer & Bledsoe, 2020). The first level is the primary level of care, which mainly focuses on providing healthcare facilities to the public. The primary level gives priority to the community members because of the direct link with society. People living in Kansas City have a direct contact number to reach out to the health facilities in emergencies.
  • 14. The primary level of care at Kansas City comprises public health nurses and physicians who prioritize service to the local people. The secondary level at Kansas City comprises physicians with primary health care training and working both in the government and private healthcare institutions. The secondary level of care, unlike the primary, focuses on offering specialist services to the customers. Kansas City consists of various secondary-level healthcare facilities specializing in optician services, orthopedic services, and minor and severe surgery services (Vaupel, 2018). The secondary services are present in the infirmaries and outpatient hospital facilities located in diverse locations in Kansas City. The final healthcare level present in Kansas City consists of the tertiary level of care (Vaupel, 2018). The tertiary level of care plays a vital role in the community as it deals mainly with offering referral patients to the secondary care facilities. The tertiary healthcare facilities in Kansas City most deal with emergency cases. After the patient situation is under control, the practitioners refer the client to secondary facilities to better provide services (Lavin, Harper & Barr, 2015). Consequently, the tertiary level of care handles intensive and complicated patient situations that other healthcare facilities fail to offer better service. Source:Picture of proposed Kansas City Mental Health Clinic Center: (Google) Proposal for a new or improved service The improved service proposed for Kansas City is the provision of services to children with disability cases. Although various healthcare facilities offer pediatrician services in Kansas City, none handles children with disabilities. The number of children with disabilities in Kansas City is on the rise, and it is only fair
  • 15. that the authority builds healthcare that only treats children with disabilities. Children with a disability require unique needs and help in almost every aspect of life (Elson, Oermann, Duehlmeyer & Bledsoe, 2020). The majority of the children with disabilities experience specific illnesses more frequently, unlike normal children. Parents that have children with disabilities, in some cases, feel offended in taking sick children to the general hospitals. According to researchers, children with a disability require assistance from many domains to meet the unique needs because of their physical inability. Authorities ought to developing a healthcare facility that offers treatment options to children with disabilities to facilitate unity in families, as parents would have a better solution to the ailment affecting disabled children (Lavin, Harper & Barr, 2015). Consequently, private investors ought to tap into the opportunity, as it will offer more profits shortly. References Elson, E. C., Oermann, C., Duehlmeyer, S., & Bledsoe, S. (2020). Use of telemedicine to provide clinical pharmacy services during the SARS-CoV-2 pandemic. American journal of health-system pharmacy : AJHP : official journal of the American Society of Health- System Pharmacists, 77(13), 1005–1006. https://doi.org/10.1093/ajhp/zxaa112 Lavin, M., Harper, E. & Barr, N. (2015). Health Information Technology, Patient Safety, and Professional Nursing Care Documentation in Acute Care Settings OJIN: The Online Journal of Issues in Nursing, (20) 2. Vaupel, A. (2018). Top of the List: KU Hospital rockets higher (plus, a visualization of KC's health system market). Kansas City Business Journal, https://www.bizjournals.com/kansascity/news/2018/10/26/bigge st-hospitals-and-health-
  • 16. systems-in-kc-metro.html Running head: U.S HEALTH CARE SYSTEMS 1 U.S HEALTH CARE SYSTEMS 8 U.S. Health Care Systems for Small Populations 3 Kianna James University of Phoenix MHA/599 04/26//2021 Professor Jackie Lucas U.S. Health Care Systems for Small Populations Various factors such as the target population, size of the healthcare facility, and the target department are considered when designing the health care system. In this case, the target population is small, and the systems for every process should be simple, flexible, and more efficient than those intended to target high populations. The workflow diagram presents logical steps that users can use to navigate the system and interact with it when seeking different services. This activity focuses on the three processes, including patient check-in-out, billing, and patients’ visit in healthcare facilities targeting small populations. A workflow diagram explaining Patient check-in and check-out process Patients visits the healthcare facility and expect to be checked in before receiving services and checked out upon clearance
  • 17. from the facility. This steps involved in this process are as follows: A. Check in- at this step, patients’ details are keyed into the system to authenticate them before validating their treatment. B. Before authentication, the patients’ details are unlocked to allow the database administrator to verify them from their databases and the state government’s site. C. When checking out, the same details are presented to the database admin who then integrates them to other healthcare facility’s systems to check whether the patient is approved for checking out or not. One key aspect that is checked at this point is clearance from the billing department and completion of treatment process from the office discharge department. D. The last step of checking out allows the patient to be discharged from the facility. Some key features that make this system appropriate for small facilities include its simplicity, integration and coordination, and innovations (Mühlbacher et al., 2013). The patients do not have to spend much time queuing to be checked out upon clearance from the healthcare facility. Figure 1: Patients check-in-out workflow diagram A workflow diagram explaining Patient visits process Patients must not seek healthcare facility’s physical admission especially if they are seeking routine checks. Figure 2 presents the processes that a patient and the facility can use for such admissions as follows: A. Checking documents B. Waiting for approval from the physician C. Conducting additional examination D. Checking the details with the admitting department E. Coordinating with the house department F. Leaving the ED This system is simple and serves universal coverage as it does not limit its service to patients from one region. The integration of this system to others also indicates the patients’ visit process
  • 18. system (Hicks, 2020). Despite limitations such as delays in the waiting process, particularly when the patients’ details are keyed for the first time, this systems’ advantages outdo the limitations. Figure 2: Workflow diagram for patients' visit process A workflow diagram explaining Billing process The billing process is one of the challenging ones in any organization. Therefore, the system below is sophisticated in the following ways: Firstly, the system is integrated with all other departments as patients should prove that they are cleared in each of them to be allowed to leave. Secondly, some patients may be allowed to undergo treatment before paying for services, implying that there would be a need to backtrack the entire system before discharging them. The patients’ payment should also be recorded in the database for future references, especially when linking them with the insurance companies (Berg et al., 2019). However, despite being sophisticated, the system serves all purposes in a small facility. Its data may not be an issue to the facility as it would process and retrieve the details efficiently. Figure 3: Workflow diagram for Billing Process Conclusion In conclusion, these workflow diagrams present logical steps that users can use to navigate the system and interact with it when seeking different services. The systems showcase simplicity, universal coverage, and resilience enough to serve a small facility. Despite some limitations, the three systems prove to be efficient for both patients and the facility. For instance, they address the queuing issue that would take much time and lead to ineffective service delivery.
  • 19. References Berg, K., Doktorchik, C., Quan, H., & Saini, V. (2019). Meaningful information in the age of big data: A scoping review on social determinants of health data collection for electronic health records. https://doi.org/10.21203/rs.2.16433/v1 Hicks, L. (2020). Economics of health and medical care. Jones & Bartlett Publishers. Mühlbacher, A. C., Bethge, S., & Schulman, K. A. (2013). Patient-centered health care delivery systems: A framework. International Journal of Integrated Care, 13(5). https://doi.org/10.5334/ijic.1274 HEALTH CARE SYSTEM 5 U.S. Health Care Systems for Small Populations, Part 1 Kianna James MHA/599 Professor Jackis Lucas 04/12/2021 Health Care System Map of the city
  • 20. Source: Internet, 2020. Types and locations of medical services The increasing complexity of the healthcare system within the United States has been attributed to increased specializations i n the health industry. The Kansas City located in Kansas consists of various medical services mainly located in the city center. The population in Kansas City has a diversified range of medical services to select when in need of medical care treatment. One of the standard medical services present in Kansas City consists of the general hospitals that provide short- term medical care (Elson, Oermann, Duehlmeyer & Bledsoe, 2020). The majority of Kansas City healthcare facilities focus on delivering services related to curing diseases, injuries, and emergency cases. Most hospitals in Kansas City offer 24 hours delivery of services to ensure that patients in the region have proper healthcare lifestyles. Consequently, the hospitals have highly skilled doctors and nurses to treat patients. The hospitals within the region entail modern technological facilities to enable doctors to offer better services to patients. Technology has helped doctors treat patients at a faster rate reducing the long line of patients waiting for service delivery. The second medical service offered in Kansas City, Kansas, consists of ambulatory surgical centers that offer patients the option of having same-day emergency surgeries. The ambulatory surgical centers' services do not require intensive hospital care as the patients return home the same day after undergoing surgery. The medical service takes care of minor surgeries that take less than an hour to perform by a specialist. The centers further take care of post-operation patients that
  • 21. might need routine checkups by the specialist. The third category of the medical services offered at Kansas City, Kansas, consists of the doctor's office specializing in consultation and specialization in one common practice (Elson et al., 2020). The doctors in this healthcare space offer the patients solutions to complicated ailments and prescription of medication to help cure the sickness. The doctor's office usually handles cases that need the immediate intervention of acute conditions that do not require the patient to go to the hospitals. The final category of the medical services in Kansas City, Kansas, consists of the nursing homes that take care of the patients who constantly require the nurse's attention. The nursing home mostly takes care of the elderly patients who require the nurses' attention on a 24 hours basis with the availability of therapy. The nursing homes further assists the elderly with performing a primary function such as walking, eating, and bathing. Demographics (population, age, gender, etc.) Kansas City consists of almost 152,590 citizens, with primarily white ethnicity (Elson et al., 2020). According to the census conducted in the previous year, the city is the third-largest city in Kansas, with the population increasing at a diminishing rate of 4.91 percent. The majority of the Kansas City population consists of whites that make up almost 56.1 percent of all the humans living in the region. The African American is the second largest ethnic group of people living in Kansas Ci ty, attributing to 23.26 percent of the overall population. Other races account for approximately 9.65 percent of the population, while the Asian, which is the smallest population in the city, contribute to 4.92 percent (Elson, et al., 2020). The remaining percentage of people consists of mixed races such as Pacific Islanders and Native Americas, that the numbers keep on
  • 22. changing without a constant number. Income and employment According to the census information retrieved from the National government statistics bureau, household income average consists of almost 57, 202 dollars (Elson, et. al, 2020). The statistics information regarding earning of the population of Kansas City is specific on individual or ethnic background. Consequently, the poverty level is almost at a rate of 19.78 percent meaning that majority of the people in the region have the ability to afford medical healthcare (Elson, et. al, 2020). The population has the ability to live a decent lifestyle as majority of the adults have an employment to provide a salary. The earned salary helps the people manage to pay bills and afford a decent healthcare system. Residential details According to the National Government Statistics Bureau (NGSB), the rental in Kansas City on a median analysis entail approximately 885 dollars per month. Subsequently, the house's value following the median is 95,600 dollars (Elson, et al., 2020). The majority of the adults that earn a salary can afford housing in Kansas City. Include a rationale of why you selected the city, including if you have any prior experience or knowledge about the existing health care system in that city. I selected the Kansas City because I once lived in the city while pursuing my first certificate in nursing. I had prior information on the existing healthcare system as I did my internship at the Truman Medical Center. Reference Elson, E. C., Oermann, C., Duehlmeyer, S., & Bledsoe, S.
  • 23. (2020). Use of telemedicine to provide clinical pharmacy services during the SARS-CoV-2 pandemic. American journal of health-system pharmacy : AJHP : official journal of the American Society of Health- System Pharmacists, 77(13), 1005–1006. https://doi.org/10.1093/ajhp/zxaa112