Ambulatory Care Case

Ambulatory Care Case
1. What are the financial implications of reducing unnecessary admissions to the hospital?
Diminishing readmission has turned into an order for hospitals over the United States, rushed by execution of open revealing and money related
punishments for abundance readmissions. In any case, in spite of a quick need to enhance the nature of release arranging and transitional care, there is
restricted superb confirmation illustrating how to best achieve this.
2. How does reducing ambulatory care sensitive condition admissions and ED visits improve quality?
For instance, with early assessment, a patient with cellulitis may get oral anti–infection agents that could dodge hospitalization for intravenous
anti–microbials. Additionally, a patient with ceaseless heart... Show more content on Helpwriting.net ...
To enhance quality and give a more secure and more organized care the hospital should:
– Have a group approach
– Use electronic records
– Facilitate follow–ups
– Prevent improper utilization of opiates
5. What data source(s) could be used to monitor rates?
The data source should be driven by the examination question, rates your trying to monitor. Not all examination inquiries can be replied with existing
information, and a few inquiries will hence require essential information accumulation. Managable questions to the utilization of optional information,
observational research with existing information can be productive and effective.
6. What is the role of the professional staff in reducing unnecessary admissions and ED visits?
The role of the professional staff in reducing unnecessary admissions and ED visits should include and it's not limited to adjustment in doctor's facility
culture, more grounded staff aptitudes, better execution administration, and obvious authority.
7. Is it reasonable to strive for zero ACSC

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Hospital And Ambulatory Care Case Study
Hospitals and Ambulatory Care
1) The traditional management style of hospitals have been hierarchical and internally focused. What are the three important challenges that hospitals
face to accommodate new payers and consumer expectations?
These hospitals are using the manual approach of relating with consumers as will as payers. Remittance to providers and disburse paper checks is
prone to errors, costly and time consuming. It is required of payers to adopt the standardized electronic healthcare transactions according to the
regulatory mandates. Electronic funds transfer (RFT) and Electronic Remittance Advice (ERA) are the recommended digital healthcare transactions
that would reconcile the crisis at hand and reduce the administrative costs.
While the digital migration is implemented in the healthcare system, payers, health providers and consumers are faced with the challenge of ... Show
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What were some problems with the peer review process in judging the quality of hospital medical care?
Conflict of interests is a common problem associated with peer review process, which is contributed to by the internal politics. Economic competition
and partner relationships also contribute to conflicts of interests because of the big focus on facts while ignoring the personal feelings and biases.
Criticizing colleagues and eventually censuring the friends is a big challenge among doctors. This is because the process involves a lot of work which
goes uncompensated. In addition, the process consumes time meant for attending to patients, leading to worse and substandard care. 3) Almost
two–thirds of all surgical procedures are now performed in ambulatory surgery facilities. Discuss the reasons for this shift of surgery from the inpatient
setting and its effect on hospitals and

Essay On Ambulatory Care
Introduction
Health care organizations are motivated by social transformations that occur in their environment that affect economic, demographic and technological
aspect of care and services in a positive way. More so, health system innovation process is directly linked to the degree of consistency of professional,
technological, organizational, personal and social skills. The combination of this process and management will help create a valid strategic plan that
will be based on measure of performance, benchmarking, and continuous improvement. Every health care organization clinical support must be
consistent with the organization mission and strategic plan; which can be determined by its annual goals that are approve by the governing board. This
report covers the concept of Ambulatory care center that will be using a free market perspective as a pattern to design the new ... Show more content on
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Also the article will be addressing the economic, social, political problem face and its role in ambulatory care system. Economic, Political advantages
of Ambulatory Care System in a Free Market.
The influence of policy and law on health care system is incontrovertible, past view; health care market has been embedded in freedom of market place
and market competition. In 1990s health care market competition becomes a ruling force till this day. A free market health care system argues that the
system is more effective where government regulation and laws are less paramount, making it easier for consumer empowerment and commercial
competition to increase efficiency in health care system. Government needs the private market sector to operate effectively in any economic. Before
the affordable Care Act was signed into law; funding of health insurance, payment and delivery functions are control by private sectors; similarly
ambulatory care center financed by

Lab Assignment 3-2: Ambulatory Health Care
Lab Assignment 3–2 The Joint Commission
There are 9 types of health care facilities that are accredited by the Joint Commission. The Ambulatory Health Care accreditation, encompassing
organizations and facilities that provide outpatient services of medical/dental nature as well as diagnostic, surgical, and therapeutic services. Other
types of facilities that are accredited are critical access hospitals, hospitals, laboratories, office–based surgical centers, and nursing care centers. There is
also Home Care services, the Opioid Treatment Program, and the Behavioral Health Care Program. Critical Access Hospitals meet special requirements
regarding patient beds and LOS. Hospitals that are accredited include general and specialty hospitals.

Situation Analysis-Peace Memorial Hospital Essay
Situation Analysis–Peace Memorial Hospital
Peace Memorial Hospital is a 600–bed, independent, not–for–profit, general hospital located on the southern periphery of a major western city. It is one
of six general hospitals in the city and twenty in the county. After doing much research, the Board of Directors has decided that they should open an
ambulatory location in the downtown area, to be known as the Downtown Health Clinic (DHC). The clinic will have 4 major objectives: "1. To expand
the hospital's referral base, 2. To increase referrals of privately insured patients, 3. To establish a liaison with the business community by addressing
employers' specific health needs, and 4. To become self–supporting three years after opening" (Kerin ... Show more content on Helpwriting.net ...
Exhibit 6 shows the results that they have received from these responses.
Exhibit 6 Profile of Downtown Health Clinic Patients: Personal Illness/Exam Visits Only
Occupation
Clerical48%
Professional/Technical/Managerial23%
Operator19%
Other10%
Sex
Male30%
Female70%
Referral Source
Friend/Colleague35%
Employer60%
Other5%
Patient Origin
One block25%
Two blocks28%
Three blocks22%
Four blocks15%
Five blocks8%
More than five blocks2%

Direction
North of DHC10%
South of DHC25%
Northeast of DHC5%
Southwest of DHC15%
East of DHC20%
West of DHC10%
Southeast of DHC10%
Northwest of DHC5%
Have Regular Physician
Yes18%
No82%
Market Needs "Given their [Suburban Ambulatory Care Clinics] locations in suburban areas, these facilities were not considered direct competition, but
their existence indicated that "the city's populace was attuned to ambulatory health care facilities," (Kerin and Peterson, 2007, p. 200).
Exhibit 4 Suburban Ambulatory Care Clinics: Operations Profile
OperationsEmer Center #1Emer Center #2Adams Industrial ClinicHealth FirstMedcenter
OpeningMarch 1990November 1992June 1992May 1991June 1997
Patients/year9,0306,0008,4005,7008,661
Hours of operation

Case Study: Ambulatory Care Delivery System
Financial structure (more affordable to the patients),
Quality of care delivery: ambulatory care facilities delivery high quality of care to their patients in more cost effective ways depending on patients
conditions than hospitals because most of them are owned and operated by the physicians. Also Ambulatory care facilities provided quality, safety, and
efficiency to their patients. Providing good quality of care is significant because they try to attract more patient in order to become more profitable
facilities. And earning a reputation
Accessibility: Ambulatory care facilities are very easy to access and most of their procedures are done on the same day and does not required
overnight stay, which is more beneficial to the patients. It is ... Show more content on Helpwriting.net ...
Implication of this shift for hospitals is very important because hospitals inpatient have decreased. Hospitals are losing more money due to the growth
of ambulatory care facilities. Ambulatory care facilities can affecthospital fiscal health by attracting many profitable services away from the hospitals.
Consumers are saving more money because they can get good quality of care for less money and less hospital stay than hospitals. This can impact
health care delivery system because they will be more competition between those ambulatory care facilities and hospitals.
2– What does health care "system fragmentation" really mean? Describe the sources of fragmentation.
From my point of view, health care system fragmentation means having different decision makers for a set of health care decisions that would be made
for better outcome through combined decisions making.
Describe the sources of fragmentation:
Source of fragmentation comes from different network of public and private financing heath care delivery, need of accountability for patient,
deficiencies in communication between providers, and medical

Ambulatory Health Care
Hospitals purchase nearly 20% of the share of products and services from the industry in order to produce other goods and services. In the overall
distribution in terms of Hospitals and Health Care, Hospitals specifically use 59.9% of the products. Ambulatory health care services takes up
21% of share. 9.9% goes to educational services in hospitals. Nursing and residential care facilities take 6.5% and Social Assistance takes the last
2.6%. (Data USA: Beauty salons). My last driving lesson my instructor was talking to me and was wondering what I wanted to do after high
school. I annoyedly told him "I have no idea." What I want to do after high school was unknown to me and it sucked because in eighth grade they
tell us that if we don't start taking courses in high school that pertain to what we want to do for the rest of our lives, we will never be successful. He
asked, "have you thought about it?" I explained, "I try to avoid it." He pried on and said "well what do you like to do?"... Show more content on
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He then asked me, "well have you ever thought about doing that for a living?" I shrugged my shoulders and responded "they don't offer those kind
of classes at school and there's no way that that is actually a major in a university." I parked the car in front of the next person's house and waited
for them to come out. My instructor said, "no, but you don't have to go to a college or university, you can still go to school for it. They make trade
schools for cosmetology. Think about it." The way home I spent time looking it up. I found a beauty school nearby in Framingham. Coincidentally
on the home page, the first thing I saw was "you've always wanted to do this... why not now?"(Empire Beauty) I saved it and talked it over with my
parents and negotiated with them to let me do this instead of college and I asked them to tell me what else was I gonna do if they don't let me do

A. Health is the component of the consumption that we spent a much greater percentage in 2011 in comparison to 1967. During the 21st century, health
care systems throughout the world are concentrating strategy efforts on enhancing the aspect of healthcare provided to the society. The health care
quality that have improved during the years accommodated with the adjustment of output variables such as morbidity rate, mortality rate (also during
infancy), and life expectancy of a certain population. Inputs such as healthcare consumption and services, and the amount of healthcare professions and
facilities also developed throughout those years. For example, ambulatory healthcare facilities are so prevalent today because it creates competition in
the market with hospitals care facilities. It is more convenient, as it is likely easier to be found and make appointments rather than going into a large
health care facility to get the care people need. It is also efficient with the cost of getting the treatments and care patients seek with an offer of a lower
co–payment in comparison to hospitals. The development in these given inputs and outputs regulates the percentage of GDP.... Show more content on
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The component of total GDP that I see having the most impact due to the technological breakthroughs are still the consumptions, especially on heath
cares. The major investments of technology include the developments of new drugs, new medical devices, and new treatments and surgical procedures
would require a high cost of spending for getting the supplies and equipment, and the test needed to obtain those developments. For instance, there are
some healthcare facilities that are now using surgical machines or so–called robots as a means to accomplish better accuracy and precision on their
surgical procedures. Even prosthetic limbs are making a remarkable improvement for those people who needs

Hmgt 395 Hgmt 310 Final Project Ambulatory Surgery Center...
HGMT 310 Final Project AMBULATORY SURGERY CENTER strategic Planning and New Service Development UMUC
Click below link for Answer http://workbank247.com/q/hgmt–310–final–project–ambulatory–surgery–center–s/21157 http://workbank247.com/q
/hgmt–310–final–project–ambulatory–surgery–center–s/21157
Assignment 3: (20 points) Final Project– AMBULATORY SURGERY CENTERCASE STUDY (Power Point Presentation).
In the final project, students will apply the knowledge gained in this course to a case example.
Each student will select a SPECIFIC real Ambulatory Surgery Center and apply one of the scenarios below and develop a 10–12 slide PowerPoint
presentation to discuss the current status of the organization, provide an overview of the ... Show more content on Helpwriting.net ...
What are some strategies you would use to increase referrals to your ASC while maintaining high patient satisfaction scores?
Another challenge facing ambulatory surgery centers is the recruitment of new physicians. Following a national trend, many local hospitals and health
systems are purchasing physician practices, which could eventually lead to doctors referring surgical cases to a hospital's same day surgery department.
Assuming there is ample opportunity to increase surgical volume, how do you intend to recruit physicians to practice via your ASC? What are some
strategies/offerings you could employ?
The ASC you are currently managing is experiencing out of network challenges. Additionally, the proposed reimbursement rates from payers do not
match Medicare rates for your market. Most of your ASC contracts are based on the Medicare fee schedule and because many of your surgeries are
not on that schedule, you have to negotiate a fee schedule on a case–by–case basis. What strategies could you employ as you work with payors to
contract for reasonable rates that could save you both money in the short term?
In this changing environment, you are required to do more with less. Reimbursement rates are declining; supply and implant costs, taxes, utilities, rent,
salaries and benefits and other operating costs are increasing and there are more regulatory requirements i.e.,

Essay On Ambulatory Health Care
For this week discussion, I have selected the topic Ambulatory Health Care from 2016 National Patient Safety Goals. Ambulatory Healthcare is an
outpatient medical care such as regular check–ups, observation, diagnosis, treatment and follows ups.Proper Ambulatory health can prevent recurrent
hospital admissions as many medical treatments for acute and chronic health illness can be done in ambulatory health care.Some minor surgical and
preventive ways of many diseases and other services can be done in ambulatory health care. In ambulatory care patient not only can get the advantage
of high–quality service in their convenient location but also with low treatment cost. Ambulatory Health National 2016 has many goals, and one of the
focused goals is to improve patient safety by doing proper use of identification and medicine in outpatient care.
The research article I have chosen is "Adverse Drug Events in Ambulatory care" by Tejal k.Gandhi. This article mainly focuses on adverse side effect
caused by medicine error in community based outpatient center and hospital. According to meta–analysis data recorded on 1994, hospitalization of the
patient because of drug reaction was 1 million.In outpatient care, patients take their own medicine so that the chances to have adverse drug effect are ...
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1202 patients were involved who usually need at least one prescription in a month.Among all order, the physician used, a handwritten prescription for
two practice and computerized for another two method.Only 661 patient responded to the survey. 162 patients had adverse drug events, and just 51
patient condition was able to improve.Out of 51 improvable cases,32 incidents were because of physician's failure to respond to medication–related
symptoms and 19 were patient's failure to inform the physicians on

Substance Abuse Therapy : Ambulatory Care Settings
Substance Abuse Treatments in Ambulatory Care Settings
Kristine Pardilla
Samuel Merritt University
July 22, 2015
There are various care settings wherein substance abuse therapy services are provided. This include primary care clinics, urgent care center or the
hospital's emergency department, freestanding substance abuse treatment or mental health facility, intensive outpatient and partial hospitalization
programs and acute care inpatient settings. The American Society of Addiction Medicine (ASAM) developed a clinical tool called Placement Criteria,
Second edition, revised (PPC–2R), to match patients' care needs for substance abuse detoxification and the suitable care environment. Placement
determination is evaluated according to ... Show more content on Helpwriting.net ...
Commonly abused substances include alcohol, tobacco, stimulant, cannabis and opioids. There are different pharmacotherapies for various types of
abused substances. Multiple substance abuses require therapy for each of the drug that is being exploited.
For tobacco addiction, over–the–counter nicotine replacement therapies in the form of patch, lozenge, spray or gum are available. In addition,
prescription medications like bupropion and veranicline, which prevent relapse, are used.
Alcohol dependence treatments include naltrexone, acamrosate and disulfiram. Naltrexone inhibits opioid receptors that play a role in the pleasure
effect of drinking and craving for alcohol. Acamprosate is believed to have effects on reducing withdrawal symptoms like insomnia, anxiety,
restlessness and depression. This may be appropriate for patients who are severely alcohol dependent. Disulfiram impedes the breakdown of alcohol
which results in vexing symptoms like nausea, flushing, and palpitations if the patient consumes alcohol (National Institute on Drug Abuse, 2009)
Methadone, buprenorphine and naltrexone are potent in managing opioid use disorder (OUD). Diagnostic criteria for OUD according to Diagnostics
and Statistics Manual 5 (DSM–5) is having two or more of the following within a 12–month period: (1) persistent eagerness or failed attempts to
decrease or control use of opioid, (2) A great deal of time is spent in activities necessary to

Essay A Holistic Approach to Ambulatory Care
It is apparent that treatment with pharmaceutical drugs is not always the preference of the patient. In order for the delivery of care to be patient
centered, a holistic approach to care needs to be a standard in ambulatory care. This change would enable the assurance that patients are presented with
all options available and enable them to take control of their health.
The Journal of Dietary Supplements discusses the increased use of "Complimentary and Alternative Medicine (CAM)" and how it is becoming a need
among physicians to educate and train themselves so that the idea of Integrative Medicine is a realization to the public (Litchy, 2011). This holistic
approach allows the ability for conventional medicine to be incorporated with ... Show more content on Helpwriting.net ...
The use of technology will enable patients to track important health information. This can be useful for patients changing primary care providers,
meaning the redundant attempts to provide physician offices with past medical history can be eliminated. A discussion of extensive implementation
of Electronics Health Records (EHR's) to create a service for patients is found on HealthIT.gov (Health IT, 2014). As of now only a select few
organizations include this service technology and it is called "Blue Button." This service allows patients to retrieve all medical records through the
internet rather than having to visit the medical records office at a local facility. With the inclusion of this service, a broad variety of services including
a system wide online patient portal is a possibility to allow patients the ability to connect mobile health monitoring devices, check current prescriptions,
and review important blood test results (Health IT, 2014). These tools can be utilized by patients to track and take preventative actions on their health
status, but unfortunately not every healthcare organization offers this to its patients. If the inclusion of this type of service becomes a standard in care,
patients will gain access to their health records and be able to utilize them through a more convenient effort no matter which provider is seen.
This type of technology will generally lead to improved patient satisfaction as, more control over

Essay On Ambulatory Care
Ambulatory care, also known as outpatient care consists of care that is done outside of the hospital setting. Ambulatory care may be of a specialized
nature or not, and patients are usually not going to stay in the facility overnight. Some examples of ambulatory care include dialysis centers, surgical
center, physicians offices, and outpatient centers. I believe that ambulatory helps by allowing for there to be mostly patients in the hospital who are
severely sick and need constant monitoring. In the first article titled, "Outpatient Palliative Care for Chronic Heart Failure: A Case Series," it is
discussed that outpatient care for the patient with chronic heart failure is still a new subject matter. There is a need for ambulatory care for the specific
patient population which is the chronic heart failure patient, but there is little knowledge on how to provide them with the care that they need in the
outpatient setting. Some topics that were stated to need more emphasize on so that the client can be treated better is care coordination, advance care
planning, and psychosocial issues. ... Show more content on Helpwriting.net ...
The article explained that an increased pressure is placed on the physician to provide all that care that the client with a chronic illness needs. The
conclusion of this article is that there needs to be maintained investment in primary health care so that those patients with multiple disease can be
cared for without an inflation of chronic conditions as they advance in age. This article displays the need for outsourcing care of patients to
outpatient care. This will affect the care that I provide as a nurse in a positive way because I believe that as these increased needs get sorted out the
care that nurse will be able to give to the client will increase in

Patient-Operated Ambulatory Care
The latest research has found that the Patient Centered Medical Homes around the country have proven to give patients the best in care and quality
for primary health care services for Medicare and Medicaid members. "Connie A. Jastremski & M. Janice Nelson (2011) reports Although the nurse
practitioner is generally thought of as providing primary care to a group of clients outside the hospital setting, many are employed within
hospital–operated ambulatory care setting, or within the hospital itself, many times providing the initial physical assessments of patients required by
regulating agencies such as the State Health Department and the Centers for Medicare and Medicaid Services. Primarily prepared at the master's level,
these nurses in advanced

Ambulatory Care Case Study
The process of strategic planning is to develop a viable strategy that can expand clinical services and attract top residents, and fellows to the faculty. In
creating such a plan Mt. Sinai's department of ambulatory care expresses where it wants to be in the future with a plan of action. Once the general
hospital and the department reach some sort of a consensus on its long–terms goals a plan of action can be developed and launch. Creating sustained
viability is the basis of all–personal involved. The Ambulatory Care department has pushed for further educating doctors though means on requiring
practicing physician to receive CME(continuing medical education)certificates. This will keep physicians up to date with the latest research and findings

Ambulatory Care Analysis
I select ambulatory care for a new idea that I was unable to find anything close to my idea.
Traditional ambulatory care services have been viewed as the primary source of contact for most direct patient medical care and consist of individual
medical practitioners working in a private clinic or group practice (Williams & Torrens, 2008). Althoughhealth educators have a responsibility to teach
medical students about social determinants of health and encourage them to pursue primary care/medical practice in underserviced free community
clinics, but most medical school graduates more to more lucrative private/group practices (VanderWielen, Vanderbilt, Crossman...& Bradner, 2015).
Therefore, I my new idea would be to remove all private/group ambulatory

Ambulatory Geriatric Clinic Care Case Study
Knowing the facts, I decided to propose this project to open two Ambulatory Geriatric Clinic care facility in Sequim and Port Angeles that will
accommodate needs of elderly and will allow us wisely distribute our limited resources we have from government funding. As you can see, the
demographics are speaking for themselves and it's an obvious the time is here and we need to act as fast as we can to start on the project to get
appropriate care our seniors deserve. Our Specialty clinics at both, Sequim and Port Angeles, location already experiencing a lot of challenges and
pressure trying to accommodate our services to overwhelming number of patients age 65 and over. This age group of patients requires more physician
time to: Consoling

Case 34 The Complaining Doctor And Ambulatory Care
Case 34: The Complaining Doctor and Ambulatory Care
1.You are the assistant director for ambulatory services. An attending physician complains, "The clerks are no good in this clinic, and neither is the
director of nursing." What do you say to him? Assume that the physician is an important customer. According to Pidgeon (2017)conflict resolution is a
competencies that all leaders must acquire to successfully lead a group of people. Specifically, "conflict resolution is defined as the ability to find
amicable solutions to a conflict when it occurs between multiple parties" (Pidgeon, 2017, p. 340). As the assistant director and leader for ambulatory
services, it is my responsibility to respond to the complaint made by a physician, who is also an important customer, about the clerk and director of
nursing (DON). ... Show more content on Helpwriting.net ...
If his suggestions are within reason, I would make every attempt to make that happen. Conversely, if his suggestions were entirely unreasonable, I
would ask that he talk with the director supervisor(s) for the clerk and DON regarding his concerns. Regardless, of the physician being an important
customer and employee, if his behavior and/or complaints are unsubstantiated or out–of–line, his behavior needs to be address as well.
2.Later during the week, he is still not satisfied. Now you are the problem. What do you do? If the physician continued to be dissatisfied later in the
week and felt that I was now the problem, I would begin by letting the physician know what has been done up to that point to address his original
concern. Next, I would apologize that he feels the way he does. Moreover, I would make sure that the director of ambulatory care, my direct
supervisor, is aware of the physician's complaints so they can appropriately investigate and address

Ambulatory Care Centers: A Case Study
The past decade has shown a great development in terms of strategies in delivering health care in the United States. Many of the ambulatory care
centers have separated from hospital based outpatient care centers and established as major providers for planned surgical procedures. With expansion
of the Ambulatory Surgical Centers (ASCs) there is a clear competition between both. ASCs are advantageous to patients in reducing their time of stay
in hospital and the health care expenditure when compared to the hospital based surgeries. Although the ASCs are able to serve patients by addressing
their surgical needs, there are many concerns arising due to the risks and complications from the operations handled in the physician's office. The
distance between the Emergency Room (ER) and location of ASCs is also affecting the safety issues. These ASCs primarily help the middle class
families who cannot miss their work to receive monthly salaries and cannot afford to stay longer in a hospital facility as an inpatient. This is impacting
the health care quality and safety. Government regulations along with facility safety measures are to be implemented to prevent such errors. ... Show
It is aimed in performing pre–planned surgeries on patients and requires less than 24 hours of hospital care. This kind of medical care has increased in
recent years. In the United States, in–patient surgeries have replaced out–patient surgeries over the past decade and accounts for almost two–thirds of
all surgeries. In 1980, the surgical procedures that were considered to be outpatient were only 16 percent and in 1990 it was 51 percent. Whereas in
2005, on a national scale 63 percent of all surgeries done were outpatient and required less than 24 hours of stay in the hospital (Hyattsville, 2008). This
increased proportion has both positive and negative impacts on the traditional hospital setups and patient

Description of Ambulatory Care and Hospitalization Care Essay
As early as the 1990's, outpatient care only made up for 10 to 15% of a hospital's total profits, compared to inpatient care. Since the start of the
twenty–first century, this figure has increased to approximately 60%. This shift in healthcare has been occurring in different medical organizations such
as university medical centers, local hospitals, for–profit chains, and not–for–profit suppliers. The increase in outpatient services compared to inpatient
has been showing no indication of slowing down. The main reason for the development in outpatient care is because of all the medical advancements
in techniques and technology that allow for patients to be treated less invasively. Health care organizations are now being compensated in a... Show
The development of walk–in clinics at the local CVS Pharmacy or Wal–Mart are part of the freestanding facilities that provide people in communities
easier access to treatment without going to a hospital ED. Additionally, the evident convenience aspect of bringing full emergency services to
communities, freestanding centers may be less likely to resort to hospital admissions as an outlet to drive throughput. The incentive for ASCs is to
emphasize volume and higher rates, while hospitals are considered to regulate utilization. Looking closely, the main purpose originates from ASCs'
lower cost profile compared to hospitals with the additional benefit of the likely to evade inpatient expenditure. Within ambulatory clinics, there are
three levels of service that are preformed based on the type of diagnosis and treatment recommendations. Level one ambulatory service is considered an
option to inpatient care with both patient and service parts that corresponds with the point of intensity. The role of this level is to offer alleviation from
acute symptom reducing mechanisms such as less severe residential constituents such as the family treatment home for children. Level two ambulatory
services are set apart by effective treatment; regularly with a rehab or transitional process that is built–in to the care plan. This process is complete in a
staff–supported setting that expands past the care setting into the important sections of the patient's district

Accreditation Association For Ambulatory Health Care...
Charles HaydenTatia Green, onlineMB208–ICD–1012/3/2015Accreditation Association for Ambulatory Health CareIn 1979, a nonprofit organization
was established to assist ambulatory health care organizations in improving the quality care provided to patients. This organization which some may
know of is called Accreditation Association for Ambulatory Health Care, Inc. which: "Encourage and assist ambulatory health care organizations to
provide the highest achievable level of care for recipients in the most efficient and economically sound manner. The AAAHC accomplishes this by the
operation of a peer–based assessment, consultation, education and accreditation program." American College Health Association, Ambulatory Surgery
Foundation, The American Group Practice Association, Group Health Association of America, Medical Group Management Association and the
National Association of Community Health Centers are the six founding members of AAAHC. A few things that this association does are measure
performance, provide consultation and education, review and revise standards. AAAHC accreditation means the organization participates in an ongoing
self evaluation, peer review and education to continuously improve its care and services. Not only does this organization live up to its standards, but
commits thorough onsite survey by AAAHC surveyors whom are also health care professionals. When surveying an organization, the AAAHC includes
the following as listed:п‚· Patient RightsAre patients

Ambulatory Care Research Paper
Ambulatory care comprises health care services that do not require overnight hospitalization. (Sultz, Young , p. 129). An improved process would have
the patient as its focus, considering the effective use of varying levels of providers managing each step of the clinical visit to properly gather
information, reducing the number of interactions, and improving the patient experience while providing a better set of outcomes (Backer & Asso).
Also ambulatory care facilities are mainly for invasive techniques that are replacing the complex, inpatient procedures.
On the other hand, this will help eliminate some of the hospital surge capacity. At the rate of changes in the health care system, changes are in the works
and an increase of the numbers

PCMH Ambulatory Care
Which populations (e.g. adults, children, or older adults) and what conditions/diseases are targeted PCMH Ambulatory Care
Health initiatives attentions on the health outcomes of a group of patients; in the PCMH model, such groups of patients, known as panels, may be
defined as patients assigned to a care team or provider. The basic characteristics of the PCMH model include physician–led, team–based practice;
coordinated and integrated care within the PCMH and in the patient's community; provision of safe, evidence–based, high–quality care; incorporation of
health information technology and continuous quality improvement strategies into panel identification, documentation, and care processes; improved
access to care; and value–based ... Show more content on Helpwriting.net ...
Professional associations, payers, policy makers, and other stakeholders have advocated for the patient–centered medical home model. Interventions to
transform primary care practices into medical homes are increasingly common, but their effectiveness in improving quality and containing costs is
unclear.
Health and Health Care Disparities: The Effect of Social and Environmental Factors on Individual and Population Health.
Recently the existence and prevalence of health and health care disparities has increased with accompanying research showing that minorities (African
Americans, Hispanics/Latinos, Native Americans, and Pacific Islanders) are disproportionately affected resulting in poorer health outcomes compared
to non–minority populations (whites). To this degree is due to numerous issues including and most importantly the social determinants of health which
includes lower levels of education, overall lower socioeconomic status, inadequate and unsafe housing, and living in close proximity to environmental
hazards; all contributing to poor health. Given the ever widening gap in health and health care disparities, the growing number of individuals living at
or below the poverty level, the low number of college graduates and the growing shortage of health care professionals (especially minority) the goals
of this paper are to: (1) Define diversity and inclusion as interdependent entities. (2) Review the health care

Ambulatory Care
Ambulatory care is a type of medical care that is provided to patients who do not need to be admitted to a hospital for treatment. It is often referred to
as "outpatient care". It includes diagnosis, observation, consultation, treatment, intervention, and rehabilitation services. Ambulatory care can be
delivered in a variety of settings, including doctor's offices, clinics, hospitals, emergency departments, eye doctors, etc. This type of care tends to be
preferred because most people want to avoid staying in a hospital more than needed, and it is also less expensive. Most hospitals encourage patients to
choose outpatient care if it is possible, that way the facilities will be free for more critical patients and to cut down on overall expenses.

Primary Ambulatory Care Center Ehr And Meaningful Use
HIM 6640 Case Studies in Health Information Management
Name:Bayo Oshunlalu
Case #:1 – 19
Case Title:Primary Ambulatory Care Center EHR and Meaningful Use.
Qu. 1. What major elements do you need to consider in the project to propose a selected EHR system and become a meaningful user?
Gaining familiarity
A multi–physician–owned primary ambulatory care practice and the board of directors seek to embark on implementing an EHR system that will enable
the organization to meet the meaningful use requirements of the American Recovery and Reinvestment Act (ARRA). The decision to embark on the
project was mainly driven by the incentive program offered by the stage I of the HITECT/ARRA, and to provide the organization with the capability to
streamline their registration, billing, and bedside documentation process.
Recognized Symptoms
The first step necessary to begin with the EHR implementation process is the assessment of the organization's readiness for an electronic system; these
assessments will include the expectation of the organization regarding the proposed EHR system, the clinical goals of the practice, and the financial
ramification of embarking on the EHR project. Furthermore, the assessment will highlight various processes that will include administrative
procedures, clinical workflow redesign, data collection process and data integrity issues, how literate are staff members with computers (the need to
offer education program in basic computer usage), special

Ambulatory Care Essay
Most hospitals, medical practices across the United States are transitioning to electronic health care record system to improve quality measures and
manage the number of patients they can generate, retrieve, and accumulate. However, the ambulatory care providers usually don't use EHR
technology to the full extent of its power because it associates barriers that stand in the way of changing medical practices. In this case, the EHR will
also examine some of the advantages and disadvantages while medical practitioners make their decision. In ambulatory care, there are many
advantages of using electronic medical records, such as increasing the cyber security level and privacy safety, eliminating medical errors, and
improving the quality of care.... Show more content on Helpwriting.net ...
This system includes the patient's history, their medication and allergies, and the notes that's were token by their doctor of physician. This system can
also be integrated into the EHR software, which could put health care organizations at risk and potentially violate privacy protocols. Buying electronic
material will have a high cost in the ambulatory environment, although it could be extremely effective. Creating and updating patient's medical records
would take some pressure off the doctors and physicians who are not capable of analyzing electronic material on new devices. In order to secure and
record patients effectively, hospitals would need the right equipment. Hence, it would increase the cost of the hospital expenses. In addition, new EHR
ambulatory care will take time to train people and understand the capability of the software. As you make sure that the new technology is being used in
a system that practitioners have already used. Another cost of integrating EHR's is the maintenance cost which could be costly. A part of the
maintenance costs would be exchanging and upgrading the hardware within the technology. In addition, providers need to support the usage of EHR's
in health care organizations to improve the quality of

Urgent Care And Ambulatory Surgical Centers Case Study
For urgent care and ambulatory surgical centers, negotiating even a small increase in rates from a current payer or arriving at a deal with a new
company can result in significantly higher profits for the period. According to WCH Service Bureau Inc, New York City's leading provider
enrollment and credentialing company, established, stable medical offices can leverage the strengths of their structure and the advantages provided by
their size to demonstrate to payers why they deserve a higher payout. For example, an urgent care center that provides similar services to an
emergency room may be able to show that when patients come to them for services the payer enjoys lower reimbursement or higher efficiency. In
many cases, small offices who completely

Difference Between Large Facilities And Ambulatory Care
Healthcare systems in the united states face unparalleled pressures to change. The previous research reveals that there is growing shift towards
value–based care and providers are looking for ways to cut healthcare costs. The residents from rural areas need to travel miles to access hospitals.
The facilities in these areas are limited and doesn't provide enough services. Most ambulatory centers don't offer a complete breadth of services while
full–scale hospitals often offer more than some communities need. MICRO (Mobile Interdisciplinary Care Rounds) hospitals, a new care model is a
middle ground between large facilities and ambulatory care. It is gaining importance to improve healthcare system by reducing cost and patient
compliance. This

Ambulatory/Outpatient Care
1.Ambulatory/outpatient care does not meet the specific treatment needs of the recipient. Sara is in need of residential treatment due to her history of
self–injurious behaviors, and multiple attempts of suicidal gestures. Sara requires a higher level of care which outpatient care is currently failing to
provide her at this time. Sara continues to have depressive symptoms and anxious feelings for the last few months. The patient has had two acute
inpatient admissions within the last 3 months and requires long term stabilization. At this time Sara requires 24 hour supervision and ongoing
intervention and treatment. 2.Proper treatment of the recipient's psychiatric condition requires services on an inpatient basis under the direction of a
physician.... Show more content on Helpwriting.net ...
Sara has poor judgment/insight and poor decision making skills. She also demonstrates difficulty coping with sexual abuse she endured from her
biological father, and struggles to communicate her emotions in outpatient therapy. There is also an extensive family history substance abuse and
depression. Sara requires admission to a locked residential treatment center to facilitate mood stabilization and self–harm by addressing medication
needs within the safety of a therapeutic

Hsa 405 Week 3 Assignment 1 Strayer Latest
HSA 405 WEEK 3 ASSIGNMENT 1 STRAYER LATEST
To purchase this visit here: http://www.activitymode.com/product/hsa–405–week–3–assignment–1–strayer–latest/ Contact us at:
SUPPORT@ACTIVITYMODE.COM
HSA 405 WEEK 3 ASSIGNMENT 1 STRAYER LATEST
HSA 405 Week 3 Assignment 1– Health Policy and Law Basics – Strayer Latest As a chief operating officer of a hospital, you have been tasked with
opening a new ambulatory care center in your city.
Write a two to three (2–3) page paper in which you:
Specify whether you would utilize the professional autonomy, social contract, or free market perspective as the paradigm to design the structure of
your new center. Debate at least two (2) advantages and two (2) disadvantages of your chosen ... Show more content on Helpwriting.net ...
Note: Wikipedia and other Websites do not qualify as academic resources.
Activity mode aims to provide quality study notes and tutorials to the students of HSA 405 Week 3 Assignment 1 Strayer Latest in order to ace their

Growth In Ambulatory Care
Ambulatory care is another term for outpatient services. Outpatient services consist of any health care service which does not include "an overnight
stay in which room and board are incurred" (Shi&Singh, 2015, p.251). The changes in the delivery of health services have led to a decline in hospital
inpatient days and growth in ambulatory services in various ways. The reasons for growth include changes in reimbursement, development of new
technology, and social factors (Shi&Singh, 2015, p.259–260). Systems such as the Medicare Outpatient Prospective Payment System (OPPS) were
implemented to contain costs and lower inpatient use (Shi&Singh, 2015, p.259). New technology includes shorter acting anesthetics, and the "diffusion
of arthroscopes, laparoscopes,

Ambulatory Care Nurse Essay
What is an Ambulatory Care Manager?
An ambulatory care managers are health care professionals who supervise ambulatory care nurses, centers and departments. Keep reading to learn what
an ambulatory care manager is and how to become one.
What is Ambulatory Care?
According to the American Academy of Ambulatory Care Nursing (AAACN), ambulatory care is a complex and collaborative practice that unites
different health care fields. It is a comprehensive practice that is built on a knowledge base of nursing, health care and applied clinical science. In order
to ensure and achieve quality patient care, ambulatory health care professionals use evidence–based research and information. Ambulatory care settings
include clinics, surgery centers, hospitals ... Show more content on Helpwriting.net ...
They must assist with purchasing, inventory management and contract reviews and approvals. They must maintain financial documents related to
operations, expenses, personnel, administration and maintenance. Therefore, they must oversee the budget and provide regular reports to upper
management. Related to this, they must maintain applicable state, federal and regulatory licenses and permits. Consequently, they will be involved in
internal, external and re–certification audits. Therefore, they must have excellent analytical, administrative and problem–solving skills. They will also
perform standard HR tasks, such as interviewing, hiring, coaching, disciplining and firing employees. Excellent interpersonal and legalistic skills are
needed to keep employees satisfied while maintaining compliance with performance regulations. Thus, they may also assist with new employee
orientation, benefit enrollment and the exit process for terminated employees. Many senior–level ambulatory care managers act as liaison with the HR
department heads. Senior–level ambulatory managers will be the public face of the center or department and serve as community outreach coordinator.
They must ensure that patient revenues are accurately captured, processed and posted within set time frames. They will oversee day–to–day operations
involving customer service, patient flow, facility management and staff

Rick Ry Human Service Delivery Model
As many of you know, Rick Ryan, Human Services Cluster Deputy CIO, has retired. I have known Rick since 1998 when, as Associate Computer
Programmers, we worked together on Welfare to Work (under Fred Teti). It is with mixed feelings that I bid Rick farewell. I am happy for him as he
enters this new phase of his life, but I will miss him both professionally and personally. As we move forward in our transformation, there is still much
change ahead and we are faced with the continuing challenge of balancing our ongoing workload, migrating data centers, and the organizational
changes required to to address our evolving service delivery model. To help us meet these challenges, it is my pleasure to announce that Stacy Panis
has been promoted from

Freestanding Ambulatory Care. An Ambulatory Care Facility
Freestanding Ambulatory Care
An Ambulatory care facility "provides preventative, diagnostic, and treatment services to persons who come to the facility to receive services and
depart from the facility on the same day" (The New Jersey Department of Health Licenses).
A surgical facility in which ambulatory surgical cases are performed and which is licensed as an ambulatory surgery facility, separate and apart from
any other facility license. (The ambulatory surgery facility may be physically connected to another licensed facility, such as a hospital, but is
corporately and administratively distinct.)
The national organization's for the healthcare standards for freestanding ambulatory care facilities are regulated by the State, AHIMA and... Show more
content on Helpwriting.net ...
New Jersey's 8:43A–13.6 Preservation, storage, and retrieval of the medical record states that all medical records shall be preserved by N.J.S.A. 26:8–5
et seq. Retention guidelines for all medical records are ten years following the most recent discharge or reaches the age of 23 years, whichever is the
longer period. A discharge summary sheet for 20 years following the most recent discharge of the patient, and X–ray films for five years.
It states that in the N.J.A.C. Title 8 Chapter 43A Standards for Licensure of Ambulatory Care Facilities, after the ten year retention period, is over,
the discharge summary sheets are removed from the records and retained. The rest of the record is put in the destruction log. If it is a paper
record, then it has to be done one by one. All records that have been used in a certain number of years must be kept at the office, the ones that are
past that must be kept in a storage facility, and they need to be dated so that you know when they can be destroyed. You have to keep a record of
destroyed medical records because of the HIPPA laws.
The reimbursement method for freestanding ambulatory care facilities is a fee for service which is "a reimbursement system in which the payment is
based on the type and amount of service provided. (Peden, 2017 pg. 96).
The fee for service system uses the Healthcare Common Procedure Coding System (HCPCS). So for each HCPCS code used, relative value units
(RVUs)

Types Of Ambulatory Care Settings And Describe What They Do
list seven different types of ambulatory care settings and describe what they do,
1. Asc Development Company, LLC is the Spine Center it provides all surgical treatments through a third party, in which they perform over 24
different services on the nervous system as its specialty. The company provides and average services per patient of 4.7 overhauled, this is an excellent
rating according to the top ambulatory health care facilities, pain provider in Maryland.
2. Plastic Surgery Center of Maryland this facility is known around the area, and is largely in demand, taking into consideration the plastic surgery
procedures and cosmetic non–surgical procedures, such as breast augmentation, breast lift, and reduction. Also, face Blepharoplasty, brow lift, facelift,
and rhinoplasty. Next the body image in general abdominoplasty, calf implants and liposuction, and other non–surgical procedures (Plastic surgery
center).
3. Snowden River Surgery Center is an ophthalmologists group with the best doctors dedicated to improving the quality of life for people challenged
by vision problems. They perform cataract surgery, pterygium surgery, YAG capsulotomy, glaucoma, macular degeneration, contact lenses, and they
also provide a complete eye exam. As well as performing restor lenses, tecnis Multifocal lenses, and other minor treatment for eye conditions (Snowden
Surgical Center)
4. Summit Ambulatory Surgical Center–Chesapeake Urology they offer patients high–quality care in a comfortable,

The Agency for Healthcare Research and Quality created a survey to understand patient safety from the healthcare provider's perspective. There are
numerous surveys geared towards patient satisfaction and quality control for the patients to participate in. However, this survey allows healthcare to be
the participant and to be proactive in improving patient safety as well. This survey is directed to ambulatory (out–patient) surgical facilities. There are
nine sections in the survey and each are broken down into specific components. The first section pertains to available resources and time management
when working within the facility. The second section apply to to training and collaboration of colleagues. The third section is concerned with problem

Ambulatory Care Center Case Study
Introduction In this assignment, we are asked to act as a chief operating officer of a hospital tasked with opening a new ambulatory care center in
my city. We will specify a perspective of choice which are either professional autonomy, social contract, or free market. Describe at least two (2)
advantages and two (2) disadvantages of your chosen perspective. Provide at least two (2) examples of the perspective in action to support your
response. Additionally, analyze three (3) key components sources of law related to the effects that each source could potentially have on your
healthcare organization's new initiative. Next, I have chosen the free market perspective to explain how a new ambulatory care center in my city of
Stone Mountain, Georgia would be beneficial. The other positions of professional autonomy, and social contract are not bad perspectives but, in this
case a free market model is the best perspective that would serve the Stone Mountain community. Overall, this assignment will focus on how the free
market model allows and encourages the growth of an ambulatory care center in this city.... Show more content on Helpwriting.net ...
What is the free market model? Why is it needed to build this center? According Zupan (2011), 'Free markets, based on clearly defined and enforced
private property rights and the liberty of individuals to pursue their interests, maximize the opportunities for repeat interaction across time, products,
places, and people. By creating the broadest possible opportunities for repeat interaction and thereby a future, free markets have an edge, relative to
other systems for organizing economic activity, when it comes to promoting prosperity as well as the practice of integrity and other cooperative

Case of Perpetual Mercy Hospital
Case of Perpetual Mercy Hospital
Problem
The broad focus of this case is one of strategy planning. Perpetual Mercy Hospital has to determine the best course of action to help the Downtown
Health Clinic achieve its stated objectives of expanding the hospital's referral base, increasing referrals of privately insured patients, establishing a
liaison with the business community, and becoming self–supporting within three years of its opening. This last objective is jeopardized by the
possibility of a competing clinic opening 5 blocks north of the DHC's location. The underlying problem is that the DHC may not be self–sufficient
within the projected timeframe, regardless of competition.
Alternatives
The following alternatives have been ... Show more content on Helpwriting.net ...
Revenue reflects an expected 8% increase in charges across the board.
Personnel costs($168,376)
Incremental personnel costsx33%
Additional physician (260 days times 8 hr/day at $66/hr)+($137,280)
Cost for expanded coverage($192,844)
While costly, the expanded hours would also allow the DHC to support scheduling more employment physicals.
Competition
All nearby ambulatory care clinics are servicing suburban patients. Another firm, believed to be Medcenter, has sponsored a study to determine if
enough demand exists to establish a new clinic five blocks north of the DHC. This new clinic would compete directly with the DHC for patients in an
overlapping area covering 3,424 workers. Medcenter is fairly successful in its current location, and has a reputation for being aggressive and
market–oriented. Their current facility already offers 12–hour office days and has 2 physicians on 8–hour shifts. Medcenter appears to be interested in
developing employer services of its own.
Annualized patient visits3,807
Current physical exam visits in northern regionx20%
Estimated loss due to competitionx33%
Personal illness/exam chargex$54

Total estimated loss to competition$13,705
Company
PROFILE
Perpetual Mercy Hospital is a 600–bed, independent, not–for–profit general hospital. It is located on the southern periphery

SBMI Ambulatory Care Clinic: Case Study
In SBMI Ambulatory Care Clinic the new patient shows for her first new appointment at the clinic. In which the new patient is asked by the
secretary to fill out her name, the arrival time, and the doctor she is there to see. This lets the employees know who has arrived at the clinic and
which doctor they are to see. The responsibility of employee at the front desk is to direct patients to the correct doctor but, first Miss Chatterbox must
verify her identity at the clinic by showing her driver's license to make sure she is the one getting care. This is also done to make sure that the clinic
will be charging the correct person when seen, this also helps protect Miss Chatterbox identity. After the license is given to the secretary she responds...
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The weight is taken and recorded where Amy is asked to follow the nurse to the exam room so that she can see the doctor so treatment can begin.
The nurse leaves Amy in the exam room where she awaits the doctor. The doctor shows where he greats Amy as, "Miss Chatterbox" and he ask her
what her appointment for today. Amy then tells him that she is looking for a new doctor and they are recommend by her employer. The doctor
then ask if she has any allergies or to any drugs. Amy lets him know of one drug she is allergic too and strawberries. This series of questions allow
the doctor to diagnose Amy. Amy is asked if any health issues have occurred in the past, Amy goes through her medical history with the doctor. The
doctor ask if any medications are taken which he finds that Amy is taken something for hay fever. She is asked about her family history and any
problems there, where none is found. She is then asked of any shots that have been taken in the past. She remembers the shots but, does not
remember when she took them. The doctor ask if anyone can make choices for her if she cannot, Amy declines making a choice like that. The doctor
decides that Amy is in very good health, and ask her to call him if any issues come along within the next year where he wants to see her. Amy
schedules her next appointment in a year at the front desk, where the secretary lets her know what time and date, and to call them if she needs

Ambulatory Care Case

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