Overview of the differences between long-term and short-term rehabilitation services, the advantages and disadvantages of each, as well as financial and other considerations for health administrators per type of service.
Disaster nursing and role of nurse in disaster managementAnthonyGuvvala
disaster, definition,causes and types of disaster,principles of disaster, phases and management and team members, supplies during disaster, emergency care and role of nurse.
I picked that presentation from the internet and edited it, all rights reserved to the original owner. Anyhow this presentation might be helpful for med students doing their emergency rotation/elective and especially those who don't have an instructor or any kind of mentor in their emergency elective, like me.
Assess the Knowledge on Hazards of Junk Foods among Adolescentsijtsrd
INTRODUCTIONFood is important for survival. It provides necessary nutrition for the body of the human being. Fast food, which is available readymade and easy to eat is now a day’s an important item of food. It often termed as food away from home FAFH Jahan, et al., 2020 . Junk food was first popularized in 1950s in the United States. The first Junk food restaurants were established in the United States with White Castle in 1916. Now a days McDonald’s, KFC and Pizza Hut are multinational corporations with outlets across the globe. At present fast food restaurants are one of the largest segments of the food industry with over 200,000 restaurants and 120 billion in sales in the U.S. alone10. International chains including McDonald’s and Yum Brands have 65 percent and 50 percent of their sales overseas respectively which indicates that fast food has a great demand all over the worldSTATEMENT OF THE PROBLEMA study to assess the knowledge on hazards of junk food among adolescents.OBJECTIVESTo assess the level of knowledge regarding hazards of junk food among adolescents.To associate the level of knowledge regarding hazards of junk food among adolescents with their selected demographic variables.RESEARCH METHODOLOGYA descriptive design with simple random research design was used to assess the assess the knowledge on hazards of junk food among adolescents at rural areas After obtaining permission from the Department of Community Heath Nursing, the investigator selected 30 samples by using purposive sampling technique. The samples who met the inclusion criteria were selected by convenience sampling technique. The purposes of the study to the samples and obtained the written informed consent. The nature and purpose of the study was explained to the women. Questionnaire was used to collect the demographic variables of adolescents.MAJOR FINDING OF THE STUDY The study shows that 15 50 had moderate level of knowledge, 8 26.67 had inadequate knowledge and 7 23.33 had adequate knowledge regarding health hazards of the fast food consumption among adolescents. The mean score of knowledge score was 8.50±2.86. The median score was 9.0 with minimum score of 4.0 and maximum score 13.0The demographic variable pocket money per month 2=10.243, p=0.037 had shown statistically significant association with level of knowledge regarding health hazards of the fast food consumption among adolescents at p 0.05 level and the other demographic variables had not shown statistically significant association with level of knowledge regarding health hazards of the fast food consumption among adolescents.CONCLUSIONThe findings of the study conclude that the adolescents had moderate to inadequate level of knowledge on health hazards of the junk food consumption. The study suggest that health education on consumption of fast food should be imparted to the adolescents at the community and school level. Meena. P | Francis Nath | F. J. David "Assess the Knowledge on Hazards of Junk Foods am
A man's life is normally divided into five main stages namely infancy, childhood, adolescence, adulthood and old age. In each of these stages an individual has to find himself in different situations and face different problems. The old age is not without problems. In old age physical strength deteriorates, mental stability diminishes; money power becomes bleak coupled with negligence from the younger generation.
The term "care transitions" refers to the movement patients make between health care practitioners and settings as their condition and care needs change during the course of a chronic or acute illness.
Disaster nursing and role of nurse in disaster managementAnthonyGuvvala
disaster, definition,causes and types of disaster,principles of disaster, phases and management and team members, supplies during disaster, emergency care and role of nurse.
I picked that presentation from the internet and edited it, all rights reserved to the original owner. Anyhow this presentation might be helpful for med students doing their emergency rotation/elective and especially those who don't have an instructor or any kind of mentor in their emergency elective, like me.
Assess the Knowledge on Hazards of Junk Foods among Adolescentsijtsrd
INTRODUCTIONFood is important for survival. It provides necessary nutrition for the body of the human being. Fast food, which is available readymade and easy to eat is now a day’s an important item of food. It often termed as food away from home FAFH Jahan, et al., 2020 . Junk food was first popularized in 1950s in the United States. The first Junk food restaurants were established in the United States with White Castle in 1916. Now a days McDonald’s, KFC and Pizza Hut are multinational corporations with outlets across the globe. At present fast food restaurants are one of the largest segments of the food industry with over 200,000 restaurants and 120 billion in sales in the U.S. alone10. International chains including McDonald’s and Yum Brands have 65 percent and 50 percent of their sales overseas respectively which indicates that fast food has a great demand all over the worldSTATEMENT OF THE PROBLEMA study to assess the knowledge on hazards of junk food among adolescents.OBJECTIVESTo assess the level of knowledge regarding hazards of junk food among adolescents.To associate the level of knowledge regarding hazards of junk food among adolescents with their selected demographic variables.RESEARCH METHODOLOGYA descriptive design with simple random research design was used to assess the assess the knowledge on hazards of junk food among adolescents at rural areas After obtaining permission from the Department of Community Heath Nursing, the investigator selected 30 samples by using purposive sampling technique. The samples who met the inclusion criteria were selected by convenience sampling technique. The purposes of the study to the samples and obtained the written informed consent. The nature and purpose of the study was explained to the women. Questionnaire was used to collect the demographic variables of adolescents.MAJOR FINDING OF THE STUDY The study shows that 15 50 had moderate level of knowledge, 8 26.67 had inadequate knowledge and 7 23.33 had adequate knowledge regarding health hazards of the fast food consumption among adolescents. The mean score of knowledge score was 8.50±2.86. The median score was 9.0 with minimum score of 4.0 and maximum score 13.0The demographic variable pocket money per month 2=10.243, p=0.037 had shown statistically significant association with level of knowledge regarding health hazards of the fast food consumption among adolescents at p 0.05 level and the other demographic variables had not shown statistically significant association with level of knowledge regarding health hazards of the fast food consumption among adolescents.CONCLUSIONThe findings of the study conclude that the adolescents had moderate to inadequate level of knowledge on health hazards of the junk food consumption. The study suggest that health education on consumption of fast food should be imparted to the adolescents at the community and school level. Meena. P | Francis Nath | F. J. David "Assess the Knowledge on Hazards of Junk Foods am
A man's life is normally divided into five main stages namely infancy, childhood, adolescence, adulthood and old age. In each of these stages an individual has to find himself in different situations and face different problems. The old age is not without problems. In old age physical strength deteriorates, mental stability diminishes; money power becomes bleak coupled with negligence from the younger generation.
The term "care transitions" refers to the movement patients make between health care practitioners and settings as their condition and care needs change during the course of a chronic or acute illness.
Hospital and Healthcare System Strategic Planning and Financial ForecastingAxiom EPM
Given the level of uncertainty in the healthcare industry and all of the external factors that impact healthcare provider organizations today, strategic planning has become an increasingly complex function. The process is no longer a simple financial forecasting exercise. Instead, it has evolved into a more integrated financial and operational planning activity that touches the entire organization. The process of defining a multi-year financial forecast is now predicated on the modeling of individual business initiatives focused on cost reduction or revenue growth. These slides present four factors vital to establishing more agile strategic planning models. You'll learn techniques to incorporate financial and service line-based analytics to enable efficient ‘what-if’ modeling, scenario analysis and initiative-based modeling and tracking.
Chapter 18 Private and Government Healthcare Systems PriMorganLudwig40
Chapter 18
Private and Government Healthcare Systems
Private and Government Healthcare Systems
In the United States, health insurance coverage is generally classified as either private (non-government) coverage or government-sponsored coverage.
Healthcare Coverage vs. Uninsured
The National Center for Health Statistics defines health insurance as public and private payers who cover medical expenditures incurred by a defined population in a variety of settings.
In the United States, the risk of becoming uninsured increases significantly for those earning low wages, the unemployed, and when employers are unable to provide insurance to workers.
Table 5-2 presents the trend of declining health insurance coverage.
Private Health Insurance
The concept of insurance is to combine the healthcare experiences of many enrollees in order to reduce expenses for any one individual to a manageable prepayment amount.
Employment-Based Plans is coverage offered through one’s own employment or a relative’s employment.
It may be offered by an employer or by a union.
Private Health Insurance Continued
Direct-Purchase/Fee-For-Service Plans are the traditional type of healthcare policy.
The physician sets a price for each type of service delivered, and then the client or insurance company pays the fee.
This type of health insurance provides the most choices of doctors and hospitals.
Private Health Insurance Continued
The two kinds of fee-for-service coverage are basic and major medical.
Basic covers some hospital services and supplies, such as X-rays and prescribed medicine.
Major medical insurance covers the cost of long-term, high-cost illnesses or injuries plus whatever basic did not cover.
Private Health Insurance Continued
Group Contract Insurance—to make hospitals and physicians products and services affordable to ordinary people in the United States.
With unmanaged care (fee-for-service) payments, healthcare providers could increase the number of single services they deliver in order to increase profit.
Private Health Insurance Continued
Managed Care—manages the cost and delivery of healthcare services, the quality of that healthcare, and access to care.
Managed care influences how much healthcare clients can use.
Health Maintenance Organizations (HMOs) are prepaid health plans.
The goal of an HMO is to provide affordable, well-organized healthcare by allowing clients to prepay (capitation payment) on a regular monthly basis for all services provided.
Private Health Insurance Continued
Including physicians’ visits, hospital stays emergency care, surgery, laboratory (lab) tests, X-rays, and therapy for all members and their families.
There may be a small co-payment for each office visit, such as $15 for a doctor’s visit or $50 for hospital emergency room treatment.
Private Health Insurance Continued
Point-of-Service Plans (POS) offer enrollees the option of receiving services from participating or nonparticipating prov ...
1Running Head CRITICAL THINKING NEW HOSPITAL PROPOSALCR.docxfelicidaddinwoodie
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Running Head: CRITICAL THINKING: NEW HOSPITAL PROPOSAL
CRITICAL THINKING: NEW HOSPITAL PROPOSAL 2
Introduction
The system of healthcare in most of the countries is national based healthcare system whereby the government offers health care services to the public using governmental agencies. In Saudi Arabia for example, there are some growing private healthcare facilities. The government of many nations remains the full controller of the healthcare sectors both private and public. The private hospitals are both non-profit and profit for example in Saudi Arabia, most of these private hospital attracts several expats. Both the standards of both private and government hospitals are of more similarity. Some of the private healthcare facilities are of the world class but with poor health service delivery (Penm,2015).
Comparing and Contrasting the Legal Structure and Governance of the Profit and Non-profit international entities
Differences
The selected international entities include the Joint Commission International (non-profit), International Hospital Federation (non-profit) and the Kaiser Permanente (non-profit and profit). The legal structure of the Joint Commission International (JCI) follows the certification and accreditation of the hospital. The hospital must be evaluated first to see if the hospital complies with the standards and meets the activities needed by this entity. There are accreditation programs that any hospital must go through. This is then followed by the certification which can either be based on associated health care organization (Joint Commission, 2016). On the other hand, the International Hospital Federation requires a formal and documented request addressed to the Chief Executive Officer for one to be a member. The legal structure of Kaiser Permanente is consisting of two or three independent legal entities in each region of California (Finz, 2012). The applying employee must have been hired as a new Kaiser Permanente for an award-eligible post.
The governance of the International Hospital Federation is consisting of three organs i.e. the general assembly, governing council, and the executive committee. There are also the designated positions which consist of the president, chairman designate, immediate past president, treasurer, and the chief executive officer (International Hospital Federation, 2015). On the other hand, Kaiser Permanente is consisting of entities with each entity having its management and governance structure. There are regional entities and twelve Permanente Medical groups which were created by the Permanente Federation. The role of the Permanente is to standardized patient care as well as the performance (Finz, 2012). The governing of JCI is under the leadership of the President and the chief executive officer (Matt, 2011).
Advantages of the Entities
Join Commission International provides a wide variety of health care programs l ...
Running header THE CURRENT FINANCIAL ENVIRONMENT IN HEALTHCARE AN.docxjeffsrosalyn
Running header: THE CURRENT FINANCIAL ENVIRONMENT IN HEALTHCARE AND ITS INFLUENCE ON DECISION MAKING
1
THE CURRENT FINANCIAL ENVIRONMENT IN HEALTHCARE AND ITS INFLUENCE ON DECISION MAKING
2
The Current Financial Environment in Healthcare and its Influence on Decision Making
It is essential that healthcare managers understand the external factors that have a profound influence on the practice of healthcare finance. A key factor to understanding healthcare finance is the knowledge of all the different and unique setting that provide health services. Healthcare services are provided in numerous settings, including hospitals, ambulatory care offices and clinics, long-term care facilities, and integrated delivery systems.
Hospitals afford diagnostic and therapeutic services to those who need more than several hours of care. Hospitals must be licensed by the state and undergo inspections for compliance with state regulations (Gapenski 2013). Most hospitals are accredited by The Joint Commission, which is intended to promote high standards of care. Accreditation provides eligibility for participation in the Medicare and Medicaid programs.
Hospitals are classified as either general acute care facilities or specialty facilities. General acute care facilities provide general medical and surgical services and selected acute specialty services (Gapenski 2013). These facilities account for most hospitals and have comparatively short spans of stay. Specialty hospitals limit the admission of patients to specific ages, sexes, illnesses, or conditions (Gapenski 2013). Specialty hospitals frequently sustain lower expenses than general hospitals because they do not need the overhead connected with providing various diverse forms of care and services.
Hospitals are classified by proprietorship as governmental, private not-for-profit, or investor owned. Government hospitals constitute 25% of all hospitals and are divided into federal and public entities. Federal hospitals serve special purposes such as DOD and VA hospitals. Public hospitals are funded wholly or in part by a city, county, tax district, or state. Federal and Public hospitals provide substantial services to indigent patients (Gapenski 2013). Private not-for-profit hospitals are nongovernment entities organized for the sole purpose of providing inpatient healthcare services (Gapenski 2013). Roughly 80% of all private hospitals are not-for-profit entities and 60% of all hospitals are private hospitals. For serving a charitable purpose, these hospitals obtain several benefits, including exemption from federal and state income taxes, exemption from property and sales taxes, eligibility to receive tax-deductible charitable contributions, favorable postal rates, favorable tax-exempt financing, and tax-favored annuities for employees. The residual 15% of all hospitals are investment-owned hospitals, whose titleholders profit directly from the revenues created by .
Effective Patient Stratification: Four Solutions to Common HurdlesHealth Catalyst
Accurate patient stratification, the first step of any effective population health strategy, identifies patients who will benefit most from a population health intervention. Successful patient stratification is critical when laying the foundation for any population health initiative, yet many health systems struggle with this step.
Care teams can apply four solutions to overcome common patient stratification hurdles, target the most impactable patients, and carry out population health initiatives:
Consider both the physical and the mental.
Prove and measure return on investment.
Complete data sets.
Transparent, customizable technology.
As part of the global agenda of insuring for sustainable development, the Facility and the PSI Initiative organize a webinar series with the theme, “Making inclusive insurance work”. The sixth webinar had the topic "Health insurance for the emerging consumer" and was held on 5 July 2017.
Speakers during this webinar were: Lorenzo Chan (Pioneer Group), Sanjay H. Pande (Finsall Networks) and Walter Bacareza (PhilHealth). Moderator: Lisa Morgan (ILO's Impact Insurance Facility).
Are you prepared for the risk of needing long term care for you or your spouse? Even if you think you are prepared, this presentation will provide even the casual observer some important information. Don't wait until it's too late when you cannot do anything about this, start designing your plan now with the help of this presentation.
What You Will Learn • The long-term care (LTC) industry consists .docxeubanksnefen
What You Will Learn • The long-term care (LTC) industry consists of various providers, insurers, LTC professionals, and an ancillary sector. • Home health care is a prime example of community-based long-term care providers. Others include homemaker and personal care service providers, adult day care providers, and hospice service providers. • Independent living and retirement centers and custodial care providers such as adult foster care facilities can be referred to as quasi-institutions. • Institutional providers range from assisted living facilities to a variety of providers that are commonly referred to as nursing homes. Some institutional long-term care services are based in hospitals. Continuing care retirement communities integrate and coordinate the independent living and other institution-based components of the LTC continuum. • Commercial insurance companies and managed care organizations play a critical role in the financing of long-term care services. • A variety of health care personnel are involved in the delivery of long-term care. • The ancillary sector supports the other segments of the industry through case management, pharmacy services, and technology. Introduction Efficient delivery of services to a nation’s population necessitates a long-term care (LTC) industry. The LTC industry mainly consists of private providers—organizations that deliver services and can independently bill for those services. In addition, some tax-supported government agencies deliver social services. This chapter elaborates on these providers as a segment of the LTC industry. Other segments of the industry include LTC professionals employed by the industry; without them the industry cannot function. They can be classified as administrative professionals, clinicians, paraprofessional caregivers, ancillary personnel, and social support professionals. In addition, key partners play vital supportive roles. These partners include the insurance industry, managed care organizations, case management agencies, long-term care pharmacies, and developers of medical technology. The Provider Sector The term provider refers to an entity that gets reimbursed for services delivered. Various private organizations and facilities, both for profit and nonprofit, are part of the LTC industry. Both LTC institutions and community-based service providers are essential to serve a variety of needs. The LTC industry is predominantly funded by the government, and certain sectors of the industry are more stringently regulated than others. Community-Based Service Providers Four main types of providers constitute the community-based sector of the LTC industry: (1) home health providers, (2) homemaker and personal care service providers, (3) adult day care providers, and (4) hospice service providers. Home Health Providers Home health care is consistent with the philosophy of maintaining people in the least restrictive environment possible. Without the availability of skille.
Hello,
I would like to present my healthcare delivery start-up—At Home Nursing Services (AHNS). The aim of AHNS is to reduce the gridlock in hospital emergency departments (ED) and related life-threatening care delays. Our system will reduce hospital and Medicare expenses, while bolstering the health system infrastructure by improving geriatric use of hospital emergency department.
The problem with elderly visits to the ED is they too often result in hospitalization and many of those visits are avoidable. The estimated price of the average ER visit is around $2,200. Annual ED visits cost $80 B, and $8 B are unnecessary visits.
AHNS’ solution to this predicament is to reimagine the traditionally congested ED with an ED/AHNS linkage to eliminate unnecessary and costly hospitalizations.
For example, after an ED physician determines it’s unnecessary to hospitalize a senior, AHNS will treat the senior in the safety of their home with a new wave of digital products, making it easier to receive care via the benefit of telemedicine, and any equipment, medication or other supplies the ED physician believes is needed.
Instead of consuming an ED physician’s time and a hospital bed, AHNS’ disruptive differentiation is our 24-hour staffing of a caregiver (an HHA at our cost and at no expense to the hospital) who waits in the ED to meet the patient and care for them in their home. AHNS’ 24-hour on-call concierge service will reduce both Medicare and hospital costs while providing convenient home care for a senior.
In addition, we have the advantage of establishing a long-term relationship with a senior in the ED with an ED physician’s discharge that authorizes AHNS to provide additional skilled nursing services (RN, PT, OT) rather than going to another healthcare firm (a huge revenue source). Need substantiation of the concept? Consider the success of Luna PT and Dispatch Health, and realize we’ll be the first firm to care for the home health needs of the senior—not Luna or Dispatch. Please contact any ED physician for their reaction to the idea, and how we’ll be market dominant in the ED homecare field!
I am now actively looking for investor financing for our upcoming $950,000 Seed Round. Following are facts to substantiate my passion about this strong start-up: 1) The two founders of AHNS each have 20-years of experience in healthcare and emergency hospitalists, 2) The massive geriatric home care market is expected by Fortune Business Insights to reach $146.61 billion in 2028, and 3) 140% average annual revenue growth during first 5 years and over a 20X return on investment.
Attached is our Business Plan. If after reading the plan you have unanswered questions, or would like to review our financial projections, you can contact me by phone: (747) 235 9628 or by email: mhfruch@icloud.com.
Cordially,
Martin Fruchtman
Similar to LONG-TERM vs. SHORT-TERM CARE: INSTITUTIONAL OPTIONS (20)
The issue of fraud in health care has become a serious problem that every participant in the health delivery system must remain aware of in terms of potential and consequences. Managers in the health care system are tasked with ensuring that their staff members know the various fraud schemes as well as making sure that providers are not committing fraud themselves. A key way to accomplish this task is through education and training for fraud detection and prevention by and of health care stakeholders. The stakeholders in health care include providers, patients, organizations and institutions, the government, and the public. Also included are non-health care entities that may steal patient data for fraudulent claims and billing. Managers, therefore, are strongly advised to seek the services of health care compliance agencies to train staff, including doctors and nurses, on how to detect fraud and prevent fraud themselves. These agencies are also adept at helping to improve billing and payment functions to mitigate the risk of lost revenue through fraud and avoidance of criminal liability for the actions of providers and patients. The well-coordinated efforts of all stakeholders of health care assist in preserving the integrity of the system and make available quality services at reasonable prices for all.
Effective management of health care operations includes multiple points of interest in evaluation for performance. A key danger lies in the potential to evaluate departments and processes separately, without analyzing the interdependence of people, procedures, and goals. The use of a balanced scorecard in health care is supported in the literature because of its ability to link processes by clinical and non-clinical factors, to include financial goals. The literature has described several areas of review under a balanced scorecard, including finance, operations, employee retention, patient satisfaction, and public reporting. As the balanced scorecard is critical to strategic management, this author supports the use of such in health care organizations. This is due in part to gestalt theory, namely, that the combination of parts equals more than its sum total. The balanced scorecard enables health care managers to view processes both within each compartment and as a contributor to the overall organization mission and vision. Thus, financial stability becomes viable, and stakeholders may be informed of organization progress in the areas of particular importance to their specific groups.
A pivotal trademark of evolution is the ability to adapt to the environment for survival. The health care industry, as a living system, is not immune to the effects of an ever-changing environment. Present environmental concerns affecting health care organizations include government policy, advances in technology, the need for stable finances, and patient/public perceptions of health care quality. Any one or all of these conditions could thwart the continued existence of a health care facility. A primary approach to adapting to the environment for health organizations is in the adoption of electronic health records. The benefits of electronic records could also pose risk to viability, due to the potential for fraud, theft, and abuse of data by both external and internal forces. Despite these risks, the benefits of electronic health systems, if used properly, can contribute to financial stability, employee retention, quality patient care, and patient satisfaction. As the environment continues to change, so will the demands upon the health care industry, ensuring continuous change in methods, as true and total development (apotheosis) can never be achieved.
Efficacy of Adult Homeless Education in Returning Patrons to Mainstream Socie...Dr. Zabian Crosby, D.H.Ed.
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Pedagogical analysis of the factors contributing to aggressive behavior in school-age children, and the role of educators in helping to mitigate its negative effects.
Issues in disability advocacy, claimant representation, disability law, social services, veterans rights, and public education by the California Office Of Federal Insurance Advocacy (COOFIA).
Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
Join us as we delve into the crucial realm of quality reporting for MSSP (Medicare Shared Savings Program) Accountable Care Organizations (ACOs).
In this session, we will explore how a robust quality management solution can empower your organization to meet regulatory requirements and improve processes for MIPS reporting and internal quality programs. Learn how our MeasureAble application enables compliance and fosters continuous improvement.
About this webinar: This talk will introduce what cancer rehabilitation is, where it fits into the cancer trajectory, and who can benefit from it. In addition, the current landscape of cancer rehabilitation in Canada will be discussed and the need for advocacy to increase access to this essential component of cancer care.
DECODING THE RISKS - ALCOHOL, TOBACCO & DRUGS.pdfDr Rachana Gujar
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Alcohol Use: Immediate and long-term risks include impaired judgment, health issues, and social consequences.
Tobacco Use: Immediate effects include increased heart rate, while long-term risks encompass cancer and heart disease.
Drug Use: Risks vary depending on the drug type, including health and psychological implications.
Prevention Strategies: Education, healthy coping mechanisms, community support, and policies are vital in preventing substance use.
Harm Reduction Strategies: Safe use practices, medication-assisted treatment, and naloxone availability aim to reduce harm.
Seeking Help for Addiction: Recognizing signs, available treatments, support systems, and resources are essential for recovery.
Personal Stories: Real stories of recovery emphasize hope and resilience.
Interactive Q&A: Engage the audience and encourage discussion.
Conclusion: Recap key points and emphasize the importance of awareness, prevention, and seeking help.
Resources: Provide contact information and links for further support.
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Chandrima Spa Ajman is one of the leading Massage Center in Ajman, which is open 24 hours exclusively for men. Being one of the most affordable Spa in Ajman, we offer Body to Body massage, Kerala Massage, Malayali Massage, Indian Massage, Pakistani Massage Russian massage, Thai massage, Swedish massage, Hot Stone Massage, Deep Tissue Massage, and many more. Indulge in the ultimate massage experience and book your appointment today. We are confident that you will leave our Massage spa feeling refreshed, rejuvenated, and ready to take on the world.
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LONG-TERM vs. SHORT-TERM CARE: INSTITUTIONAL OPTIONS
1. LONG-TERM vs. SHORT-TERM CARE:LONG-TERM vs. SHORT-TERM CARE:
INSTITUTIONAL OPTIONSINSTITUTIONAL OPTIONS
ZABIAN R CROSBY
2. Beyond Immediate Medical AttentionBeyond Immediate Medical Attention
There are many forms of health care
that extend beyond traditional
emergency and outpatient services.
3. Long-Term or Short-Term Care?Long-Term or Short-Term Care?
FOR MORE INFO...
Indemnity Health Group (IHG)
operates the largest acute care
hospital system in the western
region of the U.S., with nearly 60% of
its patients consisting of Medicare
beneficiaries.
Access the IHG report on patient and funding data on the IHG
Intranet at IGH:Reports.
4. The Role of Long-Term CareThe Role of Long-Term Care
To provide medical and holistic care
in excess of 60 days
May occur in a facility or at home
Professional staff on-call 24 hours
Requires combination of government
and private insurance (e.g.,
Medicaid)
May also be administered by family
(Austin & Wetle, 2012)
5. Long-Term Care Organizational StructureLong-Term Care Organizational Structure
LTCs may be non-profit or for-profit
Usually have a CEO and Board of
Directors
Liability through Ostensible Agency
Normal license and degree requirements
apply to staff
Responsible to the community for the
treatment of its patients (Dunn, 2012)
6. Long-Term Care Example: Golden YearsLong-Term Care Example: Golden Years
Golden Years Residential Care in
Highland, California
1- Private Living Spaces
2- Meals
3- Housekeeping
4- Medication
5- On-Call Staff
7. The Role of Short-Term CareThe Role of Short-Term Care
To provide medical care for duration
of less than 60 days
Usually occurs in a hospital setting
Resident medical staff available
Usually covered by Medicare (for
seniors and permanently disabled)
Intervention of family not necessary
(Austin & Wetle, 2012)
8. Short-Term Care Organizational StructureShort-Term Care Organizational Structure
STCs may be public, private, non-profit, or
community-based
Usually have a CEO and Board of
Directors
The organization assumes liability under
respondeat superior
Direct marketing to the community for
patient and public relations (Dunn, 2012)
9. STC Example: Citiview Residential CareSTC Example: Citiview Residential Care
Located in Riverside, California
1- Respite Care
2- Hospice Care
3- Aging in Place
4- Meals
5- Medication
6- Transportation
10. Advantages of Long-Term CareAdvantages of Long-Term Care
1- Applicable to large demographic
2- Allows for continuous income
3- Relies on non-clinical staff with
medical support as needed
4- May be provided in patient’s home
11. Disadvantages of Long-Term CareDisadvantages of Long-Term Care
Not covered by Medicare
Many patients do not have LTC
insurance
Care provided in facilities requires
added buildings, maintenance, etc…
Potential for burnout among LTC
employees
12. Advantages of Short-Term CareAdvantages of Short-Term Care
Covered by Medicare and most other
health insurance
Can be provided at the hospital
using separate beds designated for
STC
Existing staff can be used for STC
Continuous onsite supervision
Minimal need for voluntary support
13. Disadvantages of Short-Term CareDisadvantages of Short-Term Care
Smaller demographic requiring STC
than LTC, thereby reducing the
potential for profit
May require additional staff to
prevent burnout of existing staff
Specialized care may require
additional buildings, equipment
14. Recommendations: IHG Short-Term CareRecommendations: IHG Short-Term Care
IHG is advised to
consider adding a
Short-Term Care unit
to its hospital
facilities, by
designating 50 beds
per hospital for
therapeutic and
rehabilitative
services.
15. Closing ThoughtsClosing Thoughts
IHG has enjoyed a reputation for
quality health care in the community
Adding Short-Term Care to its
existing organizational structure
affords greater revenues with
minimal cost
16. ReferencesReferences
A Place for Mom. (2014). Citiview Residential Care.
Retrieved from
http://www.aplaceformom.com/community/citiview-
residential-care-1366087
Assisted-Living-Directory. Golden Years Residential Care.
Retrieved from http://www.assisted-living-
directory.com/content/golden-years.cfm
Austin, A., & Wetle, V. (2012). The United States health
care system: Combining business, health, and
delivery (2nd
ed.). Upper Saddle River, NJ: Pearson
Education.
17. References (cont.)References (cont.)
Dunn, R. (2012). Dunn & Haimann’s healthcare management
(9th
ed.). Chicago, IL: Health Administration Press.
Farber N., Shinkle D., Lynott, J., Fox-Grage, W., & Harrell, R.
(2011). Aging in place: A state survey of livability
policies and practices. Retrieved from
http://www.aarp.org/home-garden/livable- communities/info-
11-2011/Aging-In-Place.html
National Care Planning Council. (2014). About Medicare Long
Term Care. Retrieved from
http://www.longtermcarelink.net/eldercare/medicare_lon
g_term_care.htm
Other types of care include long-term facilities, short-term facilities, and may exist as a separate branch of other facilities to provide services that utilize medical professional staff intermittently (Austin & Wetle, 2012).
Medicare is a government insurance plan for persons 65 years of age and older, and persons found permanently disabled. “Because of its universal availability almost everyone over age 65 in this country is covered by Medicare. There are about 40 million Medicare beneficiaries nationwide” (National Care Planning Council, 2014, p. 1). IHG should seriously consider a strategy that focuses on this demographic in its new extended-care plans.
“In an ideal arrangement, the LTC services would be provided by a system that meets the needs of any person who needs assistance in the ADLs or IADLs” (Austin & Wetle, 2012, p. 105). Since patient satisfaction is of pivotal concern, many long-term care facilities include amenities that allow for individual choice as well as increased social interaction. Additionally, many seniors desire aging in place (Austin & Wetle, 2012). “The vast majority of older adults want to age in place, so they can continue to live in their own homes or communities” (Farber, Shinkle, Lynott, Fox-Grage, & Harrell, 2011, p. 1). To accomplish this, long-term care providers establish specially-adapted housing complexes for seniors and disabled residents, or provide the care in the patient’s existing home, with structural adaptations to facilitate greater independence.
Administrative responsibilities also include the security of patient data. “Although it is the institution’s responsibility to develop security and confidentiality procedures, it is a supervisor’s responsibility to make employees aware of these procedures and to monitor compliance” (Dunn, 2012, p. 109).
Golden Years Residential Care is an upscale assisted living community in Southern California. It relies upon non-clinical staff to administer the daily operations, but is located near hospitals and clinics, and offers transportation to all medical facilities within a 10-mile radius of the complex (Assisted Living Directory, 2014). As such, administrative duties include lease of the property, furnishings, appliances, utilities, non-clinical staff, insurance, and maintenance of the buildings.
Most short-term care is the result of surgery requiring assistance in rehabilitation before returning home (Austin & Wetle, 2012). As the hospital has already treated the patient, and is likely receiving payment through some form of insurance, it is a logical next step to allocate beds for short-term care and receive payment instead of referral to another clinic. This also helps the patient to recover in one place instead of having to be transferred to another facility. Additionally, the costs of buildings, maintenance, equipment, and so forth, are already in place, and can be ‘rolled into’ the existing costs of care.
Supervisors and the health care organization are obligated to “…follow proper admission and discharge procedures to avoid charges of false imprisonment, negligent failure to render treatment, or abandonment of care; properly select and credential providers; and ensure a safe work environment for employees” (Dunn, 2012, p. 113). Professionals assisting with short-term care in a hospital should therefore be properly vetted by the supervisor and human resources department to minimize the risk of negligence or malpractice.
Citiview also provides 24-hour assistance with the activities of daily living as well as indoor/outdoor activities (A Place for Mom, 2014). Due to the need for more acute care of its patients, IHG is well advised to maintain board certified staff to participate in any short-term care facilities or departments it provides in the future.
There is vast opportunity for expansion into long-term care services. “Only 3.5 percent of the population needing LTC is served by nursing homes and other institutional providers ( Older Americans 2008)” (Austin & Wetle, 2012, p. 107). Providing care in a facility or in the patient’s home by qualified clinical and non-clinical staff is an opportunity for IHG to better serve the community.
“Long-term care can be very expensive. In general, health plans and programs do not routinely cover long-term care at home or in nursing homes” (WebMD, 2014, p. 2). The financial impact alone for providing long-term care should give pause to consider the benefits in revenues versus hiring staff, reimbursements, insurance, and other associated expenditures.
Offering short-term care within the existing framework of the hospital organization presents the greatest advantage for IHG. “The business must be in compliance with the many state and federal laws that apply to all businesses, not just those in the health care industry” (Austin & Wetle, 2012, p. 90), thus the regulatory and liability statutes can be more easily adhered to with simple modifications to the existing framework.
“Many other areas of healthcare can lead to liability risks for the institution, its supervisors,and its employees” (Dunn, 2012, p. 113). To minimize the risk of liability for short-term care, the same diligence should be followed in recruitment of clinical and non-clinical staff, and if contracting non-clinical services with other agencies (outsourcing), supervisors and the HR team should ensure that laws such as HIPAA are strictly enforced by those agencies to prevent disclosure of protected data.
By adding STC to its existing infrastructure of services, IHG can increase revenues without significant costs in personnel, buildings, equipment, and insurance. The organization will benefit from its large senior demographic, and can access Medicare reimbursements for the added services. Other patients not part of the Medicare group can use their health insurance to pay for STC, and can avoid the inconvenience of being transferred to other facilities after surgery or other injury. The additional revenues from STC far outweigh the costs of added equipment and extra clinical and non-clinical staff to support these services.
Short-Term Care can be implemented by housing an Intensive Care Unit at each hospital and reallocating existing staff, thereby saving patients the inconvenience of being transferred to another facility after surgery or emergency care. The projected revenues from Medicare reimbursement and other insurance will support the added costs in rooms, equipment, and other staff to not only create a self-sustaining unit, but to further add to the hospital general fund after all expenses are paid each quarter. IHG is advised to seriously consider the benefits of short-term care for its hospitals, its patients, and the communities it serves.