This presentation was given by Bloom to the International Health Economics Association Conference 2009 in Beijing. It is research conducted as part of the Future Health Systems Research Programme Consortium www.futurehealthsystems.org.
Prof David Hunter - Meeting the Challenge - Does the new NHS promote or hinde...Cumbria Partnership
'Meeting the Challenge of Long Term Conditions: Does the new NHS promote or hinder cooperation and integration?' - Professor David Hunter (Professor of Health Policy and Management at Durham University) from the Cumbria Neuroscience Conference
Paul Zollinger-Read: Understanding the big pictureThe King's Fund
Paul Zollinger-Read, GP and Medical Adviser and Clinical Lead on Primary Care, The King's Fund speaks on 'Understanding the big picture: how consortia can grasp early opportunities and take ownership of reforms'
An Okay Rating: The Progress of Healthcare in TexasRich_Tyler
A Progress Report on Texas and its actions in meeting the protection of patients in the healthcare sector focuses on five principles. These patient-centered principles include non-discrimination, transparency, state oversight, uniformity, and continuity of care.
Driving Health Equity into Action: The Potential of Health Equity Impact Asse...Wellesley Institute
This presentation provides a critical analysis of the potential of a health equity impact assessment.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
Prof David Hunter - Meeting the Challenge - Does the new NHS promote or hinde...Cumbria Partnership
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Paul Zollinger-Read: Understanding the big pictureThe King's Fund
Paul Zollinger-Read, GP and Medical Adviser and Clinical Lead on Primary Care, The King's Fund speaks on 'Understanding the big picture: how consortia can grasp early opportunities and take ownership of reforms'
An Okay Rating: The Progress of Healthcare in TexasRich_Tyler
A Progress Report on Texas and its actions in meeting the protection of patients in the healthcare sector focuses on five principles. These patient-centered principles include non-discrimination, transparency, state oversight, uniformity, and continuity of care.
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Bob Gardner, Director of Policy
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OECD, 35th Meeting of Senior Budget Officials - Joseph White - United StatesOECD Governance
This presentation by Joseph White, United States, was made at the 35th Meeting of Senior Budget Officials held in Berlin on 12-13 June 2014. Find more information at http://www.oecd.org/gov/budgeting/35thannualmeetingofoecdseniorbudgetofficialssboberlingermany12-13june2014.htm
Martin Gaynor: "Inside the ‘Black Box’ of Health Care Spending Data?" 2.18.16reportingonhealth
Martin Gaynor's slides from the Center for Health Journalism webinar "Inside the ‘Black Box’ of Health Care Spending Data," 2.18.16
http://www.centerforhealthjournalism.org/content/inside-black-box-health-care-spending-data
Marketingul nu e doar pentru THE BIG GUYS, ci dimpotriva.Alex Filip
In prezentarea sustinuta la Romanian Digital Travel Conference Ed.3 am vorbit despre importanta marketingului mobil si am oferit 4 sfaturi practice sustinute de cateva studii de caz. Un studiu de caz mai amplu l-am facut pe Bucharest City App, cel mai recent proiect din portofoliul Eventur Group.
This presentation was given at the 'Beyond Scaling Up: Pathways to Universal Access' workshop which was held at the Institute of Development Studies, Brighton on the 24-25 May, 2010. This event was co-sponsored by the Future Health Systems Research Programme Consortium and the STEPS Centre. Mackintosh presented on supply chains.
OECD, 35th Meeting of Senior Budget Officials - Joseph White - United StatesOECD Governance
This presentation by Joseph White, United States, was made at the 35th Meeting of Senior Budget Officials held in Berlin on 12-13 June 2014. Find more information at http://www.oecd.org/gov/budgeting/35thannualmeetingofoecdseniorbudgetofficialssboberlingermany12-13june2014.htm
Martin Gaynor: "Inside the ‘Black Box’ of Health Care Spending Data?" 2.18.16reportingonhealth
Martin Gaynor's slides from the Center for Health Journalism webinar "Inside the ‘Black Box’ of Health Care Spending Data," 2.18.16
http://www.centerforhealthjournalism.org/content/inside-black-box-health-care-spending-data
Marketingul nu e doar pentru THE BIG GUYS, ci dimpotriva.Alex Filip
In prezentarea sustinuta la Romanian Digital Travel Conference Ed.3 am vorbit despre importanta marketingului mobil si am oferit 4 sfaturi practice sustinute de cateva studii de caz. Un studiu de caz mai amplu l-am facut pe Bucharest City App, cel mai recent proiect din portofoliul Eventur Group.
This presentation was given at the 'Beyond Scaling Up: Pathways to Universal Access' workshop which was held at the Institute of Development Studies, Brighton on the 24-25 May, 2010. This event was co-sponsored by the Future Health Systems Research Programme Consortium and the STEPS Centre. Mackintosh presented on supply chains.
Beyond Scaling Up: Universal Access to Effective Malaria Prevention and Treat...IDS
This presentation was given at the 'Beyond Scaling Up: Pathways to Universal Access' workshop which was held at the Institute of Development Studies, Brighton on the 24-25 May, 2010. This event was co-sponsored by the Future Health Systems Research Programme Consortium and the STEPS Centre. Mehra presented on the work of the Malaria Consortium.
Introduction to the new SharePoint 2013 App ModelNoorez Khamis
The new SharePoint 2013 App Model gives SharePoint developers a whole new platform to develop apps for Office and SharePoint using standard development languages, tools, and hosting services. SharePoint Apps are basically web applications that can be in any language, such as HTML, JavaScript, PHP, or .NET, using familiar web development tools such as Microsoft Visual Studio 2012, and a new web-based tool called "Napa" Office 365 Development Tools to build apps for SharePoint.
Building institutions for health and health systems in contexts of rapid changeJeff Knezovich
Dr Gerald Bloom from IDS presents in a plenary session at the Health Systems Reform in Asia conference in Hong Kong on 11 December 2011. He focuses on the need to consider the complex mixed health systems when setting an evaluation research agenda.
The presentation by Professor David Peters was given at the First Complex Adaptive Systems Training Workshop for CNHDRC, which was held in Beijing, China, from 18-19 July. It explains the basic elements of health systems and how they relate to a complex adaptive systems approach.
Running head LEGACY HEALTH SWOT ANALYSIS 1Legacy Health S.docxcharisellington63520
Running head: LEGACY HEALTH SWOT ANALYSIS
1
Legacy Health SWOT Analysis
Melody Bradley, Ali Ervilus, Laura Hingson, Richard Lex, Mika Sunago
Leadership and Management in Nursing and Health Care NUR 587
April 22, 2013
Dr. Jodi Protokowicz, PhD, RN
Legacy Health SWOT Analysis
Introduction
Health care reform has challenged the state of Oregon and its regional health care providers. These challenges have created the need to approach strategic planning from a long-term and short-term perspective. Legacy Health is positioned at the center of Oregon’s reform challenges and opportunities. Transformation is an organizational reality. A strength-based analysis supports discovery into our readiness to engage current and future challenges. This paper offers a summary of organizational strengths, weakness, external opportunities and threats as well as suggestions for strategic planning.
Strengths Weaknesses Opportunities Threats (SWOT) Analysis
A SWOT analysis is a valuable tool used by organizations to brainstorm on where the organization is doing its best and where the organization needs to improve (Chapman, 2012). By doing a assessment of Legacy Health structure and policies, the following SWOT analysis has been developed.
Legacy Health’s Strengths
Legacy Health is an organization with many locations throughout Oregon and Southwest Washington, operating in different areas of health care consisting of hospitals, clinics, imaging locations, laboratory, drug testing sites, physical therapy locations, and hospice (legacy health, 2012). By providing the different services, Legacy Health can meet the needs of the community in different ways, focusing on improving the health of its employees and the communities it serves.
Legacy Health’s Weaknesses
Although Legacy Health has a large percentage of bachelor degree prepared nurses (52.59%) there is a low percentage of masters prepared nurses (3.51%) this could be considered a weakness because higher educated nurses use evidence-based practice to provide the most up-to-date and quality care for patients (Altmann, 2011). By increasing the amount of master’s prepared nurses the organization can ensure that the safest and quality care to the communities that they serve.
External Opportunities
Marriner-Tomey (2009) punctuates the importance of an assessment of external factors that create organizational opportunities. Aligning a thoughtful assessment and a responsible plan positions Legacy Health to respond to historical, existing, and future external factors in a way that can have a positive influence on our resources and our outcomes.
Technological
Legacy Health has implemented EPIC as the electronic medical record (EMR) in 2011 in all six hospitals as part of the meaningful use incentive promoted by Obamacare. Legacy’s strategic plan includes optimizing EMR use by timely updates on the EPIC. Legacy is slatedto implement its biggest upgrading of EPIC version in spring 2014. Recent JOINT .
CHAPTER 7The policy processEileen T. O’GradyThere are tJinElias52
CHAPTER 7
The policy process
Eileen T. O’Grady
“There are three critical ingredients to democratic renewal and progressive change in America: good public policy, grassroots organizing and electoral politics.”
Paul Wellstone
Nurses can more strategically and effectively influence policy if they have a clear understanding of the policymaking process. Conceptual models can help to organize and interpret information by depicting complex ideas in a simplified form; to this end, political scientists have developed a number of conceptual models to explain the highly dynamic process of policymaking. This chapter reviews two of these conceptual models.
Health policy and politics
Health policy encompasses the political, economic, social, cultural, and social determinants of individuals and populations and attempts to address the broader issues in health and health care (see Box 7.1 for policy definitions). A clear understanding of the points of influence to shape policy is essential and includes framing the problem itself. For example, if nurses working in a nurse-managed clinic are troubled by staff shortages or long patient waits, they may be inclined to see themselves as the solution by working longer hours and seeing more patients. Defining and framing the problem is the first step in the policy process and involves assessing its history, patterns of impact, resource allocation, and community needs. Broadening and framing the problem to influence or educate stakeholders at the local, state, or federal level could include advocating for better access or funding for nursing workforce development (see Box 7.1).
BOX 7.1
Policy Definitions
Policy is authoritative decision making related to choices about goals and priorities of the policymaking body. In general, policies are constructed as a set of regulations (public policy), practice standards (workplace), governance mandates (organizations), ethical behavior (research), and ordinances (communities) that direct individuals, groups, organizations, and systems toward the desired behaviors and goals.
Health policy is the authoritative decisions made in the legislative, judicial, and executive branches of government that are intended to direct or influence the actions, behaviors, and decisions of others (Longest, 2016).
Policy analysis is the investigation of an issue including the background, purpose, content, and effects of various options within a policy context and their relevant social, economic, and political factors (Dye, 2016).
The next step is to bring the problem to the attention of those who have the power to implement a solution. Other key factors to consider include generating public interest, the availability of viable policy solutions, the likelihood that the policy will serve most of the people at risk in a fair and equitable fashion, and consideration of the organizational, community, societal, and political viability of the policy solution.
Public interest is a fascinating dynamic ...
Running head U.S. HEALTH CARE SYSTEM AND GOVERNANCE1U.S. HEA.docxtoltonkendal
Running head: U.S. HEALTH CARE SYSTEM AND GOVERNANCE 1
U.S. HEALTH CARE SYSTEM AND GOVERNANCE 6
Health care administrator’s role and patient protection
Student’s Name:
Course Name and Number
Instructor
Institutional Affiliation
Date:
Abstract
More rules and regulations have been proposed by government and various organizations in order to improve the overall health care system of the country. There is increasing compliant and requirement for high-quality health care system which can be provided only using the proper law, regulation and health care administrator. There are many issues faced by the people due to non-compliance and negligence which can be reduced only through proper governance. Health care administrator has more concern over the legal, ethical and code of conduct of the medical professionals. Effective laws governing the health care system cannot bring any changes in the entire system; it is the administrator who ensures that this system is performing as per the requirement of law. In this paper we will first discuss the role of health care administrator in the health care system and a brief discussion about the penalties in case of any violations. In the later part of paper, we will discuss about the basic elements required by the patients to prove the medical negligence and a brief discussion about non-compliance by the medical professionals.
Health care administrator’s role and patient protection
Health care administrator’s role:
Healthcare system of the country compared with the other organization or any other community which is governed by various rules, regulations, principles, laws and ethics. Administrator must be aware of all the governing laws, ethical behavior, what are the roles and responsibilities, so that the entire system will get benefitted. About health care system, patients are given priority as a health care administrator one has to ensure that patients are not facing any difficulty at any point of time. Must immediately address any concerns of the patients, and any violation must immediately report.
There are some problems identified in the governance of health care system, there are more gaps in the corporate and clinical governance, and they are not effectively managed (The Dowton Consulting International, 2011). The corporate side mainly concern with the rules, regulations, policies, laws, people and professionals. Next is a clinical side that mainly deals with the safety and security of the patient, patient care standards and creating an excellent environment for the patient (The Dowton Consulting International, 2011).
As an administrator, it is essential to bridge the gap between these two in order to accomplish the desired result. As an administrator it is essential to governing the relationship between both the medical professional and patient, for providing the best service to the patients. Relationship with the patients, gaining their confidence, discharging the duty a ...
Theera-Ampornpunt N. Medical informatics: a look from USA to Thailand. In: Ramathibodi’s Fourth Decade: Best Innovation to Daily Practice; 2009 Feb 10-13; Nonthaburi, Thailand [CD-ROM]. Bangkok (Thailand): Mahidol University, Faculty of Medicine Ramathibodi Hospital; 2009. 1 CD-ROM: 4 3/4 in.
Understanding Linkages between Governance and Health: Concepts and EvidenceHFG Project
There is a lack of evidence and understanding of the dynamics of interventions and contexts in which improved health system governance can contribute to improved health outcomes. As donors and governments increase their emphasis on improving the accountability and transparency of health systems, there is an ever increasing need for this evidence. Governance interventions could then more effectively contribute to measurable improvements in health
outcomes such as reduction in maternal or child mortality, or increased coverage of HIV/AIDS treatment.
On September 14, 2016 the USAID Health Finance and Governance Project (HFG) supported the USAID Office of Health Systems (OHS) and WHO to co-sponsor a workshop to launch a major initiative to marshal the evidence of how health governance contributes to health system performance and ultimately health outcomes. The marshaling of evidence activity will culminate in a high level international event in June 2017 to share knowledge and foster dialogue between donors, researchers, health governance practitioners, and policy makers.
The event brings together important USAID and WHO initiatives to elevate the importance of health governance. The HFG workshop included 35 health and governance professionals from across USAID (OHS, the Center of Excellence for Democracy, Rights and Governance, and the Bureau for Economic Growth, Education and Environment), the WHO, World Bank, academic partners, and implementing partners to launch the marshaling the evidence effort.
Administrative Law Relationship between Democracy and Bureaucracy.docxnettletondevon
Administrative Law: Relationship between Democracy and Bureaucracy
Introduction
Administrative law is a vast area that is concerned with the rules, regulations, and laws that govern the functioning of the government agencies that are given specialized powers by the executive, legislative, and judiciary to implement the responsibilities as enshrined in the American Constitution. Democracy is a system of governance that focuses on individual rights and notions. The relationship between democracy and bureaucracy will be studied in this paper with reference to administrative law.
Definition of Bureaucracy
Bureaucracy is a form of organization in which management retains tight control over the decision making structures. The presence of a hierarchy means that workers need to perform their routine tasks. Standard operating procedures are used as a means of formalizing work activities. Routine tasks can be performed without the need for hassle or problems. Bureaucracies have been typically associated with red tape, inefficiency, and ineffectiveness. There has been a perception that bureaucracies tend to be outdated forms of organization given the rise of agile and decentralized management structures. Bureaucracies remain valid for certain types of organizations (Fox, 2012). For instance large scale organizations require the presence of routine tasks which can be used to ensure efficiency and effectiveness. Universal bureaucratic principles emphasize on accountability and transparency as a means of ensuring success. It is through the use of integrated and coordinated approaches that success can be attained in the long term and short term. Furthermore, bureaucracies tend to develop performance appraisal systems which can motivate and stimulate the passions of the workforce. Bureaucracies are rational in nature because they have the ability to prevent conflict of interests between the workers and management. This is achieved through the presence of common ground which can lead to superior outcomes for the entire organization (Fox, 2012).
Definition of Democracy
Democracy is based on the promotion of human rights and freedom for all its citizens. It seeks to focus on independence, safety, and integrity. Economic policies are to be pursued with moderation in order to satisfy the aspirations of the masses. It also seeks to emancipate and empower special groups like women, minorities, and ethnic groups in order to include them in the social and economic progress (Fox, 2012). Such an approach has been devised in order to achieve self sufficiency and promote human rights values. American democracy is based on the fundamental respect of each individual. It seeks to incorporate policies and procedures that will aid in the establishment of these foundational values. American policy makers know that an integrated and coordinated approach is the best and prudent towards the resolution of problems. Democracy has broad based consensus and dialogue over several .
Market Power, Transactions Costs, and the Entryof Accountabl.docxinfantsuk
Market Power, Transactions Costs, and the Entry
of Accountable Care Organizations in Health Care
H. E. Frech III.1 • Christopher Whaley2 •
Benjamin R. Handel3 • Liora Bowers4 •
Carol J. Simon5 • Richard M. Scheffler6
Published online: 15 July 2015
� Springer Science+Business Media New York 2015
Abstract ACOs were promoted in the 2010 Patient Protection and Affordable
Care Act (ACA) to incentivize integrated care and cost control. Because they
involve vertical and horizontal collaboration, ACOs also have the potential to harm
competition. In this paper, we analyze ACO entry and formation patterns with the
use of a unique, proprietary database that includes public (Medicare) and private
ACOs. We estimate an empirical model that explains county-level ACO entry as a
function of: physician, hospital, and insurance market structure; demographics; and
other economic and regulatory factors. We find that physician concentration by
organization has little effect. In contrast, physician concentration by geographic
Earlier versions of this paper were presented at the International Industrial Organization Conference in
Boston, the International Health Economics Association meeting in Sydney, the Allied Social Science
meetings in Philadelphia, the ACO Workshop in Berkeley, and the Bates White Health Care and Life
Science Seminar in Washington, D.C. Thanks are due to the participants of those meetings, especially
Martha Starr, Dean Rice, and Martin Gaynor for helpful comments. Thanks are also due to Sandra
Decker, Abe Dunn, Robert Obstfeldt, Jim Rebitzer, Michael Morrisey, Jessica Foster, and Lee Mobley
for helpful comments on earlier versions and to the referees and editor of this journal for more recent
useful comments.
& H. E. Frech III.
[email protected]
Christopher Whaley
[email protected]
Benjamin R. Handel
[email protected]
Liora Bowers
[email protected]
Carol J. Simon
[email protected]
1
Department of Economics, University of California, Santa Barbara, Santa Barbara, CA 93106,
USA
123
Rev Ind Organ (2015) 47:167–193
DOI 10.1007/s11151-015-9467-y
http://crossmark.crossref.org/dialog/?doi=10.1007/s11151-015-9467-y&domain=pdf
http://crossmark.crossref.org/dialog/?doi=10.1007/s11151-015-9467-y&domain=pdf
site—which is a new measure of locational concentration of physicians—discour-
ages ACO entry. Hospital concentration generally has a negative effect. HMO
penetration is a strong predictor of ACO entry, while physician-hospital organiza-
tions have little effect. Small markets discourage entry, which suggests economies
of scale for ACOs. Predictors of public and private ACO entry are different. State
regulations of nursing and the corporate practice of medicine have little effect.
Keywords Health care competition � Antitrust � Entry � Integration � Accountable
care organizations � Transactions costs � Obama plan
JEL Classification L 14 � I11 � L44 � I18 � L41
1 Introduction and Overview
The US health car ...
3.1 INTRODUCTION
When the health community makes reference to patients having access to care, the reference is
generally limited. The concept of access is too often described as individuals getting to and from
health services and having the ability to pay for the services either by virtue of a third party or
out-of-pocket. We believe access to be much more than this and suggest that a redefinition of
access is long overdue. True access means being able to get to and from health services, having the
ability to pay for the services needed, and getting your needs met once you enter the health system.
This text introduces a framework for assessing the strengths and weaknesses of selective healthcare
systems, and determining if the system is providing true access to health care. The framework is
called “The Eight Factor Model.”
The comparison of health systems is made by utilizing The Eight Factor Model, which was
developed by the authors, and has “true access” as the driving value. As illustrated in Figure 3-1 ,
the model has true access at its core, and eight surrounding factors that are important for health
systems to demonstrate in order to provide that true access. A solid directional arrow from the
factor to the core depicts a system that has demonstrated evidence to support that it is providing
true access. A broken directional arrow from the core to the factor suggests the system is not
providing true access, and much work must be done to achieve it. Table 3-1 (a format for assessing
true access) provides a template for learners to formulate their own opinions about the extent to
which countries discussed in this text provide true access. Table 7 in Chapter 16 , The Eight Factor
Model for True Access, summarizes author observations regarding the extent to which each of the
11 countries discussed in the “Health Care in Industrialized (Developed) Countries and “Health
Care in Developing Countries” sections of this text have addressed true access. This will hopefully
enable the learner to briefly review it against the Eight Factor Model illustrated in Figure 3-1 . Table
7, The Eight Factor Model for True Access, which appears at the end of Chapter 16 (Comparative
health perspectives) should be fully reviewed as the l ...
1 3Defining the ProblemRigina CochranMPA593August 1.docxsmithhedwards48727
1
3Defining the Problem
Rigina CochranMPA/593
August 19, 2019
Peter ReevesDefining the Problem
The health care system in Colorado is a composition of medical professionals providing services such as diagnosis, treatment, as well as preventive measures to mental illness and injuries ("Healthcare policy in Colorado - Ballotpedia," 2019). Health care policy involves the establishment and implementation of legislation and other regulations that the states use to manage its health care system effectively. Further, this sector consists of other participants, such as insurance and health information technology. The cost citizens pay for medical care and also the access to quality care influence the overall health care providers in Colorado. Therefore, the need for the creation and implementation of laws that help the state maintain efficiency in the health sector in Colorado.
Problem Statement
The declining standards of medical care within the United States has caused significant concern in the world. Due to these rising concerns, there have been various policies implemented, leading to mixed reactions among the different states. Some of the active policies implemented offer a long-term solution to this problem including Medicaid and Medicare. After acquiring state control, the Republicans dismissed the idea to expand and create medical insurance for Medicaid in Colorado. Sustaining the structure of the health care payroll calls for the deductions from the employees and the employers, which may lead to loss of jobs and increased burden of expenditure (Garcia, 2019).
Identify the Methodology
The main objective of this policy plan is to investigate the role of legislation in the management of the health care sector in the United States. Due to the need for achieving in-depth exploration, this paper uses a combination of both qualitative and quantitative methods of data collection by addressing both practical and theoretical aspects of the research. Based on the answers that the policy requires, choosing survey as the research design. This method involves collecting and analyzing data from a few people who represent the principal group within health care. However, the survey method faces some challenges such as attitudes and perception of the health workers leading to the delimitation of the study. The target population for the study includes the nurses within the health sectors in Colorado. The selection of the participants involved in the use of stratified random sampling.
Identify your Stakeholders
The major stakeholders in the creation and implementation of the policy plan include the legislatures, local government, patients, and other private parties such as the insurance companies. Collectively, these bodies are involved in the making of thousands of decisions, overseeing hospitals, making budgetary appropriations, assisting the health workers to acquire licenses, determination of services that the insurers cover, and the management of.
Running Head: HEALTHCARE 1
HEALTHCARE 2
Hospital Mergers and Acquisitions
Joseph Toole
Public Health Policy Research
29 Oct 2016
Identify a legal issue confronting a healthcare policy from your state. Briefly describe the legal issue.
One of the legal issues that would affect the healthcare sector within the United States involves the hospital's mergers. The ever changing market, as well as business environment, has continued to force hospitals to enter into mergers without considering or adhering to all the set rules and regulation on mergers. Hospitals are obliged to merge due to various reasons. One of the goals that hospitals aim while establishing a merger the assumption that they are well placed financially when operating as one compared to operating individually (Feinstein, 2011). Other reason for embracing merger include, increased the need to lower the operation cost. In the modern society majority of the health care institutions are finding it hard to realize the set goals as well as remaining profitable.
Like other business are struggling, health care sector is not spared. Uncertain revenue flow has continued to halt hospital business while the certain operation costs have continued to increase every day. Over the past decades, hospitals were focusing more on efficient management and paying least attention or no attention on ways to maintain the operation costs as low as possible to ensure increased profitability (Feinstein, 2011). The unpredictable business environment has made revenue management a very complex task that if gotten wrong, many of business and hospitals are forced to close down or enter into a merger. The merger is seen as the only positive alternative by hospitals to ensure reduced burden on the scarce resources. Also, there is a general perception that mergers would help to reduce or control the operational costs effectively.
Need to share cost involved in acquired or stabling new and modern health care facility and technology is another reason why hospitals from mergers. The cost associated with new technology and modern infrastructure is huge. Thus the objective can only be achieved through partnerships such as mergers. The merger also results in increased bargaining power or net creditworthiness of the hospitals thus increasing their chances of securing loans from financial institutions to procure new technology or health care infrastructure.
The urge to increase the business market share or overcome competition is another force that is forcing hospitals to enter into mergers. Increased access to more markets is an essential strategy embraced used by organizations to enjoy increased revenue generated as well as the tax gains (Davis, 2012).
Currently, t ...
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Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
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1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
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4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Maxilla, Mandible & Hyoid Bone & Clinical Correlations by Dr. RIG.pptx
Building institutions for an effective health system
1. Building institutions for an effective
health system
Gerald Bloom
Institute of Development Studies
iHEA, Beijing
July 12, 2009
2. Building complex health systems
Context matters (the importance of institutional
arrangements)
History matters (time and path dependency)
Theories matter (narratives, framing and policy
options)
3. Narratives of health system change
Insurance, tax and universal access
Rules, norms and corruption
Health workers, ethics and incentives
Markets, reputation and trust
Information, knowledge and influence
Regulation and partnership
4. Politics, legitimacy and narratives
of health reform
There is a growing national consensus on the health
system’s problems and the government has invested
political capital in promising change
The creation of a national health system which includes
common understandings of roles, responsibilities and
entitlements in a context of changing patterns of social
and economic inequality is a work in progress.
5. Conclusions
Health-related markets have expanded faster than
the creation of appropriate institutions
Knowledge of the patterns of incentives and
responses to particular interventions is limited
The construction of institutions takes time and their
pathways of development are influenced by power
imbalances and politics
Institutions, and the social contracts they imply,
are strongly influenced by attitudes, expectations
and understandings
We have robust theories of the performance of stable
health institutions in modern regulatory states but
we have much less understanding of how to
construct these institutions.