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Health Care Analysis Paper
Abstract The Organization for Economic Cooperation and Development (OECD) is an institution that keeps track of and reports on over 1200
health systems in over 34 developed nations. In this analysis, we will concentrate on the health data from the USA and the UK in 2010 (Jackson,
2012). The health care budget in the USA is much higher than healthcare spending in United Kingdom. In the USA, there are fewer beds in hospitals
and less doctors, fewer hospitals and fewer doctor visits (Bhattacharya et al. 2010) and he use of prescription drugs, drug costs, and the overall
spending on drugs is higher in the USA than in the UK (Jackson, 2012). The supply and utilization of diagnostic imaging in the UK is lower than in
the USA (Greener, 2009). The...show more content...
There are no concrete facts to support the researchers' claims. Different ideas have been exhibited by policy–makers, health care experts and providers
as to which healthcare aspects signify its quality and which are the most important ones (Greener, 2009). This study examines the evidence on the
quality of healthcare in the USA and how it compares to the quality of healthcare in the UK. The study will also touch on the implications of the
evidence for the health reform agenda (Jackson, 2012). This paper will explore how the quality of healthcare in the USA and the UK and address the
concerns that people have about health reforms. The paper will compare the ratings of the two countries' healthcare systems internationally. For
instance, if the examined claims that the USA has the best quality of healthcare services, whether it is in overall terms or in some specific fields, and
find that they are well supported by the evidence, it would warn citizens of the country against the adoption of some forms of health reforms that hinder
those attributes of a health system that are responsible for this reasoning (Jackson, 2012). But if the healthcare quality is not at a remarkable condition,
there should be no reluctance to implementing change. Overall, more need for explicit for health care reforms is needed to address the quality
improvement will be warranted (Bhattacharya et al.
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EHR In Health Care Essay
To improve healthcare in America, the Obama administration passed a law under the Health Information Technology for Economic and Clinical
Health Act, to encourage the widespread use of Electronic Health Records (EHR). Under this act, Clinicians and hospital would receive incentives
and reimbursement for the effective used of EHR in their practices. Electronic Health Records is an electronic version of a patient's medical history
that is maintained by the health provider over time. It includes relevant clinical data that is pertinent in improving quality of care, reducing medical
errors and potential health care cost. For the purpose of this paper, two functions of EHR will be discussed: Computerized Physician Order Entry
(CPOE) and Clinical Decision Support (CDS) tools. These two support tools have the potential to greatly improve quality care and to reduce health
care cost. EHR is a digital collection of health records from a single patient. It records and maintains updated information in a timely fashion. This
information is then easily passed, and shared to various healthcare entities. Where it is easily accessible from remote sites to many people at the same
time. Electronic Health Records (EHR) include: data on a patient's medical history, allergies, medication, demographics, laboratory test results, and
personal...show more content...
These tools augment the features of the EHR. They are tools that assist providers in making pertinent decisions regarding patient care. CDS provides
a workflow that uses special criteria to guide healthcare providers to make sure that the appropriate treatment or procedures are done at the
appropriate time. It also provides red flags to alert clinician of potential medication interactions, abnormal labs and when services are due. CDS
provides many benefits that can reduced errors, improved efficiency, reduce cost and improved patient and provider satisfaction for better health
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The Health Of A Health Care System
A health care system is a framework of interrelated, interacting, and interdependent descriptions of human development in a given country, region, or
community. This system of human development functions as an organized measure to promote and provide treatment in which individuals reach their
highest attainable level of physical, mental, and social well–being. All health care systems are grounded in the concept that genetic and biological
factors must be taken into account to understand the problems and behaviors of a specific population. The interconnected factors that determine an
individual's health status includes personal features, social status, culture, environment, educational attainment, health behaviors, childhood
development, access to care, and government policy. International collaboration of ideas on the progression of transnational health is greatly endorsed
for the benefit of complete global health care. Health care has social, governmental, and financial implications that affect all members of the health care
system and in countries within the Central American region specially, citizens have fallen victim to health disparities that have resulted from
long–term neglect of the underlying factors that perpetuate this issue. It is imperative for children to develop with healthy nutrition during their first
five years of life in order to sustain a healthy well being. When a child experiences stunted growth, they often have difficulties learning and
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Essay on Quality Health Care
*
Qual Health Care 2001;10:40–48 doi:10.1136/qhc.10.1.40 * Viewpoint
Management matters: the link between hospital organisation and quality of patient care 1. Elizabeth West, senior research fellow
+ Author Affiliations 1. Royal College of Nursing, Radcliffe Infirmary, Woodstock Road, Oxford OX1 6HE, UK 1. Dr E West
elizabeth.west@rcn.org.uk * Accepted 21 December 2000 Next Section
Abstract
Some hospital trusts and health authorities consistently outperform others on different dimensions of performance. Why? There is some evidence that "
management matters", as well as the combined efforts of individual clinicians and teams. However, studies that have been conducted on the link
between the organisation...show more content...
However, these reports are similarly concerned with issues of motivating, engaging, and rewarding staff which may be linked to patient outcomes as
well as to business success. Greater attention to the work that has been done on organisational performance, broadly defined, could illuminate our
attempts to link the characteristics of hospitals and units to the kind of care they are able to provide to patients.
Of course, the disciplines of organisational sociology and human resource management are vast and the aims of this paper are modest. It is impossible
to treat the literature on these subjects in great depth here. The main aim of this paper is to identify a number of "landmark studies", defined as
frequently cited review articles, that try to make sense of the burgeoning literature on organisational performance. These studies could contribute to the
development of theory in this area. A second aim is to identify variables at different levels of analysis–individual, organisational, and
environmental–that could be used in future models of hospital organisation and quality of patient care.
Previous SectionNext Section
Health policies motivating organisational research
The message from the current UK
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Changes In Healthcare Essay
Healthcare in the United States has come a long way based on my memory from just 20 years ago with my own personal experiences. The
advancements I happened to notice over a measly 20 years seem to be nothing compared to the historical evolution in healthcare that has occurred
over the last 10,000 years. Just from year 1850 to 1900 the country's largest issues changed its focus from epidemic diseases that affected a mass
number of people at the same time, down to acute conditions that only affected individuals instead of groups (Williams & Torrens, 2008). As time goes
on, healthcare will most likely continue the upscale trend of improvements. I found a great deal of research that suggested technology and money as
being two imperative...show more content...
The controversial topic of Medicaid Expansion is concentrated on money and very important to the future of our healthcare system. Evidence has
shown even from TN in the past that the expansion of Medicaid provided better access to care and advantage of preventive services to a wide
range of low income individuals (Tarazi, Green, & Sabik, 2017). However, due to stricter regulations in 2005 that reduced the number of those that
actually would qualify for Medicaid, many lost coverage. Due to the higher number of uninsured that no longer had the advantages of preventive
services, emergency room visits increased as a result. So if states can afford to adopt Medicaid Expansion, it can possibly be a benefit to a higher
number of patients by providing them with greater resources to aid in preventive care that may keep them from needing costly hospital care. For
other states, the expansion could be a true burden that may stunt their growth in advancing in healthcare. Medicaid expansion has been one of the
faulty issues with the Affordable Care Act that has limited its success (Hall, 2016). The fact that states are not required to adopt the expansion opens
up a greater chance that people at poverty level may not be available for any financial assistance for private insurance. This scenario shows the
importance of money in decisions for healthcare changes and evolution. Technology would be the area that I would like to
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Essay On Health Care
Healthcare is a major political subject for individuals in power especially in the Unites States of America and because of this ongoing issue, health has
a constant wave of changes that has resulted in a long history of health reform in both Canada and the United States of America. In this analysis, it
shows somewhere down the fountain of healthcare history, the development of health insurance in both Canada and the United States started to
separate or –"Parting at the Crossroads" as Maioni stated between Canada and the United States. As I read this article, it came to my attention how
much Canadian and American health reform has been an abstract of each societal foundation in both systems. Maioni gave the audience a brief political
...show more content...
As for Canada, we took the leap that is now considered the difference in health reform and health insurance development between Canada and the
United States. Universal access and public administration was now an essential part for federal involvement in provincial health insurance programs.
Maioni gave us strong historical evidence which supported her claim of the influential roles that played in health reform and policy . What she is
portraying to the audience is the mere constant political leaps that had a domino effect against the development of health insurance and health reform.
Due to the political agendas of both countries, each created their own roads to health reform and even if by experimentation. Now we can see the
growth of health reform in its own entirety from each country. The United States still allows itself to be bullied by propaganda and division of political
parties which is the result of the health reform setbacks the United States wounds themselves with. The reoccurrence of country wide health insurance
on political "to–do list," rest assured that the demand is persistently growing within society. Antonia Maioni is convincing because she pulls us in as
readers into the evidence based facts that create strong conclusions for this case. She lays a foundation with historical background then pulls our
attention with the separation aspect for both countries. With her compelling argument she ties in the reality of each of the countries
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Social Media And Health Care Essay
The use of social media such as Facebook, Twitter, WhatsApp, and Instagram has grown exponentially. There are currently 1.5 billion Facebook users
in the world (Statisa, 2015). The way the world use these websites has change. It is no longer used for the sole purpose of staying in touch with family
and friends. It allows for the formation of groups of people with chronic diseases, which have the same illness to connect, share, compare symptoms,
and treatment plans (Khans–Sarasohn, 2008). Research has shown that social media have revolutionize the health care system and is a valuable
medium in disseminating information and promoting health on a larger scale (Jackson, Fraser, & Ash 2014). The social media can play an important
role in providing a network for clinicians and patient alike to share and gather information amongst them. This type of medium allows the individual
to become proactive and more involve in their plan of care. Due to the easy access of information, patients are no longer relying solely on what a
doctors say. In other words what the doctor says is no longer final. It has now common for patients to seek alternate routes in finding information and
treatments. Website patient and family use to gain information on a condition. Due to the easy access of information,...show more content...
This medium can be beneficial and has the ability to nurture strong professional ties among nurses and peers. According to Cronquist and Spector
(2011) there is an increase use of blogs, social networking sites and forums among nurses. These sites often provide an outlet for reflecting, discussing
emotionally charge or challenging work place experiences. For many these sites have become the main way for remaining current and to interact with
others. Although beneficial, these sites can lead to the disclosure of too much information leading to violation of a patient's privacy and
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Essay On Healthcare In The United States
Healthcare in the United States The biggest issue in America is not just hunger, education, and crime– but health care. Perhaps the cause of these other
issues, health care is expensive and hard to access. The high cost is tolerated in the belief that more expensive health care leads to better care. This is
not true, as studies show that 20% to 30% of patients are issued the wrong treatment or medicine. These medical errors have caused thousands of lives
to be lost– at a higher cost. As more Americans are aware of our low ranking in worldwide health care– Japan, Sweden, and Canada making the top
three–the need for a nationwide health care reform is much debated. Even with other great countries to mirror we are still hesitant in reforming health
care to make it accessible to every American citizen. Although the United States guarantees it's citizens access to fire and police services, protection by
military, national postal service, and education as well as many other free federal– and state–funded services they have yet to commit to ensuring them
health care coverage. The Affordable Care Act allows affordable healthcare to individuals with low–income–...show more content...
Citizens in America obtain healthcare either through an employer, Medicare, or ,for the forty–five million, out–of–pocket. The number one in
healthcare, Japan, uses the Bismarck model system– healthcare through insurance. America is almost the same, except the Bismarck insurance insures
everyone without making a profit. Japan has more privately owned hospitals than America. This model can be funded several different ways for
cost–control. The reason we have not changed our healthcare system is because of federal debt. Half of the health care costs are paid by the
government. This debt will be America's downfall, but also the healthcare reform it so desperately
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Healthcare Essay
Health Care Health Care Abstract Health care is essential for all no matter which country they call theirs and the United States is no exception and
provides a good example of how the creation of insurance has grown into a controversial subject for many reasons. Spikes in costs, illegal claims,
insider trading, and various other factors contribute to many issues surrounding costs, risks, greed, and ill settled suits are just a few of the issues.
Areas such as price ceilings, economical instabilities, and governances contribute to areas afore mentioned. Health care costs have risen steadily for
years. "Health care expenditures reported in 2008 exceeded $2.3 trillion" (Miller, nd) this figure reportedly will increase throughout the...show more
content...
For companies and small businesses, with the rise of health care costs, means there is going to be less money for new equipment, research,
expansion, and better facilities to provide the public. In return, that also means there are going to be less jobs available, and possibly some jobs
lost due to not be able to afford as many employees. This limits consumer spending and hurts the business in retrospect. Health care also affects the
economy because the cost to provide health care for Medicaid and Medicare participants is distributed through the national budget department. When
the government takes on the cost for people who cannot afford them, it impacts the economy by taking more money away from other areas that
could help improve our society. When Americans cannot afford health care costs and they go into debt, it creates an additional economic burden that
is merely impossibly to rid. GDP Gross domestic product (GDP) is on the market period of all officially recognized goods and services made
throughout America within a given set period of time. This often indicates how a countries standard of living is. GDP is not about measuring a person
's personal income; it equals the gross domestic income. The GDP can be determined in only three different ways, the product and income approach,
and the expenditure approach. The most important of the three ways to
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Healthcare Essay
Chapter 3
The Evolution of Health Services in the United States
Learning Objectives
To discover historical developments that have shaped the nature of the US health care delivery system
To evaluate why the system has been resistant to national health insurance reforms
To explore developments associated with the corporatization of health care
To speculate on whether the era of socialized medicine has dawned in the United States
"Where's the market?"
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CHAPTER 3
The Evolution of Health Services in the United States
Introduction
The health care delivery system of the United States evolved quite differently from the systems in Europe. American values and the social, political, and
...show more content...
Kaiser Family Foundation 2011). Cultural beliefs and values are strong forces against attempts to initiate fundamental changes in the financing and
26501_CH03_FINAL.indd 82
delivery of health care. Therefore, enactment of major health system reforms requires consensus among Americans on basic values and ethics (Kardos
and Allen 1993). Ironically, American beliefs and values were not allowed a chance to play out in the political maneuvering that led to the passage of the
ACA of 2010 (see Chapter 13).
The growth of medical science and technology (discussed in Chapter 5) has also played a key role in shaping the US health care delivery system.
Stevens (1971) points out that the technological revolution has been primarily responsible for bringing medicine into the public domain. Advancement
of technology has influenced other factors, as well, such as medical education, growth of institutions, and urban development. Hence, American
medicine did not emerge as a professional entity until the beginning of the 20th century, with the progress in biomedical science. Since then, the
US health care delivery system has been a growth enterprise. Debates over issues such as methods of financing health care, quality improvement, and
the appropriate role
of
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Health Care Essay
The U.S. has one of the worst health care systems in the world. With the lowest life expectancy, highest infant mortality rate, and most money spent per
person on healthcare there is obviously a change that needs to be made. Another thing the U.S. is lagging with is the number of physicians. We only
have 2.6 physicians for every 1,000 people, while Sweden has 4.0 and Germany has 4.1. The shortage of doctors in our country is a huge problem that
needs attention. Another problem deserving attention is the infant mortality rate in our country. The U.S. has a 6.0 mortality rate of children under
1–year–old for every 1,000 live births, when Finland has a 1.8 and Italy has a 2.1. We could really take some notes from these other countries on...show
more content...
There is not only one way to answer the problem of the doctor shortage, it will take many things working together to fix the problem. The infant
mortality rate in the U.S. is another topic that needs to be addressed. There are many ways to decrease the mortality rate, but when only a few
people try these solutions it doesn't make a difference. To really make a change, every mother would need to participate and even though there are
those cases that are inevitable, there are also other cases that can be eliminated. First, preventing birth defects would be a huge way to decrease the
mortality rate. Birth defects are the number one cause of infant death in the U.S. There are several ways pregnant women can help reduce the chance
of birth defects. For example, making sure they get enough folic acid in their diet or from supplements. Without it, babies can suffer defects of their
brain and spine. Women should also see a healthcare professional regularly to make sure everything is going well. This means healthcare needs to be
readily available for pregnant women. Some mothers are unable to afford healthcare so making checkups for pregnant mother's low cost would benefit
them. Next, avoiding harmful substances such as alcohol and cigarettes would be another huge factor in decreasing infant mortality. Drinking alcohol
during a pregnancy can cause miscarriages or stillbirths. Keeping their lifestyle healthy for pregnant mothers is the most important thing they can do to
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Essay about Health Care
Assignment 04
HE310 Survey of Healthcare Management
Directions: Be sure to make an electronic copy of your answer before submitting it to Ashworth College for grading. Unless otherwise stated, answer
in complete sentences, and be sure to use correct English spelling and grammar. Sources must be cited in APA format. Your response should be three
(3) to six (6) pages in length; refer to the "Assignment Format" page for specific format requirements.
This written assignment has two parts and involves combining the case studies from lessons 1–4. For each of the case studies, you are responsible for
selecting the appropriate case at the end of the applicable chapter and response to the question. In each of the cases you will respond as if...show more
content...
Lesson 3
Case Study 2. Determining Opportunities to Increase Revenues
Evaluate the data available in Figure 3–6, which is from the Health, United States, 2010 report from the US Department of Health and Human Services,
available in Figure 3–7. If you were the administrator of a heath care facility, what actions would you recommend to ensure your organization can
increase revenues? Support your recommendations with specific statistics from Figure 3–6.
Lesson 4
Case Study 3.
"Researchers now believe that most medical errors cannot be prevented by perfecting the technical work of individual doctors, nurses, or pharmacists.
Improving patient safety often involves the coordinated efforts of multiple members of the health care team, who may adopt strategies from outside
health care."
"The report reviews several practices whose evidence came from the domains of commercial aviation, nuclear safety, and aerospace, and the disciplines
of human factors, engineering and organizational theory. Such practices include root cause analysis, computerized physician order entry and decision
support, auto–mated medication dispensing systems, bar coding technology, aviation–style preoperative checklists, promoting a 'culture of safety,' crew
resource management, the use of simulators in training, and integrating human factors theory into the design of medical devices and alarms."
Discuss this concept of
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Primary Health Care Essay examples
Part A Primary health care evolves from the economic, cultural, social, and political conditions of a country, and it is described as an essential part of
health care that is universally provided to individuals in a community at the country's and community's expense (World Health Organisation [WHO],
1978). The goal of primary health care is to address the main local health problems, but it involves community education about these problems in
addition to providing disease treatments (WHO, 1978). Furthermore, primary health care is concerned with nutrition promotion, sanitation standards,
family planning, immunisation, disease control and prevention, and it promotes and relies on community and individual participation in primary health
...show more content...
For example, community education about current health issues is one of the functions of primary health care, so a registered nurse can assume the role
of an educator and educate the community about the current threat. Community education is one of the most important aspects of nursing because
their code of ethics requires them to keep the community accurately informed on health related issues (Australian Nursing & Midwifery Council
[ANMC], 2006). Furthermore, the education informs community about prevention methods because primary health care supports the active
participation of patients for both individual and public health. In population health, registered nurses can assist in epidemic preventions through
screening and surveillance. Surveillance is a continuous process which involves data collection and data analysis. Surveillance is constantly practised
because it is used as a prevention method to identify possible outbreaks (Oleske, 2009). Once an outbreak is identified, screening is a process of
looking for early signs of disease manifestation in individuals, so nurses can identify the health issue early and ensure better chances of successful
treatments and slow down the outbreak development (Oleske, 2009). Although nurses are required to safeguard personal information and support
confidentiality (ANMC, 2008b), their duty is to notify the
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The Problem Of Health Care Essay
Health care in our country is currently undergoing radical change. Reform is steering progress towards a more patient–centered approach. As a result,
there is an intense focus in health care on meaningful use of electronic health records (EHRs). While the health care arena looks to the future by
aiming for automation, there is a chance that our elderly population, the largest users of medical products and services, may be left behind. Some
experts believe that there is a "digital divide" occurring among the elderly (Hall, 2014). Others are of the opinion that the software still has a long way
to catch up to be a truly useful tool in geriatric medicine. There is no doubt that as health care in our country continues to advance and improve, EHRs
will remain a major part of the medical care. However, we should ensure that all members of our society can benefit from the use health care
automation.
The major shift in health care trends towards electronic capturing, storing, and analyzing of data has prompted massive government intervention in
terms of incentives, mandates, and standardizations. The Centers for Medicare and Medicaid (CMS) encourage eligible professionals, hospitals, and
critical access hospitals, to "adopt, implement, upgrade or demonstrate meaningful use" of EHR technology to "improve patient care" through their
EHR incentive programs. (CMS, 2014). As a result, most health care professionals and facilities are updating their technology and have implemented at
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Managed Care Essay
Managed care dominates health care in the United States. It is any health care delivery system that combines the functions of health insurance and the
actual delivery of care, where costs and utilization of services are controlled by methods such as gatekeeping, case management, and utilization review.
Different types of managed care plans came into development by three major factors. These factors include choice of providers, different ways of
arranging the delivery of services, and payment and risk sharing. Types of managed care organizations include Health Maintenance Organizations
(HMOs) which consist of five common models that differ according to how the HMO is related to the participating physicians, Preferred Provider
Organizations...show more content...
Case managers also provide support and information to patients and their families. Next, is utilization review. `Its main objective is to review each
case and determine the most appropriate level of services, the most appropriate settings in which the services be delivered, the most cost efficient
methods for care delivery and the need for planning of subsequent care. Other methods used for utilization and control are choice restriction and
practice profiling' (Douglas, 2003, p.328).
The types of managed care are differentiated by definition, operation, structure, and information needs. `HMOs were the most common type of MCO
until commercial insurance companies developed PPOs to compete with HMOs' (Douglas, 2003, p.331). `HMOs are business entities that either
arrange for or provide health services to an enrolled population after prepayment of a fixed sum of money, called a premium' (Peden, 1998, p.78).
There are three characteristics that an HMO must have. The first is a health care financing and delivery system that provides services for members in a
particular geographic area. Second, is ensured access to a complete range of health care services, health maintenance, treatment, and routine checkups.
Last, health care must be obtained from voluntary personnel that participate in the HMO. The five HMO models related to the participating physicians
are the Staff
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Home Health Journal Essay examples
Home health care has become an increasingly acceptable and popular form of health care provided to patients for acute, chronic, and terminal illnesses.
Home health continues to rise in demand for a variety of reasons. Home health is a cost effective method of providing patients with the care that they
require (Phipps, Monahan, Sands, Marek, & Neighbors, 2003, p.154). Patients can receive needed care without the added cost of a hospital stay or an
extended hospital stay. This helps to lower the cost for hospitals, insurance companies, public assistance, and the patient. Other added benefits to
patients receiving home health care are a decrease in nosocomial (hospital acquired) infections, improved nutritional status, personalization of...show
more content...
When coordinated properly, the patient and nurse can restore the patient to their optimal functioning capability. During the home health observation
day, there were several opportunities to observe a variety of patients with varying levels of functioning ability, different illnesses, and different needs
and levels of interaction with the nurse. The first patient seen was a seventy–three year old Caucasian female with an ulcer on her right heel. Several
weeks prior, she had scratched her left leg and she also had several small wounds on her left leg. The orders were to clean and redress the ulcer. She
has a history of end stage renal disease, pneumonia, weakness, diabetes, dialysis, and right hip fracture. Upon entering the home, the patient was
found to be sitting in a wheel chair in the living room watching television with her husband close by her side. She greeted the nurse with a smile
and began to update her on her current condition. Her heel was "hurting" and she rated her pain an 8 on a scale of 1 to 10. She also had some
"swelling" that she could not "get to go away; because, she could not get up and walk. They need to fix my foot so that I can get up and get around."
She told the nurse that she had been to see the doctor "yesterday" and the doctor had given her a written order that she wanted her to see. The order
was written for an evaluation for a soft pressure shoe fitting. The nurse read the order to
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Healthcare in the United States Essay
Healthcare in the United States is rooted in the private sector. The private sector directly funds 56% of the expenditures through private health
insurance, household expenditures and copays, and other private expenditures. (CMS, 2014) The US healthcare system can thank the private sector for
providing much strength such as new diagnostic technologies, innovative treatments and procedures, and dynamism. American hospitals and
physicians are regarded internationally as being of high quality. Americans can also be proud that the physician– patient relationship is among the most
trusted and valued relationships in the country. By allowing the private sector to take a lead role in the healthcare system, the United States values
...show more content...
(Elhauge, 2010). Fragmentation leads to duplication of tests and effort. Often, physicians do not have test results and notes from prior treatments. This
results in wasteful duplication of efforts. Fragmentation leads to unplanned hospitalizations. Approximately 20% of discharged Medicare patients are
re–hospitalized within thirty days. (Jencks, Williams, Coleman, 2009) It is estimated that only 10% of those readmissions are planned. (Jencks,
Williams, Coleman, 2009) Patients can receive better continuation of care if their doctors coordinated better, if there was better discharge planning and
incentives for providers to control costs after the patient has been discharged. A patient centered medical home (PCMH) could integrate patient care. A
patient centered medial home is a team of healthcare providers coming together to improve the health of a specific population. A PCMH is designed to
integrate primary care and specialists into improve care coordination, safety and quality.(Stange, et al 2010) A PCMH would also improve physician
training and development to provide a commitment to treat the whole patient, rather than just one part.(Stange, et al 2010) Healthcare fragmentation
can also be limited through improved communication between providers using e–mail and social media tools such as facebook and twitter. Physicians
and hospitals are also paid with a fragmented and confusing mix of public and private payments. In the private sector
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Health Insurance Essay
The main function for health care financing is to pay for health insurance premium and reimburse health providers for services delivered. Still, there is
a crucial challenge when creating health insurance plans, provide coverage for "health care needs without encouraging unnecessary spending." (Maas)
Over time, health care financing has been evolving, and now consumers can acquire health insurance through government programs like Medicare,
which it is for the elderly, for certain individuals with disabilities and end–stage renal disease. Therefore, any person who meets the requirements can
enroll to this program. Also, there is Medicaid, which it is the program for the poor, and Children's Health Insurance Program best known as CHIP,
which insure kids who come from low–income families. Nonetheless, there are several types of private insurance like self–insured plans, individual
private health insurance, Medigap, and group insurance program, which it is "... a substantial number of people in the group will purchase insurance
through its sponsor." (Shi, 2019, p. 224) Further, thanks to the diversity and wide range of health insurance...show more content...
219) Consequently, moral hazard has a negative impact in health care financing since people are less likely to take care of their health when they have
the ease to frequently consult a doctor and use any medical service at any time, therefore with health insurance there is an increase in health care
spending, "but the value of this care is less than its cost, generating... loss." (Nyman, 2004) Additionally, since such services are reimbursed to health
care providers by health care financing there is a "potential to increase health care costs." (Thoma,
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Health Care Trends Essay examples
Denise Durante Health Care Trends HCA 459 Jacqueline McClure October 11, 2010 The survival of health care industry is going to require some
innovative and creative initiatives to with stand the trends of the future in this country. Over the past two decades, American hospitals have
experienced dramatic changes in their economic and institutional environments. Government–mandated cost–containment efforts, a shift from
cost–based reimbursement to prospective payment, increased control of managed care plans, and advances in medical technology that reduce inpatient
care have created enormous pressures on hospitals and have threatened their very survival (Bnet, 1999). This type of transformation has caused many
institutions to take a...show more content...
Health care facilities abiding by the regulations set forth will ensure that patients and communities will have a safe environment for the maintenance
and prevention of their health care needs and treatments that are provided by health care providers. Maintaining and delivering health care in today's
era requires improved information technology. This is essential in the survival of health care today. When instituting health care in rural and suburban
areas it is necessary to implement quality high–tech information technology. This enables physicians to obtain results in a timely manner which can be
beneficial to diagnosis. Although services are provided on an off–site basis, sometimes it is necessary to transport patients to the main facility. This is
why it is imperative to have improved information technology in place. It may be a little costly initially and may or may not prove to be beneficial in
the interim. While a particular new technology may either increase or decrease health care spending, researchers generally agree that, taken together,
advances in medical technology have contributed to rising overall U.S. health care spending. Rettig describes how new medical technology affects the
costs of health care through the following "mechanisms of action." * Development of new treatments for previously untreatable terminal conditions,
including long–term maintenance
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Health Care Analysis Paper

  • 1. Health Care Analysis Paper Abstract The Organization for Economic Cooperation and Development (OECD) is an institution that keeps track of and reports on over 1200 health systems in over 34 developed nations. In this analysis, we will concentrate on the health data from the USA and the UK in 2010 (Jackson, 2012). The health care budget in the USA is much higher than healthcare spending in United Kingdom. In the USA, there are fewer beds in hospitals and less doctors, fewer hospitals and fewer doctor visits (Bhattacharya et al. 2010) and he use of prescription drugs, drug costs, and the overall spending on drugs is higher in the USA than in the UK (Jackson, 2012). The supply and utilization of diagnostic imaging in the UK is lower than in the USA (Greener, 2009). The...show more content... There are no concrete facts to support the researchers' claims. Different ideas have been exhibited by policy–makers, health care experts and providers as to which healthcare aspects signify its quality and which are the most important ones (Greener, 2009). This study examines the evidence on the quality of healthcare in the USA and how it compares to the quality of healthcare in the UK. The study will also touch on the implications of the evidence for the health reform agenda (Jackson, 2012). This paper will explore how the quality of healthcare in the USA and the UK and address the concerns that people have about health reforms. The paper will compare the ratings of the two countries' healthcare systems internationally. For instance, if the examined claims that the USA has the best quality of healthcare services, whether it is in overall terms or in some specific fields, and find that they are well supported by the evidence, it would warn citizens of the country against the adoption of some forms of health reforms that hinder those attributes of a health system that are responsible for this reasoning (Jackson, 2012). But if the healthcare quality is not at a remarkable condition, there should be no reluctance to implementing change. Overall, more need for explicit for health care reforms is needed to address the quality improvement will be warranted (Bhattacharya et al. Get more content on HelpWriting.net
  • 2. EHR In Health Care Essay To improve healthcare in America, the Obama administration passed a law under the Health Information Technology for Economic and Clinical Health Act, to encourage the widespread use of Electronic Health Records (EHR). Under this act, Clinicians and hospital would receive incentives and reimbursement for the effective used of EHR in their practices. Electronic Health Records is an electronic version of a patient's medical history that is maintained by the health provider over time. It includes relevant clinical data that is pertinent in improving quality of care, reducing medical errors and potential health care cost. For the purpose of this paper, two functions of EHR will be discussed: Computerized Physician Order Entry (CPOE) and Clinical Decision Support (CDS) tools. These two support tools have the potential to greatly improve quality care and to reduce health care cost. EHR is a digital collection of health records from a single patient. It records and maintains updated information in a timely fashion. This information is then easily passed, and shared to various healthcare entities. Where it is easily accessible from remote sites to many people at the same time. Electronic Health Records (EHR) include: data on a patient's medical history, allergies, medication, demographics, laboratory test results, and personal...show more content... These tools augment the features of the EHR. They are tools that assist providers in making pertinent decisions regarding patient care. CDS provides a workflow that uses special criteria to guide healthcare providers to make sure that the appropriate treatment or procedures are done at the appropriate time. It also provides red flags to alert clinician of potential medication interactions, abnormal labs and when services are due. CDS provides many benefits that can reduced errors, improved efficiency, reduce cost and improved patient and provider satisfaction for better health Get more content on HelpWriting.net
  • 3. The Health Of A Health Care System A health care system is a framework of interrelated, interacting, and interdependent descriptions of human development in a given country, region, or community. This system of human development functions as an organized measure to promote and provide treatment in which individuals reach their highest attainable level of physical, mental, and social well–being. All health care systems are grounded in the concept that genetic and biological factors must be taken into account to understand the problems and behaviors of a specific population. The interconnected factors that determine an individual's health status includes personal features, social status, culture, environment, educational attainment, health behaviors, childhood development, access to care, and government policy. International collaboration of ideas on the progression of transnational health is greatly endorsed for the benefit of complete global health care. Health care has social, governmental, and financial implications that affect all members of the health care system and in countries within the Central American region specially, citizens have fallen victim to health disparities that have resulted from long–term neglect of the underlying factors that perpetuate this issue. It is imperative for children to develop with healthy nutrition during their first five years of life in order to sustain a healthy well being. When a child experiences stunted growth, they often have difficulties learning and Get more content on HelpWriting.net
  • 4. Essay on Quality Health Care * Qual Health Care 2001;10:40–48 doi:10.1136/qhc.10.1.40 * Viewpoint Management matters: the link between hospital organisation and quality of patient care 1. Elizabeth West, senior research fellow + Author Affiliations 1. Royal College of Nursing, Radcliffe Infirmary, Woodstock Road, Oxford OX1 6HE, UK 1. Dr E West elizabeth.west@rcn.org.uk * Accepted 21 December 2000 Next Section Abstract Some hospital trusts and health authorities consistently outperform others on different dimensions of performance. Why? There is some evidence that " management matters", as well as the combined efforts of individual clinicians and teams. However, studies that have been conducted on the link between the organisation...show more content... However, these reports are similarly concerned with issues of motivating, engaging, and rewarding staff which may be linked to patient outcomes as well as to business success. Greater attention to the work that has been done on organisational performance, broadly defined, could illuminate our attempts to link the characteristics of hospitals and units to the kind of care they are able to provide to patients. Of course, the disciplines of organisational sociology and human resource management are vast and the aims of this paper are modest. It is impossible to treat the literature on these subjects in great depth here. The main aim of this paper is to identify a number of "landmark studies", defined as frequently cited review articles, that try to make sense of the burgeoning literature on organisational performance. These studies could contribute to the development of theory in this area. A second aim is to identify variables at different levels of analysis–individual, organisational, and environmental–that could be used in future models of hospital organisation and quality of patient care. Previous SectionNext Section Health policies motivating organisational research The message from the current UK Get more content on HelpWriting.net
  • 5. Changes In Healthcare Essay Healthcare in the United States has come a long way based on my memory from just 20 years ago with my own personal experiences. The advancements I happened to notice over a measly 20 years seem to be nothing compared to the historical evolution in healthcare that has occurred over the last 10,000 years. Just from year 1850 to 1900 the country's largest issues changed its focus from epidemic diseases that affected a mass number of people at the same time, down to acute conditions that only affected individuals instead of groups (Williams & Torrens, 2008). As time goes on, healthcare will most likely continue the upscale trend of improvements. I found a great deal of research that suggested technology and money as being two imperative...show more content... The controversial topic of Medicaid Expansion is concentrated on money and very important to the future of our healthcare system. Evidence has shown even from TN in the past that the expansion of Medicaid provided better access to care and advantage of preventive services to a wide range of low income individuals (Tarazi, Green, & Sabik, 2017). However, due to stricter regulations in 2005 that reduced the number of those that actually would qualify for Medicaid, many lost coverage. Due to the higher number of uninsured that no longer had the advantages of preventive services, emergency room visits increased as a result. So if states can afford to adopt Medicaid Expansion, it can possibly be a benefit to a higher number of patients by providing them with greater resources to aid in preventive care that may keep them from needing costly hospital care. For other states, the expansion could be a true burden that may stunt their growth in advancing in healthcare. Medicaid expansion has been one of the faulty issues with the Affordable Care Act that has limited its success (Hall, 2016). The fact that states are not required to adopt the expansion opens up a greater chance that people at poverty level may not be available for any financial assistance for private insurance. This scenario shows the importance of money in decisions for healthcare changes and evolution. Technology would be the area that I would like to Get more content on HelpWriting.net
  • 6. Essay On Health Care Healthcare is a major political subject for individuals in power especially in the Unites States of America and because of this ongoing issue, health has a constant wave of changes that has resulted in a long history of health reform in both Canada and the United States of America. In this analysis, it shows somewhere down the fountain of healthcare history, the development of health insurance in both Canada and the United States started to separate or –"Parting at the Crossroads" as Maioni stated between Canada and the United States. As I read this article, it came to my attention how much Canadian and American health reform has been an abstract of each societal foundation in both systems. Maioni gave the audience a brief political ...show more content... As for Canada, we took the leap that is now considered the difference in health reform and health insurance development between Canada and the United States. Universal access and public administration was now an essential part for federal involvement in provincial health insurance programs. Maioni gave us strong historical evidence which supported her claim of the influential roles that played in health reform and policy . What she is portraying to the audience is the mere constant political leaps that had a domino effect against the development of health insurance and health reform. Due to the political agendas of both countries, each created their own roads to health reform and even if by experimentation. Now we can see the growth of health reform in its own entirety from each country. The United States still allows itself to be bullied by propaganda and division of political parties which is the result of the health reform setbacks the United States wounds themselves with. The reoccurrence of country wide health insurance on political "to–do list," rest assured that the demand is persistently growing within society. Antonia Maioni is convincing because she pulls us in as readers into the evidence based facts that create strong conclusions for this case. She lays a foundation with historical background then pulls our attention with the separation aspect for both countries. With her compelling argument she ties in the reality of each of the countries Get more content on HelpWriting.net
  • 7. Social Media And Health Care Essay The use of social media such as Facebook, Twitter, WhatsApp, and Instagram has grown exponentially. There are currently 1.5 billion Facebook users in the world (Statisa, 2015). The way the world use these websites has change. It is no longer used for the sole purpose of staying in touch with family and friends. It allows for the formation of groups of people with chronic diseases, which have the same illness to connect, share, compare symptoms, and treatment plans (Khans–Sarasohn, 2008). Research has shown that social media have revolutionize the health care system and is a valuable medium in disseminating information and promoting health on a larger scale (Jackson, Fraser, & Ash 2014). The social media can play an important role in providing a network for clinicians and patient alike to share and gather information amongst them. This type of medium allows the individual to become proactive and more involve in their plan of care. Due to the easy access of information, patients are no longer relying solely on what a doctors say. In other words what the doctor says is no longer final. It has now common for patients to seek alternate routes in finding information and treatments. Website patient and family use to gain information on a condition. Due to the easy access of information,...show more content... This medium can be beneficial and has the ability to nurture strong professional ties among nurses and peers. According to Cronquist and Spector (2011) there is an increase use of blogs, social networking sites and forums among nurses. These sites often provide an outlet for reflecting, discussing emotionally charge or challenging work place experiences. For many these sites have become the main way for remaining current and to interact with others. Although beneficial, these sites can lead to the disclosure of too much information leading to violation of a patient's privacy and Get more content on HelpWriting.net
  • 8. Essay On Healthcare In The United States Healthcare in the United States The biggest issue in America is not just hunger, education, and crime– but health care. Perhaps the cause of these other issues, health care is expensive and hard to access. The high cost is tolerated in the belief that more expensive health care leads to better care. This is not true, as studies show that 20% to 30% of patients are issued the wrong treatment or medicine. These medical errors have caused thousands of lives to be lost– at a higher cost. As more Americans are aware of our low ranking in worldwide health care– Japan, Sweden, and Canada making the top three–the need for a nationwide health care reform is much debated. Even with other great countries to mirror we are still hesitant in reforming health care to make it accessible to every American citizen. Although the United States guarantees it's citizens access to fire and police services, protection by military, national postal service, and education as well as many other free federal– and state–funded services they have yet to commit to ensuring them health care coverage. The Affordable Care Act allows affordable healthcare to individuals with low–income–...show more content... Citizens in America obtain healthcare either through an employer, Medicare, or ,for the forty–five million, out–of–pocket. The number one in healthcare, Japan, uses the Bismarck model system– healthcare through insurance. America is almost the same, except the Bismarck insurance insures everyone without making a profit. Japan has more privately owned hospitals than America. This model can be funded several different ways for cost–control. The reason we have not changed our healthcare system is because of federal debt. Half of the health care costs are paid by the government. This debt will be America's downfall, but also the healthcare reform it so desperately Get more content on HelpWriting.net
  • 9. Healthcare Essay Health Care Health Care Abstract Health care is essential for all no matter which country they call theirs and the United States is no exception and provides a good example of how the creation of insurance has grown into a controversial subject for many reasons. Spikes in costs, illegal claims, insider trading, and various other factors contribute to many issues surrounding costs, risks, greed, and ill settled suits are just a few of the issues. Areas such as price ceilings, economical instabilities, and governances contribute to areas afore mentioned. Health care costs have risen steadily for years. "Health care expenditures reported in 2008 exceeded $2.3 trillion" (Miller, nd) this figure reportedly will increase throughout the...show more content... For companies and small businesses, with the rise of health care costs, means there is going to be less money for new equipment, research, expansion, and better facilities to provide the public. In return, that also means there are going to be less jobs available, and possibly some jobs lost due to not be able to afford as many employees. This limits consumer spending and hurts the business in retrospect. Health care also affects the economy because the cost to provide health care for Medicaid and Medicare participants is distributed through the national budget department. When the government takes on the cost for people who cannot afford them, it impacts the economy by taking more money away from other areas that could help improve our society. When Americans cannot afford health care costs and they go into debt, it creates an additional economic burden that is merely impossibly to rid. GDP Gross domestic product (GDP) is on the market period of all officially recognized goods and services made throughout America within a given set period of time. This often indicates how a countries standard of living is. GDP is not about measuring a person 's personal income; it equals the gross domestic income. The GDP can be determined in only three different ways, the product and income approach, and the expenditure approach. The most important of the three ways to Get more content on HelpWriting.net
  • 10. Healthcare Essay Chapter 3 The Evolution of Health Services in the United States Learning Objectives To discover historical developments that have shaped the nature of the US health care delivery system To evaluate why the system has been resistant to national health insurance reforms To explore developments associated with the corporatization of health care To speculate on whether the era of socialized medicine has dawned in the United States "Where's the market?" 81 26501_CH03_FINAL.indd 81 7/27/11 10:31:29 AM 82 CHAPTER 3 The Evolution of Health Services in the United States Introduction The health care delivery system of the United States evolved quite differently from the systems in Europe. American values and the social, political, and ...show more content...
  • 11. Kaiser Family Foundation 2011). Cultural beliefs and values are strong forces against attempts to initiate fundamental changes in the financing and 26501_CH03_FINAL.indd 82 delivery of health care. Therefore, enactment of major health system reforms requires consensus among Americans on basic values and ethics (Kardos and Allen 1993). Ironically, American beliefs and values were not allowed a chance to play out in the political maneuvering that led to the passage of the ACA of 2010 (see Chapter 13). The growth of medical science and technology (discussed in Chapter 5) has also played a key role in shaping the US health care delivery system. Stevens (1971) points out that the technological revolution has been primarily responsible for bringing medicine into the public domain. Advancement of technology has influenced other factors, as well, such as medical education, growth of institutions, and urban development. Hence, American medicine did not emerge as a professional entity until the beginning of the 20th century, with the progress in biomedical science. Since then, the US health care delivery system has been a growth enterprise. Debates over issues such as methods of financing health care, quality improvement, and the appropriate role of Get more content on HelpWriting.net
  • 12. Health Care Essay The U.S. has one of the worst health care systems in the world. With the lowest life expectancy, highest infant mortality rate, and most money spent per person on healthcare there is obviously a change that needs to be made. Another thing the U.S. is lagging with is the number of physicians. We only have 2.6 physicians for every 1,000 people, while Sweden has 4.0 and Germany has 4.1. The shortage of doctors in our country is a huge problem that needs attention. Another problem deserving attention is the infant mortality rate in our country. The U.S. has a 6.0 mortality rate of children under 1–year–old for every 1,000 live births, when Finland has a 1.8 and Italy has a 2.1. We could really take some notes from these other countries on...show more content... There is not only one way to answer the problem of the doctor shortage, it will take many things working together to fix the problem. The infant mortality rate in the U.S. is another topic that needs to be addressed. There are many ways to decrease the mortality rate, but when only a few people try these solutions it doesn't make a difference. To really make a change, every mother would need to participate and even though there are those cases that are inevitable, there are also other cases that can be eliminated. First, preventing birth defects would be a huge way to decrease the mortality rate. Birth defects are the number one cause of infant death in the U.S. There are several ways pregnant women can help reduce the chance of birth defects. For example, making sure they get enough folic acid in their diet or from supplements. Without it, babies can suffer defects of their brain and spine. Women should also see a healthcare professional regularly to make sure everything is going well. This means healthcare needs to be readily available for pregnant women. Some mothers are unable to afford healthcare so making checkups for pregnant mother's low cost would benefit them. Next, avoiding harmful substances such as alcohol and cigarettes would be another huge factor in decreasing infant mortality. Drinking alcohol during a pregnancy can cause miscarriages or stillbirths. Keeping their lifestyle healthy for pregnant mothers is the most important thing they can do to Get more content on HelpWriting.net
  • 13. Essay about Health Care Assignment 04 HE310 Survey of Healthcare Management Directions: Be sure to make an electronic copy of your answer before submitting it to Ashworth College for grading. Unless otherwise stated, answer in complete sentences, and be sure to use correct English spelling and grammar. Sources must be cited in APA format. Your response should be three (3) to six (6) pages in length; refer to the "Assignment Format" page for specific format requirements. This written assignment has two parts and involves combining the case studies from lessons 1–4. For each of the case studies, you are responsible for selecting the appropriate case at the end of the applicable chapter and response to the question. In each of the cases you will respond as if...show more content... Lesson 3 Case Study 2. Determining Opportunities to Increase Revenues Evaluate the data available in Figure 3–6, which is from the Health, United States, 2010 report from the US Department of Health and Human Services, available in Figure 3–7. If you were the administrator of a heath care facility, what actions would you recommend to ensure your organization can increase revenues? Support your recommendations with specific statistics from Figure 3–6. Lesson 4 Case Study 3. "Researchers now believe that most medical errors cannot be prevented by perfecting the technical work of individual doctors, nurses, or pharmacists. Improving patient safety often involves the coordinated efforts of multiple members of the health care team, who may adopt strategies from outside health care." "The report reviews several practices whose evidence came from the domains of commercial aviation, nuclear safety, and aerospace, and the disciplines
  • 14. of human factors, engineering and organizational theory. Such practices include root cause analysis, computerized physician order entry and decision support, auto–mated medication dispensing systems, bar coding technology, aviation–style preoperative checklists, promoting a 'culture of safety,' crew resource management, the use of simulators in training, and integrating human factors theory into the design of medical devices and alarms." Discuss this concept of Get more content on HelpWriting.net
  • 15. Primary Health Care Essay examples Part A Primary health care evolves from the economic, cultural, social, and political conditions of a country, and it is described as an essential part of health care that is universally provided to individuals in a community at the country's and community's expense (World Health Organisation [WHO], 1978). The goal of primary health care is to address the main local health problems, but it involves community education about these problems in addition to providing disease treatments (WHO, 1978). Furthermore, primary health care is concerned with nutrition promotion, sanitation standards, family planning, immunisation, disease control and prevention, and it promotes and relies on community and individual participation in primary health ...show more content... For example, community education about current health issues is one of the functions of primary health care, so a registered nurse can assume the role of an educator and educate the community about the current threat. Community education is one of the most important aspects of nursing because their code of ethics requires them to keep the community accurately informed on health related issues (Australian Nursing & Midwifery Council [ANMC], 2006). Furthermore, the education informs community about prevention methods because primary health care supports the active participation of patients for both individual and public health. In population health, registered nurses can assist in epidemic preventions through screening and surveillance. Surveillance is a continuous process which involves data collection and data analysis. Surveillance is constantly practised because it is used as a prevention method to identify possible outbreaks (Oleske, 2009). Once an outbreak is identified, screening is a process of looking for early signs of disease manifestation in individuals, so nurses can identify the health issue early and ensure better chances of successful treatments and slow down the outbreak development (Oleske, 2009). Although nurses are required to safeguard personal information and support confidentiality (ANMC, 2008b), their duty is to notify the Get more content on HelpWriting.net
  • 16. The Problem Of Health Care Essay Health care in our country is currently undergoing radical change. Reform is steering progress towards a more patient–centered approach. As a result, there is an intense focus in health care on meaningful use of electronic health records (EHRs). While the health care arena looks to the future by aiming for automation, there is a chance that our elderly population, the largest users of medical products and services, may be left behind. Some experts believe that there is a "digital divide" occurring among the elderly (Hall, 2014). Others are of the opinion that the software still has a long way to catch up to be a truly useful tool in geriatric medicine. There is no doubt that as health care in our country continues to advance and improve, EHRs will remain a major part of the medical care. However, we should ensure that all members of our society can benefit from the use health care automation. The major shift in health care trends towards electronic capturing, storing, and analyzing of data has prompted massive government intervention in terms of incentives, mandates, and standardizations. The Centers for Medicare and Medicaid (CMS) encourage eligible professionals, hospitals, and critical access hospitals, to "adopt, implement, upgrade or demonstrate meaningful use" of EHR technology to "improve patient care" through their EHR incentive programs. (CMS, 2014). As a result, most health care professionals and facilities are updating their technology and have implemented at Get more content on HelpWriting.net
  • 17. Managed Care Essay Managed care dominates health care in the United States. It is any health care delivery system that combines the functions of health insurance and the actual delivery of care, where costs and utilization of services are controlled by methods such as gatekeeping, case management, and utilization review. Different types of managed care plans came into development by three major factors. These factors include choice of providers, different ways of arranging the delivery of services, and payment and risk sharing. Types of managed care organizations include Health Maintenance Organizations (HMOs) which consist of five common models that differ according to how the HMO is related to the participating physicians, Preferred Provider Organizations...show more content... Case managers also provide support and information to patients and their families. Next, is utilization review. `Its main objective is to review each case and determine the most appropriate level of services, the most appropriate settings in which the services be delivered, the most cost efficient methods for care delivery and the need for planning of subsequent care. Other methods used for utilization and control are choice restriction and practice profiling' (Douglas, 2003, p.328). The types of managed care are differentiated by definition, operation, structure, and information needs. `HMOs were the most common type of MCO until commercial insurance companies developed PPOs to compete with HMOs' (Douglas, 2003, p.331). `HMOs are business entities that either arrange for or provide health services to an enrolled population after prepayment of a fixed sum of money, called a premium' (Peden, 1998, p.78). There are three characteristics that an HMO must have. The first is a health care financing and delivery system that provides services for members in a particular geographic area. Second, is ensured access to a complete range of health care services, health maintenance, treatment, and routine checkups. Last, health care must be obtained from voluntary personnel that participate in the HMO. The five HMO models related to the participating physicians are the Staff Get more content on HelpWriting.net
  • 18. Home Health Journal Essay examples Home health care has become an increasingly acceptable and popular form of health care provided to patients for acute, chronic, and terminal illnesses. Home health continues to rise in demand for a variety of reasons. Home health is a cost effective method of providing patients with the care that they require (Phipps, Monahan, Sands, Marek, & Neighbors, 2003, p.154). Patients can receive needed care without the added cost of a hospital stay or an extended hospital stay. This helps to lower the cost for hospitals, insurance companies, public assistance, and the patient. Other added benefits to patients receiving home health care are a decrease in nosocomial (hospital acquired) infections, improved nutritional status, personalization of...show more content... When coordinated properly, the patient and nurse can restore the patient to their optimal functioning capability. During the home health observation day, there were several opportunities to observe a variety of patients with varying levels of functioning ability, different illnesses, and different needs and levels of interaction with the nurse. The first patient seen was a seventy–three year old Caucasian female with an ulcer on her right heel. Several weeks prior, she had scratched her left leg and she also had several small wounds on her left leg. The orders were to clean and redress the ulcer. She has a history of end stage renal disease, pneumonia, weakness, diabetes, dialysis, and right hip fracture. Upon entering the home, the patient was found to be sitting in a wheel chair in the living room watching television with her husband close by her side. She greeted the nurse with a smile and began to update her on her current condition. Her heel was "hurting" and she rated her pain an 8 on a scale of 1 to 10. She also had some "swelling" that she could not "get to go away; because, she could not get up and walk. They need to fix my foot so that I can get up and get around." She told the nurse that she had been to see the doctor "yesterday" and the doctor had given her a written order that she wanted her to see. The order was written for an evaluation for a soft pressure shoe fitting. The nurse read the order to Get more content on HelpWriting.net
  • 19. Healthcare in the United States Essay Healthcare in the United States is rooted in the private sector. The private sector directly funds 56% of the expenditures through private health insurance, household expenditures and copays, and other private expenditures. (CMS, 2014) The US healthcare system can thank the private sector for providing much strength such as new diagnostic technologies, innovative treatments and procedures, and dynamism. American hospitals and physicians are regarded internationally as being of high quality. Americans can also be proud that the physician– patient relationship is among the most trusted and valued relationships in the country. By allowing the private sector to take a lead role in the healthcare system, the United States values ...show more content... (Elhauge, 2010). Fragmentation leads to duplication of tests and effort. Often, physicians do not have test results and notes from prior treatments. This results in wasteful duplication of efforts. Fragmentation leads to unplanned hospitalizations. Approximately 20% of discharged Medicare patients are re–hospitalized within thirty days. (Jencks, Williams, Coleman, 2009) It is estimated that only 10% of those readmissions are planned. (Jencks, Williams, Coleman, 2009) Patients can receive better continuation of care if their doctors coordinated better, if there was better discharge planning and incentives for providers to control costs after the patient has been discharged. A patient centered medical home (PCMH) could integrate patient care. A patient centered medial home is a team of healthcare providers coming together to improve the health of a specific population. A PCMH is designed to integrate primary care and specialists into improve care coordination, safety and quality.(Stange, et al 2010) A PCMH would also improve physician training and development to provide a commitment to treat the whole patient, rather than just one part.(Stange, et al 2010) Healthcare fragmentation can also be limited through improved communication between providers using e–mail and social media tools such as facebook and twitter. Physicians and hospitals are also paid with a fragmented and confusing mix of public and private payments. In the private sector Get more content on HelpWriting.net
  • 20. Health Insurance Essay The main function for health care financing is to pay for health insurance premium and reimburse health providers for services delivered. Still, there is a crucial challenge when creating health insurance plans, provide coverage for "health care needs without encouraging unnecessary spending." (Maas) Over time, health care financing has been evolving, and now consumers can acquire health insurance through government programs like Medicare, which it is for the elderly, for certain individuals with disabilities and end–stage renal disease. Therefore, any person who meets the requirements can enroll to this program. Also, there is Medicaid, which it is the program for the poor, and Children's Health Insurance Program best known as CHIP, which insure kids who come from low–income families. Nonetheless, there are several types of private insurance like self–insured plans, individual private health insurance, Medigap, and group insurance program, which it is "... a substantial number of people in the group will purchase insurance through its sponsor." (Shi, 2019, p. 224) Further, thanks to the diversity and wide range of health insurance...show more content... 219) Consequently, moral hazard has a negative impact in health care financing since people are less likely to take care of their health when they have the ease to frequently consult a doctor and use any medical service at any time, therefore with health insurance there is an increase in health care spending, "but the value of this care is less than its cost, generating... loss." (Nyman, 2004) Additionally, since such services are reimbursed to health care providers by health care financing there is a "potential to increase health care costs." (Thoma, Get more content on HelpWriting.net
  • 21. Health Care Trends Essay examples Denise Durante Health Care Trends HCA 459 Jacqueline McClure October 11, 2010 The survival of health care industry is going to require some innovative and creative initiatives to with stand the trends of the future in this country. Over the past two decades, American hospitals have experienced dramatic changes in their economic and institutional environments. Government–mandated cost–containment efforts, a shift from cost–based reimbursement to prospective payment, increased control of managed care plans, and advances in medical technology that reduce inpatient care have created enormous pressures on hospitals and have threatened their very survival (Bnet, 1999). This type of transformation has caused many institutions to take a...show more content... Health care facilities abiding by the regulations set forth will ensure that patients and communities will have a safe environment for the maintenance and prevention of their health care needs and treatments that are provided by health care providers. Maintaining and delivering health care in today's era requires improved information technology. This is essential in the survival of health care today. When instituting health care in rural and suburban areas it is necessary to implement quality high–tech information technology. This enables physicians to obtain results in a timely manner which can be beneficial to diagnosis. Although services are provided on an off–site basis, sometimes it is necessary to transport patients to the main facility. This is why it is imperative to have improved information technology in place. It may be a little costly initially and may or may not prove to be beneficial in the interim. While a particular new technology may either increase or decrease health care spending, researchers generally agree that, taken together, advances in medical technology have contributed to rising overall U.S. health care spending. Rettig describes how new medical technology affects the costs of health care through the following "mechanisms of action." * Development of new treatments for previously untreatable terminal conditions, including long–term maintenance Get more content on HelpWriting.net