This document discusses the benefits of appointing, rather than electing, members to healthcare regulatory boards in the UK. It argues that an appointments-based system ensures members have the necessary skills and experience for the job, rather than being popular candidates. It also advocates for parity between lay members and practitioner members on boards. Lay members provide important perspectives beyond just healthcare expertise, including experience with governance, finances, and representing patient interests. The document contends this mix of skills and viewpoints improves decision making and better protects the public.
Respondeat superior tort liability and surgical errors in low income countrie...Alexander Decker
This document discusses respondeat superior tort liability and surgical errors in low-income countries. It begins with an overview of how hospitals can be held liable for employee malpractice under respondeat superior. It then reviews literature on health care legal structures, licensure, accreditation, and liabilities. The document recommends that hospitals in low-income countries minimize liability by implementing evidence-based practice guidelines for surgery, addressing nursing shortages, and pursuing accreditation to strengthen quality and safety standards.
Commercialization of health care good or badvarunchandok18
Commercialization of healthcare can provide benefits but also disadvantages. It can improve access and quality by providing better facilities, technology, and care in private hospitals. However, it also increases costs and may exploit the poor who cannot afford high prices. The government needs regulations to ensure affordable care and prevent monopolies while still allowing commercialization to address gaps in public healthcare and move the country towards better overall health services and infrastructure.
The document summarizes research into how NGOs are implementing a voluntary Code of Conduct for Health Systems Strengthening. Interviews found that while most signatories are aware of the Code and value its principles, they still face challenges adhering to provisions around hiring health workers from ministries of health and matching government salaries. Some promising practices discussed include building workforce capacity through training, advocating for improved public sector opportunities, and coordinating hiring and compensation policies among NGOs. Overall, signatories are committed to the Code's goals but continuing to test practical solutions for balancing them with operational needs.
This document discusses legal issues in community health nursing. It begins by stating that laws help establish order and protect citizen's rights. For nurses, knowledge of basic legal concepts is vital due to advancing technologies and societal problems. Nurses have long been legally accountable for their actions, and current trends increase liability exposure with more autonomous roles. Negligence is defined as failing to exercise reasonable care, while malpractice applies negligence specifically to professional misconduct. To avoid malpractice suits, nurses should be aware of duties, standards of care, communication, documentation, and continuing education.
This document discusses the commercialization of healthcare in India. It notes that most government hospitals lack proper equipment and facilities, while commercial hospitals have better infrastructure, technology, and accessibility. However, commercialization also leads to higher costs and may be out of reach for the poor. The document suggests ways for the government to partner with private hospitals to improve services while ensuring treatment remains affordable, such as through subsidies and health insurance for low-income groups. It concludes that commercialization is necessary for better national health, but costs must be controlled so treatment remains accessible to the middle and lower classes.
The US spends the highest percentage of GDP on healthcare of any developed nation yet ranks only 37th in terms of effectiveness. The primary business model for US healthcare is fee-for-service which incentivizes providers to perform more services, including unnecessary ones, in order to increase profits. Alternative models like capitation could help contain costs by providing set budgets for lifetime patient care. However, moving entirely away from fee-for-service is difficult due to resistance from both providers and patients to loss of choice and income.
This document discusses legal issues in nursing. It begins by outlining the different types of law that govern nursing practice, including constitutional law, common law, statutory law like Nurse Practice Acts, and administrative law. It then discusses the key components of Nurse Practice Acts and how they delineate nursing scope and protect nurses from unlicensed practice charges. The document also examines definitions of nursing, scope of practice, and professional resources. It outlines common legal issues nurses face like negligence, malpractice, assault, battery, and HIPAA violations. Throughout, it emphasizes the importance of staying up to date on changing laws and practices to avoid legal issues in nursing.
This document discusses various topics related to nursing law and ethics including:
1) Key terminology like torts, negligence, and malpractice. It defines civil and criminal law.
2) Increased responsibilities and risks for nurses including advanced practice nurses.
3) Types of civil wrongs like intentional torts, invasion of privacy, and negligence.
4) How to prevent liability issues through proper communication, documentation, and following standards of care.
Respondeat superior tort liability and surgical errors in low income countrie...Alexander Decker
This document discusses respondeat superior tort liability and surgical errors in low-income countries. It begins with an overview of how hospitals can be held liable for employee malpractice under respondeat superior. It then reviews literature on health care legal structures, licensure, accreditation, and liabilities. The document recommends that hospitals in low-income countries minimize liability by implementing evidence-based practice guidelines for surgery, addressing nursing shortages, and pursuing accreditation to strengthen quality and safety standards.
Commercialization of health care good or badvarunchandok18
Commercialization of healthcare can provide benefits but also disadvantages. It can improve access and quality by providing better facilities, technology, and care in private hospitals. However, it also increases costs and may exploit the poor who cannot afford high prices. The government needs regulations to ensure affordable care and prevent monopolies while still allowing commercialization to address gaps in public healthcare and move the country towards better overall health services and infrastructure.
The document summarizes research into how NGOs are implementing a voluntary Code of Conduct for Health Systems Strengthening. Interviews found that while most signatories are aware of the Code and value its principles, they still face challenges adhering to provisions around hiring health workers from ministries of health and matching government salaries. Some promising practices discussed include building workforce capacity through training, advocating for improved public sector opportunities, and coordinating hiring and compensation policies among NGOs. Overall, signatories are committed to the Code's goals but continuing to test practical solutions for balancing them with operational needs.
This document discusses legal issues in community health nursing. It begins by stating that laws help establish order and protect citizen's rights. For nurses, knowledge of basic legal concepts is vital due to advancing technologies and societal problems. Nurses have long been legally accountable for their actions, and current trends increase liability exposure with more autonomous roles. Negligence is defined as failing to exercise reasonable care, while malpractice applies negligence specifically to professional misconduct. To avoid malpractice suits, nurses should be aware of duties, standards of care, communication, documentation, and continuing education.
This document discusses the commercialization of healthcare in India. It notes that most government hospitals lack proper equipment and facilities, while commercial hospitals have better infrastructure, technology, and accessibility. However, commercialization also leads to higher costs and may be out of reach for the poor. The document suggests ways for the government to partner with private hospitals to improve services while ensuring treatment remains affordable, such as through subsidies and health insurance for low-income groups. It concludes that commercialization is necessary for better national health, but costs must be controlled so treatment remains accessible to the middle and lower classes.
The US spends the highest percentage of GDP on healthcare of any developed nation yet ranks only 37th in terms of effectiveness. The primary business model for US healthcare is fee-for-service which incentivizes providers to perform more services, including unnecessary ones, in order to increase profits. Alternative models like capitation could help contain costs by providing set budgets for lifetime patient care. However, moving entirely away from fee-for-service is difficult due to resistance from both providers and patients to loss of choice and income.
This document discusses legal issues in nursing. It begins by outlining the different types of law that govern nursing practice, including constitutional law, common law, statutory law like Nurse Practice Acts, and administrative law. It then discusses the key components of Nurse Practice Acts and how they delineate nursing scope and protect nurses from unlicensed practice charges. The document also examines definitions of nursing, scope of practice, and professional resources. It outlines common legal issues nurses face like negligence, malpractice, assault, battery, and HIPAA violations. Throughout, it emphasizes the importance of staying up to date on changing laws and practices to avoid legal issues in nursing.
This document discusses various topics related to nursing law and ethics including:
1) Key terminology like torts, negligence, and malpractice. It defines civil and criminal law.
2) Increased responsibilities and risks for nurses including advanced practice nurses.
3) Types of civil wrongs like intentional torts, invasion of privacy, and negligence.
4) How to prevent liability issues through proper communication, documentation, and following standards of care.
The legal and regulatory environment in the long-term care sector is heavily regulated due to government being a major payer and clients often being frail and vulnerable. Laws are categorized as civil law, which deals with private parties and penalties as monetary damages, or criminal law, which defines crimes and penalties as jail time or fines. Facilities must be licensed by the state and may seek federal certification to serve Medicare/Medicaid patients, which requires compliance with federal standards. Regulations cover areas like patient rights, privacy of health information under HIPAA, and antidiscrimination laws.
This document provides an overview of legal issues in nursing. It begins with an introduction to how the legal aspects of nursing impact patient care delivery and record keeping. It then covers the history of nursing laws and regulations from the American Civil War through the 1900s. Key terminology related to nursing law is defined. The different types of laws are described, including public laws like constitutional law and private laws like tort law. Legal rights, responsibilities, and types of liability for nurses are also outlined. Various legal issues nurses may face, such as negligence, malpractice, and intentional/unintentional torts are explained. Finally, examples of journal articles on related topics are provided.
This document discusses establishing a culture of safety in emergency medical services. It notes that most medical errors are due to systemic issues, not individual mistakes. A "just culture" is proposed that is not focused on blame but rather shared accountability. Under a just culture, the organization is responsible for safe systems and processes, while employees are responsible for safe behaviors. Errors are categorized as human errors from flawed systems, at-risk behaviors where risks were unrecognized, or reckless behaviors with conscious disregard for risk. Different approaches are recommended for managing each type of issue, focused on system improvements, coaching, or discipline depending on the situation. An overall goal is to establish trust so that employees feel safe providing feedback to further improve safety.
The document discusses the field of radiography and technological innovation in medicine. It outlines the different areas of radiological science and career paths in radiography, including obtaining diplomas or degrees. Higher studies options are mentioned as well as the curriculum and expectations after completing studies. Regulatory bodies and professional organizations in radiography are compared internationally and in India. The values of professionalism, teamwork, and developing a caring personality are emphasized for radiography. A vision for the future of allied health professions like radiography in India is presented.
Legal System: Type of law, Torts and Liabilities Ajeshkumar Tk
This document discusses legal systems, types of law, torts, and liabilities as they relate to nursing. It begins by defining key legal terms and noting the importance of understanding legal aspects of nursing. The two main types of law discussed are common law and statutory law. Torts are also explained, including intentional torts like assault, battery, and fraud, as well as unintentional torts like negligence and malpractice. The roles and responsibilities of nurse managers in addressing legal issues are outlined. Finally, the document provides dos and don'ts for safe nursing practice.
Laws guide nursing practice and protect both patients and nurses. Nurses must be aware of legal issues like negligence, malpractice, and documentation standards. Key areas of law that impact nursing include licensing requirements, scope of practice under nurse practice acts, and ensuring care meets standards of a reasonable healthcare provider. Proper documentation and informed consent are important to mitigate legal risks in nursing.
The document discusses regulation in the aesthetic medicine industry and makes a case for voluntary self-regulation of non-surgical cosmetic interventions. It argues that the current regulatory framework is complex, expensive, and unable to adapt quickly. More statutory regulation is not the answer and would go against government policy of reducing regulation. Voluntary self-regulation through an accredited register would help close the gaps between patients and regulators, and between unaccountable private practitioners and regulators, in a way that protects public safety better than the current system.
The document discusses several key legal implications in nursing practice, including sources of law, licensure, risk management, and the use of restraints. It notes that law establishes the framework for legal nursing actions and differentiates nurse responsibilities. Licensure is required and can be revoked for incompetence, misconduct or crimes. Risk management focuses on preventing injuries to patients and staff and reducing liability. Restraint use must be ordered, implemented safely and for the least time possible.
The document proposes adding a Mohs surgery service line to the Layman Hospital System (LHS) located in South Florida. Skin cancer rates are high in the area due to sun exposure. Mohs surgery is more effective for treating common skin cancers and has better cosmetic outcomes than traditional excision. The service would benefit LHS's aging patient population, help capture referrals currently going outside the system, and generate revenue. Implementation would require hiring a Mohs surgeon, expanding pathology services, and developing new policies and procedures while overcoming potential resistance from competitors and insurers.
This document provides an overview of legal and ethical issues in nursing, presented by Somashekhar R.K. from the SDM Institute of Nursing Sciences. It discusses key topics like ethics, the legal system, the nurse practice act, patient rights, informed consent, and more. It emphasizes that nurses must practice according to both ethical and legal standards to protect patients and avoid violations.
Ubuntu es un sistema operativo de código abierto basado en Linux que se ejecuta en computadoras personales, servidores y dispositivos IoT. Ofrece una interfaz gráfica de usuario intuitiva y fácil de usar llamada GNOME que incluye aplicaciones preinstaladas como un navegador web, correo electrónico, reproductor de música y más. El organizador gráfico de Ubuntu proporciona una forma sencilla de acceder y organizar archivos, aplicaciones y ajustes del sistema.
This document contains the results of a population census that counted 188 total people across 9 age groups. The largest percentage of people, 37%, were aged 36 and older. The second largest group was aged 11 to 18, making up 21% of the population. Overall, the census counted people across 20 locations, with attendance rates ranging from 52% to 97%.
Políticas educativas interculturales de MéxicoDocente Asesor
El documento discute la construcción de políticas educativas interculturales en México. Explica que la mayoría de los países de América Latina tienen legislación que promueve la interculturalidad, diversidad cultural y respeto a las culturas originarias. Sin embargo, en la práctica la implementación de estas políticas en México ha sido pobre y burocrática, con resistencia de los grupos indígenas y debates que encierran pugnas por el poder e influencia entre diferentes grupos.
Reseña historica universidad popular el cesar actividad catedra upcIvan Dominguez Bolaño
La Universidad Popular del Cesar se estableció en 1976 a partir de un instituto tecnológico fundado en 1973. Inició con programas en administración, enfermería y matemáticas/física, y ahora ofrece una variedad de programas de pregrado. Su misión es formar personas responsables mediante una educación de calidad e inclusiva con énfasis en el desarrollo regional sostenible.
The legal and regulatory environment in the long-term care sector is heavily regulated due to government being a major payer and clients often being frail and vulnerable. Laws are categorized as civil law, which deals with private parties and penalties as monetary damages, or criminal law, which defines crimes and penalties as jail time or fines. Facilities must be licensed by the state and may seek federal certification to serve Medicare/Medicaid patients, which requires compliance with federal standards. Regulations cover areas like patient rights, privacy of health information under HIPAA, and antidiscrimination laws.
This document provides an overview of legal issues in nursing. It begins with an introduction to how the legal aspects of nursing impact patient care delivery and record keeping. It then covers the history of nursing laws and regulations from the American Civil War through the 1900s. Key terminology related to nursing law is defined. The different types of laws are described, including public laws like constitutional law and private laws like tort law. Legal rights, responsibilities, and types of liability for nurses are also outlined. Various legal issues nurses may face, such as negligence, malpractice, and intentional/unintentional torts are explained. Finally, examples of journal articles on related topics are provided.
This document discusses establishing a culture of safety in emergency medical services. It notes that most medical errors are due to systemic issues, not individual mistakes. A "just culture" is proposed that is not focused on blame but rather shared accountability. Under a just culture, the organization is responsible for safe systems and processes, while employees are responsible for safe behaviors. Errors are categorized as human errors from flawed systems, at-risk behaviors where risks were unrecognized, or reckless behaviors with conscious disregard for risk. Different approaches are recommended for managing each type of issue, focused on system improvements, coaching, or discipline depending on the situation. An overall goal is to establish trust so that employees feel safe providing feedback to further improve safety.
The document discusses the field of radiography and technological innovation in medicine. It outlines the different areas of radiological science and career paths in radiography, including obtaining diplomas or degrees. Higher studies options are mentioned as well as the curriculum and expectations after completing studies. Regulatory bodies and professional organizations in radiography are compared internationally and in India. The values of professionalism, teamwork, and developing a caring personality are emphasized for radiography. A vision for the future of allied health professions like radiography in India is presented.
Legal System: Type of law, Torts and Liabilities Ajeshkumar Tk
This document discusses legal systems, types of law, torts, and liabilities as they relate to nursing. It begins by defining key legal terms and noting the importance of understanding legal aspects of nursing. The two main types of law discussed are common law and statutory law. Torts are also explained, including intentional torts like assault, battery, and fraud, as well as unintentional torts like negligence and malpractice. The roles and responsibilities of nurse managers in addressing legal issues are outlined. Finally, the document provides dos and don'ts for safe nursing practice.
Laws guide nursing practice and protect both patients and nurses. Nurses must be aware of legal issues like negligence, malpractice, and documentation standards. Key areas of law that impact nursing include licensing requirements, scope of practice under nurse practice acts, and ensuring care meets standards of a reasonable healthcare provider. Proper documentation and informed consent are important to mitigate legal risks in nursing.
The document discusses regulation in the aesthetic medicine industry and makes a case for voluntary self-regulation of non-surgical cosmetic interventions. It argues that the current regulatory framework is complex, expensive, and unable to adapt quickly. More statutory regulation is not the answer and would go against government policy of reducing regulation. Voluntary self-regulation through an accredited register would help close the gaps between patients and regulators, and between unaccountable private practitioners and regulators, in a way that protects public safety better than the current system.
The document discusses several key legal implications in nursing practice, including sources of law, licensure, risk management, and the use of restraints. It notes that law establishes the framework for legal nursing actions and differentiates nurse responsibilities. Licensure is required and can be revoked for incompetence, misconduct or crimes. Risk management focuses on preventing injuries to patients and staff and reducing liability. Restraint use must be ordered, implemented safely and for the least time possible.
The document proposes adding a Mohs surgery service line to the Layman Hospital System (LHS) located in South Florida. Skin cancer rates are high in the area due to sun exposure. Mohs surgery is more effective for treating common skin cancers and has better cosmetic outcomes than traditional excision. The service would benefit LHS's aging patient population, help capture referrals currently going outside the system, and generate revenue. Implementation would require hiring a Mohs surgeon, expanding pathology services, and developing new policies and procedures while overcoming potential resistance from competitors and insurers.
This document provides an overview of legal and ethical issues in nursing, presented by Somashekhar R.K. from the SDM Institute of Nursing Sciences. It discusses key topics like ethics, the legal system, the nurse practice act, patient rights, informed consent, and more. It emphasizes that nurses must practice according to both ethical and legal standards to protect patients and avoid violations.
Ubuntu es un sistema operativo de código abierto basado en Linux que se ejecuta en computadoras personales, servidores y dispositivos IoT. Ofrece una interfaz gráfica de usuario intuitiva y fácil de usar llamada GNOME que incluye aplicaciones preinstaladas como un navegador web, correo electrónico, reproductor de música y más. El organizador gráfico de Ubuntu proporciona una forma sencilla de acceder y organizar archivos, aplicaciones y ajustes del sistema.
This document contains the results of a population census that counted 188 total people across 9 age groups. The largest percentage of people, 37%, were aged 36 and older. The second largest group was aged 11 to 18, making up 21% of the population. Overall, the census counted people across 20 locations, with attendance rates ranging from 52% to 97%.
Políticas educativas interculturales de MéxicoDocente Asesor
El documento discute la construcción de políticas educativas interculturales en México. Explica que la mayoría de los países de América Latina tienen legislación que promueve la interculturalidad, diversidad cultural y respeto a las culturas originarias. Sin embargo, en la práctica la implementación de estas políticas en México ha sido pobre y burocrática, con resistencia de los grupos indígenas y debates que encierran pugnas por el poder e influencia entre diferentes grupos.
Reseña historica universidad popular el cesar actividad catedra upcIvan Dominguez Bolaño
La Universidad Popular del Cesar se estableció en 1976 a partir de un instituto tecnológico fundado en 1973. Inició con programas en administración, enfermería y matemáticas/física, y ahora ofrece una variedad de programas de pregrado. Su misión es formar personas responsables mediante una educación de calidad e inclusiva con énfasis en el desarrollo regional sostenible.
Los antisépticos urinarios más usados son la metenamina, ácido nalidíxico, nitrofurantoína, sulfas y trimetoprim + sulfametoxazol. Inhiben bacterias gramnegativas como E. coli actuando sobre la DNA girasa. Se absorben bien por vía oral y se distribuyen en tejidos, excretándose por orina. Sus efectos adversos incluyen náuseas, erupciones y prolongación del QT. Se usan para tratar infecciones del tracto urinario.
O documento discute a censura na internet no Brasil. Argumenta que a maior ameaça à liberdade de expressão vem do Judiciário, citando exemplos de decisões judiciais que determinaram a remoção de conteúdos ou a prisão de diretores de sites. Defende que os juízes devem adotar uma interpretação mais consistente com as garantias constitucionais de liberdade de pensamento, expressão e imprensa.
Cuestionarios de Corazón, Linfático y Sistema Nervioso Periférico - BovinoJuan Pablo Lopez
Este documento contiene dos cuestionarios relacionados con la anatomía del bovino. El primero trata sobre la irrigación sanguínea del corazón, tórax, abdomen, cuello y cabeza, mientras que el segundo se enfoca en la irrigación de los miembros torácicos y pélvicos, así como la irrigación pélvica. Cada cuestionario incluye numerosas preguntas sobre las arterias principales, sus orígenes, ramificaciones y territorios de irrigación.
This document provides information about an assignment for a Master of Business Administration course. It includes 6 questions related to legal aspects in healthcare administration. The questions cover topics like medical ethics, accountability in healthcare and vicarious liability, the Consumer Protection Act, medical termination of pregnancy, requirements for setting up and running a blood bank, and definitions of euthanasia and living wills. Students can get the assignment solved by mailing the provided email address or contacting the given phone number at a nominal price of Rs. 125 per question.
The Quality Of Care For Elderly People Given By The NhsMary Brown
Here are a few key points about the HCAHPS survey and its role in change of shift report:
- HCAHPS stands for the Hospital Consumer Assessment of Healthcare Providers and Systems. It is a standardized survey used to measure patient perspectives on hospital care.
- One dimension measured by HCAHPS is communication with nurses. The information exchanged during change of shift report directly impacts a patient's perceptions of how well nurses communicate.
- If report is unclear, disorganized, or lacks important details, it can lead to errors, omissions in care, and poor patient outcomes - all of which influence HCAHPS scores. Patients may feel their nurses are not effectively communicating.
- Nurse leaders
An interview with Dr LaTonya Washington, the Chairperson at the marcus evans National Healthcare CMO Summit 2023, on how healthcare organizations can improve patient care by achieving health equity and having a truly diverse workforce.
Network Development In The Managed Care OrganizationGina Alfaro
Network Development in the Managed Care Organization considers several factors when developing provider networks, including provider quality, accessibility, cost savings, and member satisfaction. Strategic network planning is ongoing, requiring periodic reevaluation of markets and objectives. Managed care organizations evaluate provider location for accessibility and examine typical utilization patterns and costs when selecting providers. Provider network strategies vary based on the geographic scope and market focus of the health plan.
Write An Essay On My Last Day At CollegeJanet Rose
The document provides instructions for creating an online community around a brand or business. It recommends that businesses build communities on platforms like Facebook and Twitter to interact with fans about their products. The key is making the community about customers rather than the business. Business should encourage conversations, share customer content like photos of customized vehicles, and reach out to find and engage existing online conversations about the business to invite people to the official community. Gathering new members could involve following up with customers after a sale and including community invites in purchase materials.
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Don Berwick offered 10 tips for improving the NHS in his speech:
1. Put patients at the center of care by customizing care to individuals and involving patients in their own care.
2. Stop restructuring the NHS to provide stability for improvements.
3. Strengthen local community health systems as the core unit for leadership, management, and care coordination.
4. Reinvest in general practice and primary care, which are the foundation of the healthcare system.
Review of a Bill Assignment Select an active bill at.docxwrite4
This document provides instructions for reviewing an active healthcare bill that impacts nursing practice. It outlines key elements to discuss, including summarizing the bill's provisions, understanding its background and relevance, identifying supporters and opponents and their reasons, exploring stakeholder positions, discussing the bill's impact on nursing practice and patient care, and actions nurses can take. An expert solution is also provided reviewing the Nurse Licensure Compact bill, which allows nurses to practice across state lines without re-licensing. Supporters believe it will reduce barriers to practice and access to care, while opponents have concerns about limiting state regulation and compromising standards.
Health Investor roundtable - integrated care: crossing the divide…Browne Jacobson LLP
Integration of health and social care budgets and services is still in its early days and has so far been led by the NHS and local authorities. The independent sector has been mostly kept at arms-length when it comes to breaking the barriers between health and social care. This lack of engagement is a significant stumbling block to developing new models of care that will drive quality and efficiency.
It was against this backdrop that HealthInvestor and Browne Jacobson hosted a roundtable, to bring together experts to discuss what the health and social care sector can do to fully engage all of the stakeholders required for successful integration.
Project County Hospital Director of Public Relations and Ethics.docxwrite22
The document provides background information on ethical issues facing the director of public relations and ethics at County Hospital. It discusses five topics: abortion, germline experimentation, randomized clinical research, rationing health care, and organ transplants. The director is tasked with preparing white papers on each topic, drafting questions to guide an ethics committee discussion, and creating one-page press release flyers outlining the hospital's position on each issue.
County Hospital Director of Public Relations and Ethics.docxsdfghj21
The document discusses several ethical issues facing the Director of Public Relations and Ethics at County Hospital including abortion, germline experimentation, randomized clinical research, rationing health care, and organ transplants. The director is tasked with preparing white papers on each topic, drafting questions to guide an ethics committee discussion, and creating press release flyers outlining the hospital's position and rationale on each issue.
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004 College Admission Essay Examples Free WritiNicole Wells
The document provides instructions for creating an account and submitting requests for paper writing help on the HelpWriting.net site. It outlines a 5-step process: 1) Create an account with an email and password. 2) Complete a form with paper details, sources, and deadline. 3) Review bids from writers and choose one based on qualifications. 4) Review the completed paper and authorize payment. 5) Request revisions to ensure satisfaction, with a refund option for plagiarized work. The document promotes the site's writing services and satisfaction guarantee.
The ethics of performance monitoring-private sector perspectiveDavid Quek
Increasingly medical practice is coming under intense scrutiny as to what is appropriate and affordable care, including serious considerations of patient safety issues and protection. Medical professionalism must be consciously adhered to as we try and find the best health care for our patients at the best value and outcomes for our patients themselves, and also for society at large. In view of escalating health care costs, physician autonomy to practice as he or she likes or deems fit has now come under siege with more and more performance monitoring, not just for appropriateness, but also for outcomes, necessity and cost-effectiveness. Physician' vested interests must be tempered with evidence-based benefits or at least be associated with no increase in harm or incur affordability issues. Fraudulent physician malfeasance are now being uncovered via whistle-blowers, or through greater more meticulous audit of various validated performance measures, and those physicians found to have flouted these due to pecuniary self-interests, overuse of tests or procedures have been found guilty and sanctioned with heavy fines, return of reimbursements as well as imprisonment, and erasure from medical registries and the removal of license to practice.
1. Nursing is a highly regulated profession in the United States, with over 100 boards of nursing and national nursing associations that help regulate, inform, and promote the nursing profession.
2. Boards of nursing and national nursing associations both significantly impact the nurse practitioner profession and scope of practice. Understanding the differences between these organizations helps lend credibility to nurses' expertise.
3. The document discusses the importance of nursing regulations and standards in ensuring quality care and professionalism from nurses. It also provides a brief history of how nurse practice acts developed to govern and protect the nursing profession.
Communiqué features articles focusing on the latest hot topics for anesthesiologists, nurse anesthetists, pain management specialists and anesthesia practice administrators.
Communique is created by Anesthesia Business Consultants (ABC), the largest physician billing and practice management company specializing exclusively in the practice of anesthesia and pain management.
ABC serves several thousand anesthesiologists and CRNAs nationwide with anesthesia billing software solutions.
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ReferencesConclusionThe capacity to adapt is crucial.docxlorent8
References
Conclusion
The capacity to adapt is crucial in an era of rapid change. Today’s politically astute nurses have many opportunities to shape public policy, by working in coalition together and with other health professionals and consumers, and to advocate for state and federal health policies and regulations that will allow the public greater access to affordable, quality health care. The window of opportunity that opened with the enactment of the comprehensive ACA will look somewhat different as we move forward. It is essential for nurses and APRNs to develop skills to capitalize on the chaos present in the healthcare and political environments and to create opportunities to advance the profession as a whole. Familiarity with the regulatory process will give nurses and APRNs the tools needed to navigate this dynamic environment with confidence. Knowing how to monitor the status of critical issues involving scopes of practice, licensure, and reimbursement will allow APRNs to influence the outcomes of debates on those issues. Participation in specialty professional nurse organizations is especially advantageous. Participation builds a membership base, providing the foundation for strong coalition building and a power base from which to effect change in the political and regulatory arenas. Participation also gives members ready access to a network of colleagues, legislative affairs information, and professional and educational opportunities. Although supporting the profession through participation is central, it is equally important to remember that each professional nurse has the ability to make a difference.
Discussion Points
Compare and contrast the legislative and regulatory processes. Describe the major methods of credentialing. List the benefits and weaknesses of each method from the standpoint of public protection and protection of the professional scope of practice. Discuss the role of state BONs in regulating professional practice. Obtain a copy of a proposed or recently promulgated regulation. Using the questions in Exhibit 4-1, analyze the regulation for its impact on nursing practice. Describe the federal government’s role in the regulation of health professions. To what extent do you believe this role will increase or decrease over time? Explain your rationale. Analyze the pros and cons of multistate regulation (choose multistate regulation of RNs, APRNs, or a combination). Based on your analysis, develop and defend a position either for or against multistate regulation. Prepare written testimony for a public hearing defending or opposing the need for a second license for APRNs. Contrast the BON and the national or state nurses association vis-à-vis mission, membership, authority, functions, and source of funding. Identify a proposed regulation. Discuss the current phase of the process, identify methods for offering comments, and submit written comments to the administrative agency. Evaluate the APRN section of the nu.
Define the concept of an integrated physician model.” To defin.docxrandyburney60861
Define the concept of an “integrated physician model.” To define the concept of integrated physician model you first have to understand the importance of clinical integration in the strategic planning process. In order to do this I have to demonstrate the understanding of the dynamics and controversies of dealing with ACO’s (accountable care organizations). This will then pave the way for me to explain other approaches to pertinent issues with ACO’s within our current health systems. I will explain both advantages and disadvantages with one model for integration.
Integrated physician model is the outcome of partnerships between hospitals, clinics, and physicians that has been developed over time. It was thought that this venture was actually developed through several other ventures that have all connected through one main goal. Any organization that had the goal to be able to actively communicate with another facility, any nursing home, hospital, physician offices, etc. would have to start small with just one step to acquire the next facility or physician.
Clinical integration can really be broken down into four pieces. It gets broken down into collaborative leadership, aligned incentives, clinical programs, and technology infrastructure. The first piece of the puzzle is the collaborative leadership which pulls the governance body, compliant legal structure, payer strategy, and culture change. Clinical integrated care is physician compensation, program infrastructure, and physician support. Clinical integrated care is the hands on portions in disease programs, clinical, population health, and care regulations. Technology infrastructure includes health information exchange, disease registry, patient portal, and patient longitudinal records.
These four major pieces of the puzzle are not perfect, but they have paved a nice foundation for physicians, clinics, hospitals, and other facilities while being in a position to support future advances in the clinical integration process. Where you have change you have struggles. ACO’s continually have to follow new policies, but will they? Can they stay in an unbiased accountability? How will new policies effect care? How will this effect basic access to care?
In the United States we are in the beginning steps of the health care reform. We cannot say if it will impact us positively or negatively yet, due to the lack of data so far. As the people who need care and easy access to care, we have to be ready for more changes to come and be prepared for the impact it may have on us. If you look at countries around us like Canada, who have a healthcare system that takes care of all its people no matter what, I agree that we should too have this kind of system. Why do we have access and availability for those who have money and great insurance when it is needed but yet we let those who need the assistance slip between the cracks because they may not have the insurance that reimburses at the highest rate or.
· 7.4 Assignment Comparing Between-subjects and Within-subjects R.docxgerardkortney
· 7.4 Assignment: Comparing Between-subjects and Within-subjects Research
Design or locate a published study that illustrates application of between and within subjects design. Explain the merits of each and the limitations of each (between and within). Indicate which you believe is more informative of the results.
· Demonstrate understanding of the task and be able to address requirements using creativity and application of research design knowledge.
· Must demonstrate ability to analyze existing research to compare strengths and limitations of between-subjects and within-subjects analysis.
1
Course Learning Outcomes for Unit I
Upon completion of this unit, students should be able to:
1. Compare and contrast health services organizations within the healthcare system.
1.1 Explain the primary organizational components of the healthcare system and the
commonalities and differences among health services organizations.
Reading Assignment
Chapter 2:
Why and How Health Care Organizations Need to Change, pp. 13-34
Chapter 11:
Leading Change: First Steps in Employing Strategic Intelligence to Get Results, pp. 259-310
Unit Lesson
The Ideal Health System
Imagine you are now the Secretary of Health and Human Services; you have a magic wand and you can
create the perfect healthcare system. What components would it have? Would it include:
1. improving health outcomes for individuals, families and communities,
2. defending your population against threats to their health,
3. protecting your population against financial the consequences of bad health,
4. providing access to all with equality and no disparity, and
5. making it possible for people to make decisions in their own plans of care as well as have input into
the decisions that affect your country’s overall health system?
If you answered yes to these components, your definition matches the World Health Organization’s
Components of a Healthcare System (2010).
How This Course & Content Have Real-Word Application
We are witness to history and are living in one of the most active times in our country’s history for healthcare
reform. In 1966, the Medicare Act was signed into law by President Johnson, the most significant piece of
healthcare legislation in our country to that point. Fast forward from 1966 to 2010 and the passing of the
Affordable Care Act, which arguably is the second most impactful piece of legislation on U.S. health care
since the Medicare Act.
Medicare has grown significantly since 1966 and is now about 14% of our national budget, covering 47 million
Americans (Kaiser Family Foundation, 2015). Government health plans (Medicare, Medicaid, Tri-Care,
Veteran’s Administration) are growing and are on pace to insure more lives in the near future than lives
covered by commercial plans (Cigna, United, Blue Cross, etc.)
Speaking of this growth, Sylvia Burwell, Health & Human Secretary Director, announced that by 2018 the
Centers for Medicar.
This document summarizes chapters 2 and 3 from a medical practice management textbook. It discusses different types of medical practice structures like sole proprietorships and partnerships. It also defines key terms related to medical staff credentials and licensure requirements. The document also provides vignettes about a medical office manager reflecting on the growth of their clinic over 30 years and an unprofessional comment made by a consultant's receptionist about a referring physician.
1. Discussion paper
The future shape of healthcare regulation
and the role of lay members
Moi Ali
Scotland, UK
Lay membership and selection to
professional regulatory bodies
A few years ago at a meeting with a senior civil servant
in the Department of Health (England), I suggested
that the nurses and midwives on the Nursing and
Midwifery Council (NMC) should be appointed, not
elected. I recall adding that I also believed that there
should be, as a minimum, parity between the number
of practitioner members and the number of lay mem-
bers on regulatory councils. He looked at me as if I was
certifiable. Now it is government policy.
It took the notorious Dr Shipman murders to spark
the debate about the shape of healthcare regulation in
the UK.1
But are the government’s plans, set out in the
White Paper, Trust, Assurance and Safety: the regula-
tion of health professionals2
good news for healthcare
self-regulation – for patients and practitioners? When
it comes to all-appointed boards, and to parity between
lay and practitioner members on those boards, the
answer is an emphatic yes.
An effective healthcare regulator needs members
who are skilled in more than nursing, dentistry or
optometry. Yes, of course expertise in the relevant field
of practice is essential, but there’s more, so much more
that’s required – knowledge of the regulatory process,
expertise in corporate governance, experience of how
boards work, commitment to Nolan principles (see
Box 1),3
an understanding of financial and resource
management, familiarity with corporate risk assess-
ment and risk management ... the list is long because
the job is a big one. Council members on regulatory
boards are responsible for the allocation of budgets
running to tens of millions of pounds annually. If we
are negligent, we are personally liable. That is a
ABSTRACT
Moi Ali looks at soon-to-be-implemented legislat-
ive changes that will alter the way members of
healthcare regulators are selected, and offers a
personal view on the benefits these changes will
bring.
Keywords: lay members, nursing and midwifery
regulation, professional self-regulation
How this fits in with quality in primary care
What do we know?
Regulation is an important means of ensuring professional standards. Lay membership of professional
regulatory bodies is being strengthened.
What does this paper add?
This paper discusses from a lay perspective why lay membership of professional bodies is essential to sound
regulation, why this is complementary to professional membership, and why selection of members by
appointment is preferable to election. It also argues for strengthening lay membership to have equality with
professional membership on regulatory boards.
Quality in Primary Care 2008;16:259–62 # 2008 Radcliffe Publishing
2. M Ali260
powerful reason for ensuring that we are all up to the
job. Unfortunately, elections cannot provide that
assurance.
The notion of registrants, whether doctors, nurses or
physiotherapists, using the ballot box to exercise their
democratic right and choose their regulatory repre-
sentatives is an appealing one. But the NMC (and the
other regulators such as the General Medical Council
(GMC), General Dental Council (GDC) and General
Optical Council (GOC)) are not about representation.
They do not exist to promote the interests of nurses
in Newport or doctors in Doncaster. Nor, for that
matter, are they there to campaign on behalf of patients.
Their raison d’etre is simple: public protection.
To win an election, candidates must appeal to the
voters – in the case of the NMC, with which I am most
familiar, nurses, midwives and health visitors. This
creates a temptation to say what voters want to hear:
‘Vote for me and I’ll be the voice of nursing in Northern
Ireland’, or ‘I will campaign to keep registration fees
low’. The candidate with the most appealing manifesto
or seductive slogan is more likely to achieve election
victory. That’s fine in elections where there is a con-
stituency to represent, such as a general election or a
poll for a place on the council of one of the Royal
Colleges. But those standing for election to the NMC
and the other regulators are not there to represent you.
Elections give the electorate false expectations, rein-
forcing the widespread misconception among many
registrants that their regulator is some kind of mem-
bership or professional organisation.
The other issue with elections is that the candidate
with trade union/professional organisation backing
often receives the most exposure and thus, generally,
the most votes. Unions are, of course, an important
part of democratic life and, like other members, I expect
mine to represent my interests and look after me. But
the role of trade union is quite different from that of
regulator. Where unions nominate candidates for
election, there is an understandable expectation that
the chosen candidate will promote the ‘party line’.
That ‘line’ might sometimes be at odds with what is in
the public interest.
What happens when there is a conflict between
professional interests and public interest? Being a union
nominee can result in council members being pulled
in two different directions. Take the issue of profes-
sional indemnity insurance, for example. It could be
argued that it offers the public some protection if their
practitioner is negligent. For this reason, healthcare
regulators might debate its introduction as a mandatory
requirement of registration. But what if such insur-
ance were too expensive for, say, freelance midwives.
It would be entirely legitimate for the Royal College of
Midwives (RCM) to lobby to protect the interests of
independent midwives. If I were an independent mid-
wife, I would expect this of my professional organ-
isation! But any NMC member whose position on
council was courtesy of RCM backing could find
themselves compromised when looking at that issue.
Being a member of any regulatory body involves
leaving one’s union hat at the door and popping on
a public protection hat. It may sometimes involve
taking decisions that run counter to one’s union’s
position. It is better all round that registrants are not
placed in this difficult and potentially compromising
position in the first place, and the appointments process
is a way of achieving this.
Forotherreasonstoo,appointmentisabettermethod
of selection. As it is based on ability, not popularity,
those with the correct skill set, experience and know-
ledge are chosen. There is no danger that a council will
compriseimmenselypopularbutpoorlyequippedmem-
bers. With no ballot, there is no pressure on members
to keep the voters happy and so secure their future re-
election. They are unfettered and free to take decisions
that are in the best interests of public protection.
Some registrants I have spoken to fear that any
appointments process will result in positions going
to the great and good, such as to the high-flying,
pen-pushing nurse/medical directors with impressive
national profiles but little recent patient contact. Regu-
lators need these healthcare leaders and the experience
they can bring; equally important, though,is the current,
(literally) hands-on experience of more-junior prac-
titioners. The appointments process can ensure a
spread of skills and experience. With elections, it is
pot luck.
The value of a lay perspective
The issue of lay membership in professional self-
regulation is still contentious, even in the UK, where
we have had it for many years. (In other parts of
Europe it simply does not exist and even the concept of
lay representation is little understood.) It could be
(and has been) argued in the UK that members of the
Box 1 Nolan principles
At the request of the Prime Minister, a committee
led by Lord Nolan examined standards in British
public life, concentrating on members of parlia-
ment, ministers and civil servants, executive
quangos and NHS bodies. In 1995 the committee
published what became known as The Nolan
Report, which set out seven principles of public
life: selflessness, integrity, objectivity, account-
ability, openness, honesty and leadership.
3. Healthcare regulation and lay members 261
public cannot possibly know enough about being a
doctor to regulate doctors, or sufficient about nurses
to regulate them. It is true that a lay member will not
be an expert in professional practice: that is not their
role. That is also why regulators need practitioners,
who know their profession and understand the issues
pertinent to it. As lay members, we bring a different
perspective and skills that might not otherwise be
present on a council. On the NMC we have members
from education, management, the legal profession,
public relations and commerce. This diverse skill-mix
enables us to make good decisions that help protect
patients and raise standards in nursing. That in no way
diminishes the huge role nursing and midwifery pro-
fessionals play at the NMC. Our strength is having
professionals to inform the debate by bringing their
experience, and lay members to bring their skills and
perspective. When this works well, it results in a true
partnership based on mutual respect.
But surely your average member of the public does
not understand professional self-regulation? Correct.
Pluck ten citizens off the street and the chance of them
knowing much about regulation will be very low. But
the same would be true if ten nurses were randomly
picked from a ward. That is another good argument
for having appointed rather than elected members!
One important thing lay members bring to the
regulatory table is the patient’s perspective on issues.
That’s not to say that healthcare professionals cannot
see things from this perspective: many doctors and
nurses are also patients. Being in the bed, rather than
alongside it, can give nurses an insight that can be more
difficult to maintain when one is immersed in the
profession all day, every day. As a practitioner, you
may have performed a procedure 1000 times, but it’s
the first time that the patient has undergone it. That is
so easy to forget. Many of the best patient advocates I
have met are nurses and doctors who have spent a long
time being patients.
The patient’s perspective is vital and should be sought
out, valued and reflected in the decisions of regulators.
It is not more important than the professional’s view –
it is complementary. It goes without saying that we
need nurses’ involvement in nursing regulation, and
their valuable experience and opinion must be reflected
too, but it is only one side of the coin.
Lay membership strengthens healthcare regulation
by providing credibility. Would you trust a builders’
regulator that consisted solely of builders? No, you
would suspect them of self-protection, not consumer
protection. Would you trust them more if you knew
that there were consumers on board, including one or
two who had experienced problems with builders in
the past? Of course you would. Equally, the public and
the media would dismiss an all-doctor regulator as a
protectionist set-up. There would be little public trust
and confidence in it. Clearly then, there is a role for lay
members, and this has long been accepted in the UK,
but is there a need for parity? Currently the NMC,
GMC and other large regulators have a larger number
of lay members than ever before, but still they have not
achieved parity. That will change under the new
legislation, but why is parity necessary?
At the NMC, there appears to be near-parity: 12
registrant members against 11 lay members. However,
each registrant has an ‘alternate’ to stand in at council
if they are unable to attend. Lay members have no such
proxy, so the lay voice is diminished if a member is
unable to be there. What is more, alternates are actively
involved in all committees, thus further diluting the
lay voice. So a council that appears to have an almost
1:1 registrant:lay ratio actually has something more
akin to a 2:1 ratio. A diluted voice is a weaker voice.
True parity means true equality.
A regulator founded upon sound governance prin-
ciples is a respected regulator. It is a regulator the
profession can be proud of. It’s a regulator the public
can trust and have confidence in. And that kind of
win–win is surely to the benefit of practitioners and
their patients.
REFERENCES
1 Department of Health. Good Doctors, Safer Patients.
London: Department of Health, 2006. www.dh.gov.uk/
en/Publicationsandstatistics/Publications/Publications
PolicyAndGuidance/DH_4137232 (accessed 23 May 2008).
2 Department of Health. Trust, Assurance and Safety: the
regulation of health professionals. London: Department of
Health, 2007. www.dh.gov.uk/en/Publicationsandstatistics/
Publications/PublicationsPolicyAndGuidance/DH_065946
(accessed 23 May 2008).
3 Committee on Standards in Public Life. The Seven Prin-
ciples of Public Life www.public-standards.gov.uk/about_
us/the_seven_principles_of_life.aspx (accessed 23 May
2008).
CONFLICTS OF INTEREST
Moi Ali is a freelance writer, author and communi-
cations consultant. She is Vice President of the Nursing
and Midwifery Council, the first lay member to hold
that position. She is also a non-executive director of
NHS Lothian. She writes this article in a personal
capacity.
PEER REVIEW
Commissioned, not externally peer reviewed.
4. M Ali262
ADDRESS FOR CORRESPONDENCE
Moi Ali, The Pink Anglia Public Relations Company,
Meadowhead House, Near West Calder, West Lothian
EH55 8HJ, Scotland, UK. Tel: +44 (0)1501 763232;
fax: +44 (0)1501 763325; email: moiali@btclick.com
Received 14 April 2008
Accepted 22 May 2008