...licensed with the state or other responsible party for licensing and that the hospital must also ensure that personnel are also licensed by applicable state laws. (ECFR, 2015). Section 482.22 of the conditions of participation goes on to say providers must be authorized by State laws and licensed in the state to work. (ECFR, 2015). Hospitals must undergo an inspection by state surveyors or hospitals can choose an accreditation agency such as The Joint Commission or The American Osteopathic Association/Healthcare Facilities Accreditation Program. These other accreditation agencies have been approved by CMS and are required to be equivalent or higher in their standards. (CMS, n.d.). The Affordable Care Act enacted a requirement that all Health and Human Service agencies develop quality standards. CMS further developed quality initiatives such as Value Based Purchasing and Physician Quality Reporting System to obtain data that could measure the quality of healthcare being given to Medicare beneficiaries. Physician Quality Reporting System or PQRS is a system through which healthcare professionals submit reports on quality measures. This gives patients and caregivers information on healthcare providers to make better...
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...Contents Another Manufactured Crisis: What’s Next in the Fiscal Showdown………1 Federal Pay……………………………………………………………….…..…..4 Federal Employees’ Health Benefits Program……………………………….15 Official Time for Federal Employee Union Representatives………….........22 Arbitrary Cuts in Civil Servants………………………………………………..26 Sourcing: Complying with the Law……………………………………….......31 Capping Taxpayer-Funded Service Contractor Compensation……………43 Transportation Security Administration and TSOs…………………………..46 Domestic Partnership Benefits……………………………..………………….49 Employment Non-Discrimination Act……………………………………..…..55 Paid Parental Leave………………………………………………..…………..57 One America, Many Voices Act………………………………………….…....60 Department of Veterans Affairs…………………………………..……………62 Department of Defense……………………………...……….………………...71 Federal Prisons………………………………………………………………….90 Social Security Administration ……………………………………….…...…103 National Guard/Reserve Technicians ………………………...……….……108 D.C. Workers’ Issues …………………...……………………………..…..…117 Equal Employment Opportunity Commission. ……………………..……...120 Another Manufactured Crisis: What’s Next in the Fiscal Showdown? Background At the beginning of January, President Obama signed a tax deal that restored higher Clinton-era rates to those making over $450,000, and funded an extension of unemployment insurance benefits to the long-term unemployed, extended for another year the $240 monthly transit subsidy, but did not extend the 2% payroll tax holiday. The...
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...Ethical Dimensions of Business Keller Graduate School of Management May 15, 2014 I choose “Federal Employees Health Benefits Program Coverage for Certain Intermittent Employees”. The Office of Personnel Management controls this proposed regulation. I am pursuing my MBA with a concentration in accounting, but my second choice would have been HealthCare management so by choosing this regulation I will have a better understanding of the type of regulations currently in place or being proposed. At this time the regulation proposed does not have a direct impact on myself, nor the business I am in. I have attached a copy of the proposed regulation at then end of this assignment. The Office of Personnel Management is proposing to temporary adjust the Federal Employee Health Benefits Program regulations to make sure employees who work sporadic schedules are eligible to be enrolled in a health benefits under the Federal Employees Health Benefits Program (FEHBP). The Office of Personnel Management intentions on proposing this regulation is to allow agencies such as the Federal Emergency Management Agency also known as FEMA to apply to OPM for “authorization to offer FEHBP coverage to intermittent employees engaged in emergency response functions.” The Office of Personnel Management is proposing to provide health coverage to those who work as temps/part time in emergency response functions. This proposal should be passed not only temporary but permanently...
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...most people will encounter. There are many significant health issues that come with aging, one of which is Alzheimer’s disease. Alzheimer’s disease is an irreversible, progressive brain disease that slowly destroys the memory and thinking skills of its victims. Eventually victims of Alzheimer’s lose their ability to complete tasks of daily living (National Institute on Aging, 2013). The discovery of Alzheimer’s disease was made by Dr. Alois Alzheimer upon an examination of the brain of a woman who died of an unusual mental illness. The doctor saw changes in the tissue of the brain. The National Institute on Aging (2013) website states that the symptoms of the woman’s illness were: memory loss, language problems, and unpredictable behaviors. In the examination of the brain, the doctor found abnormal clumps and tangled bundles of fibers. The clumps are amyloid plaques and the tangled bundles of fibers are neurofibrillary tangles. These plaques and tangles are two of the main features that accompany Alzheimer’s disease. A third feature is the loss of connection between neurons (nerve cells) in the brain (National Institute on Aging, 2013). Developing some knowledge of what Alzheimer’s disease is will help people understand what the symptoms of the disease are, how the disease is diagnosed and what treatments can be used to help slow the progress of Alzheimer’s disease. Alzheimer’s disease: Symptoms The symptoms of Alzheimer’s disease are tricky and can be easily written off as...
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...World Health Organization (WHO), mental health is “not just the absence of mental disorder but as a state of wellbeing in which every individual realizes his or her own potential, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to his or her community.” (Perry, Presley-Cantrell, and Dhingra 2010). Mental illness, “refers collectively to all diagnosable mental disorders that are characterized by alteration in thinking, mood or behavior (or some combination thereof) associated with distress and/or impaired functioning” (Perry, Presley-Cantrell, and Dhingra 2010). Mental health is an increasing concern with the vulnerable population of the elderly across America. Dementia and Alzheimer’s disease are the two leading psychiatric diseases effecting the elderly, causing deterioration of intellectual functioning. Scientists cannot completely comprehend the etiology and progress of these two diseases. Scientists have learned that both diseases have signs and symptoms parallel to one another (Fisher Center for Alzheimer’s Research Foundation, 2011). It is important to get a better perception of the development of these diseases, so the importance of understanding epidemiology is relevant. The author’s paper contains the meaning and description of epidemiology, the stages and approaches that will assist in determining cause and effect of the illness. Also the writer will examine how the epidemiologic benefits of the...
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...EVIDENCE-BASED PRACTICE and ALZHEIMER’S DISEASE Introduction As defined in 2012 by the American Nurses Association, “nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations. “To deliver the best optimal treatment when performing their duties, nurses are taught to follow evidence-based practices (EBP). Following EBP when dealing with clients especially those affected by Alzheimer’s disease facilitates the nurse in performing his/her main responsibilities that include maintaining health promotion, risk reduction and disease management. Maintaining health promotion From Florence Nightingale era in the 19th century to today’s world, nursing has become a new field where it is just not described “as the action of putting the patient in the best condition for nature to act “(“Healing Environment,”2011). Nursing turned to an immense expertise where maintaining health promotion is a master key. Health promotion favors the enhancement of health and the setting up of plan for a healthy lifestyle and well-being (Potter and Perry, 2011). Examples of health promotion consist of encouraging immunizations and regular checkups. Risk reduction Many complications can be avoided by promoting risk...
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...of marijuana for the treatment of patients with serious health conditions is currently one of the top contentious debate topics in the United States. Until its prohibition in 1937, marijuana was one the top three most prescribed medicines in the United States. To date, 13 states have statutory laws legalizing medical marijuana; however, it is not legal at the federal level. Several pros and cons exist to support whether medical marijuana should be or not be legalized nationwide. The primary arguments in debating the pros and cons of legalizing medical marijuana nationwide focus primarily on medical benefits, disease prevention, medical risk, substance abuse, and legal issues. Many scientific professionals and patients claim medical marijuana provides some sort of medical benefits. Although it has been a contentious battle between the states and federal governments to legalize or not medical marijuana nationwide, there are three important points to take under consideration; first, marijuana is a potent analgesic in patients with chronic pain. Second, it is a strong anti-emetic for patients receiving cancer chemotherapy treatment. Third and most important, medical marijuana should be legal, so patients do not have to break the law to receive treatment. Across the nation state organizations strictly supervise medical marijuana to ensure it is grown, sold, and used properly. According to “Harborside Health Center” (n.d.), which is one of the United States largest...
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...Caregiving to Patients with Alzheimer’s Disease Megan Zann April 27, 2012 Health Psychology Dr. Ackerman Introduction It is normal to periodically forget your keys or a homework assignment, because you generally remember these things later. However, individuals who suffer from Alzheimer’s disease may forget things more often, but they do not remember them again. The incidence of Alzheimer’s disease has dramatically increased because people are living longer. This is a result of advancements in medical technology that are increasing the human life span. That being said, now there is more responsibility placed on the individual and their caregivers to provide a supportive environment to combat this disease. Alzheimer’s disease is a progressive brain disorder that causes a gradual, irreversible cognitive deterioration. The individual experiences a significant decline in their memory, language skills, perception of space and eventually, their ability to be self-sufficient and independent. Alzheimer’s disease takes a toll on the patients as well as their caregivers. “Being a caregiver for an ill or disabled loved one is widely recognized as a threat to caregiver’s quality of life” (Poulin et al 2010). The diagnosis of this disease affects the caregivers on physical, psychological, and social levels. Family, friends, and caregivers suffer from pain and stress as they witness their loved one experiencing the progression of the disease. Background “Alzheimer’s disease is the most...
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... Smokers who survive heart attacks are younger when they are sick, often 10 years younger than smokers just beginning to smoke. Third, Smoking can also lower the risks of needing total knee replacement (TKR). Total knee replacement surgery is for people whose knee joints are damaged either by arthritis and other catastrophic joint diseases. The most common factor for TKR is severe osteoarthritis of the knees. Smoking cigarettes also protect individuals from osteoporosis and the nicotine within them helps prevent joint deterioration and cartilage. Adult males who smoke have lowered the risk of undergoing TKR than those who have never smoked in their lives. Finally, smoking can also offer potential effects when it comes to Alzheimer's. Alzheimer’s is a loss of brain function...
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...all the cells and parts of the brain. This intense activity activates and exercises brain cells thus increasing their efficiency and capacity . Several studies have found that people who have been used to doing jigsaw and/or crossword puzzles and who remained fully active enjoyed a longer lifespan and less likely to fall prey to Alzheimer’s, memory loss, dementia and other diseases of old age. The brain produces dopamine, a chemical chiefly responsible for learning and memory. The production of this chemical increases in the brain when it is engaged in piecing together the jigsaw puzzle. Working on puzzles has many benefits. It makes us alert, increases our concentration and expands our creativity. Looking at the images constantly enhances visualization, an aid for any physical activity that succeeds mental activity. Such activity also affects our physical health by lowering our breathing rate as well as reducing the heart rate and blood pressure. Working on jigsaw puzzles and focusing on the same image for long periods has been compared to meditation, inducing a certain calm and peace of mind. There are immense and long lasting benefits from doing puzzles regularly. It not only sharpens your memory and improves your brain function, but allows you respite from the clutter of your day-to-day concerns. With a clearer mind you develop a more positive attitude to life in general....
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...EFFECTIVENESS OF THE TREATMENTS OF ALZHEIMER’S DISEASE ( First Draft ) BEL 311 ENGLISH FOR ACADEMIC PURPOSES LECTURER’S NAME MADAM RAFIZAH MOHD RAWIAN SHAFINAS BINTI SAMSUDIN 2010131651 BMD3Ab b SHAFINAS BINTI SAMSUDIN 2010131651 BMD3Ab b PREPARED BY EFFECTIVENESS OF THE TREATMENT OF ALZHERMEIR’S DISEASE Alzheimer's is a type of dementia that causes problems with memory, thinking and behavior. Symptoms usually develop slowly and get worse over time, becoming severe enough to interfere with daily tasks. According to Howard Crystal & William C. Shiel Jr ( 2005 ), Alzheimer's disease is a slowly progressive disease of the brain that is characterized by impairment of memory and eventually by disturbances in reasoning, planning, language, and perception. Many scientists believe that Alzheimer's disease results from an increase in the production or accumulation of a specific protein (beta-amyloid protein) in the brain that leads to nerve cell death. The likelihood of having Alzheimer's disease increases substantially after the age of 70 and may affect around 50% of persons over the age of 85. Nonetheless, Alzheimer's disease is not a normal part of aging and is not something that inevitably happens in later life. For example, many people live to over 100 years of age and never develop Alzheimer's disease. But, nowadays there are some types of effective treatment that are effective for Alzhermeir’s disease. The management of Alzheimer's disease consists of medication...
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...horizon when it comes to dealing with Alzheimer's. In the past Alzheimer's was thought to be unpreventable and incurable. New research is showing the benefits of healthy exercise habits in relation to Alzheimer's. Exercise is now linked to reducing the risk of contracting the disease. It also has the potential of lessening the severity of symptoms in current patients. Experts at the Alzheimer's Association say there is no cure or proven prevention method, yet. In the meantime, research continues. They are looking...
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...Alzheimer’s: A Team-Based Approach to Health Care Susan Medhurst Grand Canyon University: HCA 515 10/5/2013 Unfortunately, there is no single form of identifying test that can tell you if you have Alzheimer’s or if you are just forgetful. For those patients dealing with other illnesses like thyroid problems, depression and other health problems, memory loss is a very common side effect to their illness, which makes identifying Alzheimer’s even more difficult (Alzheimer’s association, 2013). This disease often goes unnoticed until the patient has reached a moderate to advanced stage because of the commonality of the indicators in early stages such as forgetfulness of where you put your car keys (Alzheimer’s association, 2013). Currently over five-million American’s have Alzheimer’s. This number will begin to increase as the baby boomers age and life expectancy is extended. The risk of getting Alzheimer’s only increases as we age with number of people doubling every 5-year interval beyond the age of 65 (Alzheimer’s association, 2013). Case Study Eaton, a 72 year old male patient, was found roaming downtown Denver with no recollection of how he got there. Paramedics brought him to the hospital for evaluation. The patient presents with progressive memory loss, confusion, agitation, and doesn’t know his last name. Identification in his wallet helped the hospital staff contact his wife. Upon the wife’s arrival, the patient seemed distant and unable to identify his wife Ethel...
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...children about Alzheimer's disease is a respectful conversation to have with them. It is a way for them to understand what is happening to your parent or loved one. It also conditions them to feel comfortable around an Alzheimer's sufferer, and allows better communications with them. There are currently over four million people in the United States who are suffering from Alzheimer's disease (AD). Researchers have determined that nearly 360,000 additional cases will be reported each year. What is most disturbing for seniors is that Alzheimer's generally appears in people over the age of 65. The highest rates of the disease happen to seniors 85 and older. Trying to predict the progression of Alzheimer's disease has been an...
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...Alzheimer’s Disease Alzheimer’s disease is becoming a problem among society and the increasing age population. Alzheimer’s disease is the most common cause of dementia in the elderly, with prevalence of 5% after 65 years of age, and an increased prevalence of about 30% in people aged 85 years or older (Galimberti & Scarpini, 2011). There are many misconceptions that you must be “old” in order to develop Alzheimer’s disease, but this is not entirely true. Although increased age is the greatest risk factor, older people are not the only ones that can develop the disease (Alzheimer’s Association, 2016). Early (or younger) onset Alzheimer’s can also affect individuals that are as young as 40 or 50 years old, although this number comprises...
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