...The US Health Care System Danny Gomez HCS/531 February 7, 2012 The healthcare system in the United States is very complex. Both its inherent composition and the external factors that shape it include a multitude of elements that add to its complexity. This paper will present a definition of the health care system in the US, describe the implications of beliefs and values on this system, and offer examples of the various health care delivery models that comprise it. A health care system can be defined, as a grouping of organizations, institutions, and resources functioning with the intention to fulfill the health care needs of communities and/or populations. Such a system includes components that cover four major functions – financing, insurance, delivery, and payment. In a functioning system one would expected to find its components carefully coordinated and interrelated. However, the US this system is comprised of independent components that work simultaneously but not always collaboratively to deliver and fulfill the requirements of health care. The reality of the US health care system is that its components function independently, in a loosely connected fashion, and without a single central agency governing and regulating it. This characteristic is contrasting to systems in many other countries that have a national heath care program designed to provide a set of equitable health services to all its citizens. Access to health care services in the US varies,...
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...7/22/2015 The Basic Social System Conceptual Scheme of Health Care There are four basic service components necessary for a healthcare system to be considered complete. These for components are as follows: Predominant "targets" of the health system at the time. Technology to handle predominant health problems. Social organization for health care. Involvement of people in their health care. In the following paragraphs we will look a little more in depth at these four components for healthcare systems and explain why these components are necessary in making healthcare complete. Predominant "targets" of the health system before the healthcare system came to the United States of America, healthcare was declared to be an isolated and to some extent an unsystematic compilation of services. When the health system was newly established in the United States it brought forth a sense of organization and the concentration to health care in which it had been missing up to that time. Technology to handle predominant health problems starting around the 1900's phase two in the health system brought medicine into a new technology. The practice of medicine that was performed was measured more of an unofficial compilation of unverified oversimplification and the intent to perform in a manner that would help patients, but as of today health is not something to make assumptions about that is why with the opening of John Hopkins Medical Center health care became more of science. The scientific method was...
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...The United States healthcare system continues to be the costliest compared to other developed nations. The Institute for Healthcare Improvement’s (IHI) Triple Aim Initiative was initiated to improve the delivery of healthcare by focusing on improving the patient experience of care, improve the health of the populations, and reduce the per capita cost of health care (Landry & Erwin, 2015). The IHI believes that focusing on these three objectives can help improve the models for providing healthcare (Institute for Healthcare Improvement, 2009). In order for the Triple Aim Initiative to be successful it need to be patient center and has a five system components that needs to be fulfill. These five systems include: 1. A focus on individuals...
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...The U.S. Health Care System Catherine Wiley HCS531 September 12, 2011 Kenneth Feldman The U.S. Health Care System A health care system is a “network of agencies, facilities, and providers of health care within a specific geographic region” (Widipedia). The health care system is designed to meet the health care needs of a target population. According to Shi and Singh (2008), “A health care delivery system has two primary objectives: 1. Provide health care to all its’ citizens; 2. Services must be cost effective and meet standards of quality” (5). A system, “consists of a set of interrelated and interdependent components designed to achieve some common goals, and the components are logically coordinated (Shi & Singh, 28). As Shi & Singh (2008) state the health care system in the United States is a mixed market system. The source of coverage comes from the government, insurance from employers, and private payment. The health care system in the United States is not a system because there is no standardization, and is fragmented. Financing, insurance, delivery, and payment is from private and public sources. These four components creates the fragmentation of the system. These components compose the Quad-function Model and are necessary for the delivery of care in the United States. The components overlap to varying degrees in traditional insurance, government-run insurance...
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...administrative medical assistant deal with problems? 2. Describe why an effective health care worker should be skilled at understanding human behavior. 3. What type of lifestyle is the patient encouraged to develop through the holistic approach to health care? 4. Is it necessary for the administrative medical assistant to be familiar with the abbreviations of medical positions? Why or why not? 5. Why was a Patient’s Bill of Rights developed by the House of Delegates of the American Hospital Association? 6. List the five components of Maslow’s hierarchy of needs in order of importance. and many more exam questions….. AH 215 WEEK 4 MIDTERM EXAM To purchase this tutorial visit here: http://mindsblow.us/question_des/AH215WEEK4MIDTERMEXAM/2735 contact us at: help@mindblows.us AH 215 WEEK 4 MIDTERM EXAM 1. Instead of complaining about problems, how should the administrative medical assistant deal with problems? 2. Describe why an effective health care worker should be skilled at understanding human behavior. 3. What type of lifestyle is the patient encouraged to develop through the holistic approach to health care? 4. Is it necessary for the administrative medical assistant to be familiar with the abbreviations of medical positions? Why or why not? 5. Why was a Patient’s Bill of Rights developed by the House of Delegates of the American Hospital Association? 6. List the five components of Maslow’s hierarchy of needs in order of importance. and many more exam questions…...
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...future of Tricare. I will also discuss the types of Tricare. HIPAA stands for Health Insurance Portability and Accountability Act. It was enacted by the U.S. Congress and signed by President Bill Clinton in 1996. Title I of HIPAA protects health insurance coverage for workers and their families when they change or lose their jobs. Title II of HIPAA, known as the Administrative Simplification (AS) provisions, requires the establishment of national standards for electronic health care transactions and national identifiers for providers, health insurance plans, and employers. I will also discuss the differences, if any on how HIPPA is applied at military and civilian hospitals. History of Tricare In 1884, Congress set the stage for a program to serve the Armed Forces' medical needs. It was a very simple statement: “Medical officers of the Army and contract surgeons shall whenever possible attend the families of the officers and soldiers free of charge.” In 1943, Congress gave the go ahead for the Emergency Maternal and Infant Care Program (EMIC). This program provided maternity and infant care up to one year of age for wives and children of Service members in the four lowest parts of the pay table. Then, in December of 1956, the Dependents Medical Care Act gave authorization to the DoD so that it could contract medical care out to civilian health care providers in order to insure adequate health care to family members of active duty and retired Service members. Amendments to...
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... In health care, effective communication between the health care provider, and the patient is extremely important as the health and well-being of the patient is at stake. Miscommunications and misunderstandings between health care providers and patients could have fatal consequences. Effective communication involves more than understanding information is conveyed as what someone heard or understands is not always what the speaker meant or said. This is where the adage ‘What you heard is not what I said’ comes from. To be effective, both the sender and receiver of the message being sent must share the same understanding of the message being sent. For this to happen, the sender/receiver must verbalize, write or otherwise express what message they hope to communicate. Next the message must be communicated. This could be orally: face-to-face or over the phone, hand-written or e-mailed, telecommunicated via video, or over the Internet. Finally, the receiver must receive and respond to the sender’s message in such a way that the sender knows the message was received and understood (Cheesebro, O'Conner, & Rios, 2010). The success of every relationship, whether it is personal or professional, relies on a person’s ability to communicate effectively. Communication is the process of sending and receiving messages and is the most important tool human have (Cheesebro, O'Conner, & Rios, 2010) and is an important component of our daily...
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...Hospital: A Daring Paradigm Jolly Joseph Grand Canyon University HLT-310V Spirituality in Health Care Professor: Patricia Mullen 11/06/2011 Healing is the process of restoring the wellness. It can also refer as curing or soundness. While healing process is underway, the person who gets healed is achieving a spiritual totality. Healing takes place when a person becomes ill. During this restoring process, the illness is completely eradicated and allows the patient to gain maximum health before the illness. Healing is required for those who are suffering from serious illness. Healing is the way to obtain wellness and restoration of spirituality. Eric Chapman, who is the chief executive officer of the Baptist Healing Trust in Tennessee, Nashville suggest a healing hospital, which is capable of healing the illness and restore the spirituality and emotional elements of one’s life (Chapman, 2007). Advancement in technology, physical facility design, and culture also played a big role in the healing hospital. A healing hospital has many vital components and these components of a healing hospital are related to the spirituality. According to the author of Radical loving care: Building the healing hospital in America, a healing hospital has three key components they are healing physical environment, the integration of work design and technology, and culture of radical loving care (Chapman, 2007). In addition, there are several challenges of creating a healing environment...
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...Health care in the US-a system or not Angela Stafford University of Phoenix Health care organizations and delivery systems HCS/531 Russell Arenz III November 08, 2010 Health care in the US-a system or not A system is defined by Mosby's medical dictionary as "a group of interacting, interrelated, or interdependent elements forming a complex whole" (Mosby's 2009). Health care system is defined as "the complete network of agencies, facilities, and all providers of health care in a specified geographic area" (Ginsbury, Doherty, Ralston, & Senkeeto, 2008, p. 55). To make a system complete there has to be parts that bring it together. This paper will explore some of the components of a health care system, fundamental goals of a system and whether or not these components and goals interact with each other to form a whole. How medical treatment is arranged, financed and delivered are components of a healthcare system. Treatment is organized by the providers that offer the treatment and whether the providers are practicing in private practice, in small or large groups, or in corporate associations. Financing treatment includes any entity involved in payment of treatment services including the individual who requires the service or any type of insurance agency. Treatment delivery refers to the place treatment is provided, for example, rural or urban locations and inpatient or outpatient settings. Three fundamental objectives of a health care system include...
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...University of Phoenix Material Health Record Worksheet In 150 to 350 words, explain the importance of a health record. Support your explanation using your assigned readings. Personal health records can help a provider's patient better manage their care. Having important health information, for example, immunization records, lab results, and screening due dates in electronic form makes it simple for patients to update and share their records. Patients can be more engaged with their wellbeing and health care. PHRs can advance better health care by offering patients some assistance with managing information from different providers and enhance care coordination. Having an online PHR can be useful if there should be an occurrence of crises particularly if a patient is traveling. Administrative expenses can be reduced utilizing a PHR to give patients simple access to electronic prescription refill and appointment scheduling applications. With PHRs, health care staff can invest less time searching for patient-requested information and respond to patient inquiries. Use the following table to identify and list at least five key components of a health record. Additionally, include a 50- to 100-word description of each component. Support your descriptions using your assigned readings. |Component of the health record |Description | |Patient Management ...
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...ealth Health care Provider and Faith Diversity Health Care Provider and Faith Diversity Lakeshia Grimes Grand Canyon University: HLT 302 02/19/12 Dr.Sunshine Weeks Abstract Healthiness source in urban area contain most patients being from different faiths. For example, Baha’i, Sikh, Buddhist patients similar to Christianity use conservative healing to balance a quantity of practices in their faith the same as prayer, faithfulness, and meditation. In the majority case as observes the viewpoint to curing and health care stipulation, Baha’i, Sikh, and Buddhist, now as Christians, contain a position for up to date medicine, and scientific practice as a balancing explanation to spiritual interference in moment of sick wellbeing. In this essay I will establish, patients hardly ever mind while they search for care from providers with unusual religious partiality for as long as those providers put the patient’s attention at the forefront. I also will establish the significant components of healing, what is essential to people of a particular belief, and how do patients examination health care providers. Health care professionalism stress that providers permit patients to illustrate from their personal religious practice and to be responsive toward such necessities of individual patients. The faith system of Baha’i, Sikh, and Buddhism, their religious, their religious insight on curing, health enthusiastic and mechanism of their...
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...With the increasing costs of treating and managing patients with chronic conditions such as diabetes, health care facilities are being driven to create disease specific management programs. The goal of disease management-specific programs are to improve patient’s health and prevent disease complications while reducing health care costs. Programs that manage specific illness such as diabetes mellitus employ systems to provide expert care , provide patient disease-centered patient education, provide support to ensure the delivery of effective interventions and use information technology to analyse outcomes (Dunham-Taylor, 2015). Patients are supported to self manage their chronic condition to prevent complications , hospital admissions...
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...The Relationship of Spirituality in Hospital Healing Marilou Loisel Grand Canyon University Spirituality in Health Care HLT 310V Dr. Friederike Doak August 26, 2012 The Relationship of Spirituality in Hospital Healing This paper is going to explore the challenges encountered by medical institutions that incorporate an integrated approach of spirituality toward the healing process of an individual. In today's economic struggle, healthcare is having to face different challenges, including expensive new advancement in technology, new governmental regulations, and expensive new medicines. As the health care industry obviously deals with patients that are sick or dying, they may want to be compassionate, but they have to deal with everything that affects the institution's bottom line. There is a daring new approach that allows the health care industry to help patients with their suffering in an environment that is patient centered, loving, caring and compassionate. This new approach, called a Radical Loving Care, makes it conducive for every patient, and every employee to feel comfortable and valued. Because the focus is to care for the caregivers, they in turn do extraordinary patient care (Eberst, 2008). It is a win-win situation, because it promotes a healthy environment without affecting the bottom line. Unfortunately, this daring approach is not the normal practice of every hospital. Mercy Gilbert Medical Center (MGMC) was built in 2006, with a vision of creating...
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...Reporting Practices and Ethics In financial management there are four components that include: 1.) planning; 2.) controlling; 3.) directing and organizing; and 4.) making decisions are (jblearning, 2010) tools enabling managers to identify and accomplish objectives, ensure plans are followed, ensure an effective use of resources, and make informed choices (Baker & Baker, 2011). The generally accepted accounting principles are the uniform least possible guidelines to and standards of financial reporting (Office of Financial Management, 2001). General financial ethical standards, determined by the Financial Accounting Standards Board, are standards that are general and determine the way accountants in the United States conduct and format reports (Morley, 2014). Abuse and fraud account for as much as 15 percent in annual expenditures in health care in the United States (Rudman, 2009). Independence, integrity, and objectivity make up the three components of ethics (Gallup, 2014). The four components of financial management are: first.) planning; second.) controlling; third.) directing and organizing; and fourth.) making decisions. In summarizing the components of financial management; in the area of planning the steps are identified by the manager to be taken in accomplishing objectives of the organization. In the area of controlling, the manager ensures areas of the organization are following the established plans. One method utilized is studying current reports comparing...
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...current health care reimbursement system. What components do and do not contribute to the overall effectiveness of the system? Why? * The symbiotic nature of components in the health care system * The fragmentation of the health care system * The school of thought regarding health care as a free-market good * The school of thought regarding health care as a universal right The U.S healthcare reimbursement system is very complex. It involves private and public payers and changes in the reimbursement approach of one payer have implications for the other. One feature lacking in both type of payers is reimbursement linked to quality. Payment is based on delivery of services: “Right or Wrong”. The current system does not promote quality care and most services for preventive care are not reimbursed. Those components don’t contribute to the overall effectiveness of the system. Given a clean slate, would you keep the current system, keep components of the current system or change it altogether? One thing we should keep in mind is, although not effective, the current system works! Billions of service transactions occur each year and providers receive payments that sustain them financially even though some physicians believe reimbursements are not sufficient to support their increasingly complex practices. The problem is that: * The current system leaves approximately 45 million American uninsured and a considerable number underinsured. * Health care expenditures...
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