...Healthcare Utilization Paper Option A Tracie Y. Smith HCS/235 August 03, 2015 Mrs. Darnecia Garner Healthcare Utilization Paper The very mention of healthcare can send some people’s blood pressure up the charts. The debate over healthcare and who deserves what has been a constant ongoing issue since the early 1900s. There are some people who think medical care should be for the people who can afford to pay for it, and others think medical care should be a right to everyone. This paper will address five questions and provide the writers opinion on the matter. A recent healthcare legislation reform that has expanded access to care for individuals who otherwise could not afford it is, The Affordable Care Act. The passage of this act by the Obama administration during the early stages of his presidency puts consumers back in charge of their health care. Under the law, a new “Patient’s Bill of Rights gives the American people the stability and flexibility they need to make informed choices about their health” (US Department of Health and Human Services, 2015) . This act allows individuals to gain access to insurance through a marketplace or government subsidies; therefore creating access to services such as checkups, well woman exams, and health prevention for heart disease, and diabetes that many people were not getting because of costs. One way access may inhibited would be locating a physician who will accept...
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...Background of Oral Health Care in Massachusetts Oral health is often considered separate from overall health. However, dental diseases are not only associated but can also lead to heart diseases, stroke, and diabetes. The significance of this correlation is due to the concept that the majority of care in cost excess can be attributed to these medical conditions. Some of the major oral health conditions of concern include tooth decay, gum disease, and oral cancers. As the population begins to shift towards an increase in elderly patients, they are living longer and keeping their teeth longer as well, resulting in an increase in the need for treatment of gum disease and other dental services. These problems can also be a complication of certain medications used to treat systemic diseases. The purpose of this paper is to improve access and quality to oral health care for elderly population in Massachusetts who are residents in Long Term Care facilities. (Clemencia M. Vargas, 2001) The elderly are identified in the U.S. Surgeon General’s report on oral health as one of the most vulnerable populations with regard to poor dental care. In Massachusetts 13.3% of the state’s population are considered seniors, defined as being 65 years of age or older. There are more than 143,000 residents age 85 and older and that number is expected to grow 52% by the 2030. About 45,000 Massachusetts residents live in long term care facilities and there is no one-size-fits-all model of oral health...
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...been a growing issue in America, referring to the increased use and dependence of opioid prescriptions. Opioids are strong pain-killers and in recent years, they have been abused for recreational use. In Molly Jeffery’s research, “Opioid Prescribing for Opioid-Naive Patients in Emergency Departments and Other Settings: Characteristics of Prescriptions and Association with Long-Term Use,” it compares opioid prescriptions in the Emergency Department to other clinical settings to see which patients are more likely to become long term users. The objective of this research was to observe the relationship between opioid prescriptions in the Emergency Department and their risk of current use, which can be used as a precaution...
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...Many articles, pieces of literature, and discussion with peers indicate that the system in the Netherlands is overall one of the highest quality systems that exists to date. What some critics fail to consider when evaluating the greatness of one system is how each healthcare system may thrive or fail depending on the context of its operation. Moreover, one must consider barriers within populations when assessing how effective a healthcare structure is if implemented within a new geography. Therefore, although there is much to desire about the healthcare system in the Netherlands, the idea that other nations, such as Canada, should strive to have similar implementation is not realistic due to population and geographical barriers. This paper will evaluate how the Canadian healthcare system, although universal, may not necessarily be effective in the treatment and care of patients, and how the Canadian system would fair by adopting similar strategies to the Netherlands. To begin, Canadians have repeatedly found dissatisfaction in the wait times for care and the shortage of medical professionals that exist within the system (Deber, Gamble, Mah, 2010). Therefore, in order to improve upon what is being criticized, a reform must include solutions to reduce wait times and increase the number of professionals that are available for the treatment of patients. Many health policy makers would look to the polished and effective Netherlands to evaluate the existing wait times. Given...
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...of the health care provider not to disclose information. Within this paper I am going to discuss the confidentiality in regards to minors of how it affects them, relate to the facts, discuss the ethical/ legal issues, explain the managerial responsibilities and identify the proposed solutions. When dealing with confidentiality in the healthcare profession the acting provider does not suppose to disclose information. Take minors for example; they are protected under (FERPA) Family Educational Rights Privacy Act. FERPA has been known to protect minors in regards to educational purposes, important files, documents, photography and etc. After the minor reaches the age of 18 their rights are then transferred to them from their parent. Confidentiality is very risky and complicated when dealing with a minor, social workers and other persons involved are very cautious when giving out information about minors. Reasons being is because children as minors go through so much in regards to mental abuse, sexual abuse and physical abuse so keeping important documents and files confidential is mandatory. The arguments used in this particular article was the use of plenty surveys and mental health professionals providing detailed information resulting from on hands experience themselves and research. Mental health counselors see minor clients most often at the request or interest of someone else (Slovenko, 1998.) Research has suggested that minor clients are sometimes reluctant to enter counseling...
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...Health Net Access Member Handbook A helpful guide to getting services (Combined Evidence of Coverage and Disclosure Form) Benefit Year 2014 1 HELP IN ANOTHER LANGUAGE AND FOR THE DISABLED: HOW CAN I GET HELP? As a member of Health Net, you have access to a service that offers interpretive services in over 150 different languages. If you need this handbook or other health information in another language or in an alternative format such as large font, audio or accessible pdf, please contact Member Services at [1-888-788-4408 TTY/TDD: 1-888- 788-4872]. Also, if you need interpretive services, please call Member Services at least five (5) days before your medical appointment to arrange language interpretive services in time for your appointments. There is no cost for language interpretation services. You are not required to use family or friends to interpret for you. Como afiliado a Health Net, usted tiene acceso a servicios de interpretación en más de 150 idiomas. Si necesita este manual u otro tipo de información sobre salud traducido a otro idioma o en un formato diferente (como letra grande, audio o PDF accesible), comuníquese con el Departamento de Servicios al Afiliado al 1-888-788-4408 o a la línea TDD/TTY 1-888-7884872. Además, si necesita servicios de interpretación, comuníquese con el Departamento de Servicios al Afiliado al menos cinco (5) días antes de su cita médica para coordinar los servicios de interpretación de idiomas; así podrá disponer de ellos en sus citas...
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...Lloyd’s Certificate This Insurance is effected with certain Underwriters at Lloyd’s, London. This Certificate is issued in accordance with the limited authorization granted to the Correspondent by certain Underwriters at Lloyd’s, London whose syndicate numbers and the proportions underwritten by them can be ascertained from the office of the said Correspondent (such Underwriters being hereinafter called “Underwriters”) and in consideration of the premium specified herein, Underwriters hereby bind themselves severally and not jointly, each for his own part and not one for another, their Executors and Administrators. The Assured is requested to read this Certificate, and if it is not correct, return it immediately to the Correspondent for appropriate alteration. All inquires regarding this Certificate should be addressed to the following Correspondent: 303 Congressional Boulevard Carmel, IN 46032 1-800-335-0611 317-575-2652 317-575-2659 FAX www.sevencorners.com SLC-3 (USA) NMA 2868 (24/08/2000 From approved by Lloyd’s Underwriters’ Non-Marine Association Limited EASON PRINTING CO., CHICAGO Compass Budget, Care and Elite Plans 1 Effective 7-01-11 CERTIFICATE PROVISIONS 1. Signature Required. This Certificate shall not be valid unless signed by the Correspondent on the attached Declaration Page. 2. Correspondent Not Insurer. The Correspondent is not an Insurer hereunder and neither is nor shall be liable for any loss or claim whatsoever. The Insurers hereunder...
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...operational without the oncology department within the next couple of months. Said Debashish Poddar, managing director, BP Poddar Hospital & Medical Research Limited, "It will not be a so called state-of-the-art hospital but a hospital, which will ensure healthcare deliver of international standards within the affordable limits of the common man. The hospital is the culmination of the dream of Arun Poddar, Chairman of the Group and his family to perpetuate the memory of his father Late BP Poddar, he added. Despite being a multispeciality unit, the focus area of the hospital will be oncology. All possible imaging facilities will be provided at the hospital. The management has applied for necessary regulatory clearances from Bhaba Atomic Research Centre (BARC) to start radiation therapy for treatment of cancer. According to Dr Subrata Das, medical director, BP Poddar Hospital & Medical Research Limited, "With a few dedicated hospitals in the region dedicated to oncology, the proposed hospital will take care of all the needs of the cancer patients. We are in the process of installing the latest equipment in the hospital to provide the best possible medical care." The management will be investing substantially on training of human resources. Said Shantanu Ray, a renowned academician and a director of BP Poddar Hospital & Medical Research Limited. To make patient feel that he is not in a hospital, the management has emphasized on adding a dash of colour to the costumes of...
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...ROMNEYCARE An In-‐Depth Analysis of the Massachusetts Healthcare Reform The American Healthcare System Final Research Report By Sara Mahmood, DDS and Camille Debi 1.0 Introduction In 2006, the state of Massachusetts initiated a health care overhaul by passing a reform law with the central tenet of providing healthcare to all of its residents. Widely popular and objectively successful, the law has been dubbed “Romneycare,” named after then Governor Mitt Romney who signed the legislation into action. The law mandates that nearly every resident of Massachusetts obtain a minimum level of insurance coverage and provides free health insurance for residents earning less than 150% of the federal poverty level. It also mandates employers with more than 10 full-time employees to provide health insurance. Among its many outcomes, the law established an independent public authority with the official title of “the Commonwealth Health Insurance Connector Authority”. However, it is commonly referred to as “the Connector”. The Connector acts as an insurance broker, essentially, offering free, highly subsidized and full-price private insurance plans to residents. The website serves as a portal for Massachusetts residents that allows them to access many of the Connector’s resources, as well as the ability to register online for an insurance policy. Although it has been amended significantly since...
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...Evaluating the Research Process Wendy Witt HCS/465 July 22, 2013 Yvette Mallory RN, MSN Remote communities face several challenges concerning health care. For instance, communication with health care professionals, transportation, availability of doctors, and shortage of doctors. Literature review to identify and review new methods of improving access to health, quality of care, and improving the effectiveness of delivering health care services in remote Alaskan villages. MEDLINE, EMBASE, and CINAHL databases that index health research were used along with Artic health databases. Abstracts and full articles were review, and categorized into four sections. Organizational structure of health services, telehealth, ehealth, and medical transportation. “Despite the challenges facing rural and remote regions, there is a distinctly positive message from this broad literature review. Evidence-based initiatives exist across a range of areas - which include operational efficiency and integration, access to care, organizational structure, public health, continuing education and workforce composition that have the potential to positively impact health care quality and health-related outcomes” (Masucci, Mitton, & Dionne, 2011). The literature review did not identify any past research associated with new ideas to improve access, quality, and efficiency in the organizational structures and delivery of health care services in northern rural and remote and rural populations. This...
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...DVSM. In the current environment however it is important to recognize the influence of Activity Centre planning on future development. In short, major activity centre is planned for a mix of activities, well served by public transport, with a large catchment area and with the potential to grow without conflicting with surrounding land uses. 1.2 SWOT analysis A summary of the DVSM’s existing profile can be expressed in terms of its Strengths, Weaknesses, Opportunities and Threats (SWOT): Strengths • Not just a shopping centre, but a mix of retail, commercial, entertainment and community uses • Strong commercial centre with five banks, a post office, several financial, legal and real estate services • Good range of medical and dental services • Entertainment and leisure role provided by the three hotels, nightclub, bingo centre, bowling centre, cafes and restaurants • Fresh air, pleasant “country in the city” atmosphere • Convenient car parking close to shops •...
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...conditions Entry requirements Training Career development Employers and vacancy … Related jobs Print all pages in this section Case studies Biomedical scientist: Ann Thomas Biomedical scientist: Kathryn Owen Biomedical scientist: Roslyn Cooke Biomedical scientists work in healthcare and carry out a range of laboratory tests and techniques on tissue samples and fluids to help clinicians diagnose diseases. They also evaluate the effectiveness of treatments. Their work is extremely important for many hospital departments and the functions they carry out are wide ranging. For example, they may work on medical conditions, such as cancer, diabetes, AIDS, malaria, food poisoning or anaemia, or carry out tests for emergency blood transfusions or to see if someone has had a heart attack. Biomedical scientists can work in three areas: infection sciences; blood sciences; and cellular sciences. Infection sciences include: •medical microbiology - identification of micro-organisms causing disease and their antibiotic treatment; •virology - identification of viruses, associated diseases and monitoring the effectiveness of vaccines. Blood sciences include: •clinical chemistry - analysis of body fluids and toxicology studies; •transfusion science - determination of donor/recipient blood compatibility, ensuring blood banks are sufficient; •haematology - form and functions of blood and related diseases; •immunology - understanding the immune system and...
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...the PESTLE framework. The impact of the macro - environment is evaluated. 2.1 The PESTLE is a management tool that involves identification of the political, economic, sociological, technological, legal, environmental factors that had an impact on an organisation in the past, and could affect organisation in the future. Carry out PESTLE along with SWOT analysis, assist in strategic decision- making, and setting realistic objectives. 2.2 The PESTLE analysis is attached as Appendix 1. 2.3 The SWOT analysis is attached as Appendix 2. 2.4 The evaluation of high impact environmental factors based on PESTLE analysis. 2.5.1 The Department of Health is making provisions to a number of changes to the NHS dental contract, based on capitation, quality and registration, rather than UDA system. The two prototype contracts will begin operating in 2015-2016 for a two year trial, before a general new contract is introduced for everyone, in consequence it is difficult to predict a full impact on our organisation until the trial is finished. This requires contract monitoring for the time being. 2.5.2 Due to providing assurance and reporting to the commissionaires in line with CQC and GDC requirements, our practice has been forced to invest over £100000 to meet mandatory standards by the end of 2012. This involved building of an extension and allocation of separate decontamination room, along with a staff training. Failing in compliance could...
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...Career Research Paper I have designed this assignment as a step by step guide to walk my students through the research process. Of course, you may adjust it as you feel is necessary according to the level of students you are working with. This project explains in detail everything they need to research, as well as, giving them real world insight into what to expect in a career in terms of education, job duties and responsibilities and income. I begin by having them take a reality check quiz on the Jump Start Coalition website. This little quiz helps them determine how much money they will need to earn in order to live the lifestyle they would like to have. This income amount in turn helps open their eyes to the type of job necessary to achieve that income and what amount of education is involved. It was a real wake up call for many of my students. In this package I have also included a grading rubric for the project and a list of possible career choices for their assignment. Student Instructions You will be writing a research paper on a career chosen from the attached list. Think carefully about which career you chose to research. Read through these directions and the requirements for this assignment BEFORE making your choice. Materials needed for this project - ---note cards (preferably 3x5 lined) ---folder with pockets to keep all research materials in ---access to internet and reference books A. Take reality check quiz at http://www.jumpstartcoalition...
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...Business Research Report Benefits of an Electronic Health Record Assessment Code: RWT1 Student Name: Student ID: Date: Mentor Name: Table of Contents Executive Summary 3 Introduction 5 Research Findings 5 Opportunity for Financial Incentives 5 Improved Quality of Patient Care 6 Increased Productivity and Efficiency 7 Recommendations 8 Conclusion 9 References 11 Executive Summary The benefits of successfully implementing an electronic health record are both vital to the future of our business as well as rewarding. The purpose of this report is to clearly demonstrate the need for implementation of an electronic health record and provide explanation of the benefits available to us with successful implementation. . The three main benefits I will be presenting research on are the financial benefits of an electronic health record, the ability to provide better quality patient care and the opportunity to increase productivity and efficiency through implementing an electronic health record. There are significant financial incentives for implementing an electronic health record and meeting Medicare and Medicaid’s requirements for meaningful use. Eligible providers can earn up to $44,000 through the Medicare EHR Incentive Program and up to $63,750 through the Medicaid EHR Incentive Program. There are three stages involved in meeting meaningful use the first stage consists of data capture and sharing, the second involves advanced clinical...
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