...warehouse, along with analytics tools, is a essential module of any CIO’s application portfolio. This might make more sense with some past viewpoints. They need to review the trends in health information systems decade by decade. I’ll list the main influence that was driving healthcare, then the driver for the IT, and finally the resulting health information technology (HIT) innovation: *1960s: The main healthcare drivers in this era were Medicare and Medicaid. The IT drivers were expensive mainframes and storage. Because computers and storage were so large and expensive, hospitals typically shared a mainframe. The principal applications arising in this environment were shared hospital accounting systems. *1970s: One of the main healthcare drivers in this era was the need to do a better job communicating between departments (ADT, order communications, and results review) and the need for discrete departmental systems (e.g., clinical lab, pharmacy). Computers were now small enough to be installed in a single department without environmental controls. As a result, departmental systems boomed. Unfortunately, these transactional systems, surrounded in individual departments, were typically islets unto themselves. *1980s: Healthcare drivers were deeply tied to DRGs and reimbursement. For the first time, hospitals needed to pull...
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...industry throughout the world with many companies, including acquisitions and mergers like Warner - Lambert in 2000 Farmsya in 2003 and White in 2009, noted that the company's cost of $ 68 billion in achieved in 2009.[ http://www.nytimes.com/2009/01/26/business/26drug.html] 1- External analysis PESTLE is part of companies’ external analysis and is a part of companies’ strategic analysis (Political Legal Economical Environmental Social Technological analysis).It helps in understanding the companies’ external factors which influence the development of the company. 1.1- Political and legal : In healthcare system and pharmaceutical industry the political factors are importance. The United States pharmaceutical industry does differently than many other national industries. Consumers and patients do not pay for their drugs directly, but receive them through government run healthcare systems. Regarding the U.S. market the change in healthcare industry will extend services and insurance coverage to a larger part of the population (Financial report, 2010)....
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...One of the five market failures in health care are externalities. This is described as the benefit of cost arising from an emerging consumption of decision (The Market: Economics and Health Care, 2014). An externality is defined as any influence within the health care system, it can have a negative or positive effect on individuals. It is determined that markets for healthcare aren’t perfect. An externality affects other people outside of the particular groups involved in a change. A negative externality in healthcare is unsafe because it leads to the requirement for resources. The cost of healthcare services is accepted by other consumers. For example, obesity resulted in the increase of healthcare expenditures, the expenses were accepted...
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...Issue 5 / China’s chronic disease challenge Features from our global market research experts Free Thinking China’s chronic disease challenge Marc Yates, Director of Emerging Markets, looks at the chronic disease challenge in China and asks what it means for China’s healthcare policy and to global pharmaceutical companies looking to operate in this double-digit growth market. In 2012 the urban population exceeded the rural population for the first time. Urbanisation brings significant benefits such as improved sanitation, greater affordability and increased access to healthcare. It also changes the disease paradigm with a reduction of infectious diseases but an increase in diseases of affluence, such as cardiovascular diseases and diabetes. The diabetes problem Research from Peking University suggests that China now has more diabetes patients than even India and it is hitting the country hard. In 2007 almost 600,000 adult deaths in China were directly attributable to diabetes, and there was a significant gender difference, with males accounting for 57% of all diabetes-related deaths. And the diabetes problem is not getting any easier. The International Diabetes Federation predicts the health expenditure to increase by an average of 20% between 2007 to 2025 across the Western Pacific region. However during the same period spending on diabetes in China is forecasted to grow by 49%. Health expenditure for diabetes 2007 US$ (‘000) 2025 US$ (‘000) % Increase China Western Pacific...
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...Digital Equity Marco Ricciardi Grand Canyon University HCA-340 Jeff Cunningham May 13, 2012 3–1. What are the anticipated shifts in service utilization due to consumer health information seeking? Majority of consumers in the world with the use of the internet and increase of digital technology has impacted the changes in health service utilization and health care delivery system. Consumers seeking health information online has affected services in healthcare utilization by the way they think, and feel of their needs regarding to medical information, doctor and patient relationship. They seek health information for themselves, friends, or family members about personal and health concerns. Consumers seek health information and communicate to health professionals and providers by using the web interface, phone, fax, email system, discussion boards, social networks, forums, and bulletin board. The anticipated shifts in service utilization due to consumer health information seeking are: lack of education level and literacy skills, mistrust to physicians, poverty, and economic lack of health coverage. According authors of an article called “ Striking Jump in Consumers Seeking Health Care Information” it stated “Consumers across all categories of...
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...acute and curative. The country saw a new Affordable Health Care Act 2010 which cited numerous responsibilities and accountabilities on healthcare professionals. The nurses and physicians are warranted to generate a system that is more patient-centered and provide the optimal level of care. The IOM report “The future of nursing: Leading change, Advancing health”, summarizes the significance of changing nursing practice in numerous arenas to encounter distinctive needs of clients by executing the highest level of excellent care. The last few decades have witnessed nursing role evolving significantly and becoming integral part of the healthcare system. The IOM report has a remarkable influence on the nursing future. The IOM report released by the national academics of science lays utmost importance on the potential theory and uses evidence-based practice in order to improve the safety and quality of care rendered in the health care setting. In this paper, we will discuss the effect of IOM report on the various arenas of nursing practice, education, leadership, and management. The technology has changed our lives significantly and nursing is no exception to it. The modern technology has brought in many changes in nursing and healthcare system. The nursing have seen numerous changes and will continue to grow in near future. In the healthcare industry, the technology has been instrumental in reducing medical errors and enhance client safety. According to IOM.” Changes in health...
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...In the United Sates there are barriers to health services that include high cost of care, lacking or no insurance coverage at all, lack of services and lack of competent care in cultural and ethnic aspects. Barriers lead to hindrance gaining proper healthcare such as unresolved health treatment, hold ups in receiving adequate care, reduced preventive medicine services, financial inabilities, and avoidable hospitalizations. Access to care variates based on socioeconomic status, age, sex, disability status, sexual orientation, gender identity, and residential location and, somehow, even race and ethnicity. In America, access to health services surrounds 3 components in regards to coverage, services, and timeliness. Coverage helps patients into the health care system. Lack of coverage or none at all, those in this category are most likely to have poor health status, not likely to receive medical care, delay in diagnoses, and predominant to die early. Optimizing levels of access to health care services ensures a usual and ongoing source of care which leads to having better health outcomes, fewer discrepancies, and lower costs. Primary care managers, PCM, serves as an important source of care. PCMs...
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...will discuss how changes to access influences in utilization. Concepts of what the universal health care may be and how current care reflects or contrasts with this will be discussed. The stakeholders involved in the movement towards a system universal healthcare. With healthcare being a goal of reform, the new roles emerging in the industry today. The Affordable Care Act 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. Health plans can no longer limit or deny benefits to children under 19 due to a pre-existing condition. If you are under 26, you may be eligible to be covered under your parent’s health plan. Insurers can no longer cancel your coverage just because you made an honest mistake. You now have the right to ask that your plan reconsider its denial of payment. Lifetime limits on most benefits are banned for all new health insurance plans. Insurance companies must now publicly justify any unreasonable rate hikes. Your premium dollars must be spent primarily on health care and not administrative costs. You may be eligible for recommended preventive health services as well as no copayment. The option to choose the primary care doctor you want from your plan’s network. You can also seek emergency care at a hospital outside of your health plan’s network ("Hhs.gov/healthcare", 2014). Many Americans lack health...
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...Medicare The Medicare program has had an enormous impact on modern healthcare. The program brings healthcare to those 65 and older, but as a result of regulations and federal monitoring, the process for obtaining coverage, keeping coverage, reimbursement for services and the impact on accreditation make some health care organizations struggle to make ends meet. The program impacts not only standards for licensure, certification and accreditation, but also effects quality of care, how providers are paid, and access to healthcare. Medicare stipulates how providers are paid for services. An example would be the Prospective Payment System (PPS). The PPS determines fixed Medicare payment amounts based on the classification of the service provided (CMS.gov, n.d.). Medicare reimbursements are also influenced by many quality programs in place. As stated above, the Hospital Readmission Reduction Program threatens reductions in payment for performance, thus impacting reimbursement as well. Since signed into law in 1965, the Medicare program has played a large role in standards for healthcare providers, clinical quality for its patients, reimbursement to its participating providers, and has provided access to necessary medical care for the elderly. This program also has a very large influence on the health informatics professional’s role in modern healthcare and its emerging technological programs contribute to the growing need of a skilled health informatics workforce...
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...INTRODUCTION Health insurance is fast emerging as an important mechanism to finance health care needs of the people. Healthcare Insurance Market in India is unique and has a strong growth potential than the other insurance markets. Life insurance includes all risks related to the lives of human beings. IRDA (Insurance Regulatory and Development Authority) allowed to the customer to change their insurance company in case of dissatisfaction with company. Health insurance portability gives the flexibility to the customer and increase the fair competition among companies. The concept of Portability is new in India so the awareness and perception towards portability of customers depends on several factors. The study covers all the fundamental aspects of awareness and customer preference towards healthcare insurance portability in India. The objective of this study is therefore to examine some of the influences such as consumer awareness and enthusiasm, the role of social influences like advertising, services provided by company, groups and family in affecting consumer’s perception and evaluations of health insurance. The need for an insurance system that works on the basic principle of pooling of risks of unexpected costs of persons falling ill and needing hospitalization by charging premium from a wider population base of the same community. In the present scenario the annual expenditure on health in India amounts to about $7.00 in rural areas and $10.00 in urban areas...
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...ACHE The American College of Healthcare Executives (ACHE) is an international organization that consists of more than 30,000 healthcare professionals that lead hospitals, healthcare systems and other healthcare companies. ACHE is known for their extensive educational programs such as their annual Congress on Healthcare Leadership. ACHE has strived towards the optimal goal of becoming the premier leader for healthcare administrators dedicated to improving the delivery and integrity of health care. These decisions are not just limited to clinical matters, but they include the total patient care experience. Because of emerging healthcare trends and complex health law and ethics, it is imperative that healthcare administrators have a professional organization. CHE is known for its prestigious FACHE® credential, signifying board certification in healthcare management, and its educational programs including the annual Congress on Healthcare Leadership” (American College of Healthcare Executives, n.d.). SELF-ASSESSMENT Self Assessment and The Ethics of Self-Assessment can assist and define those areas that are based on strong ethical ground; areas that you may wish to consider and examine the basis for your responses; and opportunities for further reflection (www.ACHE.org). This Self-Assessment can help medical professionals to recognize those areas in which they have a strong ethical ground; areas that they may wish to examine or survey the basis for their responses; and...
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...These vignettes illustrate the difficulties associated with coordination of care between providers as well as ensuring patients’ self-care. One objective of healthcare reform has been the development of medical homes where patients’ care and information would be centralized. The medical home is not solely a primary care practice, but the primary care physician would be part of a team that includes other community health center providers, home health providers, social workers, and even other leaders in the community that are outside of health care. Coordination of care will need to incorporate electronic health records that are accessible to the entire healthcare community, and it must include environmental information as well. A complete loop of communication is vital to encompassing care. Physicians need to be trained to integrate their treatment into a system, and care teams must be patient-centered, not physician-centered. There will need to be policy put in place to address not only issues of the social influences of health, but also to “address the challenges of an ‘aging population with multiple chronic diseases.’” Healthcare providers must realize the importance of personal relationships with patients in order to have a full frame of reference for their care. We need to be aware of circumstances in patients’ environments as well as their medical history. We need to ask more than simply did the patient follow through with recommended treatment. We need to...
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...Health Care Utilization Paper Margo O. Ellis-Gardner HCS/235 Health Care Delivery in the U.S. April 13, 2015 Tomeka Davis Health Care Utilization Paper In what ways have recent health care reform measures expanded or inhibited access to care? The signing of the Patient Protection and Affordable Care Act on March 23, 2010 has given millions of individuals the ability to gain access to medical insurance, and reduce the cost. In addition it insures that individuals who has pre-existing problems, such as heart disease, cancer, asthma, and previous injuries, as well as the need for preventative and immunization. According to Lee (2012), young adults can stay on their parents insurance until the 26th birthday, this is including those that are college graduates- Because of the law 6.6 million additional young adults, including more than 1.3 million minorities—many of them new college graduates—had access to coverage even if they were unable to find a job right away. This law does not allow health insurance to charge a higher premiums, deny coverage, nor limit an individual’s benefits. Making Improvements to facilities and creating new centers will help with the growth of new jobs, but allow them to better serve the new individuals who have recently been able to afford coverage. In addition individuals will be able to obtain coverage through their employment, on their own or from programs such as Medicare and Medicaid, along with subsides for those who have a limited...
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...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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...Meaning of Service Marketing A Service is an economic activity that is intangible or not be touched, not be stored, and not be owned. Postal service delivering mail is a Service, and the use of expertise like person visiting a doctor is also a service. A service is consumed at the point of sale and does not result ownership. A product is material or tangible in nature, can be touched, can be stored, and a product can also be owned, but it is not so in case of a service. Defining Service Services include all economic activities whose output is not a physical product or construction, is generally consumed at the time it is produced, and added value in forms (such as convenience, amusement, timeless, comfort and health) that are essentially intangible. Defining Services Marketing:- Services marketing are a sub field of marketing, which can be split into the two main areas of goods marketing (which includes the marketing of fast moving consumer goods (FMCG) and durables) and services marketing. Services marketing typically refer to both business to consumer (B2C) and business to business (B2B) services, and include marketing of services like telecommunications services, financial services, all types of hospitality services, car rental services, air travel, health care services and professional services. The range of approaches and expressions of a marketing idea developed with the hope that it be effective in conveying the ideas to the diverse population of people who receive...
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