...Discussion The desire to transform the United States healthcare system from one that promotes higher volumes of care at higher costs to one that promotes high-quality care at reduced costs led to the idea of pay for performance and public-reporting quality initiatives. (Calikoglu 2012) Studies have shown patient benefits resulting from pay for performance initiatives to be varied, and one of the key determinants in that variation is the healthcare setting itself. Another key determinant is the design of the pay for performance incentive, such as what aspect of performance is awarded, as well as the size of the reward. Studies have also shown that public reporting initiatives, or requiring hospitals and physicians to provide data on their own performance, have been effective in reducing preventable injuries in the hospital setting. (Leake 2010) There are two types of pay-for-performance initiatives that have been implemented in recent years: processed-based performance measures and outcome-based performance measures. Processed-based performance measures indicate whether protocols were followed in specific situations. For instance, whether or not patients with acute myocardial infarction received aspirin upon arrival to the emergency department is a process-based measure. Outcome-based performance, however, is measured based on patient outcomes, mortality rates, for example. Studies have shown that patients gain the most value from pay-for-performance initiatives in the hospital...
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...vomiting are distressing complications of perioperative anesthesia. Since following any procedure or surgery that requires the use of anesthetic medication, there is the potential for these complications to occur and produce life-threatening complications. There is a great need to comprehend this pathology so that precise treatment can be initiated either preoperatively or postoperatively to combat these complications so postoperative healing is not delayed. Research in this area of concern is greatly needed so nurses know what the best measures are to assist in the treatment of postoperative nausea and vomiting. #1 Database (or collection) (30 possible points): Title of Database: BioMed Central Location of...
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...the first set of baby boomers who turned age 65 in January of 2011; it became evident that this country would embark upon its greatest challenge yet in managing the care of older adults. With this in mind, the management of chronic illnesses like diabetes and its associated complications is expected to become even more complex and difficult, with the realization that much is to be considered in preparation to care for this age group. In this analysis using the term management, as it relates to the older adult, implies direct guidance to treatment that is both accessible and practical. Review of Literature To better understand management of diabetes as a concept in adults age 65 and older, a review of disciplines is necessary to offer clarity in obtaining a greater sense of knowledge of the burden this disease places on the patient. In examining this concept a review of literature from the disciplines of nursing, medicine and social science were selected to define the concept. Nursing Discipline Chia, Schlenk, and Dunbar-Jacob (2006) examined the non-adherence to medication regimens in the older adult patient that was linked to personal and cultural belief systems. The management through healthcare provider interventions that would address the...
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...Economics of an Urgent Care Center in a Market of Emergency Departments One of the contributors to the rising cost of Healthcare can be attributed to the over use of emergency departments (EDs) for non-emergency needs. In the greater Capitol/First/Beacon Hill area there are three major hospitals (Virginia Mason, Harborview, and Swedish) with emergency rooms and no urgent care centers with the exception of Group Health which is restricted to Group Health insurance members. The question I asked myself is, “Why does Group Health have urgent care for their insurance plan members and the major hospitals in Seattle do not.” Urgent vs. Emergency Care A study by the CDC showed that approximately 70 % of emergency department visits can be treated in a typical primary care or urgent care setting and another study by National Center for Policy Analysis demonstrated that only 13% of patients that sought treatment in the emergency department were clinically appropriate. Reasons for non-emergency visits to the ED range from access issues to primary care providers (wait times, no primary care provider assigned, or no insurance) to a lack of knowledge that they could have been treated at an urgent care or primary care setting. There are good reasons to visit the emergency department: * Trauma due to an accident or assault | * A wound that will not stop bleeding | * Shortness of breath | * Vomiting blood | * Chest pain | * Sudden loss of consciousness...
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...rather use it as a tool of understanding the African American culture. Their perception of healthcare and their willingness to seek help could be linked to the fear of social discrimination and the possibility of being treated differently if the healthcare providers are predominately white. The health disparities among African Americans today is something that cannot be ignored and is something that healthcare professionals need to take seriously. This paper will talk about the health disparities among African Americans and how we can make change to this by approaching the problem with health promotion and prevention techniques. According to the Centers for Disease Control and Prevention, 2015, the population of African Americans is estimated to be a 45 million; which is 15.2 percent of the United States population. Around 14.7 percent of the African American populations are shown statistically to live in fair or poor health. This particular race is known to suffer from high incidences of Heart Disease, hypertension, diabetes, obesity, poverty and high crime rate. All of these health disparities are either the cause of genetic predisposition, lack of education or financial issues. Healthcare providers need to be aware of this minority groups disadvantages and be able to promote health with these patients and educate them so they can properly prevent future complications. Such complications can go as far as End Stage Renal Disease which is a common...
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...qwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmrtyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmrtyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmrtyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmrtyuiopasdfghjklzxcvbnmqwer...
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...Health care quality can be improved in various ways and which can help in increasing the patient safety. One of the approaches is by developing a better registry for quality. This involves having registries that enable a provider to assess and track how their patients are doing regarding key aspects of care and potential complications so as to identify areas for improvement (Quick, 2013). This measurement identifies opportunities for improvement thus improving patient services and reducing the chances of risk that patient may have. For example, setting up registries and implementing other changes in care delivery helps to improve health care among patients with complicated conditions. It avoids unnecessary costs and delays during an office...
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...illness is a persisting issue in the world today as the population is aging because of the improvement in healthcare and standard of living. Hence, the prevalence of patients with chronic diseases is increasing, and there is a need to create resources and employ more personnel to facilitate these changes. Chronic kidney disease is among the pathologies that are problematic today as it has a significant impact on the health of an individuals and his or her quality of life (Davison, 2007). The disease encompasses progressive deterioration of the kidney function to a point where the body is no longer able to remove toxins in the urine. Hence, these accumulate in the blood and may lead to devastating consequences...
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...diagnosis, a missed diagnosis, a delayed diagnosis, or a failure to recognize complications that change or aggravate an existing condition. Sometimes a doctor diagnoses one condition correctly but misdiagnoses another condition or fails to realize that there is a second diagnosis that needs to be made this healthcare issue negatively affect hospitals and medical offices financially. The financial management staff in the health industry have to carefully monitor, analyze, and calculate the budgets and monetary claims for multiple departments. Whether the business is a nonprofit organization or a for profit organization, the impacts would still be the same. Giving out wrong diagnoses to patients lead to medical malpractice suits, affect the quality of care, increases the cost of care and affects Medicaid and Medicare. All of the above impacts can cause an organization to have a bad reputation and possibly lose their accessibility to Medicaid and Medicare patients. Every effect causes a financial problem. A doctor and hospital can be held liable when misdiagnosis lead to serious injuries or delays treatment for life threatening diseases. Proper diagnoses from the start result in a smaller chance of medical malpractice (Fuller, 2006). The financial management staff is in charge of paying out the claims. The financial management staff can also see how many times a certain patient has been seen. If the low quality of care is causing patients to return to be helped and driving up the costs...
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...Short answer: Both the discharging and admitting facilities failed in their duty of care towards Margaret Burns. The discharging facility neglected to double-check her orders before transfer, while the admitting facility failed to verify the correctness of the received orders before administering medications. Both facilities must review their protocols, improve communication, and implement quality improvement measures to prevent such errors in the future. Holding both parties accountable is crucial to patient safety and care quality. 6. What is the difference between a'smart' and a Which health care facility is responsible for the medication errors? What obligations does the facility have to Margaret? To her family. Both facilities should be held responsible; neither of them checked the orders to ensure...
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...The Innovations and Incentives in Healthcare Discussing the innovations that improve the healthcare system and financial incentives. Furthermore, do financial incentives increase the quality of care that patients receive from physicians? Understanding the cost and complications when it comes to innovations and financial incentives in the healthcare system. Also, examining the Medicare/Medicaid payments that physicians receive based on the quality of care to patients. Finally, what can help the federal government come up with ways that help improve and expand the comprehensive healthcare laws? Innovation for Healthcare Innovation can be a challenge in the healthcare system for the healthcare professions and patients. Innovation is very crucial...
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...California. The main complaint among patients is the quality of care. Your job is to understand the state of the hospital, create value, increase efficiency, and turn the facility into a local hospital of choice. Whenever you are making visits in the various wards to meet the employees and the patients, you hear how the patients love the hospital, but they would like to see certain improvements in care. The employees seem to be very busy executing their duties and not interacting much with the patients. The hospital board has asked you to compile a report of your findings and suggested strategy for achieving the hospital’s current goals. Five Measurements of Quality Care in a Hospital Patients are the most important aspect of healthcare organizations. Without clients needing their services, healthcare facilities cannot function. Therefore, there are certain measurements of quality care that customers seek when choosing a healthcare facility during times of emergency and even an inpatient care facility. Quality of care can be broken down into three main categories, structural, process, and outcome measure (Bajnok, Puddester, MacDonald, Archibald, and Kuhl, 2012). The structural measures of quality are actions taken either by the organization itself, or by an individual that have significant influence on the overall quality of the organization’s performance (Bajnok, Puddester, MacDonald, Archibald, and Kuhl, 2012). Process measures of quality consists of the means of carrying out the work...
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...demand for increasingly efficient health care organizations is essential to a positive outcome for the industry. Health care is one of the world’s most complex undertakings, there are innumerable processes at every level. For-profit Financial Environment For-profit organizations must make a return on investments and services rendered. They must meet their obligations and must satisfy private investors and shareholders (Finkler, & Ward, 2006). With a return on investment being one of the top priorities, motivation can be fostered to provide high efficiency with a superior product. In this case, a superior service. Mountain Star Healthcare Mountain Star facilities are owned and operated by the larger parent company Hospital Corporation of America (HCA). This private company began trading shares in the stock exchange in 2011 (Hospital Corporation of America, 2013). Their goal is to approach service expansions with the patient put first. Mountain Star is placing conveniently located outpatient clinics in the surrounding communities. These individual clinics might include imaging, surgery, and physician clinics (Mountain View Hospital, 2013). Unique Financial Policies For-profit organizations are treated as private corporations or a financial variant. Because they are private entities, they are subject to all...
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...community as a whole. On a larger scale, vaccinations should be made affordable and widely available. Community members should be informed of and encouraged to get immunized through public service announcements, flyers, and pharmacy posters. HIV Testing Similar to the immunization issue, the first step is to investigate the cause of low HIV testing in the area. The second step is addressing the cause either through education, an intervention, or both. Stigma around HIV and AIDS is a topic that’s likely to come up, especially given the prevalent middle-aged population of the Bay Ridge community. Another factor is access: HIV testing should be readily available and affordable. The public health nurse can collaborate with local clinics and healthcare facilities to spread information about the importance of HIV...
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...Introduction It is well known that people suffering from chronic diseases have major impact in the healthcare delivery systems, including the elderly population over the age of 65. With the advances in technology combined with the aging population, more people are living longer with chronic diseases. Longer life expectancies count for higher costs in healthcare for the treatment, management and prevention of further complications arising from chronic diseases. The third most common chronic disease of the older adults is Parkinson’s disease. It is a debilitating disease affecting a person’s motor ability, causing tremors, rigidity, akinesia or slow movement, and postural instability. According to the National Institutes of Health, about 500, 000 individuals in the United States suffer from Parkinson’s Disease, and it is estimated that males are more often affected than females. Parkinson’s disease has a large economic impact and directly affects medical costs, as well as the affecting the person financially, such as lost wages and decreased productivity. According to a recent interview with a client suffering from PD over the course of ten years, the disability directly impacted his personal life, financial status, and family members. The next discussion talks about how the patient learned about his disease and the personal impact it created at the beginning of the disease process until the peak onset later in his life. How the patient learned about his disease During the...
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