...Long Term Care Facility Study Outline Long Term Care Facility Study Outline I. Introduction Team B chose to cover Emeritus at Harbour of Pointe Shores, a senior community located in Ocean Shores, Washington. The team was interested in learning more about an assisted living and rehabilitation facility. It is also an opportunity to uncover the differences from an assisted living community and a skilled nursing facility. Emeritus at Harbour of Pointe Shores provides retirement and assisted living, respite services, and on-site rehabilitation. Similar to other long-term care facilities, the facility and staff are required to follow specific guidelines and regulations to maintain licensing and accreditation. However, these requirements may differ from other facilities because of the types of services provided. The presentation will touch on the differences between Emeritus at Harbour of Pointe Shores and other long-term care facilities, how public policy affects financing for the services offered, reimbursement for care, staffing needs and their roles, and how health care trends affect the operation of the facility. II. State and federal regulations A. Interview with the Administrator B. Review state regulations on Washington State Department of Health’s website. C. Review federal regulations on Washington State Department of Health’s website. III. Licensure and accreditation ...
Words: 629 - Pages: 3
...Philippine Institute for Development Studies A Study of Philippine Hospital Management Administrative Systems Fred Avestruz DISCUSSION PAPER SERIES NO. 95-16 The PIDS Discussion Paper Series constitutes studies that are preliminary and subject to further revisions. They are being circulated in a limited number of copies only for purposes of soliciting comments and suggestions for further refinements. The studies under the Series are unedited and unreviewed. The views and opinions expressed are those of the author(s) and do not necessarily reflect those of the Institute. Not for quotation without permission from the author(s) and the Institute. June 1995 For comments, suggestions or further inquiries please contact: The Research Information Staff, Philippine Institute for Development Studies 3rd Floor, NEDA sa Makati Building, 106 Amorsolo Street, Legaspi Village, Makati City, Philippines Tel Nos: 8924059 and 8935705; Fax No: 8939589; E-mail: publications@pidsnet.pids.gov.ph Or visit our website at http://www.pids.gov.ph A STUDY OF PHILIPPINE HOSPITAL MANAGEMENT AND ADMINISTRATIVE SYSTEMS PIDS Project No. DOH / 91-92 / 05 (Final Report) October 30, 1994 Fred S. Avestruz, MBA, Ph.D. Asian Institute of Management TABLE OF CONTENTS Chapter 1 Page INTRODUCTION ........................................................ 1 1.1 Objectives of the Study .................................................. 1 1.2 Conceptual Framework of Hospital Management .....
Words: 11942 - Pages: 48
...recommendations on how to improve the policy. The report will be concluded with a discussion on the impacts that the policy brings about. 1.2 Background Public health care is an emotive issue that remains a major concern of the public in our country. With the rising costs of financing public healthcare systems and the pressing aging problem issue, how our government finances our public health care systems becomes a major issue and debate within our public sector. Hence, I have decided to study on the Singapore’s Ministry of Health and how it plans to help Singaporeans to finance for their health care in a framework known as the “3M Framework”. This was also specially mentioned in the Budget 2008 announced recently and I will also discuss about changes to this framework in the report. 1.3 Objectives This project aims to study the effectiveness of the 3M framework as a financial means to help Singaporeans finance for their healthcare. 1.4 Scope This project will cover a brief history of the Ministry of Health and the 3M framework as well as the framework’s role in Singapore’s public healthcare policy. 1.5 Methodology The basis of the report was built on exploratory research whereby literature research was done on the Singapore Ministry of Health website to better understand the ministry’s financing approach to financing for public healthcare systems. The Singapore Budget 2008 and other literature reviews were also considered for the Ministry of Health’s...
Words: 3003 - Pages: 13
...Basically primary care consists of i) medical care (family physicians/primary care doctors); ii) district care (district nurses and midwives); and iii) social care (social workers). Medical care and district care together are primary health care (PHC). Social care is organized, managed and financed by local communities and since the beginning of the 90-ties is separated from health care. Social care tasks are focusing on support of inhabitants of local communities in case of poverty and are to prevent exclusion. Social care includes activities such as analyses of the local environment, the economical status of community members and making decisions on financing or co-financing of help measures requested by individuals. The social care budget is also playing a role in financing health services for the unemployed (from the central budget) and the homeless/uninsured (from the local community budget). From the central social care budget money flows to the National Health Fund (NFZ), which is the central insurance institution in Poland, and is further disseminated among the 16 regions of Poland in which branches of NFZ are located. From the local community budget, moneys are paid directly to selected health care units. Due to the yet unfinished implementation of family medicine, primary health care in Poland consists of two dimensions or care models: the old Semashko model with its group out-patient units and the family medicine model. Nowadays both dimensions have equal representation...
Words: 2679 - Pages: 11
...Health Division (SCL/SPH) TECHNICAL NOTE Quality Improvement of Health Care in Belize: Focusing on Results Ian Mac Arthur Jennifer Nelson Martha Woodye No. IDB-TN-661 May 2014 Quality Improvement of Health Care in Belize: Focusing on Results Ian Mac Arthur Jennifer Nelson Martha Woodye Inter-American Development Bank 2014 Cataloging-in-Publication data provided by the Inter-American Development Bank Felipe Herrera Library Mac Arthur, Ian. Quality improvement of health care in Belize: focusing on results / Ian Mac Arthur, Jennifer Nelson, Martha Woodye. p. cm. — (IDB Technical Note ; 661) Includes bibliographic references. 1. Health services administration—Belize. 2. Public health administration—Belize. I. Nelson, Jennifer. II. Woodye, Martha. III. Inter-American Development Bank. Social Protection and Health Division. IV. Title. V. Series. IDB-TN-661 http://www.iadb.org The opinions expressed in this publication are those of the authors and do not necessarily reflect the views of the Inter-American Development Bank, its Board of Directors, or the countries they represent. The unauthorized commercial use of Bank documents is prohibited and may be punishable under the Bank's policies and/or applicable laws. Copyright © 2014 Inter-American Development Bank. All rights reserved; may be freely reproduced for any non-commercial purpose. Ian Mac Arthur, ianm@iadb.org Quality Improvement of Health Care in Belize: Focusing on Results Abstract Belize is participating in...
Words: 14059 - Pages: 57
...Health Care Spending HCS/ 440 Health Care Spending In our society today, heath care is one of the top major concerns within the United States. Many individuals do not always agree with the decisions made for health care, the more concerned issues are the increase and where the money will be coming from to pay the costs of increase. Patient’s costs has doubled more in the U.S than any other country along with leaving some people without health care. This paper will discuss health care expenditures, as well as spending is too much or not enough. This paper will also discuss whether or not the nation should add or cut in certain areas and why. How the public need for health care are financed and the percentage of expenditures they represent. Lastly, I will provide future economic needs of the health care system along with reasoning for addressing these needs, and envisions for financing these needs. The spending for health care uses a great deal of the economy revenue, the national studies that have been completed within the past decade clearly shows many U.S citizens will have to make decisions that are disconcerting based on their ability to obtain affordable health care. As health care cost has been on the rise for many years. The expenditures in the United States to health care rose above $2 trillion in 2008. This has affected many families and businesses as well as the budget for the public. Health care spending cost are increasing at a more rapid rate than the economy...
Words: 1343 - Pages: 6
...priorities will be hypothesis that patients get the equal treatment through assessing and applying their needs based on their financial and care. This is essential when a manager determine priorities for services, with the contribution of professionals’ duties to remain with the best interests of service user. There have a duty to be present ethically among manager and practitioner. Uncertainty, this means a lack of understanding of the purpose of the service by the manager or a failure to reflect of the interests of the patients through management. Considering by reviewing the priorities the reality that changes the balance of the money spent...
Words: 724 - Pages: 3
...TERM PAPER ON Public Private Partnership in Rural Health Management in India Dec -2013 Contents Lists of Contents Page No 1. List of Abbreviations 3 2. Abstract 4 3. Introduction 6 3.1 Private Sector in India 7 3.2 THE ROLE OF THE PRIVATE SECTOR IN HEALTH CARE 8 3.3 Public/Private Partnership 8 3.4 OBJECTIVES OF PUBLIC PRIVATE PARTNERSHIPS 10 3.5 Classifying PPPs 10 3.6 Challenges in Partnership 11 3.7 Characteristics of Partnership 12 3.8 Scope and types of partnership 13 3.9 The Study for Research paper 15 3.10.1 Analysis and Discussion 16 3.10.2 Overview of the Case Studies 16 3.10.3 Enabling Conditions 17 3.10.4 Equity and Accessibility 19 3.10 Private partner selection and obligations of the Partners 19 3.11 Performance Specifications 20 3.12 Resource implications 20 3.13 Autonomy 21 3.14 Technical and managerial capacity 22 3.15 Quality of services 23 3.16 Stakeholder Perspectives 23 4. Summary and Conclusion 24 5. References 26 6. Annexure 29 1. List of Abbreviations PPP Public Private Partnership HSR Health Sector Reform ADBI Asian Development Bank Institute NRHM National Rural Health Mission FRU First Referral Unit MMVs...
Words: 15419 - Pages: 62
...Assignment 2 Financing and Restructuring Health Care Dr. David Tataw HSA 500 Health Services Organization January 28, 2012 Abstract: This paper analyses the Financing and Structuring Health Care by analyzing four important notions. Firstly it Identifies and describe the three main types of health insurances in the U.S. Secondly it explains the three methods for categorizing health insurance in the U.S. This is followed by a synthesis of the pros and cons of managed health care for the health care provider, insurer, and patient. Finally the papers describe the impact of managed care on both the Medicare and Medicaid programs. Identify and describe the three main types of health insurances in the U.S. Rodts (2010) talks about the new Healthcare system in US and the challenges it brings for healthcare providers but there is always challenge when one has to select the certain type of health cover for himself. It is therefore important to understand main types of health insurance in the US. While Hall (2010) outlined the three different types of reinsurances brought about by the health reform, Health Insurance Info (2010) notes that are a number of different types of health insurance coverage designed to meet the needs and budget of a variety of individuals. In essence, health insurance is a risk management tool that ensures you and your family has access to the healthcare you need, when you need it without causing a tremendous financial burden. The cost of health insurance...
Words: 3928 - Pages: 16
...Comparison of U.S. and Canadian Health Care Systems Quinn Sullivan California State University East Bay Abstract Health care is an essential service needed by citizens. As a result, the government plays an important role by designing an appropriate health care system for its citizens. In this paper, a comparison between the health care system in the U.S. and Canada has been made. Using various literary sources, the comparison has been done considering the four components of health care services delivery; financing, insurance, delivery, and payment. The findings indicate that the health care system in the U.S. is expensive but more efficient than the single-payer health care system in Canada. The findings have further been analyzed to ascertain its implications on the U.S. citizens, as well as the Canadians. The paper concludes that the health care system in the U.S. does not favor the middle-class earners, and thus recommends an improved system. Table of Contents Abstract 2 Table of Contents 3 1. Introduction 4 2.1 Health Care Delivery ...5 2.2 The Cost of Health Care and Administrative Overheads 6 2.3 Health Insurance 6 2.4 Funding 7 3. Analysis of Findings 8 4. Conclusion 9 5. Recommendations 10 6. References 11 1. Introduction Health care is among the basic needs of human beings. The need is not discriminative because everyone has an equal chance of...
Words: 2335 - Pages: 10
...Financing Health Care How societies pay for health care, and how many resources they devote to health, affects both the care people can get and its quality. In most developed countries, health care is paid for largely by the government or an organization associated with it, using taxes collected from citizens. The United Kingdom, for example, has a “single-payer” system in which the government pays directly for care; in France and Germany, the government collects taxes to fund part of the government health care system, and employers and individuals pay for the remainder of the costs directly. In other countries, such as the United States, a portion of the health care system is marketbased, that is, paid for by private entities such as employers and individuals. Even in marketbased systems, the government may provide health care to vulnerable people. For instance, in the U.S., federal funds support Medicare, which covers the elderly and disabled, and state and federal funds support Medicaid, which covers low-income people. These two broad approaches to financing health care – market-based and government financed – offer different advantages and disadvantages and neither is perfect in all aspects. All societies have to make choices between how broadly to provide access to basic and advanced care, how much to pay for health care and how much and which innovations to make available to patients. Different Approaches to Health Care In market-based systems, care is generally delivered...
Words: 1533 - Pages: 7
...UNIVERSITY NURSING COLLEGE MASTER PROGRAM 502 NUR HEALTH CARE DELIVERY SYSTEM Health care system Environment Presented by :EIDAH ALHARTHI, Supervised by : Dr. MELENA Outline : * Introduction * Goals of health care system. * The scope and size of healthcare system. * The basic functions of healthcare system: financing; insurance; payment; delivery (Providers). * Health care system: * A health care delivery system is a mechanism for providing services that meet the health-related needs of individuals. * Goles of health care system: * There are two key objectives of a health care delivery system: * To provide universal access and to deliver services that are cost-effective. * To meet pre-established standards of quality. * Health care services in Saudi Arabia have been given a high priority by the government. During the past few decades, health and health services have improved greatly in terms of quantity and quality. * HOW !! * Gallagher has stated that: “Although many nations have seen sizable growth in their health care systems, probably no other nation (other than Saudi Arabia] of large geographic expanse and population has, in comparable time, achieved so much on a broad national scale, with a relatively high level of care made available to virtually all seg- ments of the population. * According to the World Health Organization (WHO) , the Saudi health care system is ranked 26th among 190 of the world’s health...
Words: 5140 - Pages: 21
...Unit 4 – Peel Memorial Hospital Case Study GB520 Strategic Human Resources Management Professor Andrew Klein May 28, 2013 Introduction Before the 1990s, government funding allowed Canadian health care facilities to provide excellent service and quality. Increasing health care costs changed government funding, requiring providers to be held accountable for more of the financially responsibility in the early 1990s. During the mid-1990s, hospitals and regional health authorities across Canada were under siege from funding restraints, mergers and forced closures. The healthcare industry focused on delivering high-quality patient care and aligning the key stakeholders to the newly created vision during this time frame. To evolve and to survive, Peel Memorial Hospital implemented the Balanced Scorecard performance management system and that is the focus of this case study. The value of and the benefits to be gained when best practices are successfully used from the corporate sector are also highlighted. History and Issues Peel Memorial Hospital in Brampton, Ontario lacked significant targets and tired Mission Statement that tried to be all things to all people (Harber, 1998). Internal surveys revealed that employees were unclear on the organization’s strategic direction and the linkage of various programs and initiatives undertaken. In 1994, Peel Memorial Hospital took on a comprehensive continuous quality improvement training program and was followed by a lot of improvement...
Words: 829 - Pages: 4
...Case Study: Partners HealthCare Systems Case Study: Partners HealthCare Systems Partners HealthCare is a non-profit, health system located in Boston that created a data based transformation (Davenport, 2013). It integrated a new system that aligned the participating organizations to cohesively run as one and to help shape the future of the organization. The system didn’t stop there as it was responsible for bettering the patient financing experience and the delivery of healthcare information to other organizations (Davenport, 2013). The initial goal of the organization was making patient care more affordable and accountable by providing integrated, evidence based, patient-oriented care. Problem Identified Partners HealthCare, which was created by major contributing hospitals and medical facilities in the Northeast, initially began as a way to focus on the patient needs; however, the company soon found themselves separating from their initial goal. There was more than one problem identified within the realms of the company. There are three main issues that this case study produced. The first outlying issue is called Alert/Warning Fatigue (Davenport, 2013). This derives from alerts that were placed in the system to warn doctors of notices that could be anything from mixing prescriptions to simple notifications that most doctors already knew or was not in their field of study. A second issue that requires resolution to create a successful working system is the sense...
Words: 1410 - Pages: 6
...Operational Strategy Mission Kaiser Permanente’s mission to provide care assistance to those in need. As a health maintenance organization, Kaiser Permanente provides preventive care such as prenatal care, immunizations, diagnostics, hospital medical and pharmacy services. Also, to take responsibility and provide exceptional training for their future health professionals for better clinical performance and treatment for the patients. The organization is to ensure fair and proper treatment towards their employees for a fun working environment in hospital and to provide medical services especially in a growing population in suburban communities, such as Tracy and Stockton in California. Operational Strategies Kaiser Permanente obliged health care services to patients and throughout the community especially those who are uninsured to lend help, to promise a low cost service that would pull in more patients, Kaiser Permanente should develop health missions to the specific areas with their trainee professionals. In able to be different from its competitors, Kaiser as a non-profit organization focuses in social benefits and is giving more attention in helping others other than providing the needs of their shareholders. To be on top of the others Kaiser has developed and introduced new financing methods to healthcare to support the needs for training and researches to provide better services for perspective and current patients. To put these in action, Kaiser Permanente must develop and...
Words: 811 - Pages: 4
