...Quality health care means doing the right thing at the right time in the right way, for the right person and having the best results possible. There is a perception among many Americans that despite coverage, cost and other problems in the health care system, the quality of health care in the United States is better than it is anywhere else in the world and might be threatened by health reform. In fact, 55 percent of Americans surveyed last year said U.S. patients receive better quality of care than do those in other nations, even though only 45percent said they thought the United States had the world’s best health care system. The U.S. has the most expensive healthcare system in the entire world, and it’s just about twice as expensive as other countries. The administrative costs which are at 19-25% of the cost also 34% added for profit hospitals are the very reason why it’s so expensive. I will also add that South Africa as well as America is the only countries that will not provide healthcare for its citizens. “Despite ludicrous right-wing anecdotal claims of high dissatisfaction among those who live in countries with universal healthcare, the reality is that, with the exception of Italy, Americans are more dissatisfied with their healthcare than are the citizens of every other developed nation, including England, France, Germany, and Canada.”(Peter Hussey, 2004). Moreover, the quality of medical care will allow countries to do a comparison of performance to that of such with...
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...Singapore Nursing Board Standards for Nursing Practice defines that Nurses/midwives have the professional responsibility and accountability to uphold Standard of care and to contribute to their dissemination, interpretation and development despite medical advances, social and demographic changes and an increasingly complex healthcare delivery system that challenge the ability of nurses to provide safe quality of care. Should nurses fail to uphold certain standards and by doing so cause harm or injury to the client, they would be held liable in the tort of negligence. Description of a practical situation which raised ethical issues: Mr Lim 70 years old has been hospitalised for medical treatment with the diagnosis of chronic heart failure. He was ordered intravenous therapy by Dr Peter the medical resident. Nurse Su questions the order because it is for an infusion of Dextrose 50%. Dr Peter tells her that he checked it with Dr Lee, the medical officer. Nurse Su checks it with Nurse May before administration. Later, Mr Lim has a cardiac arrest and suffers extensive brain damage as a result of the infusion. The hospital inquiry is held and it determined that the correct infusion would be Dextrose 5%. Mr Lim’s family members are very upset and seek legal advice. All names mentioned in the above scenario are pseudonym. Identification of the ethical issues within the situation: Negligence Negligence is the breech of an obligation or duty to act with care, or failure...
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...health care are increasing. As health care costs rise, its causing more and more people like myself unable to go to the doctor’s due to the lack of insurance. The most difficult hurdle to overcome is the lack of financial resources to pay for medical services. But the bigger problem resides in those bigger countries with lack of access to health care. The uninsured cannot be stereotyped for they include many people who are unemployed, children, people with disability, the elderly, etc. In this paper I will discuss some of the issues associated with delivering health care to an indigent population, the five ways that the community care plan will improve the health status of the community, the five factors that point to the need for change by cooper green hospital, and the five strengths and weaknesses of the community care plan. Discuss six unique problems associated with delivering health care to an indigent population. In recent years, it has estimated that over 48 million Americans are insured or uninsured. Health care is a luxury indigent population cannot afford. Some families are forced to go to free health clinics within their county, and some places that offer low affordable costs, and the problem with that is you get what you pay for. The services may be cheap, but the quality of services, and personal attention is not given, as much as it would be with someone who might can afford to pay out of pocket expenses, or are covered under health insurance. Because of the...
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...ram4577X_ch03.qxd 4/16/04 11:50 Page 37 Legal and Ethical Issues in Medical Practice, Including HIPAA AREAS OF COMPETENCE 2003 Role Delineation Study CLINICAL Fundamental Principles ɀ Apply principles of aseptic technique and infection control ɀ Comply with quality assurance practices Patient Care ɀ Coordinate patient care information with other health-care providers GENERAL Legal Concepts ɀ Perform within legal and ethical boundaries ɀ Prepare and maintain medical records ɀ Document accurately ɀ Follow employer’s established policies dealing with the health-care contract ɀ Implement and maintain federal and state health-care legislation and regulations ɀ Comply with established risk management and safety procedures ɀ Recognize professional credentialing criteria CHAPTER OUTLINE ɀ ɀ ɀ ɀ Medical Law and Ethics OSHA Regulations Quality Control and Assurance Code of Ethics ɀ HIPAA ɀ Confidentiality Issues and Mandatory Disclosure OBJECTIVES After completing Chapter 3, you will be able to: 3.1 Define ethics, bioethics, and law. 3.2 Discuss the measures a medical practice must take to avoid malpractice claims. 3.3 Describe OSHA requirements for a medical office. KEY TERMS abandonment agent arbitration assault authorization battery bioethics breach of contract civil law contract crime criminal law defamation disclosure durable power of attorney electronic transaction record ethics expressed contract felony fraud ...
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...for making sure they are enforcing the federal securities set forth. In order for this agency to be active in enforcing these laws Congress allows the agency to bring Civil enforcement actions against anyone whether a company or individual who has committed accounting fraud. By providing false information or any other violations of the securities law SEC makes it a requirement that people or companies submit quarterly and annually reports. These reports shows the SEC what your companies plan is for now and the future in regards to goals or any special projects you have in mind. Reports given to the SEC are posted where the public has access to all the information. There is always someone watching out for fraud from companies and as soon as the wrong information is given or the company is caught committing fraud, basically the SEC is notified and an investigation is done at that time. Please note there are five divisions with the SEC, Corporation Finance, Trading and Markets, Investment Management, Enforcement and Risk, Strategy, and Financial Innovation so SEC is always working hard to make sure laws are not broken. The SEC stated that the securities firm’s former officials, acting as agent for the bank engaged in rigging bids for guaranteed investment for contracts during the time of 1997-2005 in connection with $14.3 billion of muni bonds. There are certain elements for contracts, legal competency, mutual agreement, legal objective, consideration and written contract...
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...when someone sends a message and it is correctly received by the other party. There are five basic elements in communication: the person sending the message, the person receiving the message, the message itself, the channeling of the message, and feedback from the message. Effective communication is crucial to the success of personal relationships as well as professionally. The person delivering the message must do so clearly so it is understood by the person listening. The listener should listen actively because the only way effective communication can take place is when the person listening recognizes without a doubt the message being conveyed. Some common ways of communicating include sharing information by telephone, delivering a speech, messaging, letters, e-mail and sharing information face to face. When a person can listen, store, and recall the information that they listened to, it is only then that you know you have communicated effectively. There can be times when there are barriers that prevent effective communication. Things like sending mixed messages, distractions, or inappropriate body language are just a few. The fundamentals of effective communication differ from the regimen in the essentials of health care communication. Why? Because one must be able to communicate effectively in healthcare seeing as how vital it is to be precise and accurate when making a decision about a patient’s health care. When we communicate with our associates and loved ones we are...
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...the increased mortality of this group. Bonnel (2000) notes that younger individuals are dying of this disease, which translates to a decreased taxable population and reduction in resources for public expenditures. Medications such as antiretrovirals are very expensive. Henderson (2002) points out that drug therapy costs up to $16,000 dollars per infected individual per year. Additional economic impact can be thought of in terms of lost productivity, and lost days from work, which account for a significant impact on the labor supply. With regard to substance abuse, Henderson (2002) states “substance abuse is the leading health problem in the United States today” (p. 310). Costs associated with substance abuse include increased costs of medical care, lost productivity from work, and increased rates of crime. Henderson also mentions that in 1995, drug abuse cost the United States $110 billion dollars. Violent crimes are fairly widespread in the United States today and include hate crimes, domestic violence, and homicides. The vast majority of violent crime victims will seek treatment from emergency rooms, leading to overcrowding in these departments and at a...
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...David Sackett. EBP is “the conscientious, explicit and judicious use of current best evidence in making decisions about the care of the individual patient. It means integrating individual clinical expertise with the best available external clinical evidence from systematic research.” (Sackett D, 1996) Defining what is meant by EBP allows this essay to discuss the controversies and key debates surrounding the use of EBP in nursing practice. These include ethical concerns, reliability, and validity as well as collection on of...
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...created a model that used |Kurt Lewin’s model can be used in a | | |Force Field Analysis to describe what happens when|health care change that involves the | | |an organization experiences change. He explained |implementation of electronic charting and| | |that there are forces that want change to occur, |electronic medical records. Management | | |and there also existed forces that wanted to |should accept some resistance from staff | | |maintain the status quo. For change to be |because it is natural for people to | | |effective, either the forces that want the change |dislike change. There can be many | | |to occur had to increase, or the forces that want |reasons for resistance. People become | | |things to stay the same had to decrease. Once the|very accustomed to and comfortable with | | |forces are determined and understood, the process |their ways of accomplishing tasks. Also,| | |of implementing change can occur. Lewin divided |employees may resist because they don’t | | |the process of change into...
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...producer world over, the 26th largest economy in the world and Africa’s largest economy. Paradoxically, this same resource-rich nation ranks among the five “extremely poor” nations of the world, ranking 153rd with a Human Capital Development Index of 0.471 according to UNDP in 2013. Of course this does not portend economic development. What is however, not surprising is Transparency Internationals’ Corruption Perception Index which ranks Nigeria as one of the most corrupt countries in the world, coming 144th out of 177 surveyed countries. This paper therefore seeks to examine the accountability of public officers in Nigeria and their effects and bearing on the economic development of the nation. It also looks at the factors militating against public sector accountability and the ways of achieving accountability in the public sector. The study uses historical data and a descriptive approach of study; it was found that Public sector accountability is essential to economic development in Nigeria. And the nation seems to exist at two extremes, abundant resources at one extreme, and poverty at the other extreme due to lack of accountability in public sector. Amongst others, it is recommended that the legislature should champion the accountability process, the Nigerian society should be re-orientated on value process, and whistle blowers should be protected to achieve accountability and economic development. Keywords: Public Sector, Accountability, Economic development. ...
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...Determine whether you would incorporate and state the advantages and disadvantages of doing so. Running a health care organization should involve many people. Incorporating a vast number of multi-disciplinary specialists is required for the organization to be managed appropriately. This is helpful as it ensures that the facility has enough people with different levels of expertise and all medical fields are properly furnished with adequate personnel. This also helps patients know the health care services provided are of high quality. The additional skills and expertise is not only an asset to patients, but to the community and the organization due to being able to offer knowledge that is helpful and important in managing the health care organization. The partnerships of different health care specialist that are created within the facility encourages better use of resources and promotes higher levels of organizational excellence. (Shortel & Kalunzy, 1997) Based on the facility being multi-specialty it cannot be a sole proprietorship. A partnership exists if someone joins the proprietor and sharks in the rewards and risks. The simplest kind of partnership is a general partnership. In this arrangement the partners usually receive equal shares of profits or losses, are entitled to equal voting rights, and are personally liable for the debts of the venture (Showalter, 2012) Deciding to incorporate a medical facility can be tough. The first factor is whether you want limited liability...
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...The Ethical and Legal Complexity of Medical Tourism: Questions of International Justice, Economic Redistribution and Health Care Reform Professor Sarah McBride Toro Longe April 18, 2010 M.J. Thesis in Health Law Abstract This is an essay on medical tourism in the United States of America (U.S.). It includes a brief history of the U.S. health care system, examines the social, cultural, ethical, and legal issues that have affected health care changes in America. With the number of Americans going overseas to seek medical care steadily rising, the American insurance industry expanding benefits, and the Joint Commission accrediting facilities for globalization of the health care marketplace, medical tourism should become increasingly important in the health care industry. While there are many reasons for patients seeking health care outside of their own country, one that is particularly easy to overlook is the outsourcing of health care and its effect in U.S. and around the world. The purpose of this paper is to examine the concept of medical tourism, noting the specific medical tourism destinations, presenting reasons for the recent increase in medical tourism, and examining the risks and benefits, as well as wrestling with the challenging ethical and legal issues inherent in medical tourism. The paper will conclude with consideration of the role of the law in medical tourism. Introduction Over the past 100 years, the United States of America (U.S.) has changed greatly...
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...effectively through the client/patient / care giver relationship, as listening is a significant part of the communication process. M0707121 Objectives List the educational objectives. 1. Response to and discuss the question: “What is communication?” Content (Topics) Provide an outline of the content/topic presented and indicate to which objective(s) the content/topic is related. I. A. B. C. D. E. II. A. B. C. D. E. F. III. 1. 2. 3. 1. Communication - What it is It is NOT about words It is about connecting with another person It is about deep listening It is about frank and honest dialog It is about trust Development of listening skills Increase in patient satisfaction Increase in patient retention Increase in best possible clinical outcomes. Increase in patient loyalty Increase in word of mouth referrals Increase in patient cooperation compliance The Myths of Listening Listening means agreeing: agreeing is not good listening Listening is a lot of hard work: focused, deep listening takes 45 seconds Listening requires you have to “act like you’re listening.” Listening takes too much time: people interrupt their clients after the first 12-14 seconds of the client speaking. What Makes A Mindful Listener A. A mindful listener “gets the whole picture”, not just the words but gestures, tone, attitude, expressions and pauses which tell the listener a great deal of information. B. Able to sustain attention over time. Average adult attention span is 22 seconds C. A good listener makes the speaker...
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...Elements of Organizational Ethics 1 3 Motivation theories for building ethical organisations 1 3.1 Stakeholder Theory 1 3.2 Intrinsic and Extrinsic Motivation 1 3.3 Incentive Theory 1 3.3.1 Reinforcements in Incentive Theory 1 3.4 Operant Conditioning Theory 1 3.4.1 Modifying Operant Behaviour: Reinforcements and Punishments 1 3.4.2 Operant conditioning for changing human behaviour 1 4 Industry Practices 1 5 Values & Ethics: A Cross-Cultural Perspective 1 5.1 Considerations for Evaluating Values of another Culture 1 5.2 Comparison of business cultures between China and USA 1 6 Case Analysis 1 6.1 NAICOM may sanction operators on unethical practices in insurance 1 6.2 Unethical and unauthorized medical practice - an alarming situation 1 6.3 Analysis and Recommendations 1 7 Conclusions 1 8 References 1 1. Background We end up in a century loaded with corporate embarrassments because of untrustworthy practices of corporate administrators over the globe. Outrages, for example, that of Enron, WorldCom,...
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...corporations. Is business evil incarnate? Of course it isn't. Is business completely innocent of the charges against it? Again, the answer is no. The truth lies somewhere in between. It is, after all, the modern enterprise, with all of its strengths and weaknesses, that has brought to larger numbers of people around the world, a level of material comfort and cultural opportunities than has ever before existed. Businesses must be doing something right. In fact, while business has less than a stellar reputation, the vast majority of its activities are either positive or benign. Just look around. Can you not, at any time of the day or night, find food to eat at a local eatery or grocery store? Doesn't the money to purchase said food come from some enterprise that provides wages? When you turn the knob, doesn't water, hot or cold, come out? When you turn on the television or radio, aren't you presented...
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