...Case summary White Sands Healthcare system, L.L.C., is a Physician-Hospital Organization in Alamogordo. It was created in 1996.It consists of Alamogordo Physicians, an Independent Practice Association, which has 45 Physician members ,representing 84% of all physicians practicing independently in the area.; Gerald Champion Regional Medical Center, the only hospital in the Alamogordo area; and 31 non-physician health care providers, including all five nurse anesthetists in the area.. It has violated the section 5 of the FTC act, 15 U.S.C. § 45 that prohibits unfair or deceptive acts or practices that affects the commerce.(2) Here, In this case white sands has increased the consumer cost by jointly fixing the prices charged...
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...Case study of fixing healthcare from the inside Statement of the problem Many policy makers and management scholars believe that the problems with American health care are rooted in regulatory and market failures. They think the best treatment is strengthening market mechanisms. While, the author believes that market-based solutions will cause professionals and policy makers to ignore opportunities for improving health care’s quality, increasing its availability, and reducing its cost. The problem happens in the industry which can be solved without market-based solutions is the ambiguity and the work-around culture. That makes trouble. In the ICU, professionals don’t know who should take charge of the patient which delays the cure. In the treatment, nurse uses the wrong medicine. Analysis Those situations happen many times in the industry. What is the root cause? What we can do? Many reasons can lead to such mistakes. Ambiguities are everywhere. That’s the main reason lead to so many mistakes in healthcare delivery. For Mrs. Grant story, medicine with the similar size and shape, with labels that were hard to read and they were located next to each other on the cart were the root cause. If nurses can work carefully maybe they could aware the mistake and correct it. And in most of time, they can figure it out and correct it immediately. However, the reality is, nurses work 12 hours a shift and they are tired with delivering care to 4 or 5 patients. That makes them easily...
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...The article that I am reviewing is called “Healthcare Reform: The Importance of a Public Option” by Stephen Gorin. The article discusses the issues that we are now currently dealing with well the House and the Senate debate and try to create the healthcare reform that would make sure that everyone has healthcare coverage. The big issue within this article is creating a level playing field for all the parties: the non covered public, the already covered public, the healthcare companies and the government. As if you didn’t already know this is not the easiest task as everyone wants to have a say on how it is going to be accomplished. One of the big things discussed in this article is the public plan option that is currently being debated in the legislation. Many people don’t feel that it would create a “level playing field”. One person described the public option as "a Trojan horse for government control and the progressive destruction of Americans' private health insurance coverage.” They are stating that there would be no way that with a public option would insurance companies is able to compete with a government public option. They cover what would have to happen to make this plan also work. They stated that to make the public option work that they would have to reduce rates to providers who could in turn refuse to see these patients with this coverage. They then go to discuss that they would have to create a payment system to providers that is equal and they close the gap...
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...signs, levels of consciousness, sensation of nausea or vomiting in short intervals of time. The check list should include a key as to what criteria is need for discharge. As this can be a life or death situation a 100% compliance would be the goal. Someone either from the interdisciplinary team, or some assigned by the team should review every check list ensuring protocol was followed. There would be staff training in the new process. The testing phase should continue over a 6-month time. Giving the opportunity to track progress, assessing if the changes in process are leading to the desired outcomes. If found effective, during the 6-month testing period, the process would then be continued throughout the entire hospital. (Institute for Healthcare Improvement: Failure modes and Effects Analysis Tool report,...
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...major contributors that influence the changes in healthcare economics and the advances in technology in healthcare. one must know what the United States has endured to have a clue of where is should be going here is a brief explanation of what the US has accomplished over the years. in the 1960s Social Security has been implemented in Medicare and Medicaid has been signed into law. By the 1970s HMOs came into existence in this is in healthcare costs began to rise. by the 19 eighties pregnant Reagan had decided to sign into law the Cobra Act. Cobra allow workers to stay insure it for 18 months after leaving a job. by the end of the 19 eighties Reagan implementing a prescription drug benefit coverage program would you didn't work well and was repelled the following year. in the beginning of the 1980s President Clinton wanted to require business is to provide insurance to their workers. for Republicans President Bush proposed tax break so that of porting insurance would be easier. by the turn of the century President Bush persuade Congress to a prescription drug coverage to Medicare and an expansion of Johnson's Great Society program for seniors. By 2008 Hillary Clinton camera with the healthcare plan which included the requirement that everyone has coverage. she also decide to take a bid at the presidential nomination and was beat out by Barack Obama. by 2009 President Obama and the democratic control Congress spend a year fixing a compromise that require companies accept small...
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...The rising cost of healthcare in today’s economy is in desperate need of reform. The cost of healthcare has affected the number of people able to receive medical care. Individuals are suffering more than ever because of the inability to receive medical attention when it’s needed. First, the rising cost of healthcare is going to continue to rise year after year. This is making it harder and harder on working class to receive medical care. It is even harder on the unemployed. As President Obama is urging congress for a stimulus this year, many feel that medicine is the best stimulus. America needs a healthy economy. After all, healthcare isn’t a luxury, it’s a necessity. Today the healthcare deduction is getting bigger and bigger. Despite a huge amount of complaints about “over insurance”, the amount people pay for healthcare out of pocket has risen tremendously. The Commonwealth Fund recently completed two massive surveys showing that the proportion of adults younger than 65 with health insurance who spent more than 10 percent of their income on health care out of pocket (5 percent for low-income adults) skyrocketed fro 13.8 million in 2003 to 21.8 million in 2007. (Jacob S. Hacker, Co-Director of the Center for Health, Economic and Family Security at UC Berkeley). This is in response to the hike in deductibles and co-payments in health plans. There are 40 percent of the working-age populations in an immediate economic bind because of medical costs. Second, because of the rising...
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...Running head: ESCAPE FIRE, A CLOSER LOOK Escape Fire, A Closer Look Phillip Eubanks Medical Careers Institute Escape Fire, A Closer Look The theme of the movie focuses on the payment and delivery of healthcare from the perspective of the medical professionals, insurance professionals, and the patient. It was an overall look at what drives the healthcare for the nation. There also was a look at how the healthcare system focuses around people who are sick, rather than being more preventative to ensure a higher health percentage. The doctors are pressed to see multiple patients a day instead of actually being able to spend quality time with each one. The doctors spend just enough time to get a prescription or diagnosis, but isn’t able to focus on overall holistic health to prevent bad health from even forming in the first place. There are several barriers that keep the healthcare professionals from being able to abide by a moral compass, and instead are forced to perform their jobs in a way that they would rather not follow. There are a few examples in the documentary that really stood out. Dr. Erin Martin, a primary care physician, and Sargent Robert Yates, military enlisted member that came home from Afghanistan with pain medication dependence, were portrayed in the film. The physician was forced to see more patients in a day that she could handle, and she wanted to be able to give more quality care than quantity. She ended up having to move to a new practice...
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...interoperations of medical facilities. They offer a system that is customizable to a specific facility type or specialty, and have even been called, “…one of the leading providers of information technology (IT) solutions…” (Michelle Rovner 2012). I have used this system in a few different medical clinics that I have worked in and I can vouch that it is a good system. The Current Uses of Technology In The Management of Healthcare Information. Technology is no longer frivolous benefit in the healthcare setting it is now a necessity. The many tools that technology gives in the healthcare setting are allowing the space saving capabilities of using laptops in exam rooms, documentation via templating, scheduling, referrals, billing, e-prescriptions, electronic documents, patient portals, and electronic imaging. With the implementation of a health information exchange (HIE), it increases the accuracy, safety, and speed in which a provider can give excellent care to patients. The Need for Implementation and Integration of Electronic Information Systems In a Healthcare Setting. All healthcare facilities need to provide medical professionals the most advanced technology that is available for their staff to use to assure more efficient patient care. NextGen allows providers to search for a lab in a second, or instantly see what care a specific patient has received elsewhere. It decreases the possibility of missing a diagnosis with the added “…ICD-9 / ICD-10 diagnosis search tool” (NextGen HIE 2015)...
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...their sickness and bad physical conditions due to the high cost of a doctor visit. The government has been focusing on fixing this problem by proposing the Affordable Care Act, otherwise known as Obama Care. It was created in large part to provide all Americans with affordable medical care and health insurance. Currently 15% of Americans are uninsured in regards to healthcare. What happens when these 32 million people get extremely sick or physically injured? Recent studies show that a large amount of them use the emergency room as their primary care facility which, in turn, increases costs for everyone. “In a May 2012 report, The Centers for Disease Control and Prevention cited a National Health Interview Survey that found that almost 80 percent of adults who visited ED's over a 12-month period said they did so because of a lack of access to other healthcare providers" (Doyle, 2013). Because of the increase in emergency room visits, hospitals have started requiring higher upfront fees such as co-pays before receiving treatment. Those who are uninsured can generally not afford to pay these fees either, leaving them with no other option than to forgo the doctor visit. With Obama care, all citizens will be provided with insurance, making it far easier to access health care and reducing costs of the additional fees. Obama care requires that all insurance plans cover the 10 essential health benefits which are: outpatient care, emergency room services,...
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...Keenan Brown English 122 Mrs. Hemphill March. 16, 2016 U.S Election I think Bernie Sanders should be elected as president. He appears to be morally driven in terms of making America a great nation. He has consistently received less media coverage then Donald Trump and Hillary Clinton, both of whom he matches as far as the presidential polls. With the other candidates having a much greater media coverage on major networks, Sanders still remains to keep in the campaign as his ideas and beliefs reflect those of the people. This is a testimony to the influence of political parties as well as mainstream media’s attention towards sensationalism and showmanship. This shows that Sanders is against playing by the fear and bigotry that are the forte of Trump’s Campaign. Amongst many of the reasons why Sanders should become President, I believe a major one to be that he is the only candidate that is not afraid of the idea of Socialism. In his own words during an interview he says, “Democratic Socialism means that we must create an economy that works for all, not just the very wealthy.” Hoping that in his two years in office to create a more economically fair/equal society for lower and middle class Americans to live in. A large statement Sanders has made is that climate change is something that needs to be dealt with. He has a firm intent on reducing the dependence on fossil fuels as well...
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...Health Care Reform and the Resulting Effects Kristen Opp Benedictine University Health Care Reform and the Resulting Effects Health Care reform, the expansion of healthcare coverage to the uninsured and unemployed, is under speculation regarding its long term economic impact. Although it will get more individuals covered with insurance it will come at a cost to small businesses and tax payers. These changes may be what most consider improvements but we must look at the long term affects on our healthcare system, for example it will also result in “$500 billion in Medicare cuts over the next decade” (Jackson & Nolen, March 21, 2010). Speculation is that healthcare reform is a band aid fixing existing problems and lowering the deficit but could be setting future Medicare plan participants up for hardship. The short term positive effects include free preventative care under Medicare, help for early retirees, end of rescissions and discrimination for pre existing conditions, and bans life time limits on coverage to name a few according to David Hancock in a recent CBSNEWS article (2010). Another simple speculation is that hospitals will benefit due to increased insurance coverage which will mean more patients through the door and less abandoned bad dead accumulated by uninsured patients unable to pay. Research on long term affects has not been quite as positive or conclusive. Most likely as a result of the new tax on unearned income (investments) there will be a negative...
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...Kaiser Permanente as a System Introduction Kaiser Permanente (KP) was founded in California in 1945. It is one of the largest non-profit healthcare organizations in the United States, made up of three entities: the Kaiser Foundation Hospital, the Kaiser Foundation Health Plan and the Permanente Medical Groups. It currently serves about 9.1 members within the following states: California, Colorado, Washington DC, Maryland, Virginia, Washington, Oregon, Hawaii, and Georgia. With a few exceptions, it mostly operates under a managed care model, owning the physician network and the facilities its members use to receive medical services (Fast Facts, 2013). In this paper I will present the systems thinking model, its definition and its use as a diagnosis model. Then, I will evaluate Kaiser Permanente as a system and identify a problem or challenge. Finally, I will offer recommendations on how to overcome this problem. Systems Thinking Systems thinking is used to analyze how all departments within an organization function and can affect each other. When we analyze an organization as a system, we learn how it can work in an efficient manner and how to fix it when it’s not working properly. An organization functions effectively if all its parts or departments are well-integrated. In systems thinking we look at the organization as a whole and how all its parts work together (Ackoff, 1999). The open systems model presents the organization as a system...
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...2014 As a business analyst of your company, I am writing this memo in regards to the developer’s proposal of new customer billing and customer management system. Although we are in the final phase of installing this system after passing the user acceptance stage but still we have some current issues that we need to resolve before we move on. In this memo, I will also mention about the actions we should take according to the current situation. Currently, we have cash flow issue, we have fewer budgets for promotion of our new product and on top of this we need to install the new system which will help us to approach to a bigger market and get more financial benefit. Presently, we have some challenges and need to make some strategic plan so that we can achieve our corporate goal in more efficient way. • Our biggest challenges right now is cash flow .We need big amount to commercialize the new product, which is ready to launch as a result of eight years of R & D effort. Once this product is used, the farmers can reduce the use of pesticides by 70% and increase the crop yield by 35%. Due to its environment friendly nature it would have a big impact on the local market on the other hand because it will increase the yield, it will be more popular in the developing countries. • Our system development cost has increase over 50% which is necessary to develop some key functionality in the new system. Lead developers have warned us about the extra expense of $ 25,000...
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...Discussion Health IT Adoption Introducing change in health care is never easy, i.e, the Obama Healthcare, (universal healthcare system) budget and implementation. By year 2014, the government will oversee that all Americans should receive healthcare regardless of pre-existing conditions, but that also means longer lines and longer services. Even with the change of technologies, I am sure there is significant doubt and opposition. So it comes as no surprise that in the face of changes of the adoption of health IT adoption – even though it carries the promise of improving the nation’s health care – some hospitals and providers will want to push back. Why should we care? The American people should care because they deserve better health care than they are currently receiving, and they need it delivered more efficiently. Health IT Adoption Plan is part of our economic recovery plan. Every provider, every patient throughout our nation will benefit from the goals envisioned by Health IT Adoption. Yes, this will be a challenge. While large hospital networks and smaller providers may be stretched to meet national health IT goals, it is not beyond their capacity for growth. There are incentive programs that will encourage and provide reimbursement to providers who have achieved meaningful use. This will also providing patients with improved quality and safety, more efficient care and save more lives and reduce redundant procedures which will save revenue...
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...and problem solving skills • Able to take responsibilities • Proficient with spreadsheet • Punctual PROFESSIONAL EXPERIENCE • Presently working in India’s 1st & World’s 4th Largest Healthcare Consultancy Six Sigma Star Healthcare Pvt. Limited, Delhi as a Principal Consultant. • Worked in JJ Institute of Medical Sciences (Jeevan Jyoti Hospital), Bahadurgarh as a Principal Consultant (Quality). • Worked in Mayom Hospital (125 beded Multi-specialty Hospital), Gurgaon, as a Manager -Operations. • Worked in Artemis Hospital (NABH Accredited), Gurgaon as an Associate- Patient Care Services. JOB RESPONSIBILITIES- As a Principal Consultant- Providing Consultancy related to Quality Improvement, Hospital Planning & Designing, Medico Legal Aspects, Education, etc. • Assessing and identifying existing status and gaps using NABH, NABL, JCI and other standards • Conducting work shop for creating awareness among employees in all levels of the hospital • Developing policies and systems in the entire process of the hospital for filling the gaps • Assistance in preparing all documents for the NABH accreditation including manuals, protocols, policy etc • Advice for Infrastructure up gradation • Assistance in fixing minimum competency of the staff • Assistance in preparing the organization chart, policies and employee manual • Assistance in finalizing the responsibility and authority of...
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