...Health Care Administration Health care administrators have wide-ranging influence within the world of medicine. The leadership that these professionals provide sets the future course not only for the facilities they manage but also for the health care system as a whole. A health care administrator is responsible for establishing health care standards, making strategic policy decisions and implementing the personnel management procedures necessary to support his/her vision. In addition to the internal leadership they provide, health care administrators are leaders within the greater community as well. They partner with other health care organizations, comply with government regulations, advocate and testify on behalf of health care policies, and maintain campuses that are significant to communities. (Bureau of Labor Statistics, 2012-13) A bachelor’s degree is the typical entry-level preparation needed for health care administration jobs. Some employers, however, will promote from within or hire other professionals with related experience, such as nurses, who are ideal for an administrative role because of their direct health care knowledge. For high-level executive positions, a graduate education is usually the starting point. This means attaining an MBA, or a different type of master’s degree, or a doctorate in health administration. In most areas of health care administration, a license is not needed. One notable exception is for administrators of long-term care nursing...
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...Abstract Background: Primary health care (PHC) encompasses an array of health and social services that focus on preventative, diagnostic, and basic care measures to maintain wellbeing and address illnesses. In Canada, PHC involves the provision of first-contact health care services by providers such as family physicians and general practitioners – collectively referred as PHC physicians here. Ensuring access is a key requirement of effective PHC delivery. This is because having access to PHC has been shown to positively impact a number of health outcomes. Methods: We build on recent innovations in measuring potential spatial access to PHC physicians using geographic information systems (GIS) by running and then interpreting the findings of a modified gravity model. Elsewhere we have introduced the protocol for this model. In this article we run it for five selected Canadian provinces and territories. Our objectives are to present the results of the modified gravity model in order to: (1) understand how potential spatial access to PHC physicians can be interpreted in these Canadian jurisdictions, and (2) provide guidance regarding how findings of the modified gravity model should be interpreted in other analyses. Results: Regarding the first objective, two distinct spatial patterns emerge regarding potential spatial access to PHC physicians in the five selected Canadian provinces: (1) a clear north–south pattern, where southern areas have greater potential spatial access than...
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...1-Given the increasing longevity of Americans and the costs of providing long-term care, anticipation of the costs should be a major element of every family’s financial planning. Current information suggests however, that very few families or individuals give this consideration. What factors might impede this advance planning? What measures might be effective in raising awareness among the Americans about this important matter? Age, diagnosis, and ability to perform personal self-care and the sites of care delivery vary widely. Also, the unrelenting progression of time is the one constant that expresses the diverse range of life's possibilities. According to Calmus (2013), Long-term care in the United States is in crisis. The current system is not meeting the needs of the frail elderly and disabled populations. As the 77 million baby boomers enter retirement, the Long-term care crisis will likely grow, both because of the sheer number of the baby boomers and because of medical advances that have increased longevity. Regrettably, few have prepared to pay for their Long-term care, either through insurance or savings. Policymakers need to move swiftly to reform the current system to ensure that tomorrow’s retirees have access to high quality care without bankrupting future generations. According to the article "5 Big Reasons Why Americans Don't Save Their Money," Savings aren’t just important for buffering life’s emergencies; research shows that financial assets, more than income...
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...Legal Aspects of U. S. Health Care System Administration Lillie Cox Dr. A. M. Miller HSA 515 Health Care Policy, Law, and Ethics October 31, 2014 Legal Aspects of U. S. Health Care System Administration In the United States health care administration, there are lots of health laws, such as federal, state and local. The administrator will need to know these laws, because they will be interacting with top professionals at all levels. The health administrator is new to Well Care Hospital, and the hospital for the past six months has been under scrutiny for breach of medical compliance. It is important that the top administrator be concerned about the importance of his or her conduct within the health care setting; compromise the boundaries of ethics and medical conduct. This paper will also discuss the four elements required of a plaintiff, to prove medical negligence and the duties of the health care governing board in mitigating the effects of medical non-compliance, as they apply to the rules of practice set forth in the Well Care Hospital governing board manifesto. As the top health administrator, professional conduct is very important. The staff is to conduct themselves likewise. There is no room for a lot of playing around, because patients, family members, hospital directors, and the administrators are depending on each and everyone to set their difference aside, and be the professional they are. According to Wolper...
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...Instructions Read the questions carefully and be sure you understand the full intent of the questions before responding. You must answer both sections A and B. Briefly sketch your responses to questions before writing. The page limitations apply to the entire section (i.e., 8 double spaced pages for section A and 7 double spaced pages for section B) and you may allocate that page limit across the questions as you see fit. Font size is the equivalent of 12 point pica. There is no penalty for submitting a response that is less than the page limit. However, I will not read or count any response more than the prescribed page limit in any section (including footnotes). The content of the response and its organization are much more important than the length of the response or the number of words. Please post your responses in your personal assignment folder under "Final Exam". All examinations are due no later than Wednesday, August 15, 2012, at 11:59 pm Eastern Standard Time. (But I will be happy to get them earlier than the deadline!) Good luck! Examination Questions A. Short Answers. (45 Points) Please respond to three of the following four (4) questions. (15 Points for each response). Responses are limited to eight (8) typed pages. 1. Employing the contemporary fable "The Ambulance in the Valley" (see below) as a case study, respond to the following questions: a) How was the boundary set and how did this decision define "the problem"? How else could the...
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...The case study refers to two different surgical teams, with a related organization, that was affected in a different way after implementing an original knowledge for cardiac surgery. Traditionally, in the OR settings, there is a quantity of protocols and routines with the purpose of providing steadiness of practice across unusual hospitals. In this situation, generally everyone knows what their responsibility is, and the team members do carry out in performance without needing to communicate a lot in the company of each other, or at least they think so. Innumerous studies demonstrate that unsuccessful team communication repeatedly has been established to be present at the starting place of medical errors (Apker, Propp, Ford, & Hofmeister, 2006). A team is an assembly of individuals with harmonizing skills with the intention of achieving universal goals (Collins & Parker 2010). To be successful, teams ought to be appropriately managed and considered (Johnson 2009). A solution of a team achievement is inter-professional interaction. The case study without a doubt sets the two nurses experiences apart. Nurse A was a component of a team that embraced the alteration, took the accurate steps to put into action the modification and understood the advantages of adopting the original equipment. Effective coordination and communication surrounded by team members may have been the explanation why they felt safe and empowered to verbalize when something was incorrect. While members of...
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...doctrine of apparent agency, the nurses and other staff that remained on duty acted on behalf of the hospital because they were agents or employees at the time of snow storm. The day shift staff that remained on duty and nurse who agreed to come in assumed the role of agents that were authorized to act on behalf of the hospital. I am the C.E.O. of the hospital, and even though I am on vacation, my duties are still the same as they always are. It is my responsibility to make that the hospital is properly staff in the event of an emergency or the event of inclement weather. This is my duty whether I specifically carry out this duty or I assigned someone else to do so. It is also my duty to make sure that the staff carries out the duty of care to the patients at the hospital. Therefore, under the doctrine of apparent agency, I can be liable for the actions of those agents or employees working at the time of the incident. Under the rule, the principal, me the C.E.O., is bound by the acts of my agents with the apparent authority which I knowingly permit the agents to assume, or which I hold the agents out to the public as possessing. “Agency may be express, or implied from the acts of the principal, from his silence or lack of action, or his failure to repudiate the agency, knowing that another person is acting on his behalf without authority.” (Pulido & Attnys., 2011) The captain-of-the-ship doctrine can be used in a case of vicarious liability or respondeat superior. In the...
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...vs. Misericordia Community Hospital involves a patient; Mr. Johnson. Who underwent surgery on his hip by Dr. Salinsky at the Misericordia Community hospital. Apparently, during the surgery Dr. Salinsky severed Mr. Johnson’s artery causing a permanent paralytic condition to his right thigh with resultant atrophy and weakness and loss of function. The Plaintiff brought the case to trial on grounds of negligence by the doctor. The hospital however, disputed the allegations of negligence. The court of appeals ruled in favor of the plaintiff. The big issue with the plaintiff’s claim of negligence is that the hospital was held responsible for Dr. Salinsky actions because it was up to the hospital to ensure that patients received the best care by hiring only the most competent employee, which they failed to do. According to the account in our text, Dr. Salinsky was hired without the proper background check. It was found later that Dr. Salinsky’s application contained significant misstatements and omissions that would have otherwise, been cause for denial. Untruths, like stating that he had never been suspended, diminished, revoked, or not renewed. Yet, in another part of his application he failed to reply to the questions pertaining to his malpractice, insurance, carrier, policy number, amount of coverage, He represented that that he had requested privileges only for those surgical procedures in which he was qualified by certification. Mrs. Bekos, testified that although...
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...years, healthcare institutions are now running more like businesses and that new healthcare leaders should already have a strong background in business. His methods of leadership will point out the limitations of healthcare institutions and suggest ideas for solutions that combine administrators and physicians working together on this problem. Ronald G. Spaeth has served on several boards and serves a president and chief executive officer of Highland Park Hospital (Highland Park, Illinois) merged with Evanston Northwestern Healthcare (Evanston, Illinois). Mr. Spaeth is a fellow of the American College of Healthcare Executives. He earned his bachelor of arts degree from Western Reserve University in Ohio and his master’s in business administration degree from the University of Chicago in Illinois. He was also the recipient of the American College of Healthcare Executive’s 2005 Gold Medal Award, an honour conferred on outstanding healthcare leaders for their contributions to the field (Spaeth’s Argument para.1) Spaeth’s strategies as a leader for healthcare were having respect and admiration for the work of his physicians. He believed that no hospital administrators could achieve commiserate with them, and assist them as needed in their activities to make them more efficient. I believe his methods of management originate from a human relations school of management theory which emphasizes in the need to involve...
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...1. Justify your position about the importance of the physician-patient and hospital-patient relationships. The relationships of the physician –patient and hospital-patient are both extremely important and equally impact the health of the patient as well as the success of the hospital and physician. The physician-patient relationship is the center of health care due to the fact that one of the main aspects of a patient’s care is his/her discussion with the physician. In the past, patients had to rely solely on the directions and information provided by the physician in order to make important health care decisions. Patients were also limited in their access to health care facilities as well as hospitals. In today’s society this is not the case because most patients have the ability to seek second opinions, research alternate conditions/treatments, as well as rate physician care/hospital services through social media on the internet. A cancer patient in TN may travel to TX to receive treatment from a specific specialist and/or a highly recommended facility. Since the dynamics of the physician-patient and hospital-patient has changed, the relationship has changed but its importance has not. Therefore, it is essential that both the physician and the hospital facility itself have a good rapport with the patient in an effort to continuously build the relationship. A poor relationship between the patient and the hospital and/or physician could compromise the ability of the patient to...
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...Health Care Administration Health care administrators have wide-ranging influence within the world of medicine. The leadership that these professionals provide sets the future course not only for the facilities they manage but also for the health care system as a whole. A health care administrator is responsible for establishing health care standards, making strategic policy decisions and implementing the personnel management procedures necessary to support his/her vision. In addition to the internal leadership they provide, health care administrators are leaders within the greater community as well. They partner with other health care organizations, comply with government regulations, advocate and testify on behalf of health care policies, and maintain campuses that are significant to communities. (Bureau of Labor Statistics, 2012-13) A bachelor’s degree is the typical entry-level preparation needed for health care administration jobs. Some employers, however, will promote from within or hire other professionals with related experience, such as nurses, who are ideal for an administrative role because of their direct health care knowledge. For high-level executive positions, a graduate education is usually the starting point. This means attaining an MBA, or a different type of master’s degree, or a doctorate in health administration. In most areas of health care administration, a license is not needed. One notable exception is for administrators of long-term care nursing...
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...577 Michelle Gomillion November 18, 2013 Financial Environment Worksheet Financial Environments Worksheet Identify three examples of entities with for-profit, not-for-profit, and government financial environments in the health care industry. Compare the similarities and differences between the for-profit, not-for-profit, and government financial environments. | |For-Profit |Not-for-Profit |Government | |Exampl|1.Tenet Health Care |1. American Cancer Association |1. Veterans Affair | |es |2. Blue Cross/ Blue Shield |2. Kaiser Permanente |2.Mayo Clinic | | |3. All Scripts Healthcare Solutions |3.Catholic Healthcare West |3. Los County Department of | | | | |Health Services | |Simila|Generates revenue through daily |Engages in hybrid arrangements, |Same exemptions as not for | |rities|operation |joint ventures and alliances |profits | | | | |Operates under the same health | | |Employees staff with the same | |regulations | | |training and ethical obligations | | ...
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...technologies have raised the productiveness of healthcare services as well as employees because an advance in technology lowers the usage of paper records. These alterations in technology enable data to be distributed and reserved in exceptional ways, enabling information to be traced, evaluated, and exhausted in a manner that aides in delivering more competent care. Due to the type of data that is attainable via healthcare information systems, the makeup of the healthcare business will conform in consensus to the pertinent information systems. These systems will not only affect direct-care services like doctors and nurses, but will also alter non direct-care fields like analysis and growth, invoices, medical records, and more (Fottler, Ford, & Heaton, 2010). Fundamental alterations due to information systems are inescapable because of the alterations in how the data is acquired, reserved, and fetched. Information systems are intended to reply to inquiries. Nurses might exhaust upgraded systems to keep track of patients’ vitals; thus, altering the method of how care is given as well as the effectiveness of responses to the failing health of hospitalized consumers (Fottler, Ford, & Heaton, 2010). Furthermore, auxiliary information systems can be made to protect against medicine errors and patient allergies by exhausting regulations-based programs that will identify possible problems with current consumer data and professional rules (Fottler, Ford, & Heaton, 2010). With both instances...
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...Veteran’s Administration Scandal and Business Ethics Case Study August 19, 2014 Abstract This paper will discuss how the Veteran’s Administration first started and how it has evolved over the years to become the entity it is today, serving our nations veterans. I will also discuss how the Veteran’s Administration has been plagued with many scandals throughout its existence, from when it was known as the Veterans Bureau during the early 1920’s and also the many issues that the Veterans Administration has dealt with over the years to include those that were involved and their official capacity in wrong doings. This paper will look at how the Veterans administration has tried to make changes to support the increased number of Veterans after many of our past wars and some of the difficulties veterans from the Vietnam War have faced to receive care and benefits that were exposed to Agent Orange. I will also looked at the many problems veterans have faced over the years to include most recent allegation that the VA has gone through since the earlier part of this year and the changes that has taken place to correct the problem. According to an article written by CNN, during the end of the Revolutionary War Congress was supposed to pay those veterans that were disabled during the war, but the service members individual states were left up to the task, leaving only a few thousand to receive any type of payment pay. Congress establishes the Veterans Bureau which...
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...The Department of Veterans Affairs Information Management System: Serving those that Served Punefuolemotu E.L. Aiumu Everest University MBA Degree Program Information Management System Abstract I selected this title because I served in the United States Army from 2003 to 2010. I was deployed to Iraq in support of Operation Iraqi Freedom and several other operations. However, when I left the Service it became clear to me years later that Veterans Affairs weren’t ready to treat our Men and Women coming back from War. So I did some extensive research on how the system may have failed the people it was supposed to serve. And a good example of the system’s failure was the second Fort Hood incident in 2014. Keywords: Veterans Affairs, Fort Hood, Service The Department of Veterans Affairs Information Management System: Serving those that Served The reason why I chose this subject is because it is close to home and it also affects me. After two weeks of this class I wanted to dive deep into information management. I want to know why our system at the Department of Veterans Affairs do not stand ready to serve the Veteran population of our Nation properly. So many Veterans complain about loss or insufficient pensions because the VA hasn’t track them sufficiently. Sitting at Veterans Hospital in Orlando, FL I hear two Vietnam era Veterans talk about not having VA ID Cards. And they have been waiting for it since 2009. I asked them why it took this long, and they said, “The...
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