...Social isolation in community-dwelling seniors Abstract In early August 2007, the Medical Advisory Secretariat began work on the Aging in the Community project, an evidence-based review of the literature surrounding healthy aging in the community. The Health System Strategy Division at the Ministry of Health and Long-Term Care subsequently asked the secretariat to provide an evidentiary platform for the ministry's newly released Aging at Home Strategy.After a broad literature review and consultation with experts, the secretariat identified 4 key areas that strongly predict an elderly person's transition from independent community living to a long-term care home. Evidence-based analyses have been prepared for each of these 4 areas: falls and fall-related injuries, urinary incontinence, dementia, and social isolation. For the first area, falls and fall-related injuries, an economic model is described in a separate report.Please visit the Medical Advisory Secretariat Web site, http://www.health.gov.on.ca/english/providers/program/mas/mas_about.html, to review these titles within the Aging in the Community series.AGING IN THE COMMUNITY: Summary of Evidence-Based AnalysesPrevention of Falls and Fall-Related Injuries in Community-Dwelling Seniors: An Evidence-Based AnalysisBehavioural Interventions for Urinary Incontinence in Community-Dwelling Seniors: An Evidence-Based AnalysisCaregiver- and Patient-Directed Interventions for Dementia: An Evidence-Based AnalysisSocial Isolation...
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...1NU03 Sir Dela Cruz “ The Role of Volunteer Nurses in the present Philippine health care situation” First question is why do nurses volunteer? a volunteer is someone who works for a community or for the benefit of the environment, primarily because they choose to do so.” Im likely see that this definition closely matches why I chose nursing in the first place. There are some reasons why nurses do this voluntarily and without their profits involve only just for the sake of having experience serve as imparting knowledges to other people. These are the main reasons:Using your skills to help others. Nurses often have specialized skills and knowledge that can benefit a wide array of people. To keep the resume going. If you lose your job or are just starting out as a nurse, what better way to improve your resume than serving others? If you are a new nurse, a volunteer opportunity offers the "experience" that hiring personnel are looking for. A sense of self. I can think of no better feeling of satisfaction than helping others each day. To make a positive impact on the community as a whole, To demonstrate to your children the importance of giving to others. Further, theres` a lot of opportunities available for nurses alike, Peace Corps/Missionary Work, Mentorship to a nursing student, School Nurse, Hospice, Nursing Home, and Volunteer to teach classes with community help organizations (Alcoholic Anonymous, abuse victim groups, YMCAs, Boy Scouts, Girl Scouts,...
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...Support fro health care bill Executive summary I am writing to request for your support in the health insurance bill. As you know, a proper health is vital and that we cannot enjoy wealth and other luxuries if we are not healthy. However, diseases like Influenza and other serious illness are unavoidable in our daily life. In addition, lifestyle changes have caused many individuals to suffer from illnesses like cancer, stroke, and heart attack. For those reasons, I advocate that the government should give health insurance to its citizens. The health insurance will insure against the risk of incurring health expenses (Hitchcock, Schubert & Thomas, 2003). This happens by first estimating the risk of health care among individuals. An insurer can then develop a routine finance structure such as payroll tax or a monthly premium. I believe the implementation of a Health Insurance Bill will reform the health care industry by expanding insurance companies and creating an insurance exchange pool. This exchange pool will provide affordable insurance to low and middle-income earners. Therefore, I am requesting you to support the Health Insurance Bill that will regulate the insurance industry and cover as many people as possible (Green & Rowell, 2006). Health care bill and its impact on the society One of the healthcare reforms that I would recommend is on insurance. I would like you to pass a bill that addresses insurance policy matters of patients. First, the bill will reform...
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...CHIP Executive Summary The process of implementing a health care policy involves important steps of legislation formulation before execution and monitoring for progression and improvements. Committees and subcommittees on levels of the government, state, and local legislation are inclusive in ensuring the policy is enacted both efficiently and effectively. To accomplish these goals and objectives legislators must develop rules and regulations that align with goals and objectives, and take precautions to form the proper language to explain the actions suitable toward a successful operation. Some steps in the process are repeated each time a modification in the policy occurs. Examination of the Children’s Health Insurance Program (CHIP), justification of the policy, the responsibility of legislative committees appropriated to the policy, the implementation process, and the impact on the community, are addressed in the contents of this paper. CHIP Policy Description The Children’s Health Insurance Program (CHIP) provides low-income families with health coverage because they are not eligible for Medicaid. Funds for this program derive from state tax collections, and are matched by the federal government. Individuals under the age of 19 may receive coverage for immunizations, routine examinations, office visits, hospitalization, diagnostics, prescriptions, emergency room services, vision, and dental care. CHIP coverage varies in each state therefore, the aforementioned...
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...Professor King July 18, 2015 This paper will discuss how Community Mental Health Rehabilitative Services (CMHRS) are billed under Medicaid in comparison to other industries and the impact that private and government insurers and payers have on the reimbursement process. How Medicaid is administered and funded Medicaid is a government program that is administered through the U.S. Department of Health & Human Services (HHS) in order to assist low-income people pay for part or all of their medical bills. It was created by the 1965 Social Security Act. It is federally governed but locally administered by each State. States use private health insurance companies to administer their Medicaid programs. These providers are essentially HMOs that contract with the state Medicaid department to provide services for an agreed-upon price. Other states work directly with the service providers. How to Code and Bill Medicaid for CMHRS Services In Virginia Magellan Health is the Behavioral Health Services Administrator or BHSA that the Virginia Department of Medical Assistance Services (DMAS) contracted to manage and direct Virginia’s Medicaid programs. All community mental health and rehabilitative services providers under contract with the Virginia’s Department of Medical Assistance Services must contact Magellan Health directly for information on the reimbursement and claims processing instructions. Magellan Health adjudicates claims, processes claims, and reimburses providers...
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...Community benefit describes the amount of services and support a non-for-profit hospital provides to its community. Community benefit areas have been defined by 5 policy groups who qualify the benefit. These groups are the: American Hospital Association, Healthcare Financial Management Association, IRS, Voluntary Hospitals of America, and Catholic Healthcare Association. Although all of these groups determine community benefit standards, the IRS will have the greatest impact. Not-for-profit hospitals are now required to fill out Schedule H of the IRS 990 form. Although specific changes have not yet occurred to community benefit standards, changes may be in the works. There has been increasing concern surrounding if these hospitals are truly delivering enough community benefit for the various tax benefits they receive. Charity care is defined by Cleverley, Song, and Cleverley (2011), as unreimbursed cost of providing care. Individuals who qualify for charity care receive either free or discounted care services. The homeless, illegal immigrants and unemployed are just a few examples of this population. On my unit, when we care for these individuals, the hospital not only cover all or some of the costs of the care they received while in the hospital, but also cover the cost of medications (pain medicine and or anticoagulation medication); in addition to the follow up care they may need in the orthopedic or medicine clinics. Managers need to keep accurate track of every...
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...Legislative Health Care Policy and Processes Syeeda Daniels Baker College Abstract The United States legislative health policy process is very complex, it has a chain of command it has to follow before policies are set in place, this paper will explain what the legislative health policy is in the united states, and how its process is related to the principal features of united states health policy. I will discuss the critical policy issues related to the access to care, cost of care, and quality of care. Legislative Health Care Policy and Processes The legislative process is not a simple process, it begins when a member in congress determines that a problem exist, then a proposed solution to the problem “a bill” is presented to the committee that handles the issues presented in the bill (Singh, 2015, p. 524). Once the bill is amended it is forward to the house of representatives and the senate to vote on whether or not to pass the bill (Singh, 2015, p. 524). If they don’t agree the bill is not considered. If the bill is pass by the house of representatives and the senate it goes to the President of the United States, who either signs the bill or vetoes it (Singh, 2015, p. 524). Congress then has the power to override the veto (Singh, 2015, p. 524). Health policy as defined by the CDC are laws, regulations, procedures, administrative actions, incentives, or voluntary practice of governments and other institutions that influence the health of society (CDC, 2015)...
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...Uninsured in the United States Who are the uninsured and who are the recipients of uncompensated care? If you are one of the people who lives in poverty, a single parent, or middle class parents who work minimum wage jobs, then you are the uninsured. The uninsured accounts for most of the population and many people think financing the uninsured has raised the cost of health care. How did the United States health care get in this way? How have the uninsured citizens of this country received health care and what are some solutions? The purpose of this paper is to discuss the uninsured issue, how it affects the health care system in the United States, and how can the influence of nursing help the uninsured. Uncompensated care in the United States How does a person define uncompensated care? By researching this topic, the conclusion is uncompensated care and uninsured goes hand and hand. According to the American Hospital Association (2012), uncompensated care is a bad debt that comes from an uninsured patient or insurer who is unable to pay their bill (p.1). The uncompensated care does not include underpayments from Medicare and Medicaid. This affects the millions of uninsured and underinsured Americans who seek medical attention from community clinics and hospitals. When the clinics and hospitals are unable to meet the cost to operate effectively and efficiently, the entire community suffers. Over the years there has been an increase in the number on uninsured people in the...
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...ability to access health services has a profound effect on every aspect of his or her health, yet at the start of the decade, almost 1 in 4 Americans do not have a primary care provider (PCP) or health center where they can receive regular medical services. Approximately 1 in 5 Americans (children and adults under age 65) do not have medical insurance. People without medical insurance are more likely to lack a usual source of medical care, such as a PCP, and are more likely to skip routine medical care due to costs, increasing their risk for serious and disabling health conditions. When they do access health services, they are often burdened with large medical bills and out-of-pocket expenses. Clinical preventive services, such as routine disease screening and scheduled immunizations, are key to reducing death and disability and improving the Nation’s health. These services both prevent and detect illnesses and diseases—from flu to cancer—in their earlier, more treatable stages, significantly reducing the risk of illness, disability, early death, and medical care costs. Motor vehicle crashes, homicide, domestic and school violence, child abuse and neglect, suicide, and unintentional drug overdoses are important public health concerns in the United States. In addition to their immediate health impact, the effects of injuries and violence extend well beyond the injured person or victim of violence, affecting family members, friends, coworkers, employers, and communities. Witnessing...
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...NU1505: HEALTH, SOCIETY AND CARE PROVISION INDIVIDUAL CASE STUDY (Word Count: 3,300) Introduction The author is intending to conduct a patient case study based on the care provision and elements of care that will focus on appraisal of the nursing model, socially or culturally as well as the presence of health awareness and promotion of the individual patient. The author will reflect on the identified frequent needs of an individual patient on a regular basis. The author will look at perceptions of health by the patient and their families/carers and multi-disciplinary teams with their approach to care provision, amongst others. Due to legal reasons and in respect of confidentiality the author will refer to the patient as ‘Bill’, the ward will be known as ‘Mental Health Unit’ or ‘MHU’ and the hospital as ‘local hospital’. This is necessary to protect the confidentiality and anonymity of the patients’ personal details and the hospital Trust. As the Nursing and Midwifery Council guidelines (2004) state; ‘you have a duty to protect the confidentiality of the patient or client record’, therefore it is vital to value every patients’ record details and personal confidentiality as well as their views and beliefs. ‘Healthcare professionals should make all efforts necessary to ensure that a patient can give meaningful and properly informed consent before treatment is initiated. This is especially important when a patient has a more severe depression or is subject to the Mental...
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...Bill and Melinda Gates Foundation Paper HSM/260 Ashley Turner August 26, 2012 Angela M. Jennings “Right now, just over 1 billion people—about 15 percent of the people in the world—live in extreme poverty. On most days, they worry about whether their family will have enough food to eat. There is irony in this, since most of them live and work on farms. The problem is that their farms, which tend to be just a couple acres in size, don’t produce enough food for a family to live on.” Bill Gates Bill and Melinda Gate believe in using their fortune and fortunate circumstances, to help others in the United States and in the world. They believe that when each person that lives in the United States, has the opportunity to develop their talents, society will thrive. They also want to help the rest of the world as well. Their Global Health Program harnesses advances in science and technology to save the lives of those in poor countries. They want to focus on the health problems that have a major impact in developing countries but are not getting enough attention and funding. Using the latest tools—seeds, vaccines, AIDS drugs, and contraceptives, for example, they have made impressive progress. “If we don’t make these success stories widely known, we won’t generate the funding commitments needed to maintain progress and save lives”, (Bill Gates Foundation, 2012). With the programs that have been funded and produced by Bill Gates and others on his developmental team, we can help...
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...systems of health care. Many different ideas have been tried and have failed. How would you design a better health care system for the U.S. population? Who would control the health care decisions? Would everyone be required to join? Who would control the costs of care? If the government provided the care, would malpractice lawsuits increase? HLT 418V WEEK 1 DISSCUSSION 2 What impact has health care reform had on the way you receive care for yourself or your family members? HLT 418V WEEK 1 ASSIGNMENT – FOUR COMPONENT OF HEALTH CARE Max Points: 150 Details: There are many reasons why a bill is introduced into legislation, helping a select group of people to make sure that everyone in the country is being protected. It is important as a healthcare provider to understand, how different bills effect the healthcare profession. Select a current health care bill that addresses one or more of the components of healthcare. You will use three to five academic sources to write this paper. Write a 1,250-1,500-word paper about how the bill affects health care services in the community in which you live. Include the following: 1. Summarize the components of the health care bill. 2. Describe the health care components that are addressed in this bill. 3. Who sponsored this bill? Who are the proponents of the bill and who opposes this legislation? What is their position (i.e., why do they disagree?). 4. Does this bill helps or hinders health care services in the community. Describe how...
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...will be provided followed by an evaluation of the policy and 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...
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...affordable health care under the updated health insurance reform legislation passed by the House. "The Affordable Health Care for America Act or H.R. 3962, blends and updates the three versions of previous bills passed by the House committees. "(Kruger, M. 2010) This bill is expected to ease the out-of-control costs of health insurance, introduce competition into the health care marketplace that will help maintain coverage affordability, protect people’s choices of doctors and health plans, and guarantee all Americans access to quality, consistent , affordable health care. The Association of American Medical Colleges stated in a Mar. 21, 2010 article; "we have taken the first step towards truly transforming health care in this country. This historic vote by the House of Representatives sets into motion long-overdue efforts to cover 32 million uninsured Americans and to assure their access to high-quality care. The nation's medical schools and teaching hospitals have expressed their full support for this bill to President Obama, and now stand ready to work with the administration and Congress to carry out these significant changes to our health care delivery system." (AAMC, 2010) The health care reform bill creates a shared responsibility for health care among individuals, employers and the government to ensure that all Americans have affordable essential health benefits. Two of the key components, and possibly the most debated or criticized of the Affordable Health Care for America...
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...for Advanced Practice Registered Nurses to have expanded ability to offer comprehensive complete care to the public. Republican Senator Cary Pigman who is also a medical doctor has recognized the necessity of this need. He has put forth a bill that would enable nurse practitioners the ability to practice without restrictions within the scope of their practice. He has introduced this bill as well as others to support the ability of nurse practitioners to offer comprehensive care to their patients. All Registered Nurses and Nurse Practitioners need to support these efforts so that we can provide needed primary care services within Florida. HB 547 expresses many changes that are needed in Florida today in medical care. The bill requests the reduction of supervision required for nurse practitioners. One major point in the bill is that nurse practitioners would be enabled to provide care independently of a physician. This bill also would enable nurse practitioners to prescribe medication including narcotics independently. This would alleviate the need for primary care providers to seek other treatment that they may require if nurse practitioners were able to fully treat their patients without restrictions’. There is a primary care shortage in Florida and nurse practitioners routinely fill that void and with this bill enacted it would enable those patients to receive comprehensive care by one provider instead of multiple visits to specialists to obtain the same result. Evidenced...
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