...organization (ACO) models. While the require for this move has been a hot point for a few a long time, the Office of Health and Human Services (HHS), along with major payers, moved past conversation and started arranging this year and took striking action towards quick selection (“A Strategy for Health Care Reform - Toward a Value-Based System”, Lockwood, 2015). “FFS reimbursement rewards providers for delivering more services and fails to differentiate payment based on quality”. (“Can value based reimbursement model transform health care, 2013”). This framework too has been a perplexity...
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...Health Care Reform Tiffany Henderson POL: 201 American Government Instructor: Kristine Tsahiridis June 8,2015 We are all too familiar with the term “Obamacare”. The first thing that comes to mind when we hear it is health care. Medical insurance has become such a hot topic in the most recent years. Not everyone is able to afford the best care, and it is becoming more of a challenge for senior citizens and for people with limited income in general. Health Care reforms have always had a long history of being proposed but not approved. That has changed in 2010 when two new federal statues were passed into law. The first being the Patient Protection and Affordable Care Act, or PPACA, and the second being the amended version to the PPACA, known as the Health Care and Education Reconciliation Act of 2010. The Federal Health Reform was created to make it easier for all Americans to have health care coverage. The reform uses the current insurance programs that are in place to build on so that more people can have access to health insurance. It also ensures consumers protection and more knowledgeable shopping for insurance. There are many steps included in the reform act such as, expanding Medicaid to allow for lower income families to afford health coverage, encourage more employers to offer coverage, encourage primary and preventive care, and require most Americans to have or purchase health insurance. The efforts for an effective health care reform have started as early...
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...2010). As structure of hospital started to develop further, in the medieval Islamic world, hospitals became a place were ill people were welcomed and cared for with qualified staff. During the modern era as science started to develop and scientist became more familiar with the human anatomy and physiology, modern hospitals started to appear in Europe. These hospitals were staffed with physicians and surgeons and served only people with medical needs (Wolper, 2010). Moving forward, current hospitals are technological advanced buildings that are staffed with well educated nurses, physicians, and surgeons. Although there are many hospitals that are still supported by churches and other religious groups, most hospitals are owned by government and are even privately owned. Communities around the world especially here in the U.S. view hospitals as healthcare institutes that provide emergency care or treatment to patients with acute or chronic health issues. Altough most societies do not consider hospitals to be community health centers or a...
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...Recognizing a Faulty Welfare System by Educating the People of Our Society As a society we are lacking the education needed to fully understand the welfare system. This naivety about the welfare system has caused it to become the least effective assistance program designed for the people of our society. Instead we have found it easier to generalize that the system is only for people who are lazy and choose not to work and therefore causing us to neglect the system. According to an article written by Elizabeth Anderson, “Survey research shows that most welfare recipients endorse the work ethic.” (2004) I know what you are thinking, how does a valued work ethic play a role if a person chooses not to work? The response is that everyone has to have a starting point. If we can believe that the majority of welfare recipients are willing to work then together we can review the current welfare system and make the changes that will benefit all the parties involved. If we can sift through the flaws and support the need for assistance we can effectively create a system that will produce results and potentially lessen dependency. So where do we begin? It all starts with an education. To support a need you first have to understand it. The goal of the welfare system is to provide cash assistance for low-income families with dependent children. The benefits a family can receive were outlined in 1996 when a law was created to design a new welfare program called Temporary Assistance...
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...Future Direction of Health Care There are many challenges the health care system faces in the future. In moving forward in a strategic direction challenges they face are: access to health care, technology advancements, maintaining a skilled workforce, health care reform, legislation, and rising costs. These areas present challenges and there is much need for changes and reforms. In this paper I will address five areas with challenges in health care and strategies organizations can adapt to take a strategic direction. The Affordable Care Act of 2010 marks a new era in American health care. This act will begin to have a positive effect on families, business owners, and their employees. It reduces the price of premiums through tax relief. Policy makers have long struggled with ways to make health care costs affordable and still provide quality care. Physicians are concerned over the high costs of health care and that it “is not correlated with high quality and efficiency in the delivery of services or improved health outcomes”. (Moseley, 2009, p.1). Proposed budget cuts to academic medicine propose challenges. Prevention interventions are a choice to improvement of health care reform. Reforms should be focused on the issue of coverage, increase value, increase quantity, with a major focus on keeping the population healthy. Over time the goal should be to improve on the health care bill through performance measurement, regulation of costs, expansion of coverage,...
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...Abstract . 3M Corporation History of the 3M Corporation What started off as a small company in the Lake Superior Town of Two Harbors, Minnesota in the year 1902 – 3M has grown into a worldwide corporation with companies in over 60 countries. Things seemed bright in June 1902, when Two Harbors attorney John Dwan drew up articles of incorporation and added his $1,000 to that of other charter board members, meat market owner Hermon Cable, Dr. J. Danley Budd, the city’s leading physician, and Duluth and Iron Range Railroad executives William McGonagle and Henry Bryan (3M Corporation, 2015). The five men set out looking for the next new product. They wanted to mine a certain type of mineral deposit (Corundum) to use as an adhesive for grinding-wheels. Corundum was in demand as the premier abrasive for grinding wheels, sandpaper and other items to polish, shape, sharpen and decorate items produced by America’s increasingly industrialized economy. This new source of corundum was greeted jubilantly; the only other North American source was in Ontario. The problem – one that surfaced after the company had incurred a large start-up debt – was that the corundum was not there on Lake Superior’s Minnesota north shore. What was there was anorthosite, which is useless as an abrasive (Bishop, 2005). So within a couple of years of its founding, 3M had tons of mineral for sale, no customers and was all but bankrupt. When mining turned out to be of little use and a failed attempt with mineral...
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...Professional Development of the Registered Nurse EOC R.N. Grand Canyon University: NRS-430V | Nursing History, Theories, and Conceptual Model June 23, 2016 Nurses are critical to the healthcare of America and the Health Resources and Services Administration (HRSA) states that of 2010 nurses comprised a workforce of greater than 3.06 million licensed registered nurses (Facts About the Nursing Workforce. (2010, July 27)). Although nursing comprises the greatest percentage of providers in healthcare the United States faces a shrinking nursing labor force and a significant nursing leadership shortage. It has been estimated that by the year 2025 there will be between 300,000 and a million less nurses than are needed to meet the demand of a growing healthcare population. “Four out of every 10 nurses will be over the age of 50” (Buerhaus, 2008) In 2008, acknowledging that nurses are critical to the development of a safe, quality healthcare system the Robert Wood Johnson Foundation (RWJF) collaborated with the Institute of Medicine (IOM) on a 2 year project. Assessment and establishment of recommendations to guide the transformation of nursing resulted in a landmark report titled, “The Future of Nursing: Leading Change, Advancing Health.” This report establishes nursing as central to providing high quality, efficient and effective, patient centered care. Accomplishment of the goals of this document will require collaboration of all sectors of the healthcare arena in accommodation...
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...Statement of the Issue Providing appropriate access to affordable healthcare has been an ongoing challenge for the United States’ health system. The U.S. Census Bureau report noted approximately 49 million Americans did not have healthcare coverage in 2011. Moving forward, coverage options are expected to improve for some given the passage of the Patient Protection and Affordable Care Act in 2011. While the PPACA was originally expected to extend coverage to approximately 32 million uninsured through individual mandates, the creation of state health insurance exchanges with public subsidized coverage and expansion of Medicaid, the Supreme Court decision that Medicaid expansion is a state option will likely reduce the number of newly covered individuals. Even as healthcare reform decreases the number of uninsured and defines mandated benefits, the problem of access to affordable care will be exacerbated by limited community-based resources that provide preventive services, primary care access and ongoing care for patients with chronic conditions. In response, there will be a need to increase capacity to serve more patients, while improving outcomes, reducing health disparities and becoming more efficient—all within the context of significant challenges to receiving adequate payment levels. Healthcare executives are committed to facilitating in the effort to enroll individuals in emerging coverage options and expanding needed services to help ensure access to affordable care...
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...problems which in the end have reached such proportions as to create a new conception of governmental responsibility”, (Bruce, 1961: 13).” The Beveridge Report of 1942 was the culmination of a review of the whole of social security provision in Britain commissioned by the Wartime National Government”, (Alcock, 1987: 51). The Wartime National Government only set out to tidy Britain up, not to make the huge changes Beveridge reported were required. Beveridge found that Britain had five giant evils to slay. Want (poverty), idleness (employment), ignorance (lack of education), squalor (poor housing) and disease (health). The government on receiving the report took serious consideration on whether to publish the report or not. It was in fact published and people queued to purchase a copy (Abel-Smith, 1992: 5-16).This essay will look at each of the five giant evils and the Atlee Reforms that where...
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...When will we see Change? A Critical look at Barack Obama and the democratic party. Charles Kerber POLS 202 9AM American Government Livingston This paper will take a critical look at the history of the democratic party, its most recent 2012 election, its current presidential candidate Barack Obama, and the latest platform. While the paper may read as being highly critical of President Obama, it should be caveated by the fact that this is an extremely trying time in the history of the United States, and the government is under considerable pressures from outside terrorism threats and international relations, to severe recession and domestic economic concerns. Nevertheless, one must look critically at President Obama, and answer has he really given us “change we can believe in”? Biography & history The Democratic party went through a number of iterations before it became the current democratic party. The party began as the anti federalists under the leadership of Thomas Jefferson and James Madison. Thomas Jefferson a former secretary of state under George Washington's administration who had resigned to protest the fiscal policies of Alexander Hamilton. These two rivals would become the basis of the first two political parties of the United States. Alexander Hamilton favored the constitution, the creation of a national bank and repayment of the revolutionary war debt with federal funds. Under this philosophy they would name themselves Federalists, for their leaders support of ratifying the constitution...
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...The Affordable Care Act and Medicaid Albany State University Healthcare in America is the most talked about topic today. This seems to be true since the Patient Protection and Affordable Care Act, commonly known as “Obamacare”, is in place. This act was signed into law back in 2010. It took four years for the changes to take place and now citizens of America are required to have a health insurance plan in 2014. Open enrollment for “Obamacare”, insurance plans ends March 31, 2014. Those who do not have insurance by then, will be taxed 1% of their salary by the IRS or receive a tax penalty of 95 dollars. The Affordable Care Act has made many changes to health insurance coverage, such as Medicare and Medicaid, family insurance plans and more. If one cannot afford health insurance, Medicaid will be extended under certain conditions. Medicaid will be extended to individuals or families who earn up to 133% of federal poverty level. According to About.com, federal poverty level for an individual is $15,281. For a family of four, the federal poverty level is $31,321.50. Individuals or families who earn too much for Medicaid will receive tax credits only if their income level is below 400% of poverty level. According to About.com, for an individual to qualify for a tax credit, their income would have to be $45,960. For a family of four, 94,200. The credit is then applied monthly instead of a yearly tax rebate. There are also reduced copayments and deductibles for these individuals...
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...of the Nursing Profession Jenifer S McFarlane Grand Canyon University: NRS-430V June 10, 2012 In 2008, the Institute of Medicine (IOM) and the Robert Wood Johnson Foundation (RWJF) came together to collaborate and develop a constructive plan for the nursing profession moving forward in the coming age of affordable care for all U.S. citizens. Both parties agreed that available, excellent care could not be attained without exceptional nursing practice and leadership. The report establishes that achieving a successful health care system in the future rests on the future of the nursing profession. The IOM and RWJF (2011) stated, “We believe that preparation of an expanded workforce, necessary to serve the millions who will now have access to health insurance for the first time, will require changes in nursing scopes of practice, advances in the education of nurses across all levels, improvements in the practice of nursing across the continuum of care, transformation in the utilization of nurses across settings, and leadership at all levels so nurses can be deployed effectively and appropriately as partners in the health care team.” In order to make the required advancements to the health care system in the coming years, it will be necessary to make changes to the variety of nursing degree programs presently available. Increasing the capacity of nursing schools is necessary in order to expand the nursing workforce overall. Nursing curriculum needs to be redesigned...
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...DeAnna Price HCA -255 February 15, 2015 Orazie Slayton Health Care Access My state is California and my governor is Jerry Brown he has been in governor for the past Edmund Gerald “Jerry” Brown Jr. he was born April 7, 1938, a democratic, politician and American Attorney and is serving as the 39 Governor of California. Jerry Brown also served as California’s 34th governor for 6 years 1975 to 1983 for two terms. Governor Jerry Brown started his political career as board of trustee member on the Los Angeles Community College District, shortly after that he was the Secretary for the state of California. In his career he ran for the Presidency twice, first time he ran in the presidential primaries but finished third in the convention vote, he also ran for presidency again in 1980 against Jimmy Carter. He did not gain any traction in his candidacy so he withdrew failing to carry a single state. He choose not to run for governor for a third term but instead ran for the U.S. Senate, and was defeated by Pete Wilson, at that point many people considered his political career to be over. Brown travel abroad and returned back to California serving as a Chairman of the Democratic Party from 1989-1991 then he declined to run for Senate again in 1992. So after six years of being out of politics he returned and served as Mayor of Oakland from 1999 to 2007 as well as the Attorney General for California from 2007-2011. He was elected again in California’s governorship in 2010...
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...A Review of the IOM Report and its Impact on the Future of Nursing Focusing on Nursing Education, Primary Care and Leadership Nursing as we know it has evolved from the days of Florence Nightingale to be part of today’s complex health care system. The demands and the expectations of the patient and the society in general has gone beyond basic good bedside nursing. Although the public trusts nurses to provide good care, they also see nurses as assistants without much say or assistants in the health care field who dress wounds, give injections and so on. In order to change direction of nursing to be able to meet the current demands of the profession and for the other health care professionals to see nurses as equal allies, an overhaul is required. To address this issue, the Robert Wood Johnson Foundation (RWJF) teamed up with the Institute of Medicine (IOM) to find ways to bridge the gap between the nursing we have today and the nursing that can meet future demands. “The Institute of Medicine is an independent non-profit organization that works outside of the government to provide unbiased and authoritative advice to decision makers and the public” (2010). Their goal is to reform the US health care system. To achieve this objective, they focused among other things, on nursing education, leadership role, and practice, particularly primary care. In writing this paper, I will focus on how the IOM intends to improve nursing education, nursing practice, and in particular primary...
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...Health Care Reform for Children Valerie L. Briner HCAD 620 Professor Schutz Abstract Advancing toward universal health care has the possibility to improve access to care and better the health and wellbeing of uninsured children. This paper will discuss children and what medical coverage they may have and how healthcare reform should help get almost all children some type of healthcare. Currently, if a child is not covered under private insurance, Medicaid and CHIP can assist in covering the vulnerable groups, mostly because they are likely to be poor, belong to racial or ethnic minority groups or who have chronic health care problems. While both public and private insurance fail in meeting the needs of children, public coverage has been more persuasive than private coverage at providing managed health care to low-income children. Ideally health care reform could cause certain steps to promote the emotional, cognitive, and physical health of children, enable them to maximize their full potential. Such a focus would create application to such policy changes that could define solutions for failures in the current system and decrease discrepancy in access, quality, and outcomes. Healthcare Reform for Children The plan is set in place to overhaul the nation’s health care system. The goals of the health care reform proposals include moving the nation toward universal coverage, improving quality of care, and slowing the rate of...
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