...Health Care Delivery in the U.S. 310 May 25, 2009 Continuum of Care Paper Long term Before we can discuss the roles of long-term care, we must define the meaning of long-term care. The purpose of this paper is to describe in detail the role long-term care plays in providing services and how long-term care contributes or lacks contribution to the overall management of health care resources. In addition to the above-mentioned topics, the transitioning of patients from one level of care to another level of care in the health care continuum will be discussed. What is Long-Term Care? Most long-term care is to assist people with support services such as activities of daily living like dressing, bathing, and using the bathroom. Long-term care can be provided at home, in the community, in assisted living or in nursing homes. It is important to remember that you may need long-term care at any age according to (Medicare, 2009). Kinds of Services Residents receive room and board, supervision, nursing services, transportation, recreational and social services. Other medical services not included in the daily rate are determined as needed (Rhode Island DHS, 2009).One more service that long-term care provides is home and community based services. These services are designed to provide service in the home and/or community in an effort to uphold the patients’ respect, dignity, and independence. Character of Long-Term Care The role of long-term care as it relates to the overall management...
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...Hospital Collaboration and Healthcare Costs Apparently, U.S.A is one of the countries with the highest level of health care expenditure constituting over $ 8000 of the country’s annual per capita income. This health care cost is on the rise and have to be addressed from a distinct health perspective. Hospital merging refers to acquiring of one hospital by another and undertaking its activities either fully or in part to minimize costs and other operation limitations that they face in the American health sector (Ho 2007). Thus, many hospitals merge to boost their market share, acquire more patients with a view of expanding their operations and achieving greater profit margins than those firms that are run separately. Effects of hospital mergers on healthcare costs A number of researches have been conducted on the American health expenditure using a sample of American hospitals from hospitals association in the country. In comparison, independent hospitals were useful as a control sample. These two groups of hospitals gave divergent information that was weighed against national hospital expenditure records. Findings of such studies reveal that merging of hospitals have the potential to cut down on costs of operation in similar to hospitals that operate in isolation but manage their costs effectively (Kaiser Family Foundation 2004). Additionally, very little proceeds accrue from merging of hospitals let alone not increasing influx of patients in merged hospitals. Moreover, hospitals...
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...Healthcare in Germany vs. U.S.A Western Governors University Organizational Systems and Quality Leadership Germany’s and the United States’ healthcare systems compare and contrast in many ways. Germany has the third richest economy in the world and many categorize their healthcare system as socialized. Germany provides medical care to all of the citizens—young, poor, old, sick, and injured. Otto von Bismarck the Prussian chancellor in the 1880s in Germany invented the concept of healthcare systems, the notion that a government has to provide mechanisms so all its people can get medical care when they need it. In 1883, the Sickness Insurance Act was passed, representing the first social insurance program. Over the past 130 years the system has grown to the point where virtually all of the population is provided access to medical care. The Germans have what they call “Sickness Funds”, which are paid for by premiums based on income to one of 240 private insurers. A worker earning 60,000 would split a $750 family premium with their employer. It is more expensive than the U.K. but cheaper than the U.S. by about two thirds. It is a system where the rich pay for the poor and the ill are covered by the healthy (Saul, 2014). The United States healthcare system until recently has been mostly controlled by private industries and insurance companies, although we do have Medicare and Medicaid for the old and poor. Recently the Affordable Healthcare Act has been passed which requires...
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...Running head: ACCESS TO QUALITY HEALTHCARE PAPER ASSIGNMENT Access to Quality Healthcare Paper Rudolphe Lubin University of Phoenix Lori Lewellen MBAJOGZL57 April 27, 2009 Quality Healthcare Introduction It will be evident to realize that financial, educational, and socio – demographic implications can bring serious impact on access to quality healthcare in the organization. Labor shortage will stay an important component that can affect as well the access to quality care. Socio – demographic changes linked with chronic illnesses can have an effect on the aging population, which may reduce the quality of life, increase costs for healthcare and rise resource allocation. In point of fact, both labor shortage and socio – demographic changes are exactingly dominant in the admittance to quality care in the United States. Besides, the demand for registered nurses and changes in science is already exceeding supply in U.S. nation, including more implications associated with other ethical dilemmas. Healthcare Labor Shortage People have to realize that progresses in medical technology, increasing expenses and market forces provide to the financial decline of many rural healthcare organizations. In reality, small rural healthcare suppliers, particularly hospitals, cannot meet the costs of the equipment and practitioners needed to treat the range of modern syndrome and injury...
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...are meant to be in order to master that field of study. In order to master the study of Information System in Health care, a thorough under-standing of the following terms are very important. AMR. The Automated Medical Record. The Automated Medical Record is a clinical information system with powerful facilities for querying and decision support. Automated Medical Record is the beginning of using electronic medium for the purpose of communication between health care providers, and between patients and health care providers and vice versa. Automation of medical record was originally intended to promote timely billing and securing prompt payments, but it came to stay as the most beneficial development for the patient in the scheme of delivery of care. Lack of proper and complete medical record may be the most important reason for the medical error in the treatment process. CMR. Computerized Medical Records. Computerized Medical Records are the digital counterparts to patient medical records kept in paper files and folders in health care offices. They are, in essence, an electronic version of the same medical records. In many cases, when a health care practitioner wants to invest in computerized medical records, paper medical records are simply scanned and entered into a medical records system. Instead of documenting patient information on paper and creating a file for every patient, electronic medical record store the information in its server (Gonzales, S., & Bronwyn...
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...Comparative Foreign Policies of Cuba, Costa Rica, and the U.S.A: The Case of Health Care Policy and Outcomes The United States currently runs an inefficient and expensive healthcare system that provides limited support for its citizens. The problem stems from placing economic benefit miles in front of practical wellness of its people. Other countries, some considered “third world”, have done the reverse. Ironically, those countries have been internationally recognized over the U.S. when unfolding the quality of health care. Cuba and Costa Rica are nations of distinct economic principle and policy; yet, they share very similar qualities in public health ideology that have made them poster children of health care. Cuban Health Care Apart from being a country with rich history and culture, Cuba is one of the international frontrunners for ideal health care due to its major efforts to revamp their health care policy. Its care spans the majority of its citizens and it provides excellent quality. The Cuban government has an established national health system where it is fiscally responsible for its operation and support to all of its citizens (Merz, 2005). As government-run entity through the Ministry of Health, there are no private hospitals or clinics where doctors and pharmaceutical companies can wager large sums of profit (Merz, 2005). Before the Spanish conquest, Cuba already practiced traditional medicine provided by Bohiques. After the Spanish colonization, the...
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...feeding, a significant percentage of mothers are reluctant to change their infant feeding behaviors and decided to continue with formula-feed. In some regions of the province, the rate of breastfeeding is very low due to mother resistance and commitment to infant feeding method. Despite increased breastfeeding promotion and support initiatives, mothers still prefer formula feeding over breastfeeding. There is not sufficient proof that mothers’ decisions to formula-feed due to personal factors. What was not known about the clinical problem that, if understood, could be used to improve health care delivery or patient outcomes? The study indicates that women decision to formula-feed their infants due to a lack of support from their mothers, and partners. In addition, decision to formula-feed also influenced by convenience and the awkwardness of breastfeeding in public. Healthcare providers are challenged to ensure best practice through breastfeeding Promotion and support in order to contribute to increased initiation and duration rates. Health professionals are in a unique position to promote and facilitate successful breastfeeding and educate about breastfeeding. This study recommends breastfeeding education should...
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...Scenario Related to the Physical Plant Page 9 Risk Scenario Related to Staffing Page 13 Best Practices in 4 Hospitals Page 15 Tenet Healthcare Page 16 Cleveland Clinic Stroke Improvement Plan Page 17 Conclusion Page 18 References Page 19 Introduction The issue of risk scenario carries immense importance for most of the hospitals that are part of the healthcare setting. However, there is not only one scenario that can affect the hospitals but there are several scenarios that can create an impact on the functions of the hospital. There are three scenarios that would be highlighted in the current topic. These three scenarios have a tendency to put a hospital at risk for financial stability. The first scenario that can produce a negative impact on the hospital risk is related to patient care and safety. The second scenario is related to the physical plant. The third and last scenario is related to staffing. The role of HIM practitioner in this regard would be very important. They would serve as a clinical quality assessment resource and as a team member to perform their tasks related to healthcare work. Therefore, all the issues related to three scenarios will be discussed in detail. The impetus for quality improvement has been driven in recent years by three main factors: 1. The amount of money that the US spends on healthcare per capita and as a percent of GDP is far higher than any other country in the world. We spend 15% of GDP, with the next-highest countries...
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...Companies Awarded by Philippine Quality Awards San Miguel Yamamura Asia Corporation (SMYAC) - a joint venture company of San Miguel Corporation (SMC) and Nihon Yamamura Glass Co., Ltd. (NYG) - is the country's major manufacturer of glass bottles. Inaugurated in July 1991, it started commercial operations in July 1992. SMYAC designs and produces glass bottles for the food, beverage, spirit, and pharmaceutical industries - both for domestic and export consumption. Products are exported to the U.S.A., Southeast Asia, Australia, and Africa. The facility has the capability to produce glass bottles of different shapes, sizes, and colors. It is also capable of producing ultra-lightweight bottles called Glasslite and bottles with Applied Color Label (ACL) using heavy metal-free (HMF) paints. SMYAC's equipment are the most advanced in the Philippines as they are equipped with fully automated dust-free batch plant, an enclosed clean room, and state-of-the-art production and inspection machines from Europe, America, and Japan. In addition to this, SMYAC is equipped with an Electrostatic Precipitator (EP), an air pollution abatement system that performs the collection of combustion particles, which is recycled into minor raw materials used in glass production. For total quality and productivity management, SMYAC is one of the first companies in the Philippines to be certified in ISO 9000 by the Bureau of Product Standards (BPS) through its accreditation in December of 1992 - merely six...
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...Evaluating Eligibility Rules Sarah Wegner HSM/240 January 25, 2015 Ricardo Castro Evaluating Eligibility Rules The Salvation Army of the U.S.A. is held in high esteem by the public as an excellent community and human services provider. This program is a compilation of programs under the principle of service through the word of Jesus Christ. They state as their mission: “The Salvation Army, an international movement, is an evangelical part of the universal Christian Church. Its message is based on the Bible. Its ministry is motivated by the love of God. Its mission is to preach the gospel of Jesus Christ and to meet human needs in His name without discrimination” (2009). The Salvation Army application of rules for prior contributions, administrative performance, private contract arrangements, use of professional discretion and confidentiality, attachment to the workforce, and application of proper judgment (2005) allow for best practices to be applied. They also use means testing which applies an analysis of need less assets plus income. All of these factors speak well for them in making an evaluation of this organization. Regardless of any other eligibility requirements, The Salvation Army offers its services to anyone who is in need. Anyone who is affected by a disaster can qualify for services through their programs. This is a simple process because of the fact that The Salvation Army acts as a second responder which makes it easier for them to accept many families...
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...The Role of the Healthcare Provider by Joy Magness PhD APRN-BC Adolescent Pregnancy: Abstract: Although pregnancy rates have declined over the last 20 years, adolescents who become pregnant are viewed as a group at risk for adverse outcomes. In many instances, this view conflicts with the perception of the pregnant teen. Healthcare providers who work with this population have an essential role in ensuring a positive experience for the mother, father, and family network. This paper provides a brief review of adolescent pregnancy and the general role of the healthcare provider. Keywords: adolescent pregnancy, healthcare provider in adolescent pregnancy Adolescent pregnancy has been delineated as a social problem worthy of addressing from a prevention perspective in the Healthy People 2020 national objectives (Office of Population Affairs, 2010). Pregnancy between the ages of 10 and 19 has been portrayed as a crisis and associated with negative emotional, physical, and financial repercussions. United States taxpayers incur about 9 billion dollars per year secondary to teen childbearing expenses (Centers for Disease Control and Prevention, 2012). Although adolescent pregnancy is not ideal for most life trajectories, it does not have to be regarded as an all-encompassing, unfavorable life event. Nurses are the health care providers who have the most prolonged interactions with women during the pregnancy, birth, and postpartum period; hence, they have a paramount role in...
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...TANSCULTURAL NURSING SUBMITTED BY: HARUNA ABDULLAHI IBRAHIM, MSC. NURSING (1ST YEAR), GARDEN CITY COLLEGE OF NURSING. SUBMITTED ON: 13TH AUGUST, 2012 I. INTRODUCTION: In the health care delivery system, as in the society, nurses interact with people of similar as well as diverse backgrounds having different frames of references and varied preferences regarding their health and health needs. In the provision of care, nurses must acknowledge, respect and adapt the cultural needs of those patients and their significant others through identifying the differences between cultural groups that require health care providers to identify culture specific health and illness practices and caring behaviours that transcend cultural groups and appear to be universal care practices to enable the provision of care that is holistic, effective and culturally competent. The field of transcultural nursing which was pioneered by Madelein Leininger in 1975 represent a shift from the biophysiological and psychological models that dominated nursing in the 1950s as it advocates the recognition of each individual as a social being and must be handled as unique entity having cultural beliefs, norms, values and customs that influence his or her life in all ramifications including health, illness and treatment. Leininger, who was considered the leader and initiator in the field of transcultural nursing, postulated the theory of “diversity and universality of...
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...The relation between geology and medicine is quite intriguing and can be dated back to the times of Hippocrates and Aristotle. For centuries man has looked up to Earth for the numerous answers he seeks concerning his own body, an amalgamation of elements once sheathed in Earth. To his surprise man has found that geology is both a poison and remedy to his health. In my paper I present the two sides of the geologic coin in the world of medicine. The rocks below our feet can be deemed culprit for a number of health related issues. How many times have we heard that, ‘We are what we eat’? The source of human nutrition is cultivated from the soil. Farmers throughout the globe consider the soil as the source of their family’s bread, however dissolved material, both beneficial and harmful, get incorporated into the ground. Bunnell’s article, ‘Medical Geology: a globally emerging discipline’, discusses the “Endemic diseases correlative with soil deficiencies in selenium, the juvenile cardiomyopathy “Keshan Disease”, and the iodine deficiency disorders including goiter and myxedematous cretinism.” (Bunnell) Another area of geology I would be focusing on is groundwater; groundwater as we know is the largest reserve of fresh water to humans. So how can water something essential to human life be harmful? The answer is contamination. Contaminants in water, even present in trace amounts, can be deemed culprit for delayed brain growth, cancer and many other problems. As stated in Robert...
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...Public Health in Mumbai Student Name Course/Number Date Instructor Name PART ONE Mumbai is a traditional Indian city regarded as the commercial hub of India and parts of Asia. The city is a collection of several islands with one of the largest population densities in the world. Administratively, the city is divided into smaller administrative regions such as Greater Mumbai and the Mumbai Metropolitan Region. The city is also the most populous in India, with over 12 million residents occupying the opportunities in industries and providing a massive labour reservoir for larger Asia (Census of India, 2011). The large number of people in the city has created numerous challenges in the Asian country. Demography of Mumbai The city boasts of a diverse mix of cultures and religions due to the influx of people looking for opportunities. Hindu still remains the predominant religion, with most cultural practices and lifestyle associated with Hinduism. Over 60% of the city’s population ascribe to Hindu as a religion and culture (Census of India, 2011). The rest is a mix of Muslims, Christians, Buddhists, and, to a lesser extent, Jain, Jewish and Sikh religions. This religious and cultural mix gives the city a rich and diverse mix of culture, despite the predominance of Hindu. According to the Indian census carried out in 2011, Mumbai features a sex ratio of 922 (Census of India, 2011). This suggests that the number of women is almost equal to the number of men in the city....
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...International Markets Bureau MARKET INDICATOR REPORT | MAY 2011 Pathfinder Report Global Packaged Confectionery Trends Source: Shutterstock Pathfinder Report Global Packaged Confectionery Trends EXECUTIVE SUMMARY Australasia (Australia and New Zealand) and Western Europe were the two biggest regional confectionery markets in 2010, with Australasia‟s sales increasing by almost 25% over 2009 figures. North America, Asia Pacific and Latin America confectionery markets have also maintained increasing sales of these products despite the global economic downturn. The recession has caused many consumers to sacrifice volume rather than quality, and to use confectionery as a reward or as a means to help alleviate stress. However, sugarized gum, milk chocolate tablets and boiled sweets confectionery are all being adversely affected by mounting consumer health concerns. Obesity and diabetes are major health issues that are increasingly affecting both the young and aging populations. In particular, the United States (U.S.), United Kingdom (U.K.), and Japan will stand to benefit the most from reduced calorie and low/no/reduced sugar content. When it comes to “healthy” confectionery, consumers tend to look for products benefiting dental and cardiovascular health, as well as low-calorie products that help assuage guilt over indulgence. We see this trend playing out with sugar-free gum which has been performing well globally, and is predicted to continue, particularly in emerging...
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