...ABSTRACT The rising costs of health care plans in America is uncontrollable. The number of citizens who are living without health care insurance continues to rise, while at the same time the price of having insurance continues to grow. Instead of the government reforming the health care system, they continue to spend billions of dollars in aid through Medicare, Medicaid, Tricare, and other government programs - Dollars that could perhaps be better spent on funding programs to ensure every American is provided an affordable health insurance. Over the past year it has become apparent that insurance companies are looking to capitalize by setting premiums higher, as the President talks about implementing a mandate on citizens to have health care. The debate on whether health care should be a profit market or Government controlled should be considered. Through all the turmoil, one thing is certain: America is in need of a Health Care Reform. PREFACE Growing up on poverty, my parents did their best to provide what they could. I was fortunate to be put into State custody at a young age and my brothers and I received full medical treatment under Medicare. A government funded subsidy that allowed us to have free medical attention. As a child, not much thought went into the idea, but as I got older I realized the importance of health insurance. My foster mother had to be rushed to the hospital a few times due to really bad asthma attacks, apparently...
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...Economics and Health Policy Teri Rice MMHA 6135-2; Health Policy and Economics Dr. Attila J. Hertelendy March 8, 2015 Economics and Health Policy The health care industry is growing and changing every day. Many would say that are healthcare system is in complete turmoil. However, all health organizations need to be aware of the economics behind the scenes and what contributes to their losses and growth. Health care economists develop the policy that we operate by each day while providing efficient and effective care. The purpose of this paper is to discuss health economics and the importance in government involvement. Value of Understanding Health Economics Economics looks at the allocation of resources. As a health care manager, I will be able to make decisions based on data, the resources available to me, have a sense of costs, think about the value, and understand the operations within the organization. Managers need to understand their department costs and explain any variances that may arise. Many organizations will rely on economic assessments to assist in determining the need for programs in their area. These assessments align with the health policies. It is crucial for hospitals to understand these assessments when evaluating prevention programs, diagnostics, intervention programs (drugs and surgical procedures), organization of care and rehabilitation. (Husereau, et al., 2013) Another reason for understanding health policy is related to non-profit organizations...
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...depicting the slogan, “So Far, He Sucks.” Of course this garb relates to our current Commander in Chief, Barrack Obama. This is a debatable topic as it has always been for current presidents. However, this paper is directed towards his healthcare policy only. Obama’s health care bill has been a hot topic during his reign as President of the United States and has been met with much praise, as well as much contempt. While I deem myself a neutral party in presidential election and political action, I find myself at a crossroads still when dealing with the healthcare plan. It’s devised to aid Americans in the ever growing need for insurable care and sustained peace of mind that they may or may not be able to visit a physician, and not go bankrupt because of it. The following will educate readers of the new healthcare law enacted recently and provide both pros and cons for Americans, physicians, and insurers alike. The Affordable Healthcare Act was passed by congress and signed into law in March of 2010. The law plans to provide better health security by implementing health insurance reformation. This means insurance companies will be held more accountable in dealing with physician visits, healthcare costs will be lowered, and quality of healthcare will be obtainable by a larger spectrum of Americans (www.whitehouse.gov/healthreform). The main goal of the law is to provide insurance for every American. Those with employer supplied health insurance would keep their existing benefits...
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...Executive summary Strategic management is the process in which the top management in a company or organization formulates and implements major goals on behalf of the company owners. This is mainly done by consideration of the resources available at the organization’s disposal and the internal and external environmental factors under which the company exists and competes with other companies (Cole, 1997). For the healthcare providers that are facing financial challenges in the sector, consolidation and cooperation seems to the new way out. Various healthcare providers throughout New Yolk city are merging with other healthcare providers so as to ensure that they survive the harsh economic times. However consolidation was not only for the hospitals but physicians and other groups within the healthcare sector were also expected to merge in order to survive ('market overview', 2013). Others are also opting for other means to ensure accountability in the sector. These measures include bundled payment programs and patient-centered medical homes. Other large healthcare facilities are also shifting from inpatient health services to ambulatory care facilities so as to diversify their services and stay ahead of competition. Due to the introduction of New Yolk state’s health insurance exchange, approximately 1 million state residents were expected to enroll. However by early December 2013 approximately 90,000 residents had enrolled. This was a clear indication of the positivity healthy insurance...
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...Compassion is a principal element of nursing. It’s an innate response to react with compassion when observing the emotional and physical turmoil of another human being. It is an imperative characteristic of a successful and effectual nurse. Compassion fatigue is a peculiar condition with healthcare givers and those in the healthcare. People or health care providers who are taking care of others, trying to handle stressful situations are especially susceptible to compassion fatigue. While compassion fatigue has been observed in professional caregivers and discussed in the literature over the past two decades, a specific definition of its characteristics and corollaries has not been uniformly embraced (Coetzee & Klopper, 2010; Najjar, Davis, Beck-Coon, & Doebbeling, 2009). Compassion fatigue characterizes a progressive state of emotional unease. It evolves from compassion discomfort, to compassion stress, and finally to compassion fatigue, a state where the compassion energy that is expended by nurses (and others) surpasses their ability to recover from this energy expenditure, resulting in significant negative psychological and physical consequences (ANA,2011) Nurses are particularly vulnerable to compassion fatigue. They often enter the lives of others at very critical junctures and become partners, rather than observers, in patients’ healthcare journeys. Acute care nurses in particular often develop empathic engagement with patients and families. This coupled with their...
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...ORGANIZATIONAL BULLYING: ETHICAL IMPLICATIONS OF ORGANIZATIONAL EMAIL By Ruth Ragatz Dr. Fritz COMM 494W-75 October 12, 2013 ORGANIZATIONAL BULLYING: ETHICAL IMPLICATIONS OF ORGANIZATIONAL EMAIL Introduction I. United Healthcare – The assessment A. Determine the “Good” of the Organization 1. Historical Moment A. Dwelling Place B. Community of Memory B. Multiplicity of communication ethics 1. Define Communication Ethics for United Healthcare 2. Organizational Culture 3. Power and Leadership A. High Power B. Monological arrogance C. Dialogic Ethics 1. 2. 3. 4. Attentiveness Ground of Self Ground of Other Dialogic Civility II. United Healthcare – The analysis A. Codes, Procedures, guidelines 1. Internet Ethics A. Dehumanization B. Fair and equal opportunity C. Formal code of Ethics 2. Contextual Communication Ethics A. Eye of the Beholder B. Culture, Diversity, and communication B. Democratic Communication ethics 1. The habit of search 2. The habit of justice 3. The habit of preferring public to private motivations 4. The habit for respect for dissent A. Interpersonal Responsibility B. Accountability 1. Evaluation and the Good Conclusion 2 Ruth Ragatz Dr. Fritz COMM 494W-75 October 12, 2013 ORGANIZATIONAL BULLYING: ETHICAL IMPLICATIONS OF ORGANIZATIONAL EMAIL In the 21st century, organizations have benefitted from technological advances such as; the internet, mobile phones, computers, instant messaging, and even the ability for employees to work in cyberspace...
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...of maintaining mental well-being. Mental well-being positively influences all other aspects of health as well, including physical health and social health.1 One type of mental illness is peripartum depression, depression that occurs during pregnancy or after childbirth.2 This debilitating form of depression is different from the term “baby blues.” The baby blues refer to short-term depressive symptoms that are not debilitating and, thus, do not interfere significantly with a woman’s quality of life.2 Although the exact prevalence of peripartum depression per state is uncertain (due to a lack of a standardized assessment scale), it is still on the rise—anywhere from 5% to 25%.3 The baby blues typically do not need immediate attention by healthcare providers nor do they need immediate treatment with medication, as they resolve within a couple days following childbirth. The symptoms include:...
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...Business Research Ethics RES/351 Chimerix is a biopharmaceutical company dedicated to discovering, developing and commercializing novel, oral antivirals in areas of high unmet medical need. Since 2001, the organization has researched, developed and experimentally tested a virus-killing drug called Brincidofovir. Subsequently learning of the existence of the drug, a family requested that the company donate the drug to treat their little boy who contracted a deadly virus after receiving a bone-marrow transplant. The company had distributed the drug during a three year testing period, but as the drug entered the final stages of the federal and drug administration (FDA) approval, the company ceased its compassionate care program. The establishment’s CEO reportedly claimed it has denied hundreds of requests because human testing guidelines mandate two control groups, one that takes the actual drug and the other that takes sugar pills, placing very ill people at-risk because the sugar pill is useless. As a result, the organization focused on getting the drug approved for widespread consumer use which entails denying interim requests for the drug, and presents an ethical dilemma for the company. Chimerix sought the research to find a solution to this ethical dilemma, gauging the social temperature of the people affected and risking the reputation of the organization at whole. Chimerix argued if the drug was made available to this one ill child, it could not ethically justify denying...
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...| Affordable Care Act | What is in store for the future? | Caitlin Dulon 6-14-2015 | According to Medicaid.gov “The Affordable Care Act was passed by Congress and then signed into law by the President on March 23, 2010. On June 28, 2012 the Supreme Court rendered a final decision to uphold the health care law.” (P. 1) the affordable care act brought about a lot of changes to the way American’s were able to get health Insurance. Many American’s could not afford health insurance even though they were working jobs, or their place of employment did not offer insurance benefits. After the Affordable Care Act was put in place American’s had a place to get health coverage no matter what their current situation was. According to Medicaid.gov “The Affordable Care Act actually refers to two separate pieces of legislation — the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of that, together expand Medicaid coverage to millions of low-income Americans and makes numerous improvements to both Medicaid and the Children's Health Insurance Program (CHIP).” (P.1) The Affordable Care Act has given many low-income families the chance to have health insurance and be able to afford this insurance. These families are now able to get the preventative care that they need and be able to try and stay healthy so that they do not burden the United States with more medical bills they are unable to pay. But, even though they have insurance many...
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...Vulnerable Immigrant Population: Social, Economic, and Psychological Issues Vicky L. Minik BSHS/302 September 17, 2012 Tami Frye Vulnerable Immigrant Population: Social, Economic, and Psychological Issues It is a difficult challenge for immigrants as they try to integrate with a new environment, new language, and a new socio-economic society. This paper will reveal the social factors that obstruct immigrants from integrating into society like; poor quality and type of education for themselves and their children, lack of secure jobs and poverty level, wages resulting in inadequate housing that is poor and overcrowded, mental issues such as depression, isolation from services that could assist them as well as cultural differences that may deter them from seeking service. To fully provide immigrants with the services they need, the United States needs to research the psychological and physical effects that predict the attitudes toward immigrants. By gaining more knowledge of those practices to support the policies and programs so that service care workers can carry out the appropriate interventions to meet the specific needs of the immigrant population. A century ago the revolution served as a promoter for immigration, providing the global economy with the distribution, production, and consumption...
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...Creditworthiness and Organization’s Financial Performance The present economical position of our country vastly influences the healthcare industry. Ever since the beginning of the 2000s, the need for change has been compounded by the devastated market crash that impacted the financial market with millions and trillions in losses due to executive mismanagement (Wareham, 2001). The future of the financial healthcare industry depends upon leadership performance and implementation. Erroneous decisions from leadership lead to devastating results in the financial aspect of the healthcare organization, which can prompt the leadership to solicit credit to resolve internal or external obligations. As a result, Campello Graham & Harvey (2010) found that during the financial crisis, 86% of constrained United States firms said that they bypassed attractive investments due to difficulties in raising external finance. In contrast, only 44% of unconstrained firms avoided such investments. Creditworthiness The organization develops creditworthiness based on debts paid and minimum credit established with the lenders. Organizations take advantage of the credit’s contribution to financial stability. The creditworthiness aspect of the organization provides a wealth of additional benefits. The borrower has the opportunity to receive a credit rating by the credit agency, and the credit rating flows across the organization’s performance throughout the life of the business, reflecting the internal...
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...Application of Information Technology Keller Graduate School of Management Table of Contents Introduction/Definition Company Background Current Business Issues Proposed Solutions Recommendations Introduction The security of patient data has been, and continues to be, a major problem for the US in achieving its goals for an interoperable healthcare system. In the same way, information communication technologies will increasingly make security in organizations more complex. It is particularly evident in sectors that already lack adequate security regimes. One such sector is healthcare, where information security is not their core business and the understanding of its importance is often underestimated. Poor implementation of medical information security is affected by more than the acceptance of technology; it is closely linked to human factors, culture and communities of practice, all under pinned by trust. It also poses a problem because within the healthcare arena the entire nation is trying to standardize and move into Electronic Health Records (EHR), which is simply a shift from the original paper format of a patient’s medical history and record to a computerized, electronic standpoint. This situation necessitates research into how to contextualize implementation of information security within this environment. The application of a contextual implementation model is compared to the...
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...significantly their products and services. Toyota America will be analysed in terms of the opportunities and problems they are currently facing and their likely contributing factors. Under the general environment we will be discussing the six dimensions: demographics, economic, sociocultural, global, technological and political/legal dimensions respectively. The current demographic situation in the US is that baby boomers are retiring. This will not directly influence Toyotas sales, but will influence the future buyers and vehicles that will need to be produced. Toyota is currently the most profitable automobile company in the industry. The general industry that Toyota competes is with the big three's and Honda. Right now the U.S. economy is in turmoil. Profitability outlooks are almost out the door. The American public is simply not buying, thus making it tough for Toyota along with their competitors. Threw out the late 40's to the present Toyota's sales have steadily increased. The reason for this increase in sales was the negative reputation that American people had against the Japanese after WWII. This stigma has long been forgotten in the American society, thus accommodate Toyota factories in the US in the late 80's. Presently the Toyota Company is widely accepted by general society of the U.S. Toyota has set up production plants in the U.S., China, France, Mexico, and the Czech Republic. There are little changes in the global environment that Toyota does not combat. Their company...
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...Week 7 Ethical Dilemma Paper Jered Gordner Professor Cuzzone HUMN-232 Week 7 Ethical Dilemma Paper As with many industries today, the healthcare industry is fraught with ethically dilemmas one can be involved with on an almost ongoing, daily basis. Since there are so many different arms and hands in so many different cookie jars, it’s easy to get lost in all the ethical dilemmas that could amass before your very eyes. On the professional side of the equation you may run into the dilemma of having a child from humble beginnings, without the means to pay, become struck down with a disease undocumented and unlike anything that is currently on the books. Do you treat the child pro-bono or do you let them go untreated and more than likely die? On the insurance side (something I’ve personally run into) one of the men in a gay couple, who has been together for 30 years, is in the hospital and the other man needs to know the medication his partner is on so the pharmacy will release it to him. Since they are not legally married they do not have the same rights and access to information as a straight married couple. Do you go against HIPAA and release the information or do you withhold it because of the law? These two dilemmas are not uncommon in the health industry. Doctors and nurses come across patients with no insurance on a daily basis and more often than not, they are forced to turn them away untreated. This ethical decision can weigh heavily on their heads. I find this...
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...personal questions that involved physician-assisted suicide, such as when you or a loved one is in a great amount of pain. Which is fine when considering it on a personal level, however this bias must not be present when talking about it in a larger scale. Since it is not only considering the effects on the sufferer and their family members, but also the entire population. Another negative repercussion to the legalization of this policy would be the inevitability of its misuse/abuse. Already people are wary of the U.S. healthcare systems due to its injustices, this would only cause more turmoil. This quote from Archbishop Vincenzo Paglia further support their reason to worry, “If the relationship between doctor and patient...is interfered with, everything becomes more difficult and legal action becomes a last resort, with the accompanying risk of ideological or political manipulation…” Explaining the risk of interference, which can lead to the abuse of the system. A scary thought to accompany that is if this policy is misapplied constantly. For example source E states, “Legalizing any form of euthanasia or assisted suicide sends out a powerful and clear message that, in terms of the inviolability of human life, we no longer have a single standard; some lives may be ranked differently to others.” As explained in source E, people’s lives may ranked differently in terms of who would be eligible to be killed. If not handled right this can turn into tricky situation, resulting in a...
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