...Christopher Castillo-Gonzales Principles of Marketing September 20, 2015 Miracle Home Health Care Many companies around the world tend to be outstanding within their designated markets and/or fields. The success of any company, either public or private, small or giant, tends to be unlimited. Unlimited success is determined by many diverse factors that are ethically created in order to capture the diamonds of success and the peoples’ hearts. One of these local, and yet privileged companies is named Miracle Home Health Care. What has made Miracle Home Health Care very recognizable in Lea County is due to their: outstanding services, the uniqueness of their marketing, their marketing concept that needs improvement and a positive marketing image. Miracle Home Health care is a company that provides high quality care to disabled people in the comfort of their home. This wonderful company opened their doors in Hobbs, NM in 2003, immediately offering their in-home care to disabled people. I have personally known about this company and have met its’ founders since day 1. To be more exact my mother was one of their very first caregivers and started working with them since day 1. Their in-home care is what makes the company stand out due to the simple reason that they are one of the very few companies that offer this kind of service in all of Lea County. Besides in-home care services, Miracle’s clients may also receive aid with their everyday duties such as: medical appointments,...
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...Long Term Care Facility vs. Home Health Care Nursing Karen Waite Eng/102 July, 2014 Will mom or loved one receive better care at home or in a nursing home? This is a hard choice to make, but which is the best? In this paper, it examines the efficiency of home care programs, assisted living and long-term care programs. It examines the care and cost of the different programs with respect. The decision of whether or not to place an aging parent (or a loved one) into a long-term care facility, or to try and to keep them in their own home or yours is one that many American families are facing each day. Factors in dealing with this decision are too numerous to count, but we will address a few of them in the following paper, like the financial aspects, psychosocial, and meeting the overall needs of our ever aging parents or ill loved one. Taking care of your loved one is a full time job in most cases. Long-term care facilities are a traditional approach to caring for the elderly or chronically ill members of society. These facilities are set up in a couple of different ways to provide specialized care depending on a person’s need. In some cases, mom may not need a great deal of care with her daily living, but may need help with fixing food or remembering to take her medication. So, the first point of our discussion is assisted living facilities. These are apartment type communities that specialize in assisting seniors who may have a problem accomplishing their normal activities...
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...Health Care Utilization John Q Scenario John Q. recently moved to a rural community. He works full-time, but qualifies for Medicaid because of his low income. John has high blood pressure and his father recently had a heart attack. Thus, he decided to call to find out which providers nearby accept Medicaid. While there are local doctors, he discovered that the closest primary care physician who accepts Medicaid is a 40-minute drive and appointments must be made 2 weeks in advance due to the number of patients at the practice. In addition, the practice does not offer weekend or evening hours. John usually catches a ride to work with a friend or relies on public transportation. (University of Phoenix, 2012). Based on the above scenario, John Q. needs to see a doctor to keep from becoming a victim of a heart attack. There are many factors involved with John Q. using health care services. He has a low income, receives Medicare, no local physician available, limited transportation, and yet he has a need to see a doctor. These factors are described as predisposing, enabling, need, mutable, or immutable. The immutable factors cannot be changed, whereas the mutable factors could change. How dose one change them is the question? This question is important because the changes need to be made so that everyone can have access to health care no matter what area they live in. One of the major factors affecting John Q’s access...
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...Nursing Facility Or Home Health Care for your Elderly Loved Ones Kelly M. Skawienski University of Phoenix While a facility, like a nursing home, is a good option for extreme care of the elderly, most cases show that living in their own homes, surrounded by familiar people and things can promote better health and wellness. While working in the health care field I have worked in both fields; a Skilled Nursing Facility and Home Health Care. Some important points to consider in choosing which option is best for you or your loved one are the cost; how much is it going to cost for each of these two options, services provided; what help will you be receiving for your money, flexibility and freedom of accessibility; having friends and family visit and being able to travel, go for a walk, and last is the comfort of the client or patient would they do better in a sterile environment or in their own home. The cost of a Skilled Nursing Facility (SNF) as most already know can be expensive. The average cost is more than $50,000.00 a year and climbing, and it will vary widely depending on where you live (Long Term Care, 2012). Your employee health insurance does not pay for a SNF, so about one third of the residents pay from their own funds. This can eat away at their savings very quickly, most people run out of funds after six months. Five percent of people have purchased long term care insurance which will cover the cost of a SNF (Long Term Care, 2012). Medicare...
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...Home health care was developed with the benevolent intention of providing a cost-effective alternative to existing forms of long-term health care, while permitting beneficiaries to receive needed short-term, posthospitalization, acute care in their own homes. However, the home health care segment of Medicare recently sustained an unprecedented and explosive growth in program cost. As a result of this alarming expansion, home health care has become the fastest growing expense of the overwhelmingly complex Medicare program and is in danger of spiraling out of control. This article begins with a review of the current structure and administration of the home health care program under the Health Care Finance Administration (HCFA). Mr. Davis details the requirements of Home Health Agencies and their patients to qualify for full Medicare reimbursement under the home health care program. Current practices, based on lenient administrative and judicial interpretations of these qualifications, have resulted in growing demand for home health services and the resulting increase in program cost. Mr. Davis explores the primary limitations on the home health care program, including the overemphasized potential for fraud and abuse, billing and budget inefficiencies, the overavailability of services, the ease of entry into the home health care market, the lack of meaningful physician or patient involvement, and the lack of any insurance copayment or deductible. Mr. Davis critiques contemporary...
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...Aspect of Writing When it comes to writing there are so many different parts to building a great essay. It requires voice, organization, punctuation, and many more elements that add to the writing that make it better. But one part that I believe is huge when it comes to writing is getting your point across to the audience and applying your writing to the readers themselves. Capturing the audience’s attention will not only get your point across to the reader but make your reading more applicable and enjoyable to the reader as well. Have you ever read a book or essay that you couldn’t read or quite understand what was being said? A reason why it may have been hard to understand or read is because it had no interest to you and it had no purpose to you as the reader at all. In order to get your point across to the reader you must capture their attention early on in your writing with a interesting introduction. I have read multiple books that don’t capture my attention until halfway through the book and they are much less appealing than other books that capture my attention in the beginning of the book. It draws the audience away from the topic and makes them not wanting to read the rest of the reading. This is why it is so important to get the reader’s attention at the beginning of the reading and find what really hooks the reader into your writing. Many writers may ask how do you capture the reader’s attention and make them want to keep reading. It is important...
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...Summary HCS/451 Health Care Quality Management and Outcomes Analysis Quality Management Quality management is a systematic and continuous process that organizations use to deliver products and services that meet or exceed customer expectations. Quality management in healthcare has evolved over the years to address increased demands from consumers related to the quality of care and services, as well as to address problems in patients’ outcomes. The medical field tends to use quality management to focus on patient and staff safety, reducing medical errors, and avoiding or decreasing morbidity and mortality rates. In order to improve the quality of a facility requires the entire facility to be in consensus about what the definition of quality means, who is responsible for it, and how the employees in the facility should communicate with one another about any quality issues that may arise. Quality management requires top management commitment and a flow down through all other employees of the organization. It is a planned, organized, and systematic approach to the improvement, monitoring, and analysis of an organization’s performance. Purpose The purpose of quality management is to help organizations improve their performance by eliminating poor quality of service rather than by trying to fix the results after the service has already been given. Quality management allows an organization to continually improve the quality of patient care and services provided...
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...United States has faced many challenges as it entered into the 21st century. First is ensuring that individuals receive the medical care and support they need throughout their life with dignity and quality. With the aging of “baby boomers,” the number of individuals 65 and those with disabilities will increase from 12.4 percent in 2000 to about 20.4 percent by 2040. This will represent a need for increasing nursing facilities, assisted living, other residential care, and home care services. This represents an expected increase from 15 million in 2000 to 27 million in 2040. This will affect more than just the different facilities; it affects the number of medical professionals needed to staff the facilities. The need for registered nurses, licensed practitioner’s, nurse aides, home health, personal care workers, and physicians will also increase from 1.9 million in 2000 to about 45 percent in the year 2040. We will see another rise in growth for direct care workers in long-term care by 2030 when the baby boomers reach the age of 85. The expected growth equates to about an additional 3.8 to 4.6 million. One of the problems the country will face is that the increased need of workers will not increase at the same rate as they are needed. Currently unpaid informal caregivers, such as, family members, neighbors; and friends provide the majority of care. This is expected to increase from about 20 million in 2000 to 37 million by the year 2030. This is an estimated increase of about...
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...because there isn't access for a disabled person example there's not lift or ramp in the building. This act makes it illegal to do things like that without a justified reason. Disability is not only physical, there other type of disability such as mental disability which is under the disability act but only if the mental illness affect the person's everyday life. This helps to promote anti discriminatory practice by making sure that all public sectors review their plans, procedure and practice so it can also be in favour of the disabled. Nursing and residential care home regulation 1984: this applies individual in residential and nursing homes. they need to apply to their local council for a licence in order for them to operate which regulate their practice. This act promote anti discriminatory practice by making sure the service user is being treated with respect and the nursing home need to provide adequate care for the...
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...Funding Health Care Services Dr. Johnican HSA 500 Health Services Organization March 3rd, 2014 Funding Health Care Services Ambulatory services are the services offered to patients if they are to be accommodated within the compounds of the healthcare institution under professional nursing care because of the severity of their health or because of the recommendations of patients’ physician or surgeon (Williams, S. & Torrens, P. 2010). The patient is only there for a day and then is discharged for the facility. There are services that be provided in a day starting from registering the patient to providing them with medication. There many different kind of services that falls under ambulatory care such as outpatient clinics, urgent care centers, emergency rooms, ambulatory or same-day surgery centers, diagnostic and imaging centers, primary care centers, community health centers, occupational health centers, mental health clinics, and group practices. There has been an increase in the ambulatory care because it is inexpensive and more appropriate health care setting. It is hard for the health care personnel and patients to adjust because of the changing technology and complex reimbursement systems. There are spending costs involved in health care like money paid to health care providers in hospitals, outpatient centers, Veterans Affairs and other clinics, doctor and dentist practices, physical therapists, nursing homes, home health services and on-site care at places...
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... A variety of health care services in the United States provides continuum of care for health services. The need for long-term care is growing as the average life span of Americans continues to lengthen. The Centers for Medicare and Medicaid services estimates that about nine million men and woman over the age of 65 in the United States will need long-term care. Long-term care is a range of medical and social services designed to help people who has disabilities or chronic care needs. Services may be short or long-term and may be in a personal home in the community or in a residential facility. Long-term care facilities such as nursing homes provide care for the elderly or people who are unable to take care of them selves. The important of this paper is to discuss the continuum care of long-term care and examine the future trends of long-term care. Long-Term Care In defining long-term care there are several points. Long-term care is low tech, although it has become more complicated because many elderly patients with complex medical needs are being discharge into long-term settings. The age groups that mostly require long-term care are those who are 85 and older. This age group will double by 2030 and double again by 2050. Long-term care facilities are facilities that provide 24- hour skilled nursing assistance with activities of daily living, health services, and a number of activities. Many people would prefer not to be placed in a long-term care facility. However...
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...necessity for long-term care is increasing which will require additional training and education for health care personnel, family members, and patients. Family members can have peace of mind knowing their family member will gain confidence in learning how to become accustomed to his or her new life while maintaining a quality continuum of care during and after treatment for physical, mental, or age associated illnesses. Long-term care is also known as personal assistant services and is defined as an individual who requires health care assistance for more than 90 days. Personal assistants provided to a patient help them with the activities of daily living (ADL) as well as instrumental activities of daily living (IADL). These activities may include personal care services like bathing, doing household chores, and other activities to help the patient remain independent while still residing in or near his or her home while maintaining the quality of care the person is accustomed to if there are no medical hindrances preventing it. Long-term care also includes community services, such as meals, adult day service programs, and transportation services (Austin & Wetle, "The long term care continuum, Who needs long-term care?," 2012). Residential facilities, such as skilled nursing facilities and assisted living facilities, also provide long-term care services along with housing ("National Clearinghouse For Long Term Care Information,” n.d.). Continuum of care services are utilized...
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...mean? Does it have an actual definition? The answer may not be as clear as one would expect because the concept of “quality of life” can vary from one person to the next based on the values of the individual in question. The purpose of this paper is to examine the quality of life of a patient with a cancer and describe an appropriate nursing care plan based on the patient’s values. Personal Perceptions Personal perceptions about quality of life and health promotion can greatly influence an individual nurse when attempting to create a plan of care for a patient with a lingering illness. I have worked in home health care setting as a visiting nurse and have experienced this scenario firsthand. I believe that one of the hardest parts of nursing is being able to put personal perceptions behind you in order to accommodate the needs and desires of patients. Understanding my own personal perceptions on quality of life was a lesson I learned quickly as a new nurse. I was caring for an elderly woman who recently suffered a stroke and needed several surgeries on her right shoulder due to a fall. The woman was no longer able to care for herself and was receiving assistance from her daughters. The family had cultural concerns and beliefs that their mother should not receive any narcotic pain medication even after several doctors had recommended narcotics for pain management until the surgeries were complete. I would visit with this patient and her daughters several times...
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...leading cause of hospitalization for persons older than 65 years and often necessitates assistance from family caregivers.1,2 Approximately 40% of older adults are readmitted within 3 months postdischarge, resulting in significant health care costs.2,3 Indeed, more than one million hospitalizations attributed to HF cost the patient and United States health care system over $27 billion a year.1 Hospitalizations related to HF are complicated by the aging process, comorbidities, and psychosocial concerns that affect successful management.2 In a study of patient outcomes post– hospital discharge, Naylor and colleagues4 demonstrated that the use of advanced practice nurses (APNs) was effective in improving outcomes for patients with HF. The feasibility of adapting this approach is limited, however; costs for home visits by an APN are high, a shortage of APNs employed in home care exists, and funding for home care has decreased with the Medicare Prospective Payment System.5 An alternative strategy for promoting self-management of HF is the use of electronic home monitoring (EHM). EHM is a form of telemedicine in which medical/nursing management interventions are provided to individuals at a distance from the health care provider.6 The primary objective of this pilot study was to examine the effectiveness of postdischarge telemonitoring by an APN on reducing subsequent hospital readmissions, emergency department (ED) visits, and costs and increasing ...
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...“mental health” or “learning disability”) and (NVQ4 or “NVQ 4” or “NVQ level 4” or “NVQ IV” or NVQ3 or “NVQ 3” or “NVQ level 3” or “NVQ III” or QCF4 or “QCF 4” or “QCF level 4” or “QCF IV” or QCF3 or “QCF 3” or “QCF level 3” or “QCF III” or “Registered manager award” or RMA) and (care or “social care” or “health care” or “home care” or “care home” or “residential care”) (“referral manager” or “assessment manager” or “referral and assessment manager” or “referral and assessment manager”) and (“Learning disabilities” or “LD” or “mental health” or “learning disability”) and (NVQ4 or “NVQ 4” or “NVQ level 4” or “NVQ IV” or NVQ3 or “NVQ 3” or “NVQ level 3” or “NVQ III” or QCF4 or “QCF 4” or “QCF level 4” or “QCF IV” or QCF3 or “QCF 3” or “QCF level 3” or “QCF III” or “Registered manager award” or RMA) (“care manager” or “home manager” or “registered manager” or “branch manager” or “home care manager” or “service manager” or “domiciliary manager” or “dom manager”) and (domiciliary or “dom care” or “homecare” or “home care” or “care agency” or “community care”) and (NVQ4 or “NVQ 4” or “NVQ level 4” or “NVQ IV” or NVQ5 or “NVQ 5” or “NVQ level 5” or “NVQ V” or QCF4 or “QCF 4” or “QCF level 4” or “QCF IV” or QCF5 or “QCF 5” or “QCF level 5” or “QCF V” or “Registered manager award” or RMA) (“live in carer” or “live in manager” or “live-in manager” or “registered manager” or “care manager” or “community manager”) and NVQ “Kitchen Assistant” and (“health care” or “extra care” or “scheme...
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