...Running head: Hospitals and Long-Term Care Facilities Hospitals and Long-Term Care Facilities Sharhonda Harvey Dr. Gary A. Morris Health Services Organization – HSA 500 August 8, 2010 Hospitals and Long-Term Care Facilities 1. Describe the difference between nonprofit and for-profit hospitals. There are numerous factors that differentiate nonprofit and for profit hospitals. According to Horwitz (2005), “Two-thirds of all U.S. urban hospitals are nonprofit, with the remainder split between for-profit and government ownership” (p. 790). One major difference between the two entities is that nonprofit entities tend to put excess funds back into the organization and receive tax exemptions, whereas for-profit entities keep the profits and dispense them among stock holders. Overall, whether the hospital is nonprofit or for-profit it is imperative that each entity meet the needs of the patients, work under the same health guidelines, and provide the appropriate training for staff to ensure they are providing safe care. Nonprofit hospitals are commonly known for their role in the community. Williams (2009) found “nonprofit entities serve a community service and have special recognition under the law due to their role in our society” (p. 185). These organizations do not have owners but they are overseen by a board of community members that makes decisions on how the facility is operated. As it relates to financial assistance, monies are sponsored by various institutions...
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...Hospitals and Long-Term Care Facilities Hamza Abobaker DR / Jo-Rene Queensberry Health Service Organization February 7, .2012 Describe the differences between nonprofit and for-profit hospitals. The difference between nonprofit and for-profit hospitals is the bottom line. Nonprofit hospitals main goal is to produce the best quality of care for the patients while turning profits into more advanced equipment used within the hospital. The nonprofit hospitals have a higher standard in performance in treating common conditions where the for-profit hospitals are not as high. Nonprofit hospitals are hospitals that are controlled by the quality of care and is at a less out of pocket for their patients where the for-profit hospitals are more costly for their services and tend to cost more for the patients after insurance has paid their portion of the bill. For profit hospitals while they do care for the patients the hospitals usually generate higher cost of care to the patients and any profit is returned to investors instead of back into the hospital where more advances and services can be performed (Williams & Torrens, 2010). In today’s efforts to improve the quality of care for patients it has become necessary to sell off to for profit hospitals for some locations. Hospitals today that ran on nonprofit efforts are seeing a hardship on keeping up with new technology equipment and is left with the decision to sell off to a for profit investor to keep the hospital running...
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...Hospitals and Long-Term Care Facilities Glennis Bogard Dr. Angela J. Smith Health Services Organization – HSA 500 February 17, 2011 Abstract Hospitals can be set up as nonprofit or for-profit facilities. The differences between the nonprofit and for profit hospitals will be discussed. Hospitals have experienced different trends in the last thirty years. This paper will identify at least three major trends that have occurred within the hospital sector. Three examples that describe and differentiate the roles of hospitals and nursing homes are providing long-term care. The conclusion of this paper will be a brief critiquing of the current state of long-term care policy in the United States. Hospitals and Long-Term Care Facilities Describe the differences between nonprofit and for-profit hospitals. A characteristic as stated by Williams and Torrens (2008) of nonprofit hospitals is that these hospitals do not function under the realm of regular corporate law but under a special provision of the corporate law in each state. It is also noted that nonprofit hospitals also function under special federal and state tax provisions because of recognition of their community service function. Other characteristics of nonprofit hospitals are they do not have owners and their governing body is a community based board that has complete authority over operations. Nonprofit hospitals, in general, are not required to pay most of the taxes at federal, state and local levels...
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...home 1. Describe the differences between nonprofit and for-profit hospitals. The general belief or theory is that nonprofit hospitals do a better job of focusing on their people; that is, they provide better quality of care. On the other hand, for-profit hospitals are more business oriented; more emphasis is placed on cost and operating efficiency than nonprofit hospital does. I believe this is a significant difference because while staff members in a nonprofit hospital may see themselves as caregivers, staff members in for-profit may seemingly see themselves as cogs in a production wheel. The mission and purpose for these two types of hospitals is also a very important and makes a significant difference. Financial pressures have forced all hospitals to focus on costs and operating efficiency, blurring the line between money and mission. Still, nonprofit employees believe more strongly that their organization's mission makes them feel that their jobs are important. It seems that the mission of care delivery tends to be more prominent in nonprofit hospitals. Hence, it may be safe to say that nonprofit hospitals do a better job than for-profit hospitals of making their staff feel that their contributions are valued and meaningful. Lastly, another difference would be in the area of materials and equipments needed to do the work right. With a focus on operating efficiency, for-profit hospitals frequently operate with lower staffing ratios (Woolhandler & Himmelstein, 2004)...
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...Professional Development Paper Angela Carroll N502-DD1: Health Care Systems Module 3 September 12, 2014 Contributing Factors Related to Failure for Advanced Planning of Long Term Care In today’s society of advancements in medical technology, Americans are living longer which increases the need for long term care. Older adults make up the largest population of those requiring long term care. The current percentage of older adults over the age of 65 is at 12.6% and is expected to increase to 19.3% by 2030. The population of adults over the age of 85 is also expected to increase by the year 2020 (Sultz & Young, 2011). With today’s older adult more than likely being divorced or without children will lead to older adults not having family caregivers. This can also lead to an increase demand of these adults requiring the use of long term care facilities and services. Therefore, one must look at the reasons why older adults and their families overlook the concept of saving for long term care. As a society, what can be done to increase awareness for the need of advance planning? One must understand the definition of long term care. “Long-Term Care involves the need for assistance, including prompting, with activities of daily living” (Calmus, 2013, para. 3). One factor contributing to the lack of advanced planning could be that the majority of long-term care is provided by family members which do not require pay. This can therefore lead to loss of household income because...
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...MEDICAID SERVICES ★ ★ ★ What are Long-Term Care Hospitals? Most people who need inpatient hospital services are admitted to an “acute care” hospital for a relatively short stay. But some people may need a longer hospital stay. Long-term care hospitals (LTCHs) are certified as acute care hospitals, but LTCHs focus on patients who, on average, stay more than 25 days. Many of the patients in LTCHs are transfered there from an intensive or critical care unit. LTCHs specialize in treating patients who may have more than one serious condition, but who may improve with time and care, and return home. Services provided in LTCHs typically include comprehensive rehabilitation, respiratory therapy, head trauma treatment, and pain management. I’ve heard a lot about “long-term care.” Is this the kind of care that long-term care hospitals give? No. Long-term care usually refers to care that’s basically custodial (like help with feeding or dressing), even if there’s some health care given. Medicare doesn’t cover this kind of care, which can be given in your own home or in various kinds of facilities (like assisted living facilities). LTCHs are hospitals that give inpatient services to people who need a much longer stay to get well. ★ Do I pay more in a LTCH than in an acute care hospital? Generally, no. Under Medicare, you’re only responsible for one deductible for any benefit period. A benefit period begins the day you’re admitted to a hospital or skilled nursing facility (SNF)...
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...Long Term Care Hospitals and Long-Term Care Facilities Glennis Bogard Dr. Angela J. Smith Health Services Organization – HSA 500 February 17, 2011 Abstract Hospitals can be set up as nonprofit or for-profit facilities. The differences between the nonprofit and for profit hospitals will be discussed. Hospitals have experienced different trends in the last thirty years. This paper will identify at least three major trends that have occurred within the hospital sector. Three examples that describe and differentiate the roles of hospitals and nursing homes are providing long-term care. The conclusion of this paper will be a brief critiquing of the current state of long-term care policy in the United States. Hospitals and Long-Term Care Facilities Describe the differences between nonprofit and for-profit hospitals. A characteristic as stated by Williams and Torrens (2008) of nonprofit hospitals is that these hospitals do not function under the realm of regular corporate law but under a special provision of the corporate law in each state. It is also noted that nonprofit hospitals also function under special federal and state tax provisions because of recognition of their community service function. Other characteristics of nonprofit hospitals are they do not have owners and their governing body is a community based board that has complete authority over operations. Nonprofit hospitals, in general, are not required to pay most of the taxes at federal, state...
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...substantiate your answer. 1. Discuss the major problems facing hospitals today. Offer some possible solutions to each of these problems. Some of the major problems that face hospitals today include; cost increases, bed surpluses, and the overemphasis of specialized care vs. primary care. Cost increases for hospitals are caused by several different factors. According to a report by the American Hospital Association, labor cost accounts for more than half of hospitals’ total expenses. This number grew by between 5 to 8% a year from 2002 to 2009. Another issue effecting hospitals is the growth in patients covered by Medicare and Medicaid. These patients represent 60% of all admissions. These programs do not pay the full cost of care. The AHA claims the amount each program pays has decreased significantly year after year. Patients unable to pay for care amount to about 6% of hospitals’ cost. To me a universal health care system would definitely assist in this problem. If everyone paid a portion for the same health care, then costs would not rise so high. Bed surpluses are detrimental to healthcare for several reasons. First, money is invested to create the capacity for beds in health facilities. That money is basically wasted if the beds are not utilized. Second, the beds cost so much to operate and if they are empty they are not bringing income. The surplus of beds can also lead to unnecessary hospital admissions. One answer to this problem is...
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...signed in to law the Patient Protection and Affordable Care Act. The Affordable Care Act alters the insurance market in the United States, increases revenues from a variety of new taxes, expands public insurance and it declines private insurance coverage, mandates that residents have health insurance, decreases and reorganizes spending under the nation’s largest health insurance plan which is Medicare. It has been said that if the Affordable Care Act is implemented to its full power that it can have a lead in different health choices for the United States in the future. I begin by providing a broad outline of the Affordable Care Act’s key features to help guide the discussion of the bill’s projected effects. History of the Affordable Health Care Act The Affordable Care Act is a long, complex piece of legislation that attempts to reform the healthcare system by providing more Americans with affordable quality health insurance and by curbing the growth in healthcare spending in the U.S.. Reforms include new benefits, rights and protections, rules for insurance companies, taxes, tax breaks, funding, spending, the creation of committees, education, new job creation and more. Democrats and Republicans have been working to create laws that reform the American health care system for decades. Almost every President over the last century has proposed healthcare reform unsuccessfully. The Affordable Care Act, modeled after health care reform in Massachusetts, was the first successful...
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...think that patients have most of the expertise to judge the health care she receives. The reason we go to the hospital is to feel better when we leave and be as comfortable as possible when we are there. I think that patients can judge whether their nurses are trying their best and they can determine whether their stay there helped them feel better in the short-term or the long-term They can continually improve and will be able to provide services that are better for patients and patients will want to there only. I think that patients have most of the expertise to judge the health care she receives. The reason we go to the hospital is to feel better when we leave and be as comfortable as possible when we are there. I think that patients can judge whether their nurses are trying their best and they can determine whether their stay there helped them feel better in the short-term or the long-term They can continually improve and will be able to provide services that are better for patients and patients will want to there only. I think that patients have most of the expertise to judge the health care she receives. The reason we go to the hospital is to feel better when we leave and be as comfortable as possible when we are there. I think that patients can judge whether their nurses are trying their best and they can determine whether their stay there helped them feel better in the short-term or the long-term They can continually improve and will be able to provide services...
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...Terms in Chapter 7: Outpatient Services and Primary Care Ambulatory care Outpatient services, including (1) care rendered to patients who come to physicians’ offices, outpatient departments of hospitals, and health centers to receive care; (2) outpatient services intended to serve the surrounding community (community medicine); and (3) certain services that are transported to the patient. Community-oriented primary care Health care that incorporates the elements of good primary care delivery and adds a population-based approach to identifying and addressing community health problems. Complementary and alternative medicine The broad domain of all health care resources other than those intrinsic to biomedicine. Gatekeeping The use of primary care physicians to coordinate health care services needed by an enrollee in a managed care plan. Hospice A cluster of special services for dying persons (those with a life expectancy of six months or less), which blends medical, spiritual, legal, financial, and family-support services. The venue can vary from a specialized facility to a nursing home to the patient’s own home. Medical home Patient-centered care based on the principles of the Chronic Care Model-that is, use of evidence-based guidelines, application of appropriate health information technology, and use of “best practices”-that seeks to consistently and reliably meet the needs of patients while being accountable for the quality and value of care provided. Outpatient ...
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...Risk and Quality Management Emmett Snider HCS/451 February 25, 2013 Wiechman Risk and Quality Management Hospitals most likely originated from temples, which were dedicated to Greek and Egyptian gods of healing. Sacrifices, prayers, and dream interpretations played the major role in the ancient physicians healing process, but they did occasionally set a broken bone, stitch up an open wound while using opium as a pain killer. Today in the early 21st century hospitals are much different. Hospitals can cover the full spectrum of health care from major surgery to minor injuries acquired in emergency situations. Physicians are highly trained and most of them specialize in some area of medicine that uses hi-tech equipment to help them. Nurses no longer just take vital signs and tell the patient that the doctor will be with you in a few minutes even though they know it will be more like a few hours. Nurses provide a number of preventive and primary health services, take care of minor injuries and illnesses, and prescribe medication. Hospitals have same day surgery where patients arrive in the morning have surgery and are back in their own home by night-fall. Basically hospitals are one or more large buildings where sick or injured people can receive medical or surgical care and most of the time as an inpatient. Everyone takes risk every day of his or her life and the chance of a negative impact is increased by the number of unintelligent choices they make. Risk can...
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...possibility of unforeseen obscurity and troubles. This enables patients to get products and services of superior quality. High quality of production development diminishes the prime cost of th4e final product or service, sothe hospital gets an opportunity to avail customers with better prices. Concepts of Quality Management • Ensure your health care fits your needs and preferences (What is Qualityin Health Care, n.d). • Ensure that your health care does not cause harm (What is Quality inHealth Care, n.d). • Ensure that your health care is right for your illness (What is Quality inHealth Care, n.d). • Make sure that your health care is given without unnecessary delays(What is Quality in Health Care, n.d). • Ensure that your health care includes only the medical tests andprocedures that you need (What is Quality in Health Care, n.d). • Make sure that your health care is fair and not affected by such thingsas your gender, language, color, age or income (What is Quality inHealth Care, n.d). The Cleveland Clinics method of approach to quality management are toprovide lower healthcare cost, revenue generated , overall reputation, internal andexternal competiveness, motivate their employees and market and profit sharing. There are times where different terms or phrases can all be mean one and the samething therefore seek to achieve the same goal. With regard to quality management it Quality Management 3can be taken to mean: quality performance, quality management, performancemanagement...
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... When the health care program was released there seemed to be minor and minimum issues for civilians to apply online. There are several different parts to this healthcare program. The Obama care program was established to help low income, fixed income individuals, people who could not afford to pay the regular amount for insurance. The Obama care program is intended to help individuals with affordable insurance plans. This health care program is regards of the economy, the issues that individuals have finding jobs, getting a job with a company that allows decent insurance, and help their employees. Not just the employees who have been with the company for years. The program does not necessarily create insurance but it is to help regulate private insurance to maintain privacy, the rights of individuals and in the process it gives them high-quality insurance. Going with this health care program it allows the fact that like other types of insurance you cannot be withheld from because of certain types of health issues. It allows you to have insurance like others do. The Obama care program allows assistance for the older generations which are also known as baby boomers. It is said that once you purchase a plan it will and can cover the minimum and the standard essential benefits that one may need to have insurance. With your medical history that is no way possible that you can be declined to have the insurance plan that you have applied for. Due to Obama care is available for anyone...
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...and Nursing Unit 3: Health Care Systems Learning Objectives: 1. Discuss the quality impact of “corporation” of health care through mergers and acquisitions. 2. Look at the effect of staffing that is based on patient outcomes and not nursing interventions. 3. View the trends in long term care as a continuum along the life of an individual. 4. Described the impact of the Philhealth Insurance on nursing practice. Basic health and medical care is a pervasive social need. Taken as a whole, the collective subsystems of health care form a unique system. In a broad sense, the health care delivery system refers to the major components of the system and the process that enables individuals to receive health care. The health care system is defined as all of the structures, organizations, and services designed to deliver professional health and wellness services to consumers. Traditionally, Philippines health care has been organized around the physician and the hospital. A triad of client, nurse, and physician became the basis of health care delivery, although not all members had equal status. Today, health care is increasingly more complex. Nursing personnel constitute the largest group of health care providers in the Philippines. They are the health care personnel who both deliver and coordinate care for clients. Therefore nurses are poised to be the care providers most prepared for population health and care coordination roles. As health care becomes coordinated and integrated...
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