...Health Policy Values Morgan Spencer Grand Canyon University: NUR-508 Dr. Jamie Buchanan June 15, 2015 Health Policy Values Beliefs and Values Beliefs and values are two things in which people develop when they are going up and are engraved in them however, there is a difference. Beliefs are what we believe to be true and values are a person's principles or standards of behavior. My values and beliefs have stemmed from my upbringing and also from my personal experiences as a nurse and a young woman. As a young child my values and what was expected of myself were engraved into me. The first concept that was engraved into myself was a hard work ethic which stemmed from my grandfathers. My grandfathers were the bread winner of their families and taught myself the importance of integrity, honesty, and hard work. My beliefs came from knowing God, understanding His Word and knowing what he expects of myself. Health Care Policy Due to my values and beliefs I can easily get frustrated when talking about health care policy in respects to cost and quality. Health care costs have easily risen since I started working as a nurse four years ago. However, things are getting more expensive that the economy cannot keep up at this time. Technology and the advances in health care are beneficial to all and for the greater good which can improve the quality of life. However, are these advances going to cost more? Yes. Should we not develop them due to cost of them? Absolutely not. Unfortunately...
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...Running head: MEASURING THE U.S. HEALTHCARE SYSTEM 1 Measuring The United States Healthcare System Luc John Arnaud HCM 550 Quality and Performance Improvement in Healthcare Colorado State University Global Campus Dr. Gloria Wilson March 27, 2016 MEASURING THE U.S. HEALTHCARE SYSTEM2 The Organization for Economic Cooperation and Development (OECD) is based in Paris, France, and it is essentially an assembly that comprises over thirty members (countries) who work with each other and who all share common commitments to democratic states and market economies. The goal of the OECD is to promote and improve economic growth, prosperity, sustainable growth, and expansion of each nation (OECD United States Mission, n.d.). The OECD “tracks and reports annually on more than 1,200 health system measures across 30 industrialized countries, ranging from population health status and nonmedical determinants of health to health care resources and utilization” (Anderson, F., Squires, D., 2010, para 1). The article titled Issues in International Health Policy clearly exposed the fact that the United States of America fundamentally lacks behind the majority of other developed nations as it’s related to the efficiency, effectiveness, and solvency of its overall healthcare system industry. The facts and data within the article come from an analysis of health data from 2006 from the OECD, ...
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...the United States is rated the 18th in economic freedom, however from 1980 to 2000 U.S. was 3rd and 10th in 2008. The economic freedom of the world report compares countries with levels of income, economic growth, debt, government expansion, regulation, personal choice, freedom to trade internationally, and security of privet property. Currently the United States is experiencing very little growth and rise in income. The economic stronghold in the U.S. has deteriorated in the eyes of the world, some feel the cause is due to the increase in debt, government, and regulation it has been described as “system crony capitalism.” The phrase was coin with the thought that the United State is not approaching world economics’ with an innovative sly. The big winners in the category of economic freedom was Hong Kong number one, number two Singapore, New Zealand number three, and Switzerland number four. The U.S. fell behind two European Welfare States, Finland and Denmark. A report by World Economic Forum mentions that the Unite State has dropped from number one in global competitiveness in2008 to number seven this year. The international group’s Global competitiveness report 2012-2013 mention problems from debt and corruption, regulation, red tape, to education and health care. Unite State image is created through politic world policies, and economic, the countries that have a higher opinion of U.S. seem to look like us or of the Western European Countries. In China, Japan, and other...
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...Summary The health care in the United States has often been credited with being some of the best money can buy, though with the caveat that it does not provide health care to all its citizens, and millions are left with woefully little or no health care coverage. However, in Canada, universal health care serves its entire population, though there is also criticism that the care it does provide lacks the quality of the most expensive health care services in the U.S. This paper will examine the truth behind the quantity and quality argument between the universalized health care in Canada and the health care system in the U.S., while also taking into account the recent reforms made to the U.S. system and how it impacts such a comparison. Canada and the United States Comparison of the health care systems in Canada and the United States are often made by government, public health and public policy analysts. The two countries had similar health care systems before Canada reformed its system in the 1960s and 1970s. The United States spends much more money on health care than Canada, on both a per-capita basis and as a percentage of GDP. In 2006, per-capita spending for health care in Canada was US$3,678; in the U.S., US$6,714. The U.S. spent 15.3% of GDP on health care in that year; Canada spent 10.0%. In 2006, 70% of health care spending in Canada was financed by government, versus 46% in the United States. Total government spending per capita in the U.S. on health care was 23% higher...
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...Comparison and Contrasts of the United States and Canadian Health Care Systems Devry University HSM 310 Comparison and Contrasts of the United States and Canadian Health Care Systems Canada In the 1960’s, Canada reformed its system providing a universal single payer health care system which covers all services provided by physicians and hospitals it is mostly free at point of use and has most services provided by private entities. Single payer health care is the financing of costs of delivering universal health care for an entire population through a single insurance pool. The government took over full funding of both physician and hospital services, setting minor physician fees and hospital budgets. Everyone is covered at all times. United States of America For the past 8 decades, the U.S. has run its country on a private health care system where the individual pays for their choice of health care. Depending on the coverage of the health care amounts to the cost. In the U.S, government funding for health care is limited to Medicare, Medicaid, Veterans Administration and the State Children’s Health Insurance Program, which covers senior citizens, the very poor, disabled people, veterans and their families and children. The United States is the only country in the developing world that does not have a fundamentally public tax-supported health care system. The National healthcare debate is one that has been a continuing arguing point for the last decade. The goal is...
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...Quality in Health Care Shanna Marie Fulwood HCA 305 Tessa Guisinger September 17, 2012 Healthcare has become a major issue within recent years. “In spite of its long history and common years the US healthcare system has a complex puzzle to many Americans” (Sultz and Young, 2010, pg XVII). Obama has tried recently to provide access to every individuals they can have some kind of medical care. His new healthcare bill says that everyone has to have medical insurance. This was done because so many Americans are without health care coverage. Now that is mandated we have healthcare coverage what our options? One of the major concerns that we face and always have faced is the quality of care we received. Anyone deserves quality out of the healthcare system. Fortunately there are ways to measure healthcare quality. These tools are mostly used by the professionals. Some questions that will be answered here are how does the quality of healthcare in the United States compared to the quality of care and other industrialized nations; how can an acceptable quality of healthcare be assured for all; will providing data in areas such as patient outcomes, compliance with national standards for preventive and chronic care, and comparative cost to the public be an acceptable measure of healthcare delivery outcomes; the physicians believe that only physicians could and should judge the quality of medical care, they found participation in such hospital peer review activities and most disagreeable...
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...Quality health care means doing the right thing at the right time in the right way, for the right person and having the best results possible. There is a perception among many Americans that despite coverage, cost and other problems in the health care system, the quality of health care in the United States is better than it is anywhere else in the world and might be threatened by health reform. In fact, 55 percent of Americans surveyed last year said U.S. patients receive better quality of care than do those in other nations, even though only 45percent said they thought the United States had the world’s best health care system. The U.S. has the most expensive healthcare system in the entire world, and it’s just about twice as expensive as other countries. The administrative costs which are at 19-25% of the cost also 34% added for profit hospitals are the very reason why it’s so expensive. I will also add that South Africa as well as America is the only countries that will not provide healthcare for its citizens. “Despite ludicrous right-wing anecdotal claims of high dissatisfaction among those who live in countries with universal healthcare, the reality is that, with the exception of Italy, Americans are more dissatisfied with their healthcare than are the citizens of every other developed nation, including England, France, Germany, and Canada.”(Peter Hussey, 2004). Moreover, the quality of medical care will allow countries to do a comparison of performance to that of such with...
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...Economics and Change Dimensions of Professional Practice 08/02/2015 Economics and Change Introduction Health care in America is at the center of controversy. It is a progressive and rapid changing entity. Since the 1970s, America has seen many different types of programs and funds created to help solve the issue of the cost of health care. Many of these programs are on the brink of bankruptcy and have not done far enough to make it more affordable and assessable. Actually America has the most expensive healthcare system in the world and not only is it the most expensive, but in many areas such as quality of care, America is no where near the top among developed countries (Davis, Stremikis, Squires, & Schoen, 2014). The purpose of this paper is to show how democratic leadership along with power-coercive and empirical-rational can help implement this new healthcare law. This paper will also discuss the importance of committees and economics on this new law. Democratic Leadership To enact such a massive law as the affordable care act one must be willing to work and listen to others to get the best information on this topic. In this type of leadership it is of the utmost importance for the leader to have participation from the group. There are major political differences in the United States right now. Using this type of leadership would bring representatives from both sides of the aisle together. This type of leadership uses open discussion and questions...
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...Lenoir-Rhyne University Kolcaba’s Theory of Comfort Introduction Today’s healthcare focus is on providing patient-centered, safe and effective care for improved patient outcomes. This focus is not only important for the patient’s health, but has become vital for the financial well-being of healthcare organizations. The United States has consistently ranked among the highest in healthcare costs and the lowest in improving patient outcomes when compared to other industrialized nations (Davis, Stremikis, Squires, & Schoen, 2014). There are multiple national organizations and initiatives designed to improve the state of healthcare in the U.S. and this topic is often debated at all levels of government. The Centers for Medicare & Medicaid Services (CMS), along with the Agency for Healthcare Research & Quality (AHRQ) developed a standard set of survey questions which are publically reported designed to measure patient’s perceptions of their “hospital experience.” The survey instrument is called the Hospital Consumer Assessment of Healthcare Provider and Systems (HCAHPS) which allows hospitals and consumers the ability to compare hospitals to one another on topics important to patients. The survey also serves as a tool to enhance accountability through transparency and creates incentives for hospitals to improve the quality of the care they provide (Centers for Medicare & Medicaid Services, 2014). Nursing plays a vital role in the hospital’s HCAHPS comparison measures...
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...Introduction The saying health is wealth has different meanings. It could mean that healthy people have less medical expenses or that people treasure good health more than money. The goal of a healthy lifestyle is to have a long life and remain disease or cancer free. The United States of America is known as a developed nation and people would assume that it provides its citizens with equal and an adequate medical care. According to the World Health Organization (WHO), “America spent more on health care per capita ($8,608) and more on health care as a percentage of its GDP (17.2%), than any other nation in 2011.” This means that the US puts a lot of emphasis on their healthcare compared to any other country in the world. But the reality is the Commonwealth Fund, a private American foundation, ranked the United States of America last in the quality of healthcare compared to the world in 2014. Also, America is ranked as one of the most expensive healthcare providers in the world. The US was compared to countries like Australia, Canada, United Kingdom, France, Germany, Netherlands, New Zealand, Sweden and Switzerland. The rankings prove that the American healthcare system is indeed facing many issues. Some of the major issues are accessibility of healthcare to all, lack of consolidation within the industry, deficiency in technology, lack of data availability and lastly, over dependence on medications by healthcare professionals such as doctors. The issue highlighted in this...
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...Medical Tourism Medical tourism is actually thousands of years old. In ancient Greece, pilgrims and patients came from all over the Mediterranean to the sanctuary of the healing god, Asklepios, at Epidaurus. In Roman Britain, patients took the waters at a shrine at Bath, a practice that continued for 2,000 years. From the 18th century wealthy Europeans travelled to spas from Germany to the Nile. Since the early nineteenth century, when there were no restrictions on travel in Europe, people visited neighboring countries in order to improve their health. At first, mere traveling was considered to be a good therapy for mental and physical well-being. In the 21st century, relatively low-cost jet travel has taken the industry beyond the wealthy and desperate. Later, mostly wealthy people began traveling to tourist destinations like the Swiss lakes, the Alps and special tuberculosis sanatoriums, where professional and often specialized medical care was offered. In this century, however, medical tourism expanded to a much larger scale. Thailand, followed by India, Puerto-Rico, Argentina, Cuba and others quickly became the most popular destinations for medical tourists. Complicated surgeries and dental works, kidney dialysis, organ transplantation and sex changes, topped the list of the most popular procedures. It was estimated that in 2002, six hundred thousand medical tourists came to Bangkok and Phuket medical centers in Thailand, while approximately one hundred and fifty thousand foreign...
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...History and Future Of Medical Coding and Billing John F. McMahon BU480, Central Methodist University Abstract Medical coding and billing affects everyone during their lifetime and yet the regulations of medical coding and billing are extremely complex. Examining the history, evaluation, and effect of new regulations and their cost shed light on an already complex industry. We will review government regulations, technological advancements, and requirements that providers will face in the near future. We will examine our current systems and how they evolved through time and what they may be in the future. We have reviewed articles from the Medical Billing and Coding Association, the Department of Human and Health Services as well as the Office of the Inspector General. We will review the different types of insurance, how they each affect the process of medical coding and billing and then see what the future will be. Finally we will review what steps we have taken that has allowed a government to be so involved in our healthcare decisions. Thesis Statement Medical Coding and Billing has evolved to a point that it affects everyone at one time or another during their lifetime and has only led to complex rules and regulations that you almost need a degree to understand. From times that Physicians bartered for their services to the government telling them what to charge and insurance companies...
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...and Health Care Reform Professor Sarah McBride Toro Longe April 18, 2010 M.J. Thesis in Health Law Abstract This is an essay on medical tourism in the United States of America (U.S.). It includes a brief history of the U.S. health care system, examines the social, cultural, ethical, and legal issues that have affected health care changes in America. With the number of Americans going overseas to seek medical care steadily rising, the American insurance industry expanding benefits, and the Joint Commission accrediting facilities for globalization of the health care marketplace, medical tourism should become increasingly important in the health care industry. While there are many reasons for patients seeking health care outside of their own country, one that is particularly easy to overlook is the outsourcing of health care and its effect in U.S. and around the world. The purpose of this paper is to examine the concept of medical tourism, noting the specific medical tourism destinations, presenting reasons for the recent increase in medical tourism, and examining the risks and benefits, as well as wrestling with the challenging ethical and legal issues inherent in medical tourism. The paper will conclude with consideration of the role of the law in medical tourism. Introduction Over the past 100 years, the United States of America (U.S.) has changed greatly in its economic structure, population composition, culture, technological achievements, and health care. 26...
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...TUI University MKT501 - Strategic Marketing Module 5 SLP Dr. Darlene Jaffke INTRODUCTION Wal-Mart Stores, Inc. The company I choose to write about is Wal-Mart Stores Inc. Wal-Mart Stores, Inc. is an American public corporation that runs a chain of large, discount department stores. It is the world’s largest public corporation by revenue. Wal-Mart is a household word in the U.S., but it is quickly becoming a well-noted name in the international realm. Wal-Mart is one of the leading multinational and multibillion dollar companies in the US for most sale and most employees. They focus on low prices and making sure everyone is treated like family. The Wal-Mart story began in 1962, when Sam Walton opened the company’s first discount store in Rogers, Ark. Five years later, there were 24 Wal-Mart stores in Arkansas ringing up $12.6 million in sales. Wal-Mart employed 1,500 Associates working in 38 stores, with sales of $44.2 million. In 1970, Wal-Mart also began selling shares over the counter as a publicly held company. In 1991, Wal-Mart became an international company when they opened a Sam’s Club near Mexico and Wal-Mart international was created. By the year, 2006 Wal-Mart weekly customers had grown to more that 176 million around the world with 6,779 locations. Wal-Mart has had records sales of over $345 billion. Wal-Mart increased its ownership stake in Seiyu in Japan to 53 percent and its ownership of Carhco to 51 percent renaming the company Wal-Mart Central America. While...
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...Accountable Care Organization is a healthcare organization characterized by a payment and care delivery mode. lt seeks to tie provider reimbursements to a quality metrics and reductions in the total cost of care for an assigned population of patients. A group of coordinated health care providers form an ACO, which then provides care to a group of patients. The ACO may use a range of payment methods, (e.g. capitation, fee-or-service with an asymmetric or symmetric shared savings). The ACO is accountable to the patients and the 3rd party payer for quality, appropriateness, and efficiency of the health care provided. The Centers for Medicare and Medicaid Services (CMS), an ACO is considered an organization of health care providers that agree to be accountable for the quality, cost, and overall care of Medicare beneficiaries who are enrolled in the traditional fee-for-service program. This paper identifies the differences between HMO’s and ACO’s but also correlates the similarities between ACO’s and Patient Center Medical Home (PCMH). The ACO’s place a degree of financial responsibility on the providers in hopes of improving care management and limiting unnecessary expenditures while continuing to provide patients freedom to select their medical services. The success and challenges of ACO are identified and explored. By increasing care coordination, ACO’s can help reduce unnecessary medical care and improve health outcomes, leading to a decrease in utilization of acute care services...
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