...Assignment 4: Funding Health Care Service Strayer University HSA 500 November, 2013 Introduction The essential business of the health care industry is the delivery of health care services. In the U.S., the health care industry is considered to be the largest service employer. Funding for the U.S. health care services consists of a mix of public and private payment sources. Medicare and Medicaid represent the two major health programs. Funding for Ambulatory Services The use of Ambulatory Care Services is common amongst most people. It has become an important element in the delivery of health care. For many, it has been viewed as the primary source of health care; offering an extensive range of services that don’t require overnight hospitalization. The services offered can be as complex as tests to and therapies or as simple as a minor cut. Traditionally in the U.S., ambulatory care services were provided in the offices of medical practitioners and in the homes of the patients. Presently, these services are performed in outpatient clinics, emergency rooms, and same day surgery centers. Ambulatory care has expanded within the health care system. This is due to the fact that it is less expensive than inpatient stays and less time consuming for patients. In comparison to inpatient patient procedures, outpatient procedures have been estimated to be 30% to 60% less in costs. Funding for Ambulatory care services began when the first surgical care center opened in...
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...changes in approach to mental health/illness within Australia from the 1970’s to the 1990’s. You will need to include at least three (3) government enquiries/investigations which have helped shape government direction in the provision of mental health services. A Federal Government Inquiry released in the same year as the 1955 State Grants (Mental Institutions) Act provided large amounts money to institutions for capital works, was damning of the ‘inadequate’ mental health system, highlighting low standards of care, abuse and overcrowding (Stoller, 1955). As a result of this, there was a wider general interest in mental health. In what could be the beginnings of deinstitutionalisation in Australia, as the report also called for an increase in community services. Funding provided by the government in the seventies was pivotal to the establishment of community mental health services being more assessable with outreach and after care programs being setup in hospitals. This also heralded the beginnings of many Non government and independent services. * In 1983, the Richmond Report, release in New South Wales, advocated strongly for further deinstitutionalisation and an increase in community services for people with psychiatric disabilities. It suggested a change in funding arrangements from hospitals to community based care services, the expansion of integrated community based services, the separation of developmental disability services from mental health services and a decrease...
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...Access to Mental Health Services Abstract Within the American Healthcare system there are three key components. The key components include access, cost, and quality. Access to healthcare is the ability to obtain healthcare services in a timely manner when one needs it. Cost refers to many things in healthcare. It depends upon the individual, national, or provider’s perspective of costs. Quality is the desired healthcare outcomes of an individual or the healthcare outcomes of the population. Access to mental health services is a major issue in the United States. Children are greatly affected by this and often fall through the cracks in the system. Less than half of all children receive the mental health services they need. The Affordable Care Act initiated by President Obama is setting strides to improve the availability of mental health services within communities. This law requires that all health insurance providers cover mental health services. Congress has also increased funding to improve access of child mental health services. Improvements with access include, but are not limited to, integrating primary care physicians with mental health providers and the expansion of child mental health services. These improvements will educate primary care physicians on the available mental health services in their surrounding communities, allowing them to refer their patients as needed while providing a continuum of care. The expansion of child mental health services...
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...the use of repeated mental health screenings during pregnancy and postpartum to both prevent the onset of, and provide early diagnosis of maternal depression (Chaudron et. al., 2004). These screenings are not routinely administered, but when utilized, it is executed by physicians or nurses during the neonate’s 1-month, 2-month, and 4-month check-ups (Chaudron et. al., 2004). A study of the Cochrane Pregnancy and Childbirth Group database of nearly 17,000 women found that women who received a psychosocial or psychological intervention after delivery were significantly less likely to develop postpartum depression compared with those receiving standard care (Dennis & Dowswell, 2013). These interventions include home visits by public health nurses or midwives, telephone support, and interpersonal therapy (Dennis & Dowswell, 2013)....
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...PLANNING BETTER HEALTH FOR THE FUTURE Margaret Carriger Grand Canyon University Trends and Issues in Health Care HLT-418v Georgeana Lass Drew, Instructor July 12, 2014 In 2010, Healthy People 2020 was started by the Department of Human Health Services. Health programs and research topics were instituted to help Americans live healthier and longer lives (CDC, 2014). The 42 topics presented are all very important in maintaining the goals set by Healthy People 2020. If these programs were to be cut or budget restraints imposed on them, the impact would be felt by all Americans. There would be more unhealthy people, preventable chronic diseases would be more prevalent, and education and health associated programs would be affected. In reading the 42 topics, and after much consideration, I chose the 10 most important that I felt would be impacted. 1. Access to Health Services- The need for accessible health care is vital for the success of health equality and for expanding the well-being of a healthier life for Americans. 2. Cancer- Research and advancements in cancer treatment have seen a decrease in both occurrence and morbidity. Healthy People 2020 advocate the development in cancer research to assess the advances made in decreasing cancer in the United States. 3. Diabetes- One of the most prevalent chronic diseases in the United States. More than 57 million Americans have a high glucose reading or levels that can increase the chances of Diabetes Mellitus...
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...Risks of Mental Health Drugs for Our Youth Rapa Barsel Prof. Stephen Webber ENG 215048VA016-1142-001 February 15, 2014 Although there is a considerable amount of children with mental health disorders, more research and stricter regulations are necessary to investigate the diagnoses and the overuse of prescribing mental health drugs to our children. In our current age of advanced technology, medicine is also advancing. Although, these advances can detect many illnesses earlier on, they may not be an accurate diagnosis for minors. Thousands of children are prescribed antipsychotic drugs without proper medical assessments. I have a two and half year old son and I would not be willing to put him on any mental health drug unless I was absolutely certain it was necessary. These mental health drugs can cause suicidal thinking and behavior. It can also lead to an altered personality, or lack thereof. These drugs can be harmful to brain and physical development in younger children. According to the U.S. Surgeon General (2000), as many as 1 in 10 American children and adolescents a year have “significant functional impairment” as a result of a mental health disorder. The trends in administering psychotropic medication to young children are on a rise in the U.S. Since psychotropic medications are substances that affect brain chemicals related to mood and behavior (NIMH, 2009). These trends have caused a great deal of debate. All parties without an economic agenda agree...
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...Mental Health Care Disparities: Consequences of Ineffectiveness and Lack of Access for Minorities Ebony Marinnie RN Rowan University Mental Health Care Disparities: Consequences of ineffectiveness and lack of access for minorities For ages mental illness has been seen as the ultimate curse. The mentally ill were seen as possessed, hidden from society, and never talked about. In America, it is estimated that 26.2 percent of people ages 18 and older suffer from a diagnosed mental disorder in a given year (Kessler,Chiu, Walters, & Demler, 2005). The aforementioned statistics reflect those that have sought or been forced into treatment. There are many left uncounted due to lack of access and ineffective treatment secondary to a number of reasons. Considering history, discrimination, personal perception, socioeconomic status, educational backgrounds and a host of other reasons many minority groups are reluctant to seek out treatment in what many may consider a system of mental health created and sustained primarily for the middle and upper-class White America. In fact, 60 percent of people with mental illnesses do not receive treatment (Kessler et al., 2005). The purpose of this paper is to discuss mental health care disparities in minority populations within American society, and to suggest some needed changes to close the gap in America. One quarter of all Americans meet the criteria for having a mental illness and a quarter of those have a disorder that significantly...
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...Analysis of Factors Influencing Adequate Funding of Social Health Care in the Tower Hamlets, London DECLARATION I declare that this is my original work and has not been submitted in any other university or institution for examination. Signature Date Student no: Stud - This is to confirm that the work this proposal was done by the student under our supervision. SignatureDate Supervisor 1: For and behalf of (Name of institution) Signature Date Chairperson, Department of ( ) DEDICATION This work is dedicated to my family members for their enduring support they gave for the whole time I was pursuing this project. ACKNOWLEDGEMENT First, I would like to thank my supervisor .................... who has guided me in writing this project. More particularly my special thanks go to my lecturers for taking me through the whole course. I am also greatly indebted to my fellow students who were with me throughout the course work. OPERATIONAL DEFINITION OF TERMS Class A drugs- drugs deemed by the government to cause the most lethal harm when consumed. They attract heavy jail terms including life in prison. Community care- a term used in healthcare policies to mean looking after people with particular needs in the community. Local strategic partnership- a single non-statutory body, aligned with local authority boundaries that bring together at a local level the different parts of the public sector as well as the...
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...Children and adolescents in the foster care system are at a higher risk for psychopathology than other children in the general population in our country. In February of 2015, Senator Tammy Baldwin (D-Wisconsin) and Rob Portman (R-Ohio) introduced the bipartisan legislation to improve foster care services for thousands of vulnerable youth in America. This bill would improve health care and mental health services to children and young people in the foster care system to ensure that effective community-based options are available for them and their families. “Therapeutic foster care, often referred to as treatment foster care (TFC), is the evidenced-informed trauma-informed and highly effective placement of children and youth with serious medical,...
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...The implications of the Garling Report In order to provide quality of patient care, delivering efficient care is important but also recognising the factors affecting patient care is also significantly important. By identifying the implications of the Garling Report (2008), it enables to recognise problems related with health care system and to have better understandings and abilities to effectively deal with the problems. Accordingly, there are also significant issues affecting mental health, which should be investigated. The major findings and recommendations of the Garling Report will be overviewed and also the nursing and workforce issues will be explored. Furthermore, drug and alcohol abuse and lack of resources will be explored and recommendation for a new Registered Nurse will be drawn. Garling Report (2008) indicates that New South Wales (NSW) public hospitals have one of the better health care systems in the developed world, because they have well-trained, skilled and dedicated doctors, nurses and clinical staffs. On the other hand, NSW health care systems are too often unable to cope with the increasing cost of treatment, sudden increase in patients, and the pressures on a skilled workforce (Garling Report, 2008). Notably, there is a serious shortage of workforce including medical, nursing, and allied health professionals (Garling Report, 2008). Furthermore, there are insufficient experienced clinical staffs who can supervise and guide inexperienced...
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...Option #1- Mental Health services: Simcoe county council is currently focusing on mental health care services that strictly revolve around children/youth, and do not provide any direct support towards the adult caregivers (Ministry of Health and Long-Term Care, 2016). Ontario is investing $3.2 million in expanding mental heath care programs, to reduce wait times and increase quality of services available to children suffering from mental heath issues in north Simcoe Muskoka (Ministry of Health and Long-Term Care, 2016). Simcoe county council should make a revision to this current plan using a family impact lens because it is just as necessary to supply adult caregivers with an adequate amount of mental health care, as it is for the...
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...Introduction Mental health is one of components to enhance healthy lives among individuals. According to WHO (2014), mental health can be defined as a state of well-being in which every individual realizes his or her own potential can cope with the normal stresses of life. As Hong Kong is a fast-moving city, people easily feel stressful. In recent years, there are more suicidal incidents occurred in Hong Kong and within Wah Fu Estate. Most of causes of the incidents were related to mental health e.g A 35-years-old man who has mental problem stabbed his wife to unconscious and then jumped from Wah Lok House (鄺福強2014). Therefore, enhancing metal health awareness of individual is important. In the following community assessment report, the focus...
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...provides an overall impression of the United Kingdom’s health service, inception of the National Health Service, challenges the NHS faces regarding financial sustainability, providing effective and efficient care, and the move towards more privatization . Comparisons are made between the National Health Service and heathcare in the United States across multiple sectors that include acute care settings, skilled nursing facilities, primary care providers and regualtions governing nursing practice and the challenges faced by both systems. Table of Contents Introduction 4 Background 4 Impression of the NHS 5 Mr. John Smith Director, Civil Eyes Research 7 Mr. Andrew Cheesbrough, CEO Orders of St. John Care Trust 8 Mr. Robert Creighton, Transition Director and Government Advisor on Public Health 9 Dr. Elizabeth Fellows-Smith. Senior Policy Advisor, Mental Health 10 Dr. Rodney Taylor, Former Medial Director NHS Hospital 12 Professor Simon de Lusignan, Primary Care 12 Mr. Bernell Bussue, Director of London Region,Royal College of Nursing 12 Mr. Paul Holdom, CEO The London Clinic 14 Professor Duncan Empy, Group Medical Director of BMI Healthcare 14 Shirley Kramer, Chief Executive Institute of Healthcare Management 16 Strengths and Weaknesses 16 Summary 17 References 19 Introduction Since its inception in 1948, the United Kingdom’s National Health Service (NHS) formed an ideology that gave birth...
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...of ‘Hoarding and Squalor’ so as to bring awareness on the impact of this condition on the individual, families and the wider community. I analyse the issue of ‘Hoarding and Squalor’ by using existing evidence anecdotal evidence through studies on the impact and consequences this issue at micro and macro level. Further I will demonstrate the associated current social policies around this problem by incorporating a combination of techniques with the aim of advocating for better supports and systems. My overall aim is to bring about a change, in particular around three goals. These goals are inclusive of Social Policy review, multi-agency approach and trans-disciplinary delivery, funding request from the State Government in particular Families and Communities Services (FACs) and Mental Health in order to work with families in a person [spelling error] cent[e]red, strength based manner to ensure sustainable results. I incorporate Jansson’s steps of, diagnosing the context to identify contextual constraints and opportunities, softening the context to make it more amenable to a specific policy initiative and lastly activating change to get a decision maker or legislator to put an issue on the agenda of the other decision makers in the agency, community or legislative setting. (Jansson, 2003, pp. 148-165). Diagnosing Context What is Hoarding and Squalor In May 2013, for the first time ‘Hoarding Disorder’ was defined, and included in a new chapter of the Diagnostic and Statistical...
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...Michelle Ainsworth There are calls for more funding to be put into the mental health system. Mental health advocates fear more lives will be lost if more support is not given to the sector. Transcript LEIGH SALES: The battle over scarce government dollars is in its final weeks ahead of the Federal Budget on May 10th. The Cabinet met today to discuss what's in and out and tomorrow night, the Prime Minister will set out her framework for what's already being sold as a tough budget. Mental health advocates are concerned that promises to support their sector might not materialise. They say more lives will be lost unless billions of dollars in extra funding goes to mental health. Michelle Ainsworth reports from Canberra. DR ELIZABETH SCOTT, CLINICAL PSYCHIATRIST: I think the mental health system in Australia at the moment is really at a crisis point. PAULA KNOWLES, MOTHER: It is a parent's worst nightmare. PROF. IAN HICKIE, BRAIN & MIND RESEARCH INSTITUTE: We know what to do, largely when to do it, but our shambolic system fails to deliver that for people in the greatest need. BRONTE O'BRIEN: Life was incredibly confusing and incredibly overwhelming and I found myself trying to mask my feelings through using drugs. KEVIN RUDD, FORMER PRIME MINISTER: We need as a nation to live our game. JULIA GILLARD, PRIME MINISTER: I want to be absolutely clear about this. Mental health will be a second term priority for the Government...
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