...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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...(Singh, 2016). Preventive maintenance for negative outcomes in a nursing facility is critical to the aspect in conducting quality care. Negative outcomes that exists are preventable, such as injury, negligence and accidental death. Most situations that are harmful that do not result in negative outcomes include: clinical errors, sanitary conditions, repairs and maintenance elapses (Singh, 2016). Most impressions that are formed by a patient, pertaining to the nature of the quality...
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...is a fast paced environment where anything can happen at any given point. This field consistently makes changes to their policies and licensing requirements. These all vary from the company to the field and insurance company your dealing with at that time. I am currently in school to receive my Bachelor’s Degree in Business Administration to eventually own my own rehab in the near future. Companies I Would Like To Work For I’ve been working in this field long enough to realize that this is my passion not just my job. I have the proper training and certifications to move forward in this field and work for a higher end facility. The staff understands the need for privacy in a supportive environment. This high end facility offers a resort like experience. Each facility offers different amenities but this facilities offers much more for the individual like yoga, hiking, and aquatic therapy. Depending on the level of treatment that you are requesting or in some cases required to take this will determine the level of care and what will be required of you. The second place that I would like to work for is called Reflections Rehab. This treatment center is in San Francisco and tailors to the executive career workers that are still attending their daily life with the help of a sober coach to be by their side to help them make better decisions in life. They recognize that each individual has a...
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...Feasibility Study Outline for New Manufacturing Project There is a saying, hindsight is 20-20. Smart business people, however, do not rely on hindsight but on foresight. A feasibility study is more of a scientific foresight, a way of reducing guessing as to what things should be considered. The following is an outline of a feasibility study based on new manufacturing business. There are hundreds of variations of a feasibility study but this is good because it is applicable to big and small businesses, either domestic and international. Feasibility Study Outline for New Manufacturing Project A. Project Summary 1. Brief description of the project 2. Summary of the findings and conclusions a. Project timetables and status b. Management aspects c. Marketing aspects d. Technical aspects e. Taxation aspects f. Financing aspects g. Financial aspects h. Social aspects B. Project Timetable and Status 1. General project planning 2. Incorporation 3. Preparation of engineering specifications 4. Building construction 5. Selection...
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...Furthermore, individuals should have the right to access the health care provider of their choice. Legislatures at the national and state levels should advocate for individuals to have reasonable access to health care services. Nurse Practitioners as direct care providers of medical care implements simple, practical and inexpensive methods in utilizing NP’s in private practice. NPs provide services for the diagnosis, treatment and management of disease as well as illness prevention and health maintenance. Numerous studies conclude that nurse practitioners perform as well as physicians in their specialty area of practice, in patient diagnosis, management of specific diseases and patient outcomes. NPs have improved access to and affordability of health care by consistently offering high quality and cost-effective services. Nurse practitioners should be active partners and providers of health care as they insure delivery of quality health care in a cost-effective...
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...of the long term care continuum of services. The goal of assisted living is to maximize the independence of older adults while living in a homelike environment. This paper will provide an overview of assisted living facilities including the number of facilities and residents, costs, services, and growth expectations. Challenges with oversight and regulations will be discussed as well as solutions to the problem. Challenges and solutions for staffing and training issues will also be discussed. The paper will also highlight “In Loving Hands Assisted Living” which is a local assisted living facility that I called and visited to aid in my research. I will give an overview of the Fort Washington area in terms of older adults and the long term care market. The challenges with this provider are marketing and staffing for which I suggest low cost advertisement and comprehensive staffing patterns. Lastly, a conclusion and summary are provided for the current state and future of assisted living facilities. Overview of Assisted Living While the definition of assisted living facilities vary from state to state, this type of facility is generally defined as “a housing option that involves the delivery of professionally managed, supportive services and depending on state regulations, nursing services in a group setting that is residential in character and appearance” (Evashwick, 2005, p 152). Assisted living facilities serve as a way to provide care to people...
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...MSTM- 6023 Strategic Planning & Policy Development Unit 2: Strategic Planning- Case Study Analysis 1 Drucker, P., 2008: Case # 13- What are “Results” in the Hospital? Table of Contents Overview ……………………………….………………………...……….. 2 Problem Statement ……………………….……………………...………… 2 Alternatives ………………………………….………………...…………... 3 Pros and cons ……………………………….………………………………4 Course of Action ……………………………..……………………………. 8 References ………………………………………………………………... 12 Overview Robert Armstrong, an ex-Navy sailor managed a successful family business for twenty years. During this time he also served as the chairman of the hospital board of directors. Healthcare had always been an interest if his. Armstrong had planned to become a physician before being drafted to the Navy while in college. After many years of business management he had begun to resent the time spent travelling and growing his business. He had secured what he described as an “over competent” team of managers within his family business and was ready for change. When the opportunity to become the hospitals administrator became available Armstrong accepted the challenge. However not being experienced in heath care management he was initially reluctant. Armstrong consulted with the hospital’s chief of medical services to inquire, “How do I measure performance?” Familiar with the definition of...
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...site-specific threat that may occur at any time” (Vennema, 2007, p. 138). Different disaster planning and contingency plans will be needed depending on geographical location such as hurricanes in the southern region, earthquakes in the western region, and severe snow storms in the northern region. In the case study reviewed, a nurse who has just arrived for a 12 hours shift was concerned about the forecasted blizzard that was expected to bring two to three feet of snow in the next twelve to eighteen hours. Other nurses begin to get anxious and ask about contacting the nursing supervisor to seek strategies to ensure adequate staffing for patient care in the morning. Leadership within the healthcare facility should be cognoscente of the impending blizzard, and a contingency plan should be utilized to guarantee harm reduction during this internal/external disaster threat. Careful organization of contingency plans is necessary if those involved in a disaster are to respond effectively. “The most important aspect of disaster management is planning in advance” (Vennema, 2007, p. 138). Therefore, a contingency plan for external/internal disaster should be created and implemented long before the event occurs. Unfortunately, while the planning phase should be considered the most important step in disaster planning, it is also the step that usually...
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...The Driving Force of Change: Magnet Designation The Driving Force of Change: Magnet Designation The healthcare industry has striven to advance the quality of care provided to patients for decades. Pursuing Magnet designation is a journey a hospital can take to acquire this level of excellence. The purpose of this paper is to explain an overview of components making up Magnet designation, the impact Magnet status has on change in healthcare and its organizations, and the benefits and challenges that go hand in hand. Overview of the Magnet Recognition Program The Magnet Recognition Program is not an award but a “performance-driven recognition credential” designed to achieve excellence in patient outcomes and satisfaction of nurses (Drenkard, 2010). Magnet Recognition is the highest and most prestigious distinction a healthcare organization can receive for nursing excellence and high-quality patient care. The Magnet program model organizes 14 Forces of Magnetism into five model components. The five model components are transformational leadership, structural empowerment, exemplary professional practice, new knowledge, innovation, and improvements, and lastly, empirical quality results. The first component, transformational leadership, identifies the need for more involvement with nursing in leadership roles. The second component, structural empowerment, provides an innovative environment where strong professional practice flourishes and relationships and partnerships...
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...Shuvro Protim Chondro 2010-3-10-087 MD Towfique Alahy 2012-2-30-049 Mahmuda Akter 2013-1-10-268 Table of Content Abstract This paper examines peoples understanding, services, expectations and assessment of the corporate social responsibility (CSR) of private banks, especially Dutch-Bangla Bank Ltd, Prime Bank, Unite Commercial Bank, Premier Bank, BRAC Bank are the largest private banks in Bangladesh. This study has been conducted among the stakeholders and beneficiaries of these private Bank Limited. An interview has been conducted using structured questionnaires to critically examine the subjective perceptions of the meaning, reasons and various aspects of CSR tasks of in Bangladesh. It has been found out that common people either do not have clear understanding about CSR activities or are not really concerned about the social responsibilities of the corporate organizations. The expected outcome of CSR activities, as has been stated in the memorandum and commitments of the corporate houses, has yet to be achieved. This study suggests that a more comprehensive and humane involvement of the common people in the CSR activities is required, which would not only fulfill the intended goals and objectives of the private banks but also ensure a successful and sustainable development of the society. Keywords: Corporate Social Responsibility, Stakeholders, Bangladesh, Performance, Brand Loyalty, Development, Challenges. 1.0 Introduction Corporate...
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...Stellenbosch University All rights reserved Abstract The National Department of Health and The South African National AIDS Council (SANAC) jointly agreed to launch a massive campaign for HIV Counselling and Testing. The campaign was launched as an effort to step up and supplement and modify the programmes that are already running in the country, to fight HIV and AIDS. The campaign is known as the National HIV Counselling and Testing Campaign and it is based on the National HIV Counselling and Testing Campaign Strategy of SANAC (2010). The study aimed to investigate the impact of the campaign in terms of awareness levels of the benefiting groups as well as the challenges experienced by the relevant role players in implementing the campaign at the Ga-Motupa community in Limpopo. The investigation tools used in the research were interview schedules (qualitative). Three different focus groups were sampled from the target groups, namely Care givers, learners and ABET educators. Individual...
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...Natural Disasters Index Introduction Types of Disasters Effects of Disaster on Economy Effect of Disaster on Health Care Organization * Sudden Influx * Damage to Facilities * Inadequately Prepared * Specialty Treatment Availability Effects on the Population * Immediate Health Impact * Long-Term Impacts Steps in Disaster Management * Mitigation * Preparedness * Response * Recovery Real Incident Study * Background: * Immediate Response Considerations: * Evacuation: * Special Immediate Concerns: * Recovery Process: * Facility Considerations: * Lessons Learned at This Point in Response/Recovery: * Takeaways from this incident: Conclusion References Introduction According to dictionary.com Disasters means “a calamitous event, especially one occurring suddenly and causing great loss of life, damage, or hardship, as a flood…” Disasters such as Earthquakes, tsunamis, floods, hurricanes, tornados, epidemic disease outbreaks and more can damage any population and have a tremendous effect on the health care organizations that respond. Many health care organizations face major challenges during natural disasters. There are many different causes for those challenges.According to the International Federation of the Red Cross and Red Crescent Societies, in 2002, international disasters affected 608 million people and killed more than 24,000. The recent natural disaster in the...
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...Three major categories of institutional medical care * Hospital are devoted mainly to acute intensive care of a limited duration. * Nursing homes provide long-term residential care for people who are chronically ill and those whose illness does not require acute, intensive care. * Hospice care is distinguished by its orientation toward the needs of dying patients and their families Rationing-refers to the allocation of scarce resources among competing individuals. In health care it is defined as any system that limits the amount of health care a person can receive. Paternalism- the assumption of parent like authority by medical practitioners, is seen as infringing on a patient’s autonomy or freedom to make medical decisions. Covenantal relationship- which implies a mutuality of interest between provider and patients. Eight principles that are important when delivering bad news 1. Keep it simple 2. Ask yourself, “What does this diagnosis mean to the patient?” 3. Meet on “cool ground” first. Get to know a patient prior to presenting the news. 4. Wait for questions. 5. Do not argue with denial. 6. Ask questions yourself. 7. Do not destroy all hope. 8. Do not say anything that is untrue. Strategies that either curtail or encourage conversation when speaking of death by a caregiver * Reassurance * Denial * Changing the subject * Fatalism * Discussion “Whole person care”- caring for seriously ill and dying patients...
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...WORKSHOP REPORT ON THE ASSIGNMENT OF FUNCTIONS TO MUNICIPALITIES CONTENTS Acronyms 4 Session1: Introduction 5 1.1 Introduction 5 1.2 Rationale behind the Workshop 6 1.3 Workshop Objectives 7 Session 2: Workshop Papers 9 2.1 Opening Remarks 9 Ms Margot Davids - Chief Director – Children 2.2 Devolution of Legislative Powers to Municipalities: 10 Prof Jaap de Visser - Community Law Centre – UWC 2.3 Local Government, The South Africa Constitution and Child Rights 13 Andre Viviers - UNICEF SA 2.4 S.A. Law Reform Commission- Position Paper: Local Government and the Implementation of the Children’s Act 15 Dr Jackie Loffell - Johannesburg Child Welfare 2.5 Local Government and the Implementation of the Children’s Act: Framework on Assignment of Functions 18 Ms Matlogonolo Sebopela - National Department of Social Development 2.6 EPWP Social Sector (ECD) and Local Government 22 Ms Pearl Mugerwa - Department of Public Works 2.7 Situational Analysis of Children with Disabilities in South Africa 26 Ms Manthipi Molamu-Rahloa - National Dept of Social Development 2.8 Services needed by Children with Disabilities from Local Government 30 Mr Danie Botha-Marais - National Council for Persons with Disabilities (NCPPDSA) 2.9 ...
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...Maria Tropiano Saturday, June 8, 2013 Marketing Research Application #2 1. Market Entry Strategy: which global market entry strategy will be most effective and why? The globalthoughts.com and the quickmba.com websites outline several different global market strategies. These strategies include: exporting, licensing, franchising, foreign direct investment, strategic alliances, and joint ventures. Exporting is “the marketing and direct sale of domestically-produced goods in another country” (quickmba.com 1), and is used more often by small companies, licensing “is best used by those companies that have a component of intellectual property,” (globethoughts.com 1), franchising requires lower startup costs for the franchisor but limits the amount of money that can be made, foreign direct investment “is the direct investment of facilities in the target country” (quickmba.com 3), strategic alliances “are simply a business-to-business collaboration” (globethoughts 3), and joint ventures are the “formation of a third independent company owned but not necessarily managed by the partners” (globethoughts.com 2). After reading and analyzing information on these global marketing strategies, the most appropriate and effective strategy for Temple University’s expansion abroad would be the strategic alliance strategy. The strategic alliance strategy would allow each campus of Temple University to collaborate toward common goals “while remaining apart, distinct,” and independent as opposed...
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