...through professional collaboration and framework with peers and in partnership with patients and the community”. The nursing philosophy of the organization is evident in daily practice. “Nurses are involved in the art of nursing and are totally committed to producing the best care possible with the highest quality outcomes while showing and maintaining compassionate, evidenced based care, communication, and collaborative care which are all important”. Patient centered care by management and staff is always at the core. Best practices are followed to maintain high levels of patient satisfaction. Success is seen as most patients are frequent flyers and are known well to the physician’s who care for them as they continually return to have their health needs...
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...FOR A NATIONAL POLICY ON REPRODUCTIVE HEALTH, RESPONSIBLE PARENTHOOD AND POPULATION DEVELOPMENT, AND FOR OTHER PURPOSES Be it enacted by the Senate and the House of Representatives of the Philippines in Congress assembled: SECTION 1. Short Title. – This Act shall be known as the “Reproductive Health and Population Development Act of 2008“. SEC. 2. Declaration of Policy. – The State upholds and promotes responsible parenthood, informed choice, birth spacing and respect for life in conformity with internationally recognized human rights standards. The State shall uphold the right of the people, particularly women and their organizations, to effective and reasonable participation in the formulation and implementation of the declared policy. This policy is anchored on the rationale that sustainable human development is better assured with a manageable population of healthy, educated and productive citizens. The State likewise guarantees universal access to medically-safe, legal, affordable and quality reproductive health care services, methods, devices, supplies and relevant information thereon even as it prioritizes the needs of women and children,among other underprivileged sectors. SEC. 3. Guiding Principles. – This Act declares the following as basic guiding principles: a. In the promotion of reproductive health, there should be no bias for either modern or natural methods of family planning; b. Reproductive health goes beyond a demographic target because...
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...2012 Currently in America, there are very few Americans who have health insurance, and the number is becoming fewer and fewer every day. Statistic shows that there are more than 46 million Americans with no health insurance. This has become a major crisis due to the fact that employers have stopped insuring their employees because the cost is so high. The total cost in United States was more than 2.4 trillion dollars in 2007. Our President and congress agree that they system needs to be changed, however there is no solid agreement on what how it should be changed. The health care reform is a continuous debate, but there are has yet to be a solution found. Over recent years there have been major discussions about the health care reform. One of the major problems is that Health care is becoming more and more expensive, and no one seems to know why it continues to become more expensive. However, with such costly premiums fewer and fewer Americans are becoming not insured. Due to this, the United States is facing unprecedented crisis in access to health care. Since the beginning of the recession there have been growing numbers of Americans who can no longer depend on health care coverage from their employers. Because of the recession this number has continued to accelerate. There is an increasing demand for health care services, but there are not enough physicians or specialist to meet this type of demand. Health care cost is the most threatening thing to the United States. However...
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...The Health Care Crisis and What to Do About It Ashford University MHA620, Health Policy Analyses March 13, 2013 The cost of receiving treatment- cost effectiveness Hard-core diseases have proved to be hell for most people because of the high costs of treatment. In a country like the U.S. that is a world leader in advanced medical care, a significant proportion of its total gross domestic product (GDP) is used to fund health care. A lot of money is used in treating some of these diseases and there is no guarantee that the disease will be totally suppressed. The private sector spends more on health care and the government provides funds in enhancing the health sector. The aspect of spending more in health than in food triggers massive debate. The U.S. sees exorbitant spending on health care is an indicator of growth. Why not invest more in the food industry and spend more on the most nutritious diets? With this, you not only prevent many diseases but also improve the life span of many people. Most of the Americans are middle-class and always find it hard to access the health facilities due to the high costs. This is illogical because the government can pump a lot of cash in agriculture by purchasing the best farming equipment and putting aside funds for intensive research on the various types of nutritional foods. What we are seeing is a case of misplaced priorities where the government is trying to spend more on non-essentials in the name of providing...
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...Muda Mura and Muri | Lean Manufacturing Wastes Lean Manufacturing Wastes When people think of waste in manufacturing they usually only think about all of the scrap material that gets thrown away or if your lucky recycled, they often forget about all of the other actions that waste our time, our resources and our MONEY.. When someone who has had some contact with Lean Manufacturing talks about waste they are often talking about Muda, or the seven wastes (or 8+ wastes depending on your definitions), but they often forget the other wastes defined within the Toyota Production System; Mura and Muri. Muda, The Seven Wastes Muda is any activity or process that does not add value, a physical waste of your time, resources and ultimately your money. These wastes were categorized by Taiichi Ohno within the Toyota production system, they are; * Transport; the movement of product between operations, and locations. * Inventory; the work in progress (WIP) and stocks of finished goods and raw materials that a company holds. * Motion; the physical movement of a person or machine whilst conducting an operation. * Waiting; the act of waiting for a machine to finish, for product to arrive, or any other cause. * Overproduction; Over producing product beyond what the customer has ordered. * Over-processing; conducting operations beyond those that customer requires. * Defects; product rejects and rework within your processes. To this list of the original seven...
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...the cost of health care has left many Americans struggling to pay their medical bills. Workers are complaining they are not able to afford the high premiums for health insurance. Many employers are cutting back as well as doing away with health benefits, which are causing millions of more people to be in the uninsured position. With programs such as Medicare and Medicaid, the federal government and state are lacking to meet the increasing costs. In the United States, the health care costs are a lot higher than other advanced nation. According to The Common Wealth Fund, the number of uninsured went from “39.8 million to 43.6 million,” a 9.5 percent jump, from the year 2000 to 2002. (Davis, 2004) “Rising health care costs are a problem for all Americans, but they weigh especially heavily on uninsured and “underinsured” individuals, who pay much of the cost of their health care directly out-of-pocket.” (The Common Wealth Fund, 2004) The higher the costs are to patients, will result in the underuse of suitable care and cause a great financial burden on the sick. After some thoroughly research, I have found that the Single-Payer Health System is the way for the future in the United States. We are no longer able to afford and/or tolerate careless spending on care that is not beneficial to patients or the repeat of over costly and unnecessary procedures. Below is a chart from the Center for Disease Control and Prevention, showing the number of persons without health insurance...
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...Economic Terms and Health Care History HCS/440 March 03, 2013 Michele Burka Economic Terms and Health Care History Over the years healthcare economics have changed tremendously. These changes have everything to do with the evolutionary changes that have occurred in the United States which have influenced this dramatic change in the economics medical technology. The main key that moves all things or drives that are through health care economics is the money and money helps keeps an organization established and is the key to success. The cash flow system is something that the organization uses to help run the business and make decisions for the future and learning the health care economics are important. “Economics is the science that deals with the production, distribution, and consumption of goods and services or the material welfare of human kind.” We can’t use the ways of approach to health care services as we have done before with the depression or World Wars. The United States technology had to change because of the supply and demand and a new system have to be continuously be made to help United States population. A long time ago the person that needed services paid for their services that was needed with private funds, now today we have insurance companies assisting us with the cost, also third parties that cover the majority of payments, then if need be we pay a small portion with the private money. Who do you think is paying for this upcoming change that continues...
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...The History of Healthcare Economics Stephanie Creech HCS/440 December 12, 2011 Bert Munoz The History of Healthcare Economics When healthcare first began just about anyone could practice medicine, and it stayed this way in the United States until 1806 when the first licensing laws were passed in New York (Wellness Directory of Minnesota, 2003). Since then healthcare has evolved; changes in technology, organization, and payment structures just to name a few are constant. Keeping up with them, and understanding how they affect healthcare economics can be challenging to say the least. Although, there are many factors that contributed to these changes perhaps the biggest factor was the technological advances and changes in the quality of medical care. To be able to prosper now, and plan the future one must study the past. Healthcare mangers must fully understand the history and flow of funds in healthcare economics to be effective in their positions. Although, it seems obvious it is important to remember that the driving force behind any organization including healthcare is money. Money is vital because without it the organization would have to close. “Formalized medicine in America began in the 1800’s and continued until the 1930’s. This helped to establish the medical profession through both expanded duties and formal education” (Wasley, 2011para4). When doctors or physicians first began some would barter with their less fortunate patients to ensure payment...
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...Vulnerable Population and Self-Awareness Vulnerable populations are groups that are not well integrated into the health care system because of ethnic, cultural, economic, geographic, or health characteristics. This isolation puts members of these groups at risk for not obtaining necessary medical care, and thus constitutes a potential threat to their health. Commonly cited examples of vulnerable populations include racial and ethnic minorities, the rural and urban poor, undocumented immigrants, and people with disabilities or multiple chronic conditions. Persons with disabilities and multiple chronic conditions may find it difficult to obtain insurance coverage because small employers cannot afford to add workers to their health plans who are likely to have high medical costs, and finding an affordable insurance plan as an individual with pre-existing conditions is very difficult. The geographic and economic isolation of some poor rural residents may make access to specialty care difficult, even if they are covered by insurance. Finally, prohibitions against public insurance coverage, fear of being discovered, and language barriers are all factors that may keep undocumented immigrants from seeking care. The reasons for disparities are varied. For example, in access to health care, racial and ethnic minorities may lag behind non-Hispanic whites because patterns of residential segregation separate minorities from the supply of providers, because of language and cultural barriers...
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...& Glaser, 2009). The AMR system includes billing, coding, and the transcription of doctor’s notes. AMR’s are important because they can ensure compliance, increase the time which doctor’s spend with their patients, and reduce the space in the offices for paper charts. * CMR- Computerized Medical Records are health information about patients stored within the system. Recently, the use of computerized medical records has become a requirement for the government and CMS in order to obtain reimbursements for services rendered (Wager, Lee, & Glaser, 2009). CMR’s are important and increases reimbursement time processes, increases retrieval times of patient records, makes physician handwriting more legible, and assists with organization of patient information. The CMR includes information that was previously obtained by scanning the patient chart into the computer system. * CMS- Centers for Medicare and Medicaid focuses on physicians, nursing homes, long-term care, home care and hospitals. They ensure compliance of government policies and procedures of these facilities. CMS aggregates data from CMS1500 (Insurance claims forms) for analyzing national health care reimbursements as well as clinical and population trends (Wager, Lee, & Glaser, 2009). * CMS-1500 is an insurance claim form adopted by the federal government. It was created by the American Medical Association (AMA) and maintained by the National Uniform Claim Committee. This form is used for noninstitutional...
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...aging population. Nurses are integral to our health care system; however, their profession is made more difficult by unsafe working conditions, causes of burnout, and being an underpaid profession. Ultimately, these difficulties not only affect nurses, but jeopardize safe and efficient patient care. According to the DPE 2012 fact sheet, there are an estimated 500,000 RNs in the U.S. who are not practicing their profession, in part because of difficult working conditions of nurses that are exacerbated by limited staffing and long working hours. Additionally, with managed care restructuring the health care industry in the 1990s, hospitals reduced staffing levels to lower costs. Nurses now care for more patients during a shift, which has led to a number of problems for both nurses and patients. Overworking results in injury: 39% percent of RN injuries resulting in missing work were attributed to overexertion. Many hospitals routinely require nurses to work unplanned or mandatory overtime and to “float” to departments outside their expertise. Over 60% percent of RNs report being forced to work voluntary overtime, which leads to Nurses’ cardiovascular health suffering from working long shifts and overtime. In a 2010 study, researchers showed a clear link between frequent overtime work and incidents of heart disease, with workers reporting three to four hours of overtime work per day being 1 to 6 times more likely to have cardiovascular health disorders. Many RNs also complain that current...
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...Case Study 3 This case study focuses on a situation that is faced by most healthcare facilities in the United States. The problem involves growing needs versus shrinking financial budgets to meet required outlay of equipment, technology, staffing, and physical facilities. To meet the needs of the growing population of North Reno County, Langley Mason Health (LMH) must make some tough financial decisions in regards to patient safety strategies that effect immediate and long term obligations. LMH has a strategic plan and has set forth ten goals for implementation. Once the goals are implemented, the community and patients will have safe, efficient care and the health system will be in line with other facilities that are technologically proficient. LMH has a multi-phase approach to complete the process and implementation of the plan. To date, the only phase completed is the first, and there is indecision and uncertainty among the LMH management staff about subsequent phases. Staff opposes purchasing equipment for short term safety goals such as smart IV pumps versus purchase of technological systems that include suites such as computerized order entry (CPOE), robots, and smart IV pumps, bar coding, computerized medication delivery, and electronic patient education. While some management decision makers desire to study the strategic problem before dedicating the funds for any equipment or phase, the chief information officer Dr. Moore does not want to get bogged down in a lengthy...
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...HCA 340- MANAGING HEALTH & HUMAN SERVICES SONYA PEDRO WEEK 4 FINAL PROJECT OUTLINE- 2 Topic selection: Analyze ethical and legal concepts, including specific federal regulations, required of health care organizations to ensure the delivery of high quality health care that protects patient safety 1. Title: The ethics and legalities of the modern healthcare system in the United States 2. Abstract 3. Body Thesis statement I. Ethical and legal aspects of healthcare a. Past aspect b. Present aspects c. Anticipated future changes II. Regulations a. State regulations b. Federal regulation c. Privacy Acts III. Medicare a. Pros b. Cons IV. Medicaid WEEK 4 FINAL PROJECT OUTLINE- 3 a. Pros b. Cons V. Higher care quality a. Patient safety b. Patient care c. The price of quality care VI. The US vs. Canada’s quality of health care VII. Recommendations to improve the quality of care 4. Conclusion 5. Citations * Better Health, Better Care, Lower Costs: Reforming Health Care Delivery | HealthCare.gov. (n.d.). Home | HealthCare.gov. Retrieved March 10, 2013, from http://www.healthcare.gov/news/factsheets/2011/07/deliverysystem07272011a.htm * Obtaining Greater Value From Health Care: The Roles Of The U.S. Government . (n.d.). Health Affairs. Retrieved March 10, 2013, from http://content.healthaffairs.org/content/22/6/183.full * Regulations. (n.d.). United States Department of Health and Human Services...
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...HSA 500 Paper #2 Eric Tompkins Dr. Robert Lindsey Health Service Organization February 17, 2013 1. Compare the three (3) main types of health insurance in the U.S. and assess the solvency of each. Make a prediction regarding the longevity of each type over the next 30 years. Health insurance is essential because it provides people with an affordable way to stay healthy and get medical care when ill. It also protects people and their families from the high cost of health care. In some cases, medical bills can be financially devastating. The likelihood of no insurance is a real risk to many workers who may experience either phases of unemployment or jobs that do not provide health insurance benefits at all.The three most common forms of health insurance plans are fee-for-service, managed care, and consumer directed. Fee-for-service plans mean the doctor or other health care professional will be paid a fee for each health care service provided to the patient. Patients can see the doctor of their choice and either the health care professional or the patient files the claim ("Health insurance 101," 2012). There are two kinds of fee-for-service coverage: basic and major medical. Basic protection pays toward the costs of a hospital room and care while you are in the hospital. It covers some hospital services and supplies, such as x-rays and prescribed medicine. Basic coverage also pays toward the cost of surgery, whether...
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