...society. Developing a quality measure of health care is an important objective for organizations that value health care quality. Improving Quality of Care The continuing growth of technology in healthcare is ground breaking at this time. With the advancements in technology and health care, there has become a rift between providers and patients. Patients want the best quality care from the health care system. Despite this justifiably positive view that, overall, quality of care is high in this country, many factors point to the fact that the quality of care is declining. It is believed that patient-physician relationships are not as strong as they once were, causing distrust and uncertainty. The health care field is ever changing and health care providers need to stay current on those changes, both now and in the future. Quality patient care will greatly remain impacted from the health care provider shortages and in return patient satisfaction will continue to be impacted. Quality of Health Care In earlier times health care was based on trust, trust of the physicians to know what was best for the patient. That trust came from the reputation of the physician and word of mouth from other patients. Patient safety and quality of patient care have become greater concerns in healthcare organization today. With much...
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...FIFTEENTH CONGRESS OF THE REPUBLIC OF THE PHILIPPINES First Regular Session ) ) ) '1~ JUN-6 P7:56 SENATE S. B. No.2865 RECEIVi~,!1 gy:-~_ (In substitution of SB 2378 and 2768, taking into consideration PSR 238) \;--- Prepared Jointly by the Committees on Health and Demography; Finance; and Youth, Women and Family Relations with Senators Defensor-Santiago, Lacson and (P.) Cayetano as authors AN ACT PROVIDING FOR A NATIONAL POLICY ON REPRODUCTIVE HEALTH AND POPULATION AND DEVELOPMENT Be it enacted by the Senate and the House of Representatives of the House of Representatives of the Philippines in Congress assembled: 1 2 3 4 5 6 7 SECTION 1. Short Title. - This Act shall be known as the "The Reproductive Health Act of2011." SEC. 2. State Policies. - The State recognizes and guarantees the human rights of all persons including their right to equality and non-discrimination of these rights, the right to sustainable human development, the right to health which includes reproductive health, the right to education and information, and the right to choose and make decisions for themselves in accordance with their religious convictions, ethics, cultural beliefs, and the demands of responsible parenthood. 8 9 10 11 12 13 14 15 16 17 18 19 20 21 The State shall comply with all its international obligations under various human rights instruments relative to reproductive health and women's empowerment including the Universal Declaration of Human Rights...
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...RH LAW [ REPUBLIC ACT NO. 10354 ] AN ACT PROVIDING FOR A NATIONAL POLICY ON RESPONSIBLE PARENTHOOD AND REPRODUCTIVE HEALTH Be it enacted by the Senate and House of Representatives of the Philippines in Congress assembled: SECTION 1. Title. – This Act shall be known as “The Responsible Parenthood and Reproductive Health Act of 2012″. SEC. 2. Declaration of Policy. – The State recognizes and guarantees the human rights of all persons including their right to equality and nondiscrimination of these rights, the right to sustainable human development, the right to health which includes reproductive health, the right to education and information, and the right to choose and make decisions for themselves in accordance with their religious convictions, ethics, cultural beliefs, and the demands of responsible parenthood. Pursuant to the declaration of State policies under Section 12, Article II of the 1987 Philippine Constitution, it is the duty of the State to protect and strengthen the family as a basic autonomous social institution and equally protect the life of the mother and the life of the unborn from conception. The State shall protect and promote the right to health of women especially mothers in particular and of the people in general and instill health consciousness among them. The family is the natural and fundamental unit of society. The State shall likewise protect and advance the right of families in particular and the people in general to a balanced and healthful...
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...Graduate School of Business Pamantasan ng Lungsod ng Maynila A Study on the Attitudes of the Female Residents of Pureza, Manila towards the Reproductive Health Law In Partial Fulfillment of the Requirements for Research Methods and Case Writing Submitted to Dr. Dolores Garcia Submitted by Arien Marie A. Guda I. Introduction Population control or population management has been one of the rallying cries of Filipino economists since Pres. Ferdinand Marcos signed the United Nations Declaration on Population in 1967. With an estimated population of 92,337,852 in 2010 according to the National Statistics Office (National Statistics Office [Philippines]), and a land area of 300,000 sq. m., lawmakers and civic groups have been clamoring for a solution to address the constant growth rate vis a vis the dwindling natural resources in the country. While the population growth rate continues to hold steady(estimated to be at 2.36% per annum in 2008) (National Statistics Office [Philippines] and ICF Macro), the country’s resources, has suffered the same fate as that of the rest of the Asia Pacific region, which, the Asian Development Bank, in collaboration with the WWF, says is, “consuming more resources than its ecosystems can sustain, threatening the future of the region’s beleaguered forests, rivers, and oceans as well as the livelihoods of those who depend on them.” In an effort to help address this issue, stakeholders have sought to offer various methods...
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...Abstract Patients are our primary customers. It is therefore important to measure their health care expectations and strive to meet those expectations 100% of the time. When a patient’s expectations are not reasonable, it becomes imperative to educate so that, over time, reasonable expectations are achieved. Often, perceived medical outcomes are poorly defined and arise from experiences from family and friends. Therefore, an opportunity exists to set the expectation of medical care and subsequent outcomes through education. Patient satisfaction has shown to relate directly to how well the health care team has informed the patient and family of the disease process and its treatment and whether they were allowed to participate in treatment decisions. For quality improvement strategies, health care professionals strive constantly in improving and developing the standards of care. They meet the challenges required of health care providers to be effective leaders who foster a culture and develop partnerships that embrace innovation. Quality delivery As consumer expectations rise, patient care becomes more complex, while resources shrink, leaving hospitals to find extraordinary means to define, organize, and staff quality assurance functions. Improving quality requires a unified hospital consensus about what quality means, who is responsible for it, and how to communicate those quality issues across the institution. Adaptation of a quality management method to organize...
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...Evolving Practice of Nursing and Patient Care Delivery Models The Speech Hello, my fello nurses. Thank you for being here at the Summit of Nursing Evolution. My name is Chhay Yann-Ly and I am a nurse. We are living in an era where the United States (US) health care system is going through tremendous changes and challenges, with sky-rocketing health care costs, fragmented and poor quality of care, high volume of aging population, and passage of the Patient Protection and Affordable Care Act (PPACA) in 2010. A summary of the PPACA is basically to improve the health care delivery system, expand coverage, and control cost (Democratics Senate Gov/Reform, n. d.). With these changes, comes the evolutionary nursing professional transformation process. This speech is a crash course on the evolving practice of nursing and patient care delivery models. The goal of this speech is to discuss the continuity or continuum of care in relation to accountable care organizations, medical homes, and nurse-managed clinics health care models. Since nursing is the backbone of health care, all of these care delivery models require a robust nursing contribution for success (American Nurses Association (ANA), 2010). The first model is the accountable care organizations (ACO). ACOs is a “shared savings” with Medicare (part A & B). The ACO, according to the ANA (2010), is “a collaboration among primary care clinicians, a hospital, specialists and other health professionals who accept joint responsibility...
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...Reimbursement and Pay for Performance University of Phoenix Lori Stemen October 28, 2013 Reimbursement and Pay-for-Performance The United States has gone through some dramatic changes over the last forty years and currently we are in the middle of some additional changes with the Affordable Care Act. Pay-for-performance is intended to improve the efficiency, quality, and the overall worth of health care. The expectation is that these changes will provide to physicians, hospitals and other health care providers with financial incentives to finance improvements and accomplish improved results for the patient. There are positive and negative affects of the pay-for-performance programs, although we can’t predict the future and the outcome of these initiatives, the health care system will definitely feel the pressure to perform with respect to outcome accountability. With the continuous changes of government regulations the pressure to provide reliable high quality health care will increase. Pay-for-performance is the newest regulatory effort in health the insurance industry. Health care providers who participate with the insurance carrier are compensated for meeting pre-set goals for how they deliver health care services. This is an important modification from the fee for service method of payment. Pay-for-performance has been well liked by politicians as well as, Medicare, Medicaid and private insurance companies. The Affordable Care Act increases the usage of...
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...Health Care Organizational Report Health care has been a buzzing topic in the news since the re-election of President Barack Obama. The new changes known as Obamacare states that in 2014, all citizens must be insured, one way or the other. This policy rolled out on October 2, 2013. Today, citizens are urged to log in and search for a health care insurance plan. Although there is much speculation about the pros and cons of this policy, Americans waited in line, made calls, and logged into the health care gov site only to face glitches and delays. There are key factors that have affected Kaiser Permanente internally. These factors have promoted changes in the financial departments, Research and development, Marketing, and the Customer Service Care Center. The external factors that affect Kaiser. First, let’s examine how Kaiser Permanente started. History Kaiser Permanente was founded in 1945. Kaiser Permanente headquartered in Oakland, CA. In accordance with KP.Org, Kaiser is now one of the largest not-for-profit health care plans, with over 9.1 million members. In today’s health care systems even individuals with insurance only get the right care about half the time. (McGlynn, E.A. (2003) Members of Kaiser Permanente receive quality care from Kaiser’s medical groups. The vision is to provide high-quality care, to be a leader in total health by making lives better (www.kporg.newsletter). The mission of Kaiser is to provide high quality affordable health care services to improve...
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...Office of the National Coordinator for Health Information Technology (ONC) Federal Health Information Technology Strategic Plan 2011 – 2015 Table of Contents Introduction Federal Health IT Vision and Mission Federal Health IT Principles Goal I: Achieve Adoption and Information Exchange through Meaningful Use of Health IT Goal II: Improve Care, Improve Population Health, and Reduce Health Care Costs through the Use of Health IT Goal III: Inspire Confidence and Trust in Health IT Goal IV: Empower Individuals with Health IT to Improve their Health and the Health Care System Appendix A: Performance Measures Appendix B: Programs, Initiatives, and Federal Engagement Appendix C: HIT Standards and HIT Policy Committees Information Flow Appendix E: Statutes and Regulations Appendix F: Goals, Objectives, and Strategies Appendix G: Acronyms ONC Acknowledgements Notes 3 6 7 8 21 28 36 49 51 65 67 70 74 77 77 78 Goal V: Achieve Rapid Learning and Technological Advancement 43 Federal Health IT Strategic Plan 3 Introduction he technologies collectively known as health information technology (health IT) share a common attribute: they enable the secure collection and exchange of vast amounts of health data about individuals. The collection and movement of this data will power the health care of the future. Health IT has the potential to empower individuals and increase transparency; enhance the ability to study care delivery and payment systems; and ultimately achieve...
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...According to Queensland Health (2012) health services that are initiated, controlled and operated by the indigenous community have the potential to increase the number of Aboriginal and Torres Strait Islander people accessing the appropriate available services. Aboriginal Community Controlled Health Organisations (ACCHO) such as Aboriginal Torres Strait Islanders Community Health Services Mackay (ATSICHS) provides holistic and culturally appropriate care. This highlights that access to health services, may be affected by a variety of socioeconomic factors, such as low income, unemployment, second-rate housing and also socio-political factors like forced removal from land and/or family. These factors need be addressed to achieve continuous improvement in Aboriginal and Torres Strait Islander Queenslanders health status. Aboriginal and Torres Strait Islander primary health care services offer clinical care, screening programs, a wide range of preventative health care activities, health-related and/or community supported activities. Queensland Health (2010) focuses on the health status of Aboriginal and Torres Strait Islander people, which acknowledges the significant gap in life expectancy between Indigenous and non-Indigenous Queenslanders (approximately 10.4 years for males and 8.9 years for females). Community involvement is a founding principle of the World Health Organisation (WHO) 1978 Alma-Ata primary health care declaration (WHO, 2013). A significant reason for community...
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...Murphy and Dr Paul Kavanagh, Head of Professional Competence at the Medical Council, explain the implications for health managers. Healthcare is changing. A generation ago, a doctor could complete training equipped with the knowledge and skills to remain fit-for-purpose throughout their career. Developments such as the internet now make it easier for doctors to access ever-accumulating bodies of knowledge from all over the globe which they can use to continually improve patient care. Similarly, patients’ expectations have changed as a result of being able to access an abundance of information about healthcare online. This progression in the doctor-patient relationship has created a need for transparent arrangements to help assure the public that doctors are keeping up-to-date and are committed to lifelong learning and skills development. Prof. Kieran C Murphy In May, the Medical Council will launch new professional competence schemes, which will be operated by Postgraduate Training Bodies. Registered medical practitioners will be subject to a statutory obligation to maintain professional competence. Health service managers will need to take cognisance that, for employed doctors, their employer will have a legal duty to facilitate the maintenance of professional competence. This development will positively impact the quality and safety of healthcare. The Medical Council consulted with a range of stakeholders including doctors and the public on the new professional competence schemes...
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...community based, socially responsible and resource conscientious approach to the delivery of wellness within a specific population by a Registered Nurse. The Texas Department of Health’s (April 12, 2011) echoes this concept in their vision statement embracing illness prevention and public health promotion. The focus on the greater-good of the population, as described by Sidorov and Romney (2011, p. 17), does not discount the individual. Indeed, public health promotion and protection may actually advance patient self-care. With a strong community health system, the individual is better able to work within that system to improve their own health status, self-intervene early with many a health exacerbation, and rely on efficient and effective healthcare options (Sidorov & Romney, 2011, p. 17). Examples of Essential Public Health Service Each group member presented very personal accounts of public health services they were exposed to and shared those experiences with the group. Identification of Core Public Health Functions (Assessment, Policy Development, Assurance) The Institute of Medicine (IOM) identified three core functions of public health: assessment,...
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...experience and hands on skill in the high – level care of patients, the competent support of clinical operations, and the cost- effective management of healthcare operations. In addition to exceptional nursing expertise, I’m also acknowledged for being resourceful, adaptable, and self- directed with the ability to handle even the most challenging situations as a result of well developed communication skills and organization capabilities. Recognized as a competent healthcare professional who knows how to develop and maintain excellent working relationships with physicians, staff, and patients, I am also a hands- on manger and critical thinker who can quickly learn new systems, devolving expertise, and produce significant contributions. My main professional objective are protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations To that end, I am now seeking to align my experience and my skills with an organization that is looking for talented nurses that know how to deliver outstanding patient care. I have enclosed my resume for your review. Some of the key strengths I can offer include: Proficient in all areas of nursing care and healthcare delivery with an emphasis on quality medical care and positive human interaction. Exceptional managerial, interpersonal, and communication skills...
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...Health care administrators are the core of every health care facility. Healthcare administrators focus on the ins-and-outs that make the functioning of every health care facility run smoothly. Health administrators must have organization skills and a strong background in both healthcare and management. The must be driven, organized and knowledgeable in the health care field. Health care administrators monitor all aspects of a health care organization. They plan, coordinate, direct and supervise the delivery of health care in the organization. With out Administrators, it would be difficult to maintain a smooth running health care organization without someone monitoring the rules and regulations that should be followed on a daily basis. As a Health Care Administrator, there are many challenges that are faced every day and becoming and Administrator is my goal after graduating. Health Care Administrators manages and directs health care facilities and hospitals. Depending on the type of organization, size and facility that is being run, their duties vary. There role is vital in health care organizations with managing, directing, planning, materials management, personnel administration, financial administration and public affair roles. Administrators have other challenges such as recruiting and retention of health care professionals as well as dealing with trends in the workforce. They deal with retention and staffing issues, shortage of staff and staff turnovers. Their duties...
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...Lauren Greenberg HCS/440 January 17, 2013 Eric Oestmann, PhD, PT Health Care Spending In 2010, health care spending, or health expenditures in the United States neared $2.6 trillion. That is more than ten times the $256 billion that was spent in 1980. In recent years, the growth rate of spending on health care has decreased in relation to the growth rate during the late 1990s and early 2000s. However, it is still predicted to increase more rapidly than the national income over the foreseeable future. Addressing this pressing concern has been, and continues to be a major policy priority. Mainly because the United States has been experiencing a significant recession for much of the past decade. This economic recession has resulted in higher unemployment rates and lower income rates for much of the American population. These tough economic conditions have helped to focus even more attention on health spending and affordability in this country. From 2012 to 2012, employer-sponsored health coverage for family premiums has increased by 97 percent. This has been the cause of increasing financial burdens on both employers and employees. In the public sector, Medicare covers the elderly and people with disabilities, and Medicaid provides coverage to low-income families. Enrollment for these programs has grown tremendously in both Medicare, with the aging of the baby boomers, and in Medicaid due to the recession. This means that the total amount of government spending...
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