...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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...Organizational Performance Management Each organization within the Health care industry is trying to serve all of its stakeholders in the best possible way. Health care organizations share similar functions and regulatory requirements that help guide them in the right direction to succeed. The struggle with these requirements is the demand it takes to make sure they are hitting each performance level and that everything is within compliance so that the quality of care is met. The best tool is communication, and the key component of the process an organization has adopted to maintain compliance, meet standards, and regulatory requirements, and maintain the company's vision and mission. These five organizations that we have chosen share many similarities and yet there are differences among the five types of organizations chosen; home health, pediatric specialty clinics, Coumadin clinics, cancer treatment centers of America, and nursing homes. These differences and similarities are what help each organization or company run smoothly and meet goals of safety throughout the organization. They do this by monitoring, improving, and communicating to meet the regulatory and compliance requirements. Within the five organizations take two and look at how they are similar and different. The difference between home health care and nursing homes are that one may require a higher level of care deemed necessary by the doctors. Home health care has a doctor encouragement to let the patients...
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...Personal Philosophy of Nursing Jessica Pons NUR/391 January 28, 2013 Sharon Thompson Personal Philosophy of Nursing To formulate my personal philosophy of nursing, I had to look at what my core values were. I am a kind, compassionate, honest, and caring. I chose nursing as my profession because nursing is something that always has been in my blood. I believe human life is precious and is to be valued. Not only do I consider my patient’s wellbeing, but I also look at the wellbeing of the families. Families take care of the patient when they are discharged. I also look at my fellow health care workers. Without being able to work alongside them, I could not take care of the patient properly. Lastly, I consider my own health. An unhealthy nurse cannot properly do their job. Caring for patients and their families, working well with coworkers, and taking care of your own health is what makes a difference because no matter how small the task, little things add up to big things. That is why I believe the world will get better one small step at a time. My Patients My patients are human beings. They are people with feelings and souls, and they are to be treated with just as much respect as everyone does. It does not matter if they are on their deathbed or just coming in because they have a cough. Being a positive role model is an important philosophy. I was raised watching my mother be a nurse and always enjoyed going to work with her and helping with small things such as...
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...Boundary less Organizations Dalia M. Davidson January 16, 2012 HCS/325 David R. Campbell Boundary less Organizations Many healthcare workplaces are becoming known for being boundary less organizations. Employees are connecting to the outside world with a wide variety of co-workers, consultants, off-site employees, and other resources. Boundary less organization is a contemporary approach in organizational design. It is an organization that is not defined by, or, limited to, the horizontal, vertical, or external boundaries imposed by a predefined structure. Boundary less organization combines the business team and network structures with the addition of temporariness. Many entrepreneurial and start-up businesses are boundary less organizations. When businesses are able to make quick changes to their environments and come up with solutions to an issue makes them boundary less organizations. There are two types of boundary less organizations. Inside of boundary less organizations teamwork and communication replace formal lines of authority. Barriers that once separated organizational members are resolved and team members react spontaneously to problems that may occur. Outside boundary less organizations the needs are met through outsourcing contracts and outside alliances that come together. These relationships are forever changing so they would look different day to day. Technology and the absence of hierarchy have allowed for the acceptance of boundary less...
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...Medicare fraud is becoming a huge problem in today’s society. Medicare is a health insurance program for personnel paid by taxes the American population contributes to for personnel 65 years or older. When a health care provider, health suppliers, and private health companies deliberately bill Medicare for supplies or services that were not given is considered Medicare Fraud. To include, when a person uses another person’s Medicare card to receive health care for which the person does not qualify for. An individual, company, or a group can commit a Medicare fraud scheme. Medicare Fraud Scheme A physician, office manager for the physician’s medical practice, and five owners of health care agencies were arrested for charges related to the alleged participation in nearly a $375 million health care scheme. The Medicare Fraud scheme is the biggest in history. The scheme included fraudulent claims for home health care services. The physician, Jacques Roy, owned and operated Medistat Groud Associates P.A. in Dallas. The business included health care providers that primarily provided home health certifications and performed patient home visits. Dr. Roy allegedly certified or directed the certification of more than 11, 000 individual patients from more than 500 Home Health Agencies from January 2006 to November 2011. Medistat certified more Medicare beneficiaries for health services and had more purported patients than any other medical practice in the United States. Basically, Dr...
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