...Primary Care Practices: Their Nature and Importance for the Future of Healthcare Bryan White MGMT 5530 Physician Practice Management November 2015 Abstract The practice of medicine has seen a lot of changes in the last century. In the 1960s, more change was happening than the Cultural Revolution in the United States. Specialized medicine was starting to take shape, altering the size and scope of general practice. From this, there have been unintended consequences to how primary care is practiced. While congress passed the Patient Protection and Affordable Care Act in 2010 to reform healthcare, it was more concerned about tackling health insurance and did little to address the issues facing primary care. This piece is designed to give the reader a look into how the general practice of health care has changed over time, the challenges it still faces, and the resources that could provide the solutions. Main Composition Throughout history, mankind has made leaps and bounds to advance the practice of medicine. Many of these improvements have happened within the last century. When it comes to the practice of generalized medicine, these advances have altered its shape size, scope, and structure. In the United States, there have been some consequences to these changes in primary care that, if the right adjustments or corrections are not made, could be detrimental to healthcare delivery. General Medicine in the Past It would be best to begin with just how the general...
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...People who are poor are less likely to seek proper medical care, as opposed to people who are of middle-class status and above. People with more social status, money, and education have a lot of choices and control over things, such as the neighborhoods, their salaries, occupational opportunities, etc. (Jin, Shah, & Svoboda, September, 1995, 153(5)) Dennis Raphael of the CSJ Foundation for Research and Education, reinforces this concept: “Social determinants of health are the economic and social conditions that shape the health of individuals, communities, and jurisdictions as a whole. Social determinants of health are the primary determinants of whether individuals stay healthy or become ill.” (Raphael, 2008) The development of clinics has become increasingly more important since the passage of the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010. Politics influence clinics because when laws such as these are put in place, federal funds will follow. These acts will make healthcare more accessible to millions of people in the United States. (Hobbs, Morton, Swerissen, & Anderson, 2010). There is increasing recognition of the crisis in primary care and the relatively poor U.S. population health. Tools that can measure morbidity burden in individuals and populations will further reveal the special contributions of person focused medicine that the primary care provides. The adverse effects of specialist oversupply on...
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...lecture on the, history of primary health care. The learning goals for this course are to discuss the principles of primary health care established at the 1978 International Conference on Primary Health Care as described in the Declaration of Alma-Ata, and then to recognize the potential of primary health care to help achieve Health for All. These are the overall aims for our course, and it's more specific learning objectives. I'd like to for you to try to be able to critically assess how to contribute to strengthening priority health care and achieving Health for All and I'd like for you to Keep this on a personal level. How can you as an individual contribute to this, and of course, many of you will be working organizations, and you can be thinking at the same time, how your organization, or how you and your role within that organization you can make a contribution in ways that you aren't already. And one of the other fundamental parts of the learning objective for this course will be to help you think a little bit more deeply about participatory methods in building community capacity to solve priority problems in varied healthcare settings. So this whole notion of community participation, community partnership, community empowerment, is a fundamental idea in primary health care, as expressed in Alma-Ata that's frequently missing from other versions of primary health care. And in particular the more...
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...The Primary Care Clinic Discuss the key political, economic, and social forces that may have influenced the development of the clinic. Politics have always had an influence on our healthcare. In the United States, people benefit from our health care system. There are many politicians that are being “paid” in order to keep our health care system the way it has been for years. Obamacare forces people to have health insurance, so it caused those who do not agree with it to make the choice to not get any type of health insurance. For those who did obtain health insurance, it makes it difficult for health care facilities to accept new patients with pre-existing health conditions because there are many insurance companies who do pay for health care for pre-existing health conditions. This can cause problems for health care facilities to obtain payment for services from the insurance companies. Other political forces that may also influence the development of the clinic are the state’s budget that could be distributed among the healthcare industry and where the money is being used, what clinical staff positions are going to be funded, and which programs will be implemented and which ones will be terminated. Many facilities determine what services they are going to be providing by where their facility is located. The economic location of our clinic is in a rural area, which determines what services we will provide to our patients, what type of patients we will accept, and what type...
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...set up a primary care provider and receive care and treatment through their own primary care physician. Unfortunately, that is not the case and millions of Americans are left with coverage, but no access to primary care. Thus resulting in higher numbers of ED visits by newly insured individuals due to lack of access to primary care. Identifying the barriers to accessing primary care will help to formulate solutions for this health care crisis. One of the most popular barriers to access to primary care is an inadequate supply and availability of primary care options (Cheung et al., 2012). Most primary care offices run a normal 8am to 5pm Monday through Friday schedule, which proves to be difficult for many Americans who are working. Specifically looking at Medicaid versus private insurance, there is a large gap between access to primary care, 16.3% of Medicaid beneficiaries had greater than or equal to one barrier to timely primary care compared to the 8.9% of private insurance beneficiaries (Cheung et al., 2012). In a recent survey, researchers took five common...
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...THE PRIMARY CARE CLINIC Your name here Professor’s name here School name here Date The Primary Care Clinic Patients in today’s busy world demand convenience which has lead to the rise of local centralized primary care facilities. The purpose of this paper is to look at forces that have influenced the development of the clinic, a mission statement, key performance indicators to measure effectiveness, decisions regarding clinic expansion, the role of the clinic in the community, and influences of public healthcare policy on outpatient clinics. Discuss the key political, economic, and social forces that may have influenced the development of the clinic. Politics can hamper development of private healthcare organizations by compromising quality, limiting accessibility or feasibility, or increasing the cost of healthcare through laws, regulations, policies, requirements of private practice, and monitoring of services (Griffith & White, 2007). The primary care clinic must balance the requirements and regulations of private practice while creating a market for quality healthcare in the community marketplace. The clinic model has advantages over other models in that it allows practitioners a level of economy in sharing their medical facilities, equipment and staff with others, minimizing overhead and allowing them to keep the rising cost of healthcare lower by sharing equity. Improved patient quality is...
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...A better future: Primary Health Care Primary health care is a term used to describe a system where a patient’s health care needs are attended to by the most appropriately trained individual. This method of health care delivery has been called a “team based approach” (Health Canada, 2006). Instead of seeing the doctor for every health concern, other health professionals such as nurse practitioners, pharmacists, dieticians or physiotherapists may be called upon to take care of your concerns. In this paper I will discuss the issues in primary health care from the literature review/article Primary health care and the social determinants of health: essential and complementary approaches for reducing inequities in health (2010). I will once again provide a summary of Romanow’s (2002) arguments and recommendations concerning primary health care, and do the same with the Accord on Health Care Renewal (2003) and the First Ministers’ Meeting on the Future of Health in Canada (2004) accord’s. As the paper progresses I will then analyze and evaluate how the Accord on Health Care Renewal (2003) and the First Ministers’ Meeting on the Future of Health in Canada (2004) accord’s ignored or exceeded Romanow’s (2002) recommendations concerning primary health care. Toward the paper’s end, I will explain what has happened in Ontario in regard to primary care since the Agreements and the Romanow Commission report (2002) release. Lastly to conclude the paper I will try to go in depth and explain if...
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...The Primary Care Clinic Student’s Name Instructor’s Name Course Title Date The Primary Care Clinic Introduction A primary care clinic is located twenty-five miles outside the minor city with a population of the fifty thousand individuals. The primary care clinic is operated by five family physicians, two physician assistants, two nurse practitioners and twenty clinical support staff entailing LPNs, RNs, and CMAs. The clinic offers primary care to various individuals from the community who lives and work outside the city limits. Initially, the locality was a rural area, but the community has grown and has various opportunities for education, employment and ample living spaces for youthful families. This paper addresses the management of the small primary care clinic through the manager. The paper also addresses five major topics concerning clinic. First are the economic, social and political factors that might have influenced the development of the clinics over the past two or three decades. Second is the clinic’s comprehensive mission statement that shows the focus of the clinic. Third are directions that the clinic can take to enhance its business. The fourth is the discussion of the measures that can be taken to determine the effectiveness of the clinic’s performance. Finally is the determination of how opportunities for improvement can be addressed and processes that can be put in place. Social, Political and Economic factors that have resulted...
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...one with the start of a new business and helping it to grow. Most entrepreneurs who develop business plans usually succeed opposed to those who do not. A business plan helps in demonstrating the aim of one’s business. It helps others know ones vision about the business, as well as helps one to be clear on what exactly he wants to achieve through the business. This in turn helps one to conduct proper research about the market and gather enough information about the business he is opting for ("The importance of,”). Political, economic, and social forces Political, economic, and social forces play an important role when developing health care organizations. It is very important that one carefully develops the organization to prevent as many down falls as possible. The political force that plays an important role in development of my health care clinic is the money. It is very essential that one carefully depicts what the money or funds for a business will be used for. In this case, I decided that the budget would be used for purchasing the necessary equipment that would needed, the programs that would be utilized, to compensate the staff, etc. Everything must be carefully planned out. That is the most important step of all. Social forces that influenced the development of the clinic were the place of development and its patients. The economy is constantly changing, so the place of development is important. I decided to develop the clinic in a well-known suburban area when the...
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...Primary Care versus Urgent Care: Why People are Choosing Urgent Care Clinics Group 1: Melissa Allen, Nahtika Belser, Meghan Evans, Hailee Gallaway Dr. Martha Rock University of North Alabama NU-200W-01 Abstract The purpose of this paper is to show why people are choosing urgent care over primary care facilities. In this paper, we showed the advantages of both primary and urgent care centers. The methods conducted for this research was online scholarly works. The participants who volunteered were Melissa Allen, Nahtika Belser, Meghan Evans, and Hailee Gallaway. The data obtained resulted in the advantages that urgent care is why patients are choosing them over primary care facilities. Overall, our conclusion shows that primary...
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...Comprehensive Primary Care Initiative Vanessa Clark HCA/210 Sunday, November 18, 2012 Dr. Dawn Tesner The Comprehensive Primary Care Initiative is a multi-payer initiative fostering collaboration between public and private health care payers to strengthen primary care. Medicare will work with commercial and State health insurance plans and offer bonus payments to primary care doctors who better coordinate care for their patients. Primary care practices that choose to participate in this initiative will be given resources to better coordinate primary care for their Medicare patients. The Comprehensive Primary Care Initiative (CPC or CPCI) will benefit patients as well the health care field. The CPCI will increase payments from Medicare and about 45 private insurers to primary care physicians and practices that: provide higher quality, easily accessible care; engage patients and caregivers as they transform their practices; emphasize prevention and management of chronic and complex conditions; assure better communication across practitioners and effective use of health information technology; and ensure smooth transitions of care for their patients across settings such as hospitals to home. This initiative will promote patient engagement and use the feedback from patients and family caregivers to help assess how effectively primary care practices are transforming themselves. This will give patients and caregivers a voice and encourage real partnership between patients...
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...• What are the sources of pediatric primary care in the United States? Are these sources sufficient for providing health-care services to the pediatric population? Why or why not? The conceptual model that defines factors contributing to sources of pediatric primary care includes having an insurance coverage, availability health of care, affordability, and acceptability (Angier H., Gregg J., Gold R., Crawford C., Davis M., & Devoe J., 2014). The sources of pediatric primary care in the United States also include: The pediatric health care/medical home that serves as model of care that continue to promote full care for children and their families. This is done in collaboration with several health care team members including primary care physician, and qualified pediatric nurse practitioner. One good example is the goal of Healthy people 2020 addressing the need to increase the proportion of pediatric primary care providers that regularly measures the BMI of their patients in order to improve early examination of trends of overweight and obesity in the early years (Burns C., Dunn A., Brady M., Star NB. & Blosser CG., 2013). •...
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...Primary and Team Nursing Care Cody Crohurst PMI Nursing Program Nur 232 Instructor: Lin Nosek September 11, 2013 Patient Care Delivery Methods Within today’s health care systems there are a variety of different methods that are used to provide adequate care for people seeking health care. Some of these methods are managed care, functional nursing, team nursing, primary nursing, and patient-focused care. Managed care will be seen in a variety of settings such as Health Maintenance Organizations (HMO) of Preferred Provider Organizations (PPO). Functional nursing is a task oriented environment, which each health care provider is assigned a task and reports to a head nurse. In team nursing, which will be discussed more in depth later, involves a nurse that is in charge of group of different members that takes care of a group of patients. Primary nursing, also discussed more in depth in this paper, involves a primary nurse that cares for all needs of a patient within a 24 hour time frame. Lastly, there is patient-focused care and this method involves the patient, the patient’s family, and the health care team to collectively make decisions about the health care for that individual. Primary and team nursing will be explained further in detail throughout this paper as well as being compared to one another as well as the difference between them explained. Furthermore how these methods are appropriate in today’s health care facilities will also be investigated. Primary...
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... | |Quality Improvement in Primary Care | | | | | | | | With the movement to advance quality care and the improvement of health care outcomes, organizations have increasingly implemented quality improvement (QI) initiatives to meet requirements. Quality Improvement refers to activities aimed at improving performance and is an approach to the continuous study and improvement of the processes of providing services to meet the needs of the individual and others. Engaging primary care practices in quality improvement activities is essential to achieving improvements in health care such as the triple aim. In an effort to create a high-value health care system the focus on improving the performance and safety of primary care is a must. The objective of this QI is to be...
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...Consequently, it would be entirely reasonable to negotiate with insurance companies the flexible amount of time spent with individual due to their learning abilities and clinical needs. Besides, as the health care system reluctantly anticipates a shortage in the Primary Care Workforce including nurses and physicians, one must carefully evaluate the restrictions on reimbursement for services related to health promotion, disease prevention, and patient education. As a result, there is no surprise that primary care lacks adequate support creating the gap to be filled by nurse practitioners and physician assistants who are also strained by additional 30 million insured customers from adopting the Affordable Care Act in 2010 (McLean et al., 2014)....
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