...for the implementation of change that would make employees comfortable and acceptable of the change. It is predictable for employees in a company or organization to be resistant to change. Doing something that is different or uncommon for any individual may cause resistance because it is unknown. This is why how change is implemented matters and how management handles the implementation is relevant to the success of the change. This paper will focus on strategies for implementing change in a Correctional facility as it related to inmate access to healthcare. The paper will describe different assessments and evaluations used to monitor the process of inmate healthcare access. Community techniques and resources will also be defined in this paper, along with additional organizational resources relative to the process, systems, personal, and professionals roles in the organization. Strategies for Changing Inmate Access to Healthcare Access to health care in the correctional institutions in Maryland are limited. Especially in the pretrial divisions of the correctional facilities there are not many opportunities or resources for inmates to receive health care other than the initial pre-screening check-up upon entering a correctional facility. Strategies have to be put in place to open up opportunities and free up resources to change the way inmates have access to health care. One strategy is for...
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...Healthcare Fraud and Abuse Under HIPPA, “fraud is defined as knowingly, and willfully executes or attempts to execute a scheme… to defraud any healthcare benefit program or to obtain by means of false or fraudulent pretenses, representations, or promises any of the money or property owned by…any healthcare benefit.” Unlike Fraud, abuse is, “means that are improper, inappropriate, outside of acceptable standards of professional conduct or medically unnecessary.” Health care fraud arises from an individual or group of individuals filing of a dishonest health care claim in order to turn it into a profit. Abuse; however, is harder for the investigator to identify and establish if the act was committed knowingly, willfully, and intentionally. Healthcare industry is one of the fastest growing sectors of the US economy; almost 10% of the US’s national GDP is consumed by the health care industry. According to Forbes’s report, the US National Healthcare expenditure of 2012 was nearly $3 Trillion. According to the National Healthcare Anti-Fraud Association, nearly $60 Billion is lost to healthcare fraud each year. The healthcare industry is an enormous market; therefore, making it easier for healthcare providers to take advantage of the American population. This paper will focus on why fraud and abuse occurs, different types of fraud, example cases of fraud and abuse, impact to present day healthcare industry, and potential solutions to fixing and preventing fraud and abuse from occurring...
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...Healthcare Regulatory Paper Joint Commission in Prisons Rein Denise Fox 06/04/2012 The health care industry has to have a good leadership foundation to carry out rules, regulations, and procedures. It is important for the success of any organization. In a healthcare organization, good leadership is more than just important; it is significant to the organization’s success. The Joint Commission is an organization which requires that the health care industry provides and maintains a safe environment for patients. If the health care industry does not have good leadership, the industry will suffer the consequences and not meet standards. The Joint Commission on the Accreditation of Healthcare Organizations (JCAHO) monitors health care organizations and ensures the facilities meet standards and then awards the facilities with accreditation. When the health care facility does not meet standards of JCAHO then the public will ponder on accreditation status and if the health care facility meets quality service; as well as standards of a safe environment. The paper will include the history of JCAHO, source of authority, structure, responsibilities, and its effects on health care. The paper will also include an example of the agency which carries out JCAHO duties. The Joint Commission was founded in 1951 and the organization’s mission is providing appropriate health care for the public, by evaluating, and inspiring the organizations to surpass in providing secure and valuable care...
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...21year old man had died being strapped naked to a concrete table for four days. Considering this, a federal judge from Correctional Medical services (CMS) has ordered Michigan DOC to implement reforms in its prison mental health care programs in order to prevent many deaths of several mentally ill patients (Marcia Clemmitt 2007). According to (National Commission on Correctional Health Care, 2008) a report was prepared on Michigan DOC Health Care System. The survey interview was conducted to determine the strengths and weaknesses of the current health care delivery system in MDOC. They interviewed various staff of MDOC; administrators, health care providers, Central...
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...Prison Health Care Agency Paper HCS/430: Legal Issues in Health Care: Regulation and Compliance October 8, 2012 Lenetra S. McCord, FACHE Prison Healthcare It does not matter how you look at it, health care is one huge topic; but when you look at health care in the view point of a prisoner it may take a completely different view. People in prison have Federal and State laws which make prisons provide health care for the prisoners needs. Within this paper a government agency will be identified, one that has a role in regulating health care which is provided for prisoners within an institution in the United States; as well as a another agency that regulate certifications, accreditations, license, along with authorization for the employees that are employed within a facility that houses prisoners. Federal Bureau of Prisons An agency that was founded May 13, 1930; and approved by President Herbert Hoover and was called The Federal Bureau of Prisons (BOP). This agency is headquartered in Washington D.C. and is a subdivision of the U.S. Justice Department. The BOP is accountable for the administration of the Federal prison system. The only purpose of the BOP is to furnish an unbiased and empathetic care to anyone who is a federal prisoner in the U.S. prison system. The BOP also provides inmates with any health care they may need in agreement with any Federal and State laws. One of the most negative aspects that the BOP is responsible for is carrying out all judicially...
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...importance of their role in change for the business or organization. Providing better access and resources to health care in Maryland State Correctional Institutions has become a major focus for management. There is a huge lack of services and resources especially in the pretrial division of Maryland State Correctional Institutions. The concern is not just inmate or patient satisfaction but a concern for the safety and health of those responsible for detaining these inmates. This paper will examine the need in Maryland State Correctional Institutions for a change in inmate access to healthcare and healthcare resources especially in the pretrial division. It will also identify factors that will influence changing inmate access to healthcare and summarize those factors that can prepare the organization to this change. A theoretical model that is relative to changing inmate access to healthcare and resources will be identified as well as internal and external resources to assist the change will be explained. Need for changing inmate access to health care in a Pretrial division Currently in the State of Maryland individuals in the control and custody of the Department of Corrections receive health care services through the “Office of Treatment Services” (DPSCS.org, 2013)....
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...Regulatory Agency Paper Aisha Syed HCS/ 430 July 3, 2014 Valerie Platt Regulatory Agency Paper The healthcare regulatory agency selected for this article is The Federal Bureau of Prisons also known as (BOP). The role of BOP is to confine statewide offenders in prisons. These criminals are cost-efficient, and secure (BOP). The responsibility of BOP is to help inmates against their future criminal activities. This is done through educating them to stay involved in programs that stand proven to reduce criminal activities. The BOP employees help inmates with programs and services that offer mainstream values. Some other duties of BOP also, include delivering medical treatment to inmates with health care standards. In 2007 the (BOP) healthcare cost was 736 million in health care for providing healthcare to inmates. This agency continues health care services to inmates from medical providers and in-house medical providers employed within the agency. The BOP health care cost remains affordable in comparison to insurance rate with other agencies. There are numerous ways and means the BOP controls the budget to make the health care inexpensive for inmates. The BOP found ways to control the cost of health care by implementing initiatives that provided more effective and efficient inmate health coverage. By implementing new systems it helps the BOP reduce the cost for inmate health care coverage. Some of the strategies consist of selecting convicts to be organizations built...
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...blood-borne viral infections. The topic is prisoner healthcare and, HIV infection and, other blood-borne viral infections. The paper is to let you know what the agency plans and, what they are doing to help the prisoners get the proper care that they need not only for them but for the guards, other prisoners safety. The role of the agency is to establish sound data regarding the extant of the problem and, how problematic it can be if there is nothing done. The data will help let the agencies know what has to be done and, how bad this is in the prisons. What type of plan that they have how much this is going to cost them? They also can check in to a grant to help with the cost. The Health Protection Agency Prison Infection Prevention Team is the name of the agency that is trying to help improve the health care in our prisons this is what we need to help the spread of infections in the prisons. They are the agency that gathers all the data and, they do research on men and, women on what their problems and concerns are. They need to see what the needs of the prisoners are what they are getting and, what they are not getting that they need. How they are getting treated and, what are the complaints are if not. Are they being offered quality manner in a timely manner. The impact on healthcare I think this is costing us a lot of money in tax dollars for the cost of care for them also they are using condoms in the prisons this is for the spread of HIV but what is the cost...
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...Fire clearly states the facts that currently affect the healthcare system in the U.S. and proposes solutions that are at our reach as individuals, as a community and as a country. We are a country that sets the tone for almost everything that is popular in the world and something as necessary to our livelihood as healthcare is, we certainly are not on top of how to set that tone in that aspect that should be as popular as the air we breathe. We have the ability to change the game as it is suggested in the movie, and persuade the behavior changes necessary for all Americans to make in order to control the management of diseases culture that we are currently in and turn it into a more preventive culture. The amount of money spent every year in the U.S. on healthcare is a number that is almost three times of what other industrialized countries spend per capita, and yet, our life expectancy is at number fifty in the world. Clearly, our outcomes are not commensurate with the money that is being spent. Preventive medicine is the model that we need to follow and we currently follow the disease management way of healthcare. 30% of the money spent per year is spent in vain, for, it does not improve the health of those treated. As suggested in the movie, we need to have more Primary Care Physicians that have the opportunity to educate, treat, prevent and follow up without the burden of productivity that is driving the healthcare system to be managed as a business rather than a social...
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...them being the correctional facilities which were considered off limits before this crisis began. The budgets of more than 26 state department of corrections have been significantly cut, and those that have not been cut are reducing their expenditure on non-core areas. The correctional departments faced with the budget cuts have all reduced operational costs as it is one of the easiest and quickest steps to take (Mears, 2010).Corrections departments all followed this path by reducing personnel costs, reducing beds and eliminating certain programs. The specific strategies that were adopted for such savings however differed. For example, Maine changed the way it provided medication to inmates and renegotiated its health contract with its healthcare provider. Even more controversial, some states reduced the amount of food given to inmates. An example is Georgia which reduced the meals given to inmates, but still provided the same calories. Other states including New York and Kansas stopped their planned technology upgrades and postponed their expenditure plans. However, the cost-cut measures that were employed by different states correction facilities included downsizing programs, closing facilities and reducing personnel costs. Downsizing programs Before the fiscal crisis, different states invested heavily on community supervision services through the expansion of treatment and other programs. However, the budget deficits made the states make cuts on those programs. Over 20 states...
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...them being the correctional facilities which were considered off limits before this crisis began. The budgets of more than 26 state department of corrections have been significantly cut, and those that have not been cut are reducing their expenditure on non-core areas. The correctional departments faced with the budget cuts have all reduced operational costs as it is one of the easiest and quickest steps to take (Mears, 2010).Corrections departments all followed this path by reducing personnel costs, reducing beds and eliminating certain programs. The specific strategies that were adopted for such savings however differed. For example, Maine changed the way it provided medication to inmates and renegotiated its health contract with its healthcare provider. Even more controversial, some states reduced the amount of food given to inmates. An example is Georgia which reduced the meals given to inmates, but still provided the same calories. Other states including New York and Kansas stopped their planned technology upgrades and postponed their expenditure plans. However, the cost-cut measures that were employed by different states correction facilities included downsizing programs, closing facilities and reducing personnel costs. Downsizing programs Before the fiscal crisis, different states invested heavily on community supervision services through the expansion of treatment and other programs. However, the budget deficits made the states make cuts on those programs. Over 20 states...
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... | |This instruction applies to : |Reference : | | | | |Prisons |PSI 74/2011 | |Issue Date |Effective Date |Expiry Date | |21 December 2011 |1 January 2012 |20 December 2015 | |Issued on the authority of |NOMS Agency Board | |For action by |Governors/Directors of Contracted Prisons, Heads of Groups, policy leads. In this | | |document, the term Governor also applies to Directors of Contracted Prisons | |For information |All staff in NOMS HQ...
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...Federal Bureau of Prison Cindy Wright HCS/430 September 1, 2014 William Bross Federal Bureau of Prison The Federal Bureau of Prison (BOP) is a United States federal law enforcement agency that was created by an Act on May 14, 1930 signed by President Herbert Hoover. The agency Federal Bureau of prison role is responsible for the administration of the federal prison system. Our agency was established in 1930 to provide more progressive and human care for federal inmates, to professionalize the prison service and to ensure consistent and centralized administration of federal prisons. The Bureau includes “one-hundred sixteen Institutions, six Regional Offices, and a Central Office.” If a prisoner commits an act, which is a felony under the District of Columbia law the Federal Bureau of Prison handles the prisoner. The Federal Bureau of Prison is responsible for “carrying out judicial ordered federal executions in the United States and maintains the federal lethal injection chamber at the Federal Correctional Complex.” (1) The Federal Bureau protects public safety by ensuring that federal offenders serve their sentences while they are in prison, making sure the facilities are safe, humane, cost-efficient, and appropriately secure, and provide reentry programming to ensure their successful return to the community. The major functions of BOP are to maintain all BOP facilities in operationally sound conditions and make sure they are in compliance when environmental requirements...
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...including shared health records, patient empowerment and self-management, quality use of medications and ongoing monitoring. The healthcare system is complex and people have difficulty navigating the system due to inadequate linkage between organisations and services People with complex needs require a comprehensive range of services, delivered across organisational boundaries, with clear assessment processes, access routes and pathways through services. Both overseas and Australian experience indicate that case management is ideally targeted to individuals who are likely to receive the most benefit i.e. those with complex needs requiring intense management from a range of different organisations, as this is where case management is deemed most cost effective. Therefore, the focus of many integrated care projects is on service coordination as a way of integrating care management and creating care pathways through the system. The move towards models of integrated care is an effort to manage the labyrinth of the healthcare system that has become increasingly complicated as additional services and funding streams have been introduced to encourage innovation, change traditional healthcare practices and address gaps in service provision. However, the delivery of services to people with complex needs is the responsibility of many different healthcare...
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...Health Care Delivery Systems Ja*** Sta***** 04/12/2011 Health Care Delivery Systems Exam Paper The challenges faced in our most extreme healthcare facilities The Dialysis, Correctional, Mental Health, and Substance Abuse health care facilities are four very diverse settings in many ways. Yet in others they are similar. They represent many of the aspects of society that are orphaned, discarded, or swept under the rug, challenging both the caregiver and patient alike. Each represents an environment of extremes. Professionals must exercise the highest degree of vigilance in order to successfully provide patients with the care they need under the unique circumstances that each environment presents. In many ways each one of these facilities has a captive cliental with little or no choice but to be compliant or face dire consequences. In the dialysis setting compliance is enforced by the simple fact treatment is necessary to maintain their life. The correctional setting is harsh and restrictive with many imposed limitations, presenting the potential for serious health risk to inmate and care provider alike. The mental health facility is challenged by the lack of stability within the mind of the patient who is viewed as having “disordered thinking” presenting healthcare providers with the challenge of helping someone who is unable to follow orders or unwilling to even be treated. Substance abuse facilities have a patient base of substance dependent clients who present many...
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