...Health Care System – Religious Freedom Restoration Act The Religious Freedom Restoration Act (RFRA) is using a health care provider’s religion to determine whether or not their beliefs allow them to provide care to a patient. I personally believe this goes against medical ethics of all health care providers to do no harm. A medical provider is one who is specifically trained and a subject matter expert to provide the best possible care to their patients legally. The RFRA act allows a health care provider to disregard their medical ethics due to their own religious beliefs. While I do believe each individual is entitled to their own religious beliefs, it now interferes with providing quality medical care. For instance, if an EMT practices a religion that does not believe in homosexuality and that EMT arrives on a scene of a car accident they would not have to provide any medical aid to the casualty(s). Not only does this go against medical ethics though it also brings into judgment of how can you tell if someone is homosexual. I personally believe that any medical provider should render any aid applicable to the situation regardless of their religious beliefs. Clock ticking as Religious Freedom Restoration Act awaits action in Michigan Senate The information in the article “Clock ticking as Religious Freedom Restoration Act awaits action in Michigan Senate”, was found to be reliable. The author Jonathan Oosting is a long time writer for MLive (Michigan Live) where...
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...LOBBY VS. THE AFFORDABLE CARE ACT Leonila Gonzalez oUR LADY OF THE LAKE UNIVERSITY HOBBY LOBBY VS. THE AFFORDABLE CARE ACT Leonila Gonzalez oUR LADY OF THE LAKE UNIVERSITY Businesses can be affected by many laws and mandates that are set by the state or federal government. It can be difficult for a small firm to stay in business when such mandates are passed. The Affordable Care Act was signed into law by President Obama on Mach 23, 2010. Key components to the law are improving quality and health care costs, new consumer protections and access to healthcare, and mandating that all firms provided insurance for their employees. Small Business Tax credits were also included as an incentive and a way to reduce cost for the smaller firms. (Human Health Services, 2014) In order for a firm to be exempt from providing insurance to its employees they had to be classified as a non-profit organization or a Church. A businesses classification will give them exemptions for example a non-profit organization. A non-profit organization can be defined as “an incorporated organization which exists for educational or charitable reasons, and from which its shareholders or trustees do not benefit financially” (Investor Words, 2014). Because of the mandates of the Affordable Care Act, it is now in the center of litigation in which a for-profit organization is asking for exemptions from providing women health care, contraceptives, due to the owner’s religious belief. (Reese, 2014) ...
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...Religious Health Care HSA 300 Health Service Organization Management November 13, 2013 My name is XXX and I work for the consulting firm of Truth or Be Truth. We have been hired by the Middleville Health Care System to identify and evaluate its strategic performance and to evaluate and share issues from the response’s that have been received from several religious leaders in the area. These findings will be shared with the governing board and the CEO. Our firm has one rule, “Never offer a criticism or negative finding without suggesting how the clients’ organization can correct it.” Middleville is a community of 225,000 people. Summary statistics on Religious and its competitors, from the AHA Guide, are shown in Table 1. All of the organizations in the area are not-for-profit. Although Samaritan Hospital and Protestant Hospital have religious origins, they now view themselves as secular, not-for-profit organizations. Table 1: Middleville Health Care Systems Name | Beds | Admissions | Census | OP Visits | Births | Expenses (000) | Personnel | Religious | 575 | 13,000 | 350 | 221,000 | 2300 | $125,000 | 2000 | Samaritan | 380 | 17,000 | 260 | 175,000 | 1200 | $130,000 | 1875 | Protestant | 350 | 10,000 | 180 | 40,000 | 900 | $80,000 | 1200 | There are many important elements for improving the core functions of an organization. We will describe the five (5) most important elements that we feel will benefit Religious Health Care and will produce an effective...
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...key performance dimensions and include specific measures that Religious Health Care could use to improve overall institutional performance. Then, I will determine the performance measures Religious Health Care could use to evaluate nursing staff performance in its Emergency Room. This would lead me to suggest the steps that should be taken next by Religious Health Care to get better at managing specific patient groups. Next, I will decide what strategies Religious Health Care could implement to enhance its public image and increase market share. Last, but not least, I will describe two (2) technology-based data-collection strategies that Religious Health Care could use to conduct an internal management audit. Religious Health Care The five important elements of governing board agenda for areas of improvement in the core functions include the following: (FACCT, 1997) Make sure that the services of nursing are planned, implemented and evaluated so they can maximize the quality of life of residents and have quality care. Make sure that the programs for social service are planned, implemented and evaluated so they can meet the psychological and social needs and the preferences of the residents and maximize their care and life quality. Make sure that the program for food service is planned, implemented and evaluated so they can meet the nutritional needs of residents leading to growth of their life quality and care. Make sure that the therapeutic recreation/activity program...
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...Emerging Standards of Care According to the U.S department of Health and Human services Office of Minority Health, "Integrated health care approaches must respect the whole person, work across the life span, include prevention and early intervention methods, and be person-centered, strength-based and recovery focused," (Sanchez, Chapa, Ybarra, & Martinez, Jr., 2012, p. 5 ). In this healthcare model, the patient must be treated not only according to the standards of nursing practice but integrate into the care, respect for the individual's belief system as well as their culture. "Providers that respect the cultures, languages and worldviews of the people they serve are more successful in engaging and activating individuals, families and communities to be an active participant in their own health care," (Sanchez, Chapa, Ybarra, & Martinez, Jr., 2012, p. 5) By integrating into care the individuals beliefs and needs, the professional can create rapport with the individual in such a way that encourages the individual to be active in their own health decisions based on the professional's medical knowledge and the individual's belief system. Culturally competent care is care that is respectful of and responsive to an individual's health beliefs, practices, and needs. This type of care is sensitive to the individual's ethnic and religious beliefs as well as cultural beliefs that have been shown to engage individuals into participating in their healthcare. The skill to deliver culturally...
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...RUNNING HEAD: CULTURAL COMPETENCY ASSESSMENT TOOL. Review of The Heritage Assessment Tool. Literature Review Introduction The Heritage Assessment Tool is a simple form compromised of 29 questions that is used for identifying how a person views themselves; this tool is utilized for cultural competency in care of the individual (Spector, 2000). The questions focus on where your family originated, the size of your family and setting of your childhood. Family dynamics, religious preferences of self and family, participation in ethnic and religious activities, and language (Spector, 2000). This assessment tool has high face validity and questions are simple for the client to understand and answer the questions being asked of them. Abilities of the assessment tool based on three volunteer survey participants. The three individuals that completed the Assessment tool for this review was a Hispanic man 41 years of age, a 25 year old female of Caucasian background, and a 18 year old African American. Two of the individuals are geographically located in Arizona at this point in their life, one is located in Texas. None of the participants were born outside of the United States. Participant One The first participant was the 41 year old male of Hispanic background, he identified he was adopted and has no contact with his birth mother. He had 2 brothers and 3 sisters in his adoptive family...
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...Health Care Law and Regulations University of Phoenix Louise Underhahl HCS 545 Health Care Law and Ethics 2012 Health Care Law and Regulations One of the areas that are currently affecting the Health Care industry is Regulatory agencies. There is much dissatisfaction over the current state of healthcare in the U.S. Within all of our organizations, regulatory agency surveys are conducted to better the organizations as well as its employees. The purpose of the regulatory surveys is to focus on the areas that need improvement as well as promoting better health care access to the people in the community. Regulatory agencies serve as authority as well as enforcement to regulate laws from the government. Some examples of regulatory agencies are Food and Drug Administration (FDA), Agency for Healthcare Research and Quality (AHRQ), and Occupational Safety Health Administration (OSHA). There are many examples of laws and regulations that are currently being faced in health care. Analysis of health care laws and regulations help one understand their influences on the provider. There are many ways that laws and regulations affect our lives and community. The FDA is responsible for the oversight of drugs, medical devices, vaccines, blood products and biologics, establishing rules for testing, clinical trials and approval of new products. The AHRQ is a federal agency under Health & Human Services working to improve the quality, effectiveness and safety of health care...
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...Cultural Influences on Health Grand Canyon University Family Centered Health Promotion NRS-429V October 15, 2015 Cultural Influences on Health The heritage assessment is useful and gives the health care professional a detailed picture of how cultural differences influence health. The three individuals that were interviewed place importance on the cohesiveness on their families in health and illness. The family influences from the older members in their cultures place importance on folk medicine. When a member of the family is ill, they apply their faith and pray for that person. They value their religious belief in curing an illness with modern medicine. The food preferences varied somewhat from the different cultures however, pastries were common at cultural celebrations (Heritage Assessment Tool, 2015). It is evident that is important to be culturally competent before assessing a patient. It removes biases about a culture and the health care professional is culturally sensitive to give effective quality care and education. Polish Culture A large percentage of Poland’s population practices the Roman Catholicism religion. There is an order of priests, monks and nuns in the Roman Catholic Church. Rituals are part of the Catholic Church’s religious services. They encourage the continuation of folk culture like roadside shrines that are built and maintained by the community. There are yearly pilgrimages to these shrines such as Lankorona. On February 2 of each year...
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...America’s diverse population demands that health care workers be culturally competent (Edelman et al, 2014). In order to be culturally competent, the patient’s health traditions should be addressed as they relate to their ethnicity, religion, and heritage. This can be achieved by completion of the Heritage Assessment Tool (HAT). The Heritage Assessment Tool allows health care professionals, especially nurses, to have improved patient-nurse relationships and allows the patient to be treated as a whole being with respect to their beliefs and traditions. This paper will discuss the usefulness of applying the HAT as it evaluates the needs of three diverse families. The families of Vietnamese Americans, Mexican Americans, and Italian Americans will be discussed to identify the differences in health maintenance, health protection, and health restoration. The families’ health traditions based on their cultural heritage will also be identified. Usefulness of Applying the Heritage Assessment Tool The Heritage Assessment tool evaluates the degree to which an individual lives by their cultural beliefs and traditions. The questionnaire contains 29 questions to help determine if a person is traditional in their culture or if they are more acculturated with less compliance to their traditional practices. The questions examine family relationships, religious beliefs, ethnic traditions and beliefs. The tool brings awareness to the many culturally based health beliefs and practices. The HAT allows...
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...Patient Protection and Affordable Care Act Diana Gonzalez Perez Florida International University Introduction The Patient Protection and Affordable Care Act (PPACA) was signed into law on March 23, 2010 by President Barack Obama. The PPACA was enacted to address the lack of quality health care delivery to the 49 million uninsured Americans, a number which has grown with the slow economic growth our country is experiencing (Rattue, 2011). As part of this legislation there are ten provisions, all which are important to comprehensive healthcare reform. Each provision addresses specific functions of the current healthcare delivery system including insurance, reimbursement, medications, and taxes. In this paper, specific provisions of the PPACA will be discussed as well as the legal implications of the legislation. Provisions The PPACA has ten provisions which supply legal guidance for the health care reforms expected to take place from 2010-2014. These provisions will continue to affect the Nation as healthcare continues to evolve. Title I. The quality, affordable health care for all Americans provision includes subtitles A-F. Title I sets the basic guidelines required to implement the PPACA legislation. Subtitle A. Subtitle A sets specific guidelines to be followed by health plans including the prohibition of establishing lifetime limits or annual limits for any participant or beneficiary after January 1, 2014, but permits a restricted annual limit for plans...
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...RUNNING HEAD: CULTURAL COMPETENCY ASSESSMENT TOOL. Review of The Heritage Assessment Tool; A Cultural Competency Assessment Tool. Devin Rodriguez Grand Canyon University Literature Review Introduction The Heritage Assessment Tool is a simple form compromised of 29 questions that is used for identifying how a person views themselves; this tool is utilized for cultural competency in care of the individual (Spector, 2000). The questions focus on where your family originated, the size of your family and setting of your childhood. Family dynamics, religious preferences of self and family, participation in ethnic and religious activities, and language (Spector, 2000). This assessment tool has high face validity and questions are simple for the client to understand and answer the questions being asked of them. Abilities of the assessment tool based on three volunteer survey participants. The three individuals that completed the Assessment tool for this review was a Hispanic man 41 years of age, a 25 year old female of Caucasian background, and a 18 year old African American. Two of the individuals are geographically located in Arizona at this point in their life, one is located in Texas. None of the participants were born outside of the United States. Participant One The first participant was the 41 year old male of Hispanic background, he identified he was adopted and has no contact with his birth mother. He had 2 brothers and 3 sisters in his adoptive family....
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...best interest. There are several factors that influence the way that their caregiver makes decisions about the child’s education, religious teachings, and health care (Purtilo & Doherty, 2011). Religious beliefs can affect the decision-making process regarding the type of medical care that the parent is willing to let physicians perform (Purtilo & Doherty, 2011). An example of this are individuals that practice the Christian Science religion (New York Times, 2016). This religion teaches the parishioners that all illnesses are caused by fear, a disconnection from God, and mental factors (New York Times, 2016). Parents of children that practice Christian Science believe that when their child is ill that spiritual healing will cure the child (New York Times, 2016). The parents will have an expert spiritual healer from the church come to help them cope and figure out the mental roots of the illness (New York Times, 2016). The case of a child that has divorced parents that are not in agreement about medical treatment for a seriously ill child creates an ethical dilemma (Purtilo & Doherty, 2011). The dilemma that the physician faces is whether to withhold treatment per the mother’s request due to religious beliefs or provide treatment per the biological father’s request (American Academy of Pediatrics, 2016). Health care professionals should override religious beliefs when harm can come from withholding medical treatment for a serious illness. Stakeholders and the Ethical Theory Lens ...
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...Family Centered Health Promotion Nursing 429 Leslie Minjarez March 18, 2015 (Bench Assessment) Heritage assessment In the seventies, growing up in the inner-city ghetto of Baltimore, Maryland lived in a dilapidated, rat, and roach infested home. In addition, attended public schools, monopoly of corner store that sold unhealthy foods and observing on the streets men shooting dice for money. As nurses, we should be culturally sensitive to our patient’s needs and build a trusting patient-nurse relationship. Today this paper will evaluate the common health traditions and practices based on cultural heritage, compare and contrast cultural practices and traditions and address health maintenance, health protection, and health restoration. Usefulness of Applying a Heritage Assessment Different people from everywhere in the world are generating the population of the United States. (“APHA”, 2007) The purpose of applying a Heritage Assessment is to care for a patient mind, body and spirit with the help of the nursing staff, physicians, and social work. Moreover, a heritage assessment can help a patient’s, or a health practitioner’s to get a better interpretation of national, cultural and spiritual customs. Direct connection with all patient and their families is crucial. These historic practices include a state of harmony between the patient, family, and the community. There are special ways to maintain health, protect health and restore health. It is essential...
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...Spirituality: The Effect on Holistic Patient Care in Nursing Emily Engel, Kristy Ensley, Danielle Freeman, Sarah Gomez, Danica Graafstra, Nataliya James Skagit Valley College The United States is diversified in many ways including freedom of religion and spiritual practices. Spirituality does not only apply to practices held sacred within the religion but also how many people survive and cope with health and illness. Holistic nursing care embraces all that encompasses a person, including spirituality. With this diversified population, nurses face the dilemma of how to provide holistic care in a system that focuses on disease and not holism. Often times, patients feel the need to leave spirituality at the door when seeking care in a hospital, and in turn, a piece of who the patient is gets left behind as well. This may be due to feelings of awkwardness about showing faith or feeling judged for having any degree of spirituality. Either way,...
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...Cultural differences abound in America today. Approaches to health also differ from one culture to another. People are shaped by their traditions and use traditional ways to satisfy their needs for better health (Agec, 2012). America is a melting pot of different cultures. This cultural diversity comes with differences in health traditions and health decisions. It could be a religious approach to health or a cultural tradition. Health has a different meaning for different people. So, everyone has a different approach to his or her health ( Alpa, 2007). Cultural heritage is an important of one’s economic, social and health issues. It helps one understand someone else’s health heritage, as well as traditional health methods that are used to maintain, protect, and restore health. Applying these concepts makes it easier to deal with a person’s physical, mental, and spiritual beliefs. Different cultures have different values and beliefs of health, disease, illness, birth, and death. It is essential to open a pathway for the effective communication of others values and beliefs, in regards to health, illness, family support as well as spiritual values ( Agec, 2012). Health concerns though practiced in all traditions, varies among different cultures. To become aware of another’s culture and health traditions can enable one to better understand and respect another’s cultural traditions, health concerns and issues. ...
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