...it will continue to hinder the progress of healthcare reform. Both republicans and democrats are at debate over quality of healthcare. Many think American government is trying to take over. Health care is an incredibly intense industry. Every patient contact, care experience, and outcome must be documented in an accurate way. Accrediting bodies such as Joint Commission on Accreditation of Healthcare Organizations review documentation to assess compliance with standards of care for a quality assurance. If a hospital is not accredited by Joint Commission Accreditation Healthcare organization it cannot receive healthcare which means healthcare record keeping is crucial. Patient record keeping is complex and complicated. Methods of organizing patient information require teamwork and the ability to track patient encounters from the time the patient is admitted until the patient is discharged. Healthcare quality may be defined in many diverse ways with differing implications for healthcare providers, providers, patients, third party payers policy makers, and other stakeholders. First high quality health services should accomplish desired health outcomes for individuals, matching their preferences for variety. Second they should accomplish desired...
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...quality and patient safety improvement OR to expanding access and equity in the U.S. health care system. For those that write about quality, you may wish to include discussion of some of the following: provide evidence on the current state of quality and patient safety in the U.S. health system: National attention is currently focused on the debacle of The Affordable Care Act’s (ACA) roll out. The Federal Health Exchange website, cancelling of thousands of insurance plans and the dismal enrollment numbers are some of the items inundating our headlines. One of the main goals of the ACA is to improve access to health care. It seems as though, with all the partisan squabbling, we do not see much in the media about how the ACA plans to address safety and quality issues. Medical errors and unsafe care are responsible for the death of an estimated 90,000 patients each year, costing more than $4.5 billion in hospital health care costs. According to the Agency for Healthcare Research and Quality (AHRQ), healthcare associated infections are one of the top 10 leading causes of death in the United States with approximately $33 billion in excess health care costs per year. For solutions to the healthcare cost conundrum, this is arguably the prime target for reduction. However, addressing the quality issue does come with its own challenges. For the most part, quality is seen as a quantity issue. We see overprovision of services driven by our current reimbursement model, underuse or under-treatment...
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...hospitals due to preventable medical errors. Hospital errors rank between the fifth and eighth leading cause of death, killing more Americans than breast cancer, traffic accidents or AIDS. Serious medication errors occur in the cases of five to 10 percent of patients admitted to hospitals. These numbers may understate the problem because they do not include preventable deaths due to medical treatments outside of hospitals (Vantage Professional Education, 2009). Background Medical malpractice is professional negligence that can cause injury which may result in death, substantial economic damages to the patient. Most cases of medical malpractice involve inaccurate diagnosis or misdiagnosis. There has been various and unfolding problems occurring in the United States domestic healthcare for many years. The most grave problem experienced in the healthcare industry is the suborn increase of medical errors in the healthcare industry. Some of the most serious incidents observed in medical errors include: misread handwritten prescriptions. Wrongly prescribed medication and improper dosages administered to patients during hospitalization, and pamphlets accompanied by prescription drugs that are too complicated for some patients to understand, hence, this contributes to improper dosages...
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...Agency for Healthcare Research and Quality: Inpatient Quality Indicators xxxxxxxx xxxxxxxxxxxxxxxxxxxxx March 2, 2015 Agency for Healthcare Research and Quality: Inpatient Quality Indicators The purpose of this capstone paper is to discuss the Agency for Healthcare Research and Quality's (AHRQ) approach to quality and safety as this pertains to inpatient quality indicators. This will assist with better understanding what efforts are being taken within the contemporary healthcare system and by contemporary healthcare organizations in order to maximize the quality of care delivered to patients. The discussion within the essay will have three main parts. The first part will explain and analyze the significance of the topic under consideration here for clinical nursing practice. The second part will discuss information from the selected topic that can be applied in order to improve professional nursing practice and complex client care. The third part will evaluate the potential outcomes that may result from the application of the information from the topic to nursing practice. Before shifting into the body of the main discussion, though, it may be appropriate to discuss the AHRQ itself in greater detail. In the AHRQ's (2015a) own words, the organization's mission "is to produce evidence to make health care safer, higher quality, more accessible, equitable, affordable, and to work within the U.S. Department of Health and Human...
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...There are some issues that affect the health care industry negatively and positively. There issues with the pharmaceutical companies, the drugs pricing in America, the impact of different medical career trends, why has the numbers for health care professionals decline over the years, the effect of the different health care policy and what kind of development need to help fix this already crumbling health care industry. There have out cried from the public to congress and health care professionals to help elevate this issue from the American people suffering. There have been little or no definite and concrete solution on their part and the American people are suffering the consequences of high health care bills. This has led to stress on the pharmaceuticals companies all across the United States. The pharmaceutical market is looking forward to the by the year 2020 the United Sates pharmaceutical sales will double fifth globally. The issue with increase of chronic disease will increase in the develop world as it is the under develop world, if there is no effort to improve the health care system. Some of the example is the rising cost of drugs on the American people. The United States people pay a high cost on drugs than any other develop country. This one of the injustice in the health Care industry has must be taken care of in the future to come. The United States forbid the selling of drugs or important it in the United Sates even if that drug has met the FDA requirement...
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... and hydrochlorothiazide. When she comes to your pharmacy to get her prescriptions, she walks slowly with a cane, and she is stooped over. 1. Identify age-related pharmacokinetic and pharmacodynamic changes in older people. 2. Evaluate the pharmacotherapy regimens of older people to support the maintenance of optimal physical and mental function. 3. Identify inappropriate medication prescribing in older people. 4. Recommend appropriate pharmacotherapy for patients with dementia. 5. Evaluate the risks and benefits of the use of antipsychotics (APs) (including atypical APs) in older patients with dementia. 6. Recommend appropriate interventions for patients suffering from behavioral symptoms related to dementia. 7. Identify the types of urinary incontinence and recommend appropriate treatments. 8. Given a patient’s American Urology Association Symptom Index for benign prostatic hyperplasia, recommend appropriate therapy. 9. Recommend appropriate analgesic therapy for older patients with osteoarthritis. 10. Discuss risks and benefits of medication classes used to treat rheumatoid arthritis. 2. Which of the following is the single most important intervention you can make to reduce her risk of falls? A. Suggest to J.T. that her neurologist reassess her Parkinson disease...
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...improving Quality and Value in the U.S. Health Care System August 2009 Preamble The Bipartisan Policy Center (BPC) is a public policy advocacy organization founded by former U.S. Senate Majority Leaders Howard Baker, Tom Daschle, Bob Dole, and George Mitchell. Its mission is to develop and promote solutions that can attract the public support and political momentum to achieve real progress. The BPC acts as an incubator for policy efforts that engage top political figures, advocates, academics, and business leaders in the art of principled compromise. This report is part of a series commissioned by the BPC to advance the substantive work of the Leaders’ Project on the State of American Health Care. It is intended to explore policy trade-offs and analyze the major decisions involved in improving health care delivery, and discuss them in the broader context of health reform. It does not necessarily reflect the views or opinions of Senators Baker, Daschle, and Dole or the BPC’s Board of Directors. The Leaders’ Project was launched in March 2008. Co-Directed by Mark B. McClellan and Chris Jennings, its mission is (1) to create a bipartisan plan for health reform that can be used to transform the U.S. health care system, and (2) to demonstrate that health reform is an achievable political reality. Over the course of the project, Senators Baker, Daschle, and Dole hosted public policy forums across the country, and orchestrated a targeted outreach campaign to...
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...http://www.nap.edu/catalog/9728.html We ship printed books within 1 business day; personal PDFs are available immediately. To Err Is Human: Building a Safer Health System Linda T. Kohn, Janet M. Corrigan, and Molla S. Donaldson, Editors; Committee on Quality of Health Care in America, Institute of Medicine ISBN: 0-309-51563-7, 312 pages, 6 x 9, (2000) This PDF is available from the National Academies Press at: http://www.nap.edu/catalog/9728.html Visit the National Academies Press online, the authoritative source for all books from the National Academy of Sciences, the National Academy of Engineering, the Institute of Medicine, and the National Research Council: • Download hundreds of free books in PDF • Read thousands of books online for free • Explore our innovative research tools – try the “Research Dashboard” now! • Sign up to be notified when new books are published • Purchase printed books and selected PDF files Thank you for downloading this PDF. If you have comments, questions or just want more information about the books published by the National Academies Press, you may contact our customer service department tollfree at 888-624-8373, visit us online, or send an email to feedback@nap.edu. This book plus thousands more are available at http://www.nap.edu. Copyright © National Academy of Sciences. All rights reserved. Unless otherwise indicated, all materials in this PDF File are copyrighted by the National Academy of Sciences. Distribution, posting, or copying...
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...Nurses: Objective Measures . . . . . . . . . . . . . . . . . . . . . . . . . Asthma Management Component 2: Environmental Control Measures. . . . . . . . . . . . . . . . Allergens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Irritants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Actions/Implications for Nurses: Environmental Control . . . . . . . . . . . . . . . . . . . . . . Asthma Management Component 3: Pharmacologic Therapy . . . . . . . . . . . . . . . . . . . . . . . Two Major Groups of Asthma Medications: Anti-inflammatory and Bronchodilator . . . . . . . . Step-Care for Chronic Asthma and Acute Asthma Episodes . . . . . . . . . . . . . . . . . . . . . . . . . . . Written Medication Plans for Patients— An Important Aid . . . . . . . . . . . . . . . . . . . . . . . . . . Recommendations for Exercise-Induced Asthma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vi vii 1 3 3 3 4 4 4 6 6 6 7 7 7 8 8 8 9 9 ii Table of Contents...
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...2006 National Institute of Standards and Technology Technology Administration • Department of Commerce Baldrige National Quality Program Arroyo Fresco Community Health Center Case Study 2006 National Institute of Standards and Technology Technology Administration • Department of Commerce Baldrige National Quality Program Arroyo Fresco Community Health Center Case Study The Arroyo Fresco Community Health Center Case Study was prepared for use in the 2006 Malcolm Baldrige National Quality Award Examiner Preparation Course. The Arroyo Fresco Community Health Center Case Study describes a fictitious nonprofit organization in the health care sector. There is no connection between the fictitious Arroyo Fresco Community Health Center and any other organization, either named Arroyo Fresco Community Health Center or otherwise. Other organizations cited in the case study also are fictitious, except for several national and government organizations. Because the case study is developed to train Baldrige Examiners and others and to provide an example of the possible content of a Baldrige application, there are areas in the case study where Criteria requirements are not addressed. CONTENTS 2006 Eligibility Certification Form ………………………………………………………………… Organization Chart ………………………………………………………………………………… 2006 Application Form …………………………………………………………………………… Glossary of Terms and Abbreviations ……………………………………………………………… Preface: Organizational Profile P.1 P.2 Organizational Description...
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...ORIGINAL INVESTIGATION Benefits of Influenza Vaccination for Low-, Intermediate-, and High-Risk Senior Citizens Kristin L. Nichol, MD, MPH; J. Wuorenma, RN, BSN; T. von Sternberg, MD Background: Vaccination rates for healthy senior citizens are lower than those for senior citizens with underlying medical conditions such as chronic heart or lung disease. Uncertainty about the benefits of influenza vaccination for healthy senior citizens may contribute to lower rates of utilization in this group. Objective: To clarify the benefits of influenza vaccina- tion among low-risk senior citizens while concurrently assessing the benefits for intermediate- and high-risk senior citizens. Methods: All elderly members of a large health maintenance organization were included in each of 6 consecutive study cohorts. Subjects were grouped according to risk status: high risk (having heart or lung disease), intermediate risk (having diabetes, renal disease, stroke and/or dementia, or rheumatologic disease), and low risk. Outcomes were compared between vaccinated and unvaccinated subjects after controlling for baseline demographic and health characteristics. Results: There were more than 20 000 subjects in each pitalizations (P .001), a 32% decrease in hospitalizations for all respiratory conditions (P .001), and a 27% decrease in hospitalizations for congestive heart failure (P .001). Immunization was also associated with a 50% reduction in all-cause mortality (P .001). Within the risk...
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...Unintended Pregnancy And Induced Abortion in Colombia CAUSES AND CONSEQUENCES Elena Prada Susheela Singh Lisa Remez Cristina Villarreal Acknowledgments This report was written by Elena Prada and Lisa Remez, both independent consultants; Susheela Singh, Guttmacher Institute; and Cristina Villarreal, Fundación Oriéntame. Haley Ball edited the report, and Kathleen Randall supervised layout and production; both are at the Guttmacher Institute. The authors thank the following current and former Guttmacher Institute staff members for providing assistance at various stages of the report’s preparation: Fernanda Abella, Suzette Audam, Akinrinola Bankole, Ann E. Biddlecom, Patricia Donovan, Gustavo Suarez and Jonathan Wittenberg. They also appreciate the valuable input of the following external reviewers: Deborah Billings, University of South Carolina; Teresa DePiñeres, University of California, San Francisco; Sandra García, Katherine S. Wilson and Rebekah Horowitz, all of the Population Council, Mexico; Pío Iván Gómez, Universidad Nacional de Colombia; Ana Cristina González, independent consultant, Colombia; Guillermo López-Escobar, Academia Nacional de Medicina, Colombia; Axel Mundigo, Senior Fellow, Guttmacher Institute; Melanie Peña, Gynuity; María Isabel Plata, Profamilia, Colombia; Mónica Roa, Women’s Link Worldwide, Colombia; and Luis Távara, Federación Latinoamericana de Sociedades de Obstetricia y Ginecología. In addition, the project benefited from invaluable advice and...
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...best possible use of his/her scarce resources, usually choosing an activity that has the highest utility. Rational preferences possess 2 properties, which are completeness and transitivity. Completeness means that choices can be ranked in an order of preference. For instance, an individual will have a preference when faced with two choices. Transitivity means actions can be compared with other actions. As an example, if action a is preferred to b, and action b is preferred to c, then a is preferred to c. A benefit is the maximum unit of currency amount you would be willing to pay to do x, while the cost is the value of all the resources you must give up in order to do x. The cost-benefit approach to decisions states that an individual should do an activity x if the benefit exceeds the cost. Relating to cost, in the process of coming up with a decision, a rational individual will take into account opportunity costs and ignore sunk costs. * New theories argue that people are not always rational. On what grounds? What are the implications for Policy making? The arguments where people are not rational can be explained in the following conditions: 1. Economic theories state that people are homo economicus that always act on their own preferences. In short, individuals are selfish. However in reality, the well-being of others could also enter into an...
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...Shaping Parental Authority over Children’s Bodies ALICIA OUELLETTE* INTRODUCTION....................................................................................................... 956 I. SCULPTING, SHAPING, AND SIZING CHILDREN: FOCUS CASES.............................. 959 A. WESTERNIZING ASIAN EYES..................................................................... 960 B. HORMONES FOR STATURE ........................................................................ 961 C. LIPOSUCTION ON A TWELVE YEAR OLD.................................................... 963 D. GROWTH STUNTING ................................................................................. 964 II. THE LAW, MEDICINE, PARENTAL RIGHTS, AND CHILDREN’S BODIES ................. 966 A. BACKGROUND LAW ................................................................................. 966 B. APPLICATION IN SHAPING CASES .............................................................. 969 C. ROOM FOR REGULATION .......................................................................... 971 III. WHAT IS REALLY WRONG WITH MEDICAL AND SURGICAL SHAPING OF CHILDREN? ............................................................................................................ 973 A. THE NONSUBORDINATION PRINCIPLE AS A LIMIT ON INDIVIDUAL RIGHTS 974 B. CHILDREN AS PERSONS, PARENTAL RIGHTS ............................................. 977 C. MEDICAL AND SURGICAL SHAPING OF CHILDREN IS DIFFERENT ............... 981 IV. CONCERNING...
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...Printer/Binder: Courier/Kendallville Cover Printer: Lehigh-Phoenix Color/Hagerstown Text Font: ITCCentury Book Credits and acknowledgments borrowed from other sources and reproduced, with permission, in this textbook appear on appropriate page within text. Microsoft® and Windows® are registered trademarks of the Microsoft Corporation in the U.S.A. and other countries. Screen shots and icons reprinted with permission from the Microsoft Corporation. This book is not sponsored or endorsed by or affiliated with the Microsoft Corporation. Copyright © 2012, 2009, 2006, 2004, 2001 Pearson Education, Inc., publishing as Prentice Hall. All rights reserved. Manufactured in the United States of America. This publication is protected by Copyright, and permission should be obtained from the publisher prior to any prohibited reproduction, storage in a retrieval system, or transmission in any form or by any means,...
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