...Comparison to the United States Teffanie Cummings DeVry University Introduction to Health Services Management Course Project/ HSM310 April 21, 2014 Dr. Becky Foster OUTLINE TITLE I. Executive Summary * II. Haiti Healthcare Status A. Population without healthcare insurance B. Mortality, Infant mortality data, causes of death C. Healthcare Insurance available to the poor III. Availability of Health Services A. Fundamental Life Insurance B. Red Cross C. Medicaid IV. Expenditures A. Who pays for the healthcare B. Total cost for the healthcare overall C. The Government V. Influences on the health care system A. Cultural influence B. Does society have anything to do with Haiti healthcare? C. What does politics have to do with Haiti healthcare VI. Summary A. What are the biggest healthcare problems in Haiti B. United States healthcare system compared to Haiti healthcare C. What opportunities can be offer to help Haiti healthcare * VII. Conclusion Abstract By every measure found Haiti is known to be the poorest country in the Western hemisphere and that makes they have the worst healthcare system. The can only afford around $85.00 or less per person for healthcare and the population is around 8 million (Whyte, 2010). Healthcare in Haiti is like nonexistent over half the population is unemployed and the ones that are employed cannot afford healthcare insurance due...
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...Phone: 773-241-**** E-mail: *********@rocketmail.com Health Status and Health Care Services in the United Kingdom with comparison to the United States HSM310 Introduction to Health Services Management Course Project Date submitted: 11/29/2015 Table of Contents Executive Summary………………………………………………………………………………………………. 3 Population and Health Status………………………………………………………………………………………………………………... 3 Demographic characteristics of population Mortality, Infant mortality data, causes of death Other data of health status Related information (such as on quality if life); analysis Availability of Health Services………………………………………………………………………………….. 4 Basic organization/general description of services institutions, providers of care Issues related to access Utilization of services (data, if available) Other related information/analysis Expenditures………………………………………………………………………………………………………. 5 How are health services paid for; any roles for the government here Data on total expenditures Other related information/analysis Macroenvironmental influences on the health care system……………………………………………… 6 Political Socioeconomic Cultural Technological/Other relevant influences Summary comments…………………………………………………………………………………………….. 7 Problems Opportunities Other related comments regarding this country's health care services Comparison to the United States: what works better, what is not working as well Concluding comments: Lessons learned for the U. S...
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...Questioning Assumptions about Health Care Systems Executive Summary The United States Health care system is the subject of much debate. At one extreme are those who argue that Americans have the best healthcare system in the world, pointing to the freely available medical technology and state-of-the-art facilities that have become so symbolic of our system. At the other extreme are those who accuse our system of being fragmented and inefficient, pointing to the fact that the U.S. spends more on health care than any other country in the world, yet still suffers from a substantial rate of uninsured, uneven quality, and administrative waste (Sultz, 2013). A review of U.S. healthcare expenses by the Institute of Medicine revealed that thirty cents of every dollar spent on medical care is wasted, adding up to $750 billion annually (http://www.iom.edu, 2012). The Institute of Medicine report identifies six major areas of medical waste: unnecessary services; inefficient delivery of care; excess administrative costs; inflated prices; prevention failures; and fraud (http://www.iom.edu, 2012). Americans spend twice as much on health care per capita than any other country in the world. In fact, according to a series of studies by the consulting firm McKinsey & Co, the US spends more on health care than the next ten biggest spenders combined: Japan, Germany, France, China, the U.K., Italy, Canada, Brazil, Spain, and Australia (http://www.mckinsey.com, 2008) Introduction ...
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...Access to Healthcare in the United States Many would argue that here, in the United States, we have the best healthcare in the world. We benefit from the most up to date medical technologies, medications, and services. People come from every corner of the world to take advantage of our top notch physicians and facilities. One would questin is this reputation warranted, and if so, at what cost? These costs rank us among the highest of industrialized nations (Lundy, 2010). Does this high expenditure equate to better outcomes? According to the National Scorecard on US Health System Performance (2008), the US received a 65 out of 100 possible points. Compared with 19 other industrialized nations, the US came in last place in preventable mortality. Preventable mortality means just that, deaths which could have been prevented if “timely and effective care” could have been provided (The Commonwealth Fund on a High Performance Health System, 2008). In 2000, the World Health Organization performed their first ever comparison of the health systems of the world. They reviewed 191 different countries and ranked them on numerous parameters, the United States ranked 37th for overall health system performance (WHO, 2000). Is it that our healthcare system is truly that poor, or is it that our care is only excellent for those patients who can actually afford it? A universal healthcare system would not only provide healthcare for all, it could also decrease our healthcare spending and potentially...
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...the Patient Protection and Affordable Care Act were signed by the president. It is also known as the “Patient’s Bill of Rights,” which covers key elements such as healthcare coverage, cost and care. For example, it includes laws that allow young adults under age 26 to remain on their parents health insurance; insurance companies can no longer increase rates unreasonably without public justification, and patients can receive approved preventive healthcare at no cost (U.S. Department of Health and Human Services, 2013). There are more than three million nurses leading the healthcare labor pool today (Institute of Medicine, 2013). Therefore, with a legislative healthcare facelift this large, nurses will be on the front lines of this rapidly changing system. The Institute of Medicine (IOM) is a nonprofit organization that was asked to evaluate and provide recommendations on nursing in the United States (National Academy of Sciences, 2013). The goal of this paper is to discuss the impact of the IOM report on nursing in primary care, nursing education; and furthermore, the effect it has on of nurses as leaders. The IOM report developed four pivotal recommendations that focus on improving the future of nursing which in turn will remodel the health care system and improve patient outcomes (IOM, The Future of Nursing Summary, 2011). Key Message #1 According to the IOM report, the first recommendation is to maximize the “full potential of nurses”; therefore, increasing the quality of...
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...It’s a look at how nurses should change their practice and role in healthcare. The new legislative reforms in the nation are being phased in over the coming years. This reform will expand the scope of the nursing profession and practice. This reform states that: “A number of barriers prevent nurses from being able to respond effectively to rapidly changing health care settings and an evolving health care system. These barriers need to be overcome to ensure that nurses are well-positioned to lead change and advance health (IOM-2010) .“ The Institute of Medicine (IOM) developed four key messages that form the origin for the analysis and endorsements presented. The first three are referring to the nursing role, and these are in summary: 1). Nurses should practice to the entire extent of their training and education. 2). Nurses should strive for higher levels of education and training, through a quicker more user friendly educational system that promotes seamless progression from one degree to another higher degree. 3). Nurses should be considered equal colleagues with physicians and other health care professionals, when remodeling health care in the United States. What is the impact on nursing practice, in primary care? What is the IOM’s visualization in the future of the practicing nurse? The IOM’S research has determined the healthcare industry is not utilizing the nurses’ capabilities, and nurses are...
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...Healthcare: A Right or Privilege Christine P. (NOTE: SCHOOL/ FULL NAME INFO DELETED FOR PRIVACY) November 13, 2012 Healthcare: A Right or Privilege As I have pondered the ever hammering question of our society today, is healthcare a right or a privilege, I find that I am conflicted in making a decision to support either right or privilege. To arrive at an understanding, I needed to define the basic terms of “right” and “privilege”. An individual’s right, as defined by our constitution, is vast and detailed yet a right to health insurance is not discussed. What I did find was a statement that reads and individual has the right “to enter into contracts, and thereby acquire contractual rights” (United States Constitution, 2012). The question of contract is raised when discussing health insurance for it is a contract between member, inurance company and providers and this is a person’s right to enter or decline such contracts. Privilege is defined as “a right or immunity granted as a peculiar benefit, advantage, or favor” (Merriam Webster Online Dictionary, 2012). Upon reading the U.S. Constitution’s definition of right and a clarified meaning of privilege, I believe Healthcare is a right, not a privilege. There may be some confusion, such as I had, suggesting that every person be mandated to have health care coverage and this is a right rather than a privilege. With the definition set forth by the constitution, we the people have the “right” to enter into...
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...Introduction Healthcare access across the world is vastly different between countries. The citizens of those countries also have varying opinions of those healthcare systems. Some of these countries utilize private healthcare systems. That is where the citizen is responsible for their healthcare. Some countries use government run systems. In some countries, it is up to the citizen to decide which route they want to choose. It is important for people to know what is available to them and to understand what each of the systems mean. After interviewing an individual who lived in of Canada for many years, it is easy to see the differences between their healthcare model and the United States’ model. How would you rate the healthcare quality on a scale from 1-10? The individual interviewed stated that he would give the Canadian healthcare system an eight out of ten. This person stated that healthcare access had been very easily obtained for him. He also stated that he had no difficulty in scheduling appointments with primary care providers. Also, he had to have a knee surgery and getting that taken care of was not a stress at all. One of the other reasons he rated it so high is that it is free. That is something that is greatly different between Canada and the United States. Also, in comparison to hospitals in the United States, the hospitals in Canada are not as nice. With that in mind, he said it was worth it because it was free. I would give the American healthcare system...
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...Center School of Nursing Define the problem and assemble the evidence Too many Veterans in the United States lack health insurance and are ineligible to receive care provided by the Veteran’s Health Administration. According to American Community Survey (ACS) conducted in 2010, one in 10 of the nation’s 12.5 million veterans under the age of 65 is uninsured. A veteran is defined by federal law as any person who served for any length of time in any military service branch. Contrary to the presumption of most, not all veterans qualify for free healthcare through the Department of Veteran Affairs. The Veterans Health Administration (VHA) operates as a branch of the Department of Veterans Affairs and is the largest health system in the nation. It is recognized for its commitment to providing high-quality population specific healthcare. The VHA also works closely with academic medical centers across the nation. Haley and Kenney (2012) identify eligibility for health care provided by the VHA as being on veteran status, service-connected disabilities and income level. Other factors include demographic location and cost sharing requirements. Health insurance coverage for veterans as with other groups of nonelderly adults has heavy dependence on access to employer sponsored insurance (ESI) and the costs of obtaining it. It must also be considered that the majority of states in our nation deny Medicaid coverage to nondisabled adults without dependent children. Medicaid coverage...
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...Affordable Care Act deadline is quickly approaching. The bill aimed at reforming the health care industry was signed in to law on March 23, 2010. The primary focus of the law is to make healthcare services more affordable for all American Citizens. The Obama Care health insurance market place is set to open October 1, 2013. However, the U.S. Department of Health and Human Services has delayed the signing of final agreements originally set for the first of September to mid-month. With the Health Insurance Marketplace opening October 1st, insurance companies will compete as providers for individuals’ business via the Affordable Health Insurance Exchange, an online marketplace. Many health care provisions are already in affect saving on the cost of coverage, such as the rate review provision and the Medical Loss Ratio policy. The rate review provision was passed on May 19, 2011, as part of the new reform to combat insurance companies from “rate hikes”. From 2003 to 2009, reports from the Commonwealth Fund found that employers had faced an average 41% increase in premium costs, while individuals faced and average increase of 10%. 43 out of 50 states currently have a rate review process, but vary greatly in how they are performed. The U.S. Department of Health and Human Services performs reviews on those states which lack resources for adequate reviews. Another reform already in action is the Medical Loss Ratio Policy. The Medical Loss Ratio Policy requires all health insurance providers...
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...Healthcare Spending HCS/440 Healthcare Spending United States healthcare spending exceeds healthcare spending in any other country in the world. These increasingly high figures of healthcare spending cost are influenced by several different reasons. An aging population, illegal immigration, and technology advancements are some of the few influences on rising healthcare costs in America. It is imperative that health care costs are managed and soon because the government is finding it quite difficult to sustain everyone’s needs. In addition, healthcare reforms must be made to lessen healthcare costs before the quality of healthcare reduce in a drastic way. Healthcare spending has been on a continuous incline in America throughout the years. According to Center for Medicaid and Medicare Services, in the year of 2008 health care cost rose to $2.3 trillion in the United States; this was 4.4% higher than 2007 costs. Healthcare costs are averaging a little over %16 of the entire Gross Domestic Product (GDP). In 2008 Medicare spending increased 8.6% and Medicaid spending increased 4.7% in the same year. In addition, hospital stays physician rates, clinical visits, and prescription medications increased as well. 31% of a $1.6 trillion healthcare cost has been designated strictly for hospital stay care. Clinical and physician services are accountable for about 22% however, proposals from physicians account for a much vaster percentage of health care costs. Prescription medications...
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...com/essay-on/Healthcare-Reform/115333 Kyle LaBelle Participation in Government Healthcare Reform Research Paper My question is, how long is it going to take for the world’s most powerful country to create a sustainable healthcare system? We have spent too many years with small reforms, ; we need big changes, and we need them soon. Healthcare has a long and detailed history in the United States. Since the beginning of the 20th century, it has been a major source of political debate. Both federal and state governments have made efforts in trying to take steps toward a universal health care system. Early reform poured the foundation for today’s government healthcare programs. The United States witnessed social movements that demanded access to the American dream. People who were viewed as second-class citizens banded together and demanded reform on their behalves. The largest of these movements was a demand for universal healthcare. American’s greatest issue was sickness and missing work. When working individuals missed work due to “sickness” they lost their wages. The loss of income made sickness the leading cause of poverty. Reformists saw a need for national healthcare and the campaign began. Health insurance that would protect the worker against wage loss and expenses incurred from medical treatment. In 1906, the American Association of Labor Legislation (AALL) became active in the push for national health care. They created a committee that concentrated on healthcare insurance...
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...care services in the United States: patient-centered care, managed care, and the collaboration of health care systems with insurance providers. The United States is made up of diverse groups of people who all have different preferences, morals, values, and traditions (Carr, 2017). Patient-centered care is healthcare professionals, healthcare systems, families, and patients working together in the meaningful and valuable interest of the patient (Carr, 2017). Effective communication is among the necessary skills and attitudes healthcare professionals must acquire to meet the needs of patients and improve overall quality and safety in system-wide healthcare delivery (Carr, 2017)....
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...Healthcare in Brazil Introduction Brazil is a developing and growing nation. A developing nation is defined as a country having a standard of living or level of industrial production well below that possible with financial and technical aid or a country that is not yet highly industrialized. Although, there are many things that Brazil can do to work on increasing it’s standard of living, there is a significant healthcare system in place. The healthcare system in Brazil is broken up into two segments, which include private and public. The Brazilian healthcare system has values, beliefs and perceptions that have many similarities and differences as compared to the United States of America. Sectors Brazil has a healthcare system that is broken...
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...In efforts to reform the United States healthcare system and create a nationally unified data exchange system the federal government has established an incentive program to eligible professionals and hospitals. The federal government has turned to certified electronic health record (EHR) technology to help facilitate the process of broadening health IT infrastructures. The federal government views EHR system used in meaningful ways as the key to reforming the healthcare systems. Meaningful use of the EHR systems can also improve the overall quality of healthcare, insure patient safety, as well as reduce the cost of healthcare to individuals (Bigalke & Morris, 2010, p. 116). The responsibility of employing the new EHR Medicare and Medicaid incentive programs has been given to the Centers for Medicare and Medicaid Services (CMS) under the American Recovery and Reinvestment Act of 2009. CMS established and launched standards and managed the implementation specifications. CMS also oversaw the certification criteria, including the certification process for the EHR technology. The Centers for Medicare and Medicaid Services also insured the safety of the patients by establishing privacy and security protections under the Health Information Technology for Economic and Clinical Health (HITECH) Act (Burchill, 2010, p. 232). The Centers for Medicare and Medicaid Services provided incentive payments to eligible professionals and hospitals that are determined to be meaningful users of a...
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