...the last six months of life is raising the costs of healthcare. America spends 2.5x more per patient than the average country [3]. Even in places like Switzerland and Norway where healthcare is quite good they spend 66% percent of what the U.S. spends to achieve similar outcomes [3]. One might callously argue that healthcare is a privilege not a right and the rising costs simply means people will have to work harder to receive care. This notion is also incorrect. Most patients tend to be elderly and covered under Medicare. As such, increasing healthcare costs will put a strain on the federal budget, which will limit the government’s ability to provide for better education, roads and other vital services. In fact, it was estimated that spending on Medicare and Medicaid alone, which constitutes 5% of the GDP, could soar to 20% of the GDP in 2050 [2]. These are rather alarming statistics, which might inspire certain sinister dystopian thoughts. However, there is no need to go that far. A much better solution is...
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...LEADER 10-11 THAT IS APPARENT IN THE EFFECTIVE PROVISION OF HEALTHCARE DISCUSSION ON LEADERSHIP STYLE OF A LEADER 11-12 THAT FACILITATES POSITIVE STAFF DEVELOPMENT CONCLUSION 12-13 INTRODUCTION in today ever rapid changing and challenging healthcare environment, nurses are required to develop their leadership skills where effective leadership styles they choose to deliver high quality care with improved patient safety outcome (Treguno et al, 2009); healthy work environments (Shirey, 2009): job satisfaction (Heller et al, 2004; Sellgren et al, 2007); lower turnover rates (Gelinas and Bohen, 2000); and positive outcome for organization and patients (Wong and Cummings, 2007) and healthcare providers (Cummings et al, 2005). It must be emphasized that leadership should not be viewed as an optional role or function for nurses. Nurse leaders nowadays confronting challenges like new roles, new technology, financial constraints, greater participation, cultural diversity and education We must be aware and realized that leadership is a must in all healthcare facility where effecting change and achieving high standards of patient care are stipulated in job titles, such as Director of Nursing, Nurse Consultant, or Modern Matron (Sulivan and Garland, 2010). One of the most challenging nurses faced today in nursing profession is...
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...nursing practice, (ENA 2015) which differs from the Board of Nursing. The Board of Nursing serves as a regulatory board, overseeing the practice and licensure of each nurse. Some professional nursing organizations, such as NSO, provide liability insurance to nurses. Other benefits of professional organizations may include free CE, preferred pricing on exams, resources, and networking. Being a member to both of the above organizations has given me peace of mind and continuous learning and growth in my nursing career. PNO functions are different from regulatory agency such as a regulatory agency has the power to revoke a nursing license or bring legal actions against a nurse but a PNO are mainly resources to enhance nurses. Every nurse is faced with the nursing code of ethic in their practice. An unethical nurse cannot practice nursing for very long or should. Nurses face ethical hurdles every shift, such as confidentiality and autonomous choices. Confidentiality is crucial to the patient and also to the reputation of a nurse. A nurse has access to...
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...Diane Hotaling HT1000 Week 3 assignment 3/18/2014 The 5W’s behind recent healthcare reform initiatives and how they have, are or can impact the delivery of healthcare and HIM professionals. There have been many controversies over healthcare reform ideas and all the issues that may or may not arise affecting everything from the delivery and costs to the patients, HIM and surrounding professionals roles, and the politicians and the different ideas they stand behind. Examples of some of the most influential and recent initiatives are HIPAA (Health Insurance Portability and Accountability Act)enforced in 1996 and ARRA (American Recovery and Reinvestment Act) and its revision HITECH(Health Information Technology for Economic and Clinical Act) of 2009 Each of these reforms have impacted the delivery of healthcare and therefore everyone in the U.S and especially with each reform new challenges, changes, benefits and/or problems for the HIM professionals and their roles and all they consist of. An HIM professional can work in many environments, including from home, private offices, doctors offices, nursing homes, hospitals and anywhere else that healthcare and/or PHI and/or EHR are handled. The HIM profession not only exists physically in numerous healthcare places but can work in numerous areas in the field such as medical billing and coding, a secretary, in any health area as a clerk, with many electronic systems such as HHS, MPI, HER, RIS and so many more and as the medical...
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...lasting relationships. A person must be aware of their presence and understand themselves to have a confident professional presence. Models of Health and Healing I am a mindful person and can easily drown out the distractions of the everyday noise of the unit so I can remain on track. It is important to try and think outside the box and keep your eye on the big picture. Utilizing critical thinking skills is a must. Everyday, every shift, a person is faced with making a difficult decision quickly with a limited amount of information. I currently work in a behavioral health setting. The pace of the unit can change rapidly during a shift. I feel my practice is a mixture of the first model of physical body and also the third model of body-mind-spirit. In behavioral health we often are more focused on the emotional care aspect, remembering to be culturally sensitive to our clients as well as respecting their spiritual beliefs and incorporating these aspects into their individualized recovery plan. With the advancements our society has achieved in medication, sometimes the cultural and spiritual beliefs can be easily overlooked by providers. As a nurse, it is important to know your clients’ beliefs to help them communicate their perspective to the provider if they do not feel comfortable doing this alone. Working in behavioral health, there are times when the physical body concerns have been overlooked. A though admission assessment needs to be completed,...
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...at which the trust fund will run out, according to Social Security Administration projections, has receded steadily into the future: 10 years ago it was 2029, now it’s 2042. As people high up, and others have pointed out, the SSA estimates are very conservative, and moderate projections of economic growth push the end date into the indefinite future. It is primarily funded through a dedicated payroll tax. During 2011, total benefits of $736 billion were paid out versus income (taxes and interest) of $805 billion, a $69 billion annual surplus. An estimated 158 million people paid into the program and 55 million received benefits, roughly 2.87 workers per beneficiary. Reform proposals continue to circulate, due to a long-term funding challenge faced by the program. Starting in 2011 and continuing after, program expenses are expected to exceed cash revenues. This is due to the aging of the babyboom generation, expected continuing low birth rate (compared to the baby-boom period), and increasing life. Further, the government has borrowed and spent the accumulated surplus funds, called the Social Security Trust fund. At the end of 2011, the Trust Fund was valued at $2.7 trillion, up $69 billion from 2010. The Trust Fund consists of the accumulated surplus of program...
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...Rights of undocumented aliens to healthcare Name: Institution: Date: Executive summary According to the US Congress in 2010, President Obama made the PPACA a law but still this act does not include the undocumented aliens in the medical coverage. This report reviews the rights of the undocumented aliens to healthcare and hoe this can be improved. This research discovered that the undocumented aliens have limited access to health care due to lack of identity papers. This is due to the fact that they earn very low income and medical insurance coverage is lower for the undocumented aliens. As a result, they rely on the safety-net medical care providers such as social health centers as this centers continue to provide care for the undocumented aliens. This research also reviews the limitations and problems faced by the undocumented aliens in accessing health care and as a result the ploys they use to access medical care. The findings of this research show that they mostly rely on treating themselves with over counter drugs or in the cases of extremes they use unofficial networks to seek treatment. Also, it is evident that they would do anything to safeguard their cover from being discovered and these results in stress and psychological disorders. Another finding is that despite the healthcare reforms, undocumented aliens still have no rights to access health care compared to the US citizens. This research recommends designing of programs which focus on the issue of undocumented...
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...University, 2008 An Evidenced-Based DNP Project Report presented to Frontier Nursing University in partial fulfillment of the Degree: Doctor of Nursing Practice September 16th 2016 Dr. Jana Esden Committee Chair Name and Credentials of the chair None Committee Co-Chair (if applicable) Name and Credential of the co-chair Dr. Adit Ginde Content Expert Name and Credentials of the content expert Due in the Registrar’s Office for Graduation September 16th 2016 Abstract Title: Decreasing the Incidence of Non-Urgent Emergency Department Visits in Patients at PrimaryPlus. Definition of the Problem: Improper utilization of Emergency Departments for non-urgent issues has become a growing problem nationwide and contributes to an extreme wastage of healthcare dollars. Statement of Purpose: The purpose of this clinical doctorate capstone project is to discover ways to decrease the incidence of non-urgent emergency department visits for...
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...University, 2008 An Evidenced-Based DNP Project Report presented to Frontier Nursing University in partial fulfillment of the Degree: Doctor of Nursing Practice September 16th 2016 Dr. Jana Esden Committee Chair Name and Credentials of the chair None Committee Co-Chair (if applicable) Name and Credential of the co-chair Dr. Adit Ginde Content Expert Name and Credentials of the content expert Due in the Registrar’s Office for Graduation September 16th 2016 Abstract Title: Decreasing the Incidence of Non-Urgent Emergency Department Visits in Patients at PrimaryPlus. Definition of the Problem: Improper utilization of Emergency Departments for non-urgent issues has become a growing problem nationwide and contributes to an extreme wastage of healthcare dollars. Statement of Purpose: The purpose of this clinical doctorate capstone project is to discover ways to decrease the incidence of non-urgent emergency department visits for...
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...rapid population growth rate of the modern world endangers human development and weakening the capacity of the contemporary communities to adapt and respond to climate change. The interrelation of population and climate changes lies in mitigation and adaptation. For this reason, people should reduce the levels of greenhouse emission and subsequently decrease the vulnerability of the population to the effects of climatic change. The science of climate changes integrates profoundly with the dynamics of the population. For example, the mass migration of people from the regions with adverse climatic effects has become a legitimate response to the extreme weather conditions. In the modern societies, climate changes dictate the manner in which people relate and coexist in their daily lives. In addition, it redefines the quality of our nutrition as plants vary in relation to the changing patterns of weather and climate. According to...
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...Vulnerable Populations Shanna HCA430 Margaret McGannon November 26th, 2012 It would seem that if asked, majority of the world has heard the term “hobo”. Most would find this word as a person who lives in a shelter or under an overpass and begs for handouts. What most who do not know is that there are a long list of reasons why this person is standing there begging for handouts and a tattered clothes, unshaven beard, an unseen smell that comes from them. Homeless people have existed throughout history of the United States. However, more recently, it would seem that the numbers have risen since the economy is not doing so well. Within this paper, the model population homeless person will be discussed along with statistical information in Georgia, service outcome goals, pinball program to teach the goals that include to community organizations, internalized cost estimate of healthcare dollars saved by this program, and to potential funding sources that may potentially provide monetary sponsorship. According to the declaration of human rights, article 25 (1), states that “everyone has the right to… food, clothing, housing, and medical care and necessary social services” (Donohoe, 2004). Although, it states right there that it is every person’s right to have access to these necessities, this is not always the case for many who for whatever reason, do not have the means to afford them. The current downturn of the economy next with current unemployment situation has...
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...in today’s healthcare world, a hospital must be aware of opportunities to grow and reduce costs and be supported by Total Quality Management Process. The TQM process helps the hospital to create new products, ensure the standards of quality and client satisfaction and deliver improved services. In addition, the TQM process also helps in improving a company's bottom line profits by increasing operating efficiencies, eliminating waste, and creating working conditions conductive to productivity and company growth. The employees must work in healthy environments, which maximizes their efficiencies and enables them to perform at their best levels. In both the short-term and long-term, the quality improvement process pushes the company from different angles to achieve strategic goals and plans. One of the important processes of patient care is proper medical documentation and updated medical records. Description of chosen process Accurate and complete medical documentation is the responsibility of medical transcriptionists. However, the challenges to medical transcriptionists and the medical transcription industry are complex and varied. Pressures associated with cost, demand, workforce limitations, technological development, globalization, policy and awareness issues come together to create a picture that changes depending on one’s perspective and point of view. Trying to assemble these factors into a clear picture is a difficult challenge; yet a necessary challenge if the workers...
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...is non-partisan, non-profit that has led the legal defense and education of the Oregon law for nearly twenty years; however, the actual law for death with dignity was not passed until 1994 and due to legal issues, it became effective later in 1997. The Board of Directors for Death with Dignity Movements are some of the most esteemed medical, legal and scholarly experts, which are responsible for the political defense of the Oregon law and the promotion of death with dignity initiatives in other states. The Oregon Death with Dignity act has given patients what others might think or find deplorable a chance to die with dignity in their own terms. The Act allows mentally competent terminally ill adults who have six months or less to live receive, under strict safeguard, a prescription for life ending medication The goal of the Death with Dignity National Center is three fold: defend dignity, mobilize dignity, and preserve dignity. To Defend Dignity, the Death with Dignity National Center works with an “extensive and costly legal defense of the Oregon law, as well as coalition building providing the flexibility to rapid response to both legal and political challenges” (DWDNC, 2011). A second goal of the Death with Dignity National Center is to mobilize dignity. In mobilizing dignity, the Death with Dignity National Center “provides various educational and outreach resources which identify and support states actively seeking to pass death with dignity laws similar to the state of...
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...CHAPTER ONE 1.1 Background to the Study Health is central to the development of any human society, thus an adequate healthy society can improve the social status of the people (Akanbi, 2014). Though healthcare is a vital service, however, it is often treated from symptoms rather than the causes of the poor health. WHO (1948) affirms that, health is a state of complete physical, mental and social well-being and not mere absence of disease and infirmity. Health is a positive concept emphasizing social and personal resources, as well as physical capacities. In recent years, much evidence has been accumulated which shows just how important the planning of physical, social, and economic environment in which we live and work is to our health. Conversely, physical planning systems are the methods used by the public sector to influence the distribution of activities in spaces of various scales (Andreas and Bas, 2002). Also, it is a process intended to promote sustainable development and is defined as goingbeyond traditional land use planning to bring together and integrate policies for the development and use of land with other policies and programmes which influence the nature of places and how they function.In the developing countries, a substantial and growing population lives in or around metropolitan areas and megacities (Adesina,2007). The urban sector of any country is never static. It changes with time, in fact as the days and years go by, the urban landscape is altered...
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...government expenditure and private investment at sectoral level. iii. Review the fiscal and monetary policy in quest of developing a conducive framework for financing economic growth and poverty reduction. iv. Review the financing policies of the government related to social development and poverty (including policies related to health, education, women, children, indigenous people, etc.). v. Explore the challenges and options for resource mobilization to finance public expenditure and private investment. Methodology In congruence with the objectives of the study, a draft outline for the study and a framework for reviewing the national policies were prepared. While preparing the outline, the following issues were considered: analyzing past and ongoing policy reforms and their implications to growth and poverty reduction; reviewing revenue and development expenditure patterns in the national budgets, their sources and trends, identifying challenges and options; analyzing source of rural financing and agricultural credit, related policy environment and implications, identifying future challenges and options; analyzing sources of financing of small and medium enterprises, related...
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