...HEALTH SERVICE DELIVERY MODULE 8.1 Overview This chapter presents the health delivery module of the assessment. Section 8.1 defines health service delivery and its key components. Section 8.2 provides guidelines on preparing a profile of health service delivery for the country of interest, including instructions on how to customize the profile for country-specific aspects of the health delivery process. Section 8.3 presents the indicator-based assessment, including detailed descriptions of the indicators. Section 8.4 discusses how to summarize the findings and develop recommendations. 8.1.1 What Is Health Service Delivery? The World Health Organization (WHO) defines service delivery as the way inputs are combined to allow the delivery of a series of interventions or health actions (WHO 2001b). As noted in the World Health Report 2000, “the service provision function [of the health system] is the most familiar; the entire health system is often identified with just service delivery.” The report states that service provision, or service delivery is the chief function the health system needs to perform (WHO 2000). As such, Figure 8.1 (see also Chapter 1, Figure 1.1) shows the relationship between service delivery and the other modules of this health systems assessment and their relationship with health system objectives. Because of the limited time to conduct this assessment, more emphasis will be placed on personal health (as opposed to public health) services and service delivery...
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...mother can do it will help both her and the baby. Many benefits of breast milk are noted for mothers, babies, and others. Breast milk has disease-fighting cells called antibodies that help protect infants from germs, illness, and even SIDS. Infant formula cannot match the perfect chemical composition of human milk, specifically the cells, hormones, and antibodies that fight disease. The private practice of lactation consultants has increased over the last decade. According to the CDC (2006), the rates of breastfeeding have slightly increased. Healthy People objectives for breastfeeding in early postpartum period, at six months, and 12 months are 75%, 50%, and 25%, respectively. Healthy People 2010 objectives for exclusive breastfeeding through three and six months of age are 40% and 17%, respectively. National data on exclusive breastfeeding are available only from respondents interviewed after 2005 and thus are not available for children born prior to 2003. The Private Practice of Lactation Consultants (PPLC) will provide care and assistance to any mother who is breastfeeding regardless of financial ability to pay. The need for lactation consultants outside of the hospital settings are need for the long-term care of mothers who choose to breastfeed for longer than the initial newborn period. Problems with breastfeeding tend to appear as the child grows and milk production changes. Many mothers will stop breastfeeding when problems arise because they do not have a specific...
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...critical capacities By G. Johnson This article written by G. Johnson, discussed the overcrowding of the NB emergency department due to increase capacities of NB hospital which force local residents, particularly those from low income household, the homeless or the un- insured to invade the already overcrowded ED for sickness or injuries that could have been prevented or treated at home. Although use of the ED for non-urgent and preventable conditions appears to be common and growing, identification of these conditions remains imprecise. One study attributed all of the increase in total ED visits between 1997–1998 and 1999–2000 to visits classified as semi-urgent (care required within 1–2 hours), non-urgent, or no/unknown triage (Cunningham , 2006). Another study, however, found that 6 percent of patients triaged as non-urgent were later admitted as inpatients (Young, Wagner,Kellerman, et al, 2006). Doctor Gordon director of the NB hospital ED physician suggested that, “People need to be educated on particular symptoms, because most of time sickness or injuries could be treated at home. Increasing hospital capacities force people to come to the ED for basic health care and a waiting period that can exceed up to six hours”. According to the ACEP (American College of Emergency Physicians), emergency department visits in 2009 rose to 136 million, up from 96.5 million in 1995. At the same time, the number of emergency departments decreased by 9 percent resulting in dramatic...
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...HOSPITAL MANAGEMENT INFORMATION SYSTEM Group Members- Rohan Rodrigues-03 Deepa patel-32 INTRODUCTION Hospitals are the key institutions in providing relief against sickness and disease. They have become an integral part of the comprehensive health services in India, both curative and preventive. Significant progress has been made in improving their efficiency and operations.Effectiveness of a health institution - hospitals or nursing homes, depends on its goals and objectives, itsstrategic location, soundness of its operations, and efficiency of its management systems. The administrator's effectiveness depends upon the efficiency with which he is able to achieve the goals and objectives. Some of the major factors determining the effectiveness of a health institution includes patient care management and patient satisfaction. Hospitals are very expensive to build and to operate. Administrators and professionals have to be extremely cost conscious. Effective computerised systems and procedures need to be implemented to ensure proper utilization of limited resources toward quality health care. It becomes even more important when an in-house medical facility is provided by an industry for it’s employees, as is the case for Tata Steel. Patient care management in Tata hospital has fully utilised the power of computers in Medicare, whereby network of integrated systems maintaining patient database for the hospital services in the areas of Pathology, Radiology, Medical Research...
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...HCR/230 April 08, 2012 Jetonga Keel Financial Policy and Procedure Jasper Rural Clinic Policy All of our staff is here to help you in any way possible. We are here to make sure your visits are pleasant and professional. Our policy is to make filing your claim easy. We will file your claim for you. Payer will send the payment to our office to save time and money. You the patient are responsible for all charges. Patients who receive the payment from their insurance company may be asked to pay in advance. Our staff will answer all your questions if possible. * Co-payments are due at the time of your visit, if you do not have the co-pay you will have to make a new appointment. * Deductibles will be disguised at the time of visit. If a procedure is not covered by your insurance we will inform you before the procedure is done. You the patient can decide if you want to pay for the procedure. * Past due payments may cause the office to refuse to see you. After 120 days we will send your bill to a collection agency. * Per-arrangement payments can be set up to help cover a procedure that your insurance company will not pay for or to cover co-payments for other visits. * Patients with no insurance will be required to pay the office and doctor visit in full at the time of service. Or fill out a financial assistance form for low income patients. You are still responsible for the bill until you are approved. Our Rural Clinic Office is HIPAA compliant. We make sure...
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...Health care in France http://about-france.com/health-care.htm La Securite Sociale Objectives: • Leadership and governance • Health financing • Human resources • Health information systems HiT summary Overview • Ranked number one by WHO in 2000 o High level of population health, degree of freedom for physicians and patients o Easy access to health care for most people o Absence of waiting lists • Changed in 1996 with jupee reform o Shifted power from health insurance funds to state • System has been successful in: o Maintaining high level of population health o Many challenges including: • Ageing population • Increasing health care expenses • Decreasing number of doctors Health finances • Total expenditure is approximately 9.5% of GDP in 2001 • 76% of total health • Recognized as offering one of the best services of public health care in the world • System that works → provides universal cover o Defended by those in France Health care system: • Made up of a “fully integrated” network of public hospitals, private hospitals, doctors and other medical service providers” • It is a university service o Provides HC for every citizen, regardless of social status, age or wealth → equality France government • Independent republic with an elected president and bicameral parliament • Country divided into three levels o Municipal o Local o Regional • Each has own elected assembly and some autonomy from center Population...
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...Common Review Mission REPORT OF Jammu & kashmir November 2007 National Rural Health Mission (NRHM) Government of India 1 REPORT OF Common Review Mission - Jammu & kashmir National Rural Health Mission (NRHM) Government of India The Common Review Mission (CRM) under NRHM for the state of Jammu & Kashmir comprised Dr Amarjeet Singh Mission Director 9NRHM), SHS & Commissioner (Health), Medical Services and Medical Education, Government of Gujarat. Dr Tarun Seem Director, Ministry of Health & Family Welfare, Government of India. Dr AC Baishya Director, NE Regional Resource Centre, Guwahati The state visits under the CRM started on 15th November 2007 and ended on 19th Nov 2007 during which health facilities in various districts in Jammu and Kashmir divisions were visited. The meeting with the state Health department was convened on 17th Nov 2007. The List of Persons who attended the meeting on 17th November on behalf of the Government of J & K is placed as Annexure 1 to this report Key findings of the CRM were shared with officials from the state Government during the meeting and a presentation was made by the state about progress of the Mission as well as financial matters. A copy of the presentation made during the meeting is placed as Annexure 2 to this report. The representative from EPOS, which is the technical agency entrusted with preparation of facility surveys and District Health Action Plans also made a presentation on key features of their work. Background...
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...emergency department visits that enable research on a broad range of health policy issues including cost and quality of health services, patterns of medical practice, access to healthcare programs, and outcomes of treatments at the national, State, and local market levels [9, 10]. The HCUP databases and supplemental files are available...
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...Even though health care spending seems excessive right now, there are several ways it can be addressed effectively to decrease the amount in the future. Spending The National Health Expenditures (NHE) includes the amount of spending on private and public administrative costs, personal health services, government public health spending and investments involving costs of equipment, non-commercial medical research, and buildings (U.S. Department of Health and Human Services, 2011). The current level of the NHE has raised $2.1 trillion in the year 2006, $2.25 trillion in 2007, and projects to reach $4.3 trillion by 2017 (U.S. Department of Health and Human Services, 2011). The most recent forecasts of health care estimates a yearly growth rate of seven percent, which equals to the gross domestic product (GDP) of 19.5 % by 2017 (U.S. Department of Health and Human Services, 2011). This projection expects health care to consume even more of the GDP, although the population ages, and more medical devices and expenses drugs are developed. National Health Expenditures (2009)—Actual and Projected, 1965–2018 Graph (U.S. Department of Health and Human Services, 2011) [pic] The spending on health care is massive because consumers are...
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...care environments that are available for patients carry many different financial obligations. There is a wide range of financial situations in healthcare. The Veterans Hospital Administration (VHA) usually requires no payment for veterans. Hospitals are a varied mix due to the patient’s insurance and payment options. Even with an excellent insurance plan, many patient, find they pay a significant co-payment along with insurance. With a surgical procedure, they may be paying anesthesia, x-ray, the physician, the surgical suite and the hospital stay. Most people are fairly shocked at being billed by so many being with one visit. Assisted Living arrangements are strictly full pay and are not covered by any insurance plan. Entity from Each Health Care Financial Environment A for profit selected is the Assisted Living Centers. These are becoming more productive as adults are entering the age when they do not have the physical ability to care for themselves at their home. They may want more social interaction or may have lost their spouse and feel this is a better way of having a way of keeping up with their health issues. Often they want to be close to family and friends and an Assisted Living Center is created to be very hotel like living with a number of conveniences depending on the level of price. Hospitals are different level of financial structure but are most commonly not-for-profit. This is distinct from a non-profit in that they still are seeking a profit to sustain...
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...Community Resources and Hospital Avoidance Programs Mrs Field and her transition home must be carefully planned and implemented through a restorative healthcare model to ensure her health and wellbeing, in addition, to prevent hospital re-admission. To ensure Mrs Fields health and wellbeing, different community resources may prove beneficial in her transition, coherently working towards hospital avoidance through health promotion and strategies. Home-Delivered Meals As revealed prior, Mrs Field was presented to hospital malnourished, overall impacting her recovery time, health and discharge planning due to her social isolation and need for a balanced and healthy food intake (College of Nursing & Health Sciences 2015; Siddique et al. 2017,...
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...Non-Urgent Emergency Department Visits in Patients at PrimaryPlus Cynthia D. Schaefer MSN APRN, FNP-BC Maysville, Kentucky 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 Decreasing the Incidence of Non-Urgent Emergency Department Visits in Patients at Primary Plus Cynthia D. Schaefer MSN APRN, FNP-BC Maysville, Kentucky Associates Degree in Nursing, Lincoln University, 1995 Bachelor’s Degree in Nursing, University of Missouri St. Louis, 1998 Master’s of Science in Nursing, Northern Kentucky 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...
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...of governmental ties, dependency of advancing technology, and the expenditures of what healthcare would bring upon the American people. This brought about the greater need for accountability for services rendered at that healthcare institution (Morrison, 2011). Healthcare regulatory agencies have also had to keep up with the evolving healthcare fields. American College of Surgeons started a standardization of practices in the healthcare fields. This later developed with various other adjoining forces into what we know today as the Joint Commission on the Accreditation of Hospitals. In 1987, this evolved into the Joint Commission on Accreditation of Healthcare Organizations (JCAHO). This accrediting agency had influences among the ambulatory care, assisted living, home health, behavioral, health, laboratories, long term care, and office based surgeries (Morrison, 2011). JCAHO was developed to set a standard of care that held these services accountable for. This helped to have hospitals provide the same level of quality care to the people they served from the community. This in turn provided safe care to the patients. During the initial stages of accrediting when JCAHO was first developed, they would base their results on hospitals self-scoring. Time passed on, hospitals grew and the status of being JCAHO accredited began to be more valuable, the assessment phase took on a new level of involvement (Morrison, 2011). The assessment phase of accrediting focused...
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...Non-Urgent Emergency Department Visits in Patients at PrimaryPlus Cynthia D. Schaefer MSN APRN, FNP-BC Maysville, Kentucky 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 Decreasing the Incidence of Non-Urgent Emergency Department Visits in Patients at Primary Plus Cynthia D. Schaefer MSN APRN, FNP-BC Maysville, Kentucky Associates Degree in Nursing, Lincoln University, 1995 Bachelor’s Degree in Nursing, University of Missouri St. Louis, 1998 Master’s of Science in Nursing, Northern Kentucky 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...
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...Strengthening Patient Registration and Fraud Prevention using Cloud Computing Technology at George Hopesman-Wubarte Hospital By XXX Managerial Applications of Information Technology – MIS535 Professor XXX DeVry University, Keller Graduate School of Management August 17, 2013 Table of Contents 1.0 ABSTRACT3 2.0 BRIEF COMPANY BACKGROUND4 3.0 BUSINESS PROBLEM4 4.0 HIGH LEVEL SOLUTION5 5.0 GENERAL BENEFITS6 6.0 BUSINESS/TECHNICAL APPROACH AND IMPLEMENTATION PLAN 8 7.0 BUSINESS PROCESS CHANGES13 8.0 HISTORICAL RESEARCH15 9.0 TECHNOLOGY/BUSINESS PRACTICE19 10.0 CONCLUSION AND OVERALL RECOMMENDATIONS25 11.0 REFERENCE27 1.0 ABSTRACT George Hopesman-Wubarte Hospital (GHW) has been a nationally recognized leader in the healthcare industry for several years. However, in order to remain the innovative leader of its kind, the Greinly and Associates Consulting Group (GACG) has been asked to give some recommendations on how Information Technology can bring some improvements. The results of a conducted study of the patient information and medical records system indicted that a biometric known as Electronic Health Records (EHR) would drastically improve the timeliness and security of this process. A complete comprehensive study of the current antiquated system has been done. This study has allowed for the recommendations of how to implement the business and technical changes of the old system into the new EHR system to be brought forth. A theoretical analysis, backed...
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