This investigate research paper will examine the factors that impact ethnically and racially diverse communities perceive the use of the health information exchanges and electronic health records and the barriers that impact usage. Healthcare organizations are now to using electronic data by developing and purchasing different financial information systems. The use of computers and information systems impacts all areas of healthcare now healthcare is being delivered more in ambulatory settings which require advance technology development. The purpose of this type of care is to render care to patients whom come to physicians’ for medical procedures, services, and test which are done on the patient without an overnight stay. Ambulatory services Ambulatory services have developed new diagnostic and treatment procedures surgeries are less invasive with shorter acting anesthetics have drastically dropped the recuperation time. Now some office based physician have expanded their ability to do ambulatory diagnostic, treatment and surgical services. The cost of getting this type of technology has become more feasible and cost effective. Prior authorization policies for inpatient admission and close monitoring during hospitalization stays have discourage lengthy hospital stays. Due to the growth of managed care and consolidation of large hospital-centered institutions, physicians have lost control over the delivery of medical care. Now more physicians are starting specialized ambulatory care centers and they are able to perform more procedures in less time while earning higher incomes. Many of the Ambulatory clinics are in the suburbs because patient tends to like the at home feeling. They dislike the feeling of being institutionalized and prefer to stay in their own There are many benefits to using Ambulatory services because they generally cost less. At first the health insurance coverage for these types of services was limited. This changed in the mid – 1980’s when Medicare substituted a prospective payment system for the cost plus system to reimburse inpatient hospital services. This system was based on diagnosis-related groups that provide fixed case based payments to hospitals. The Ambulatory sector was unlimited therefore hospitals began to shorten inpatient stays to provide Ambulatory treatment. In 2000, Medicare implemented a reimbursement for Ambulatory services called Ambulatory Prospective Payment System for hospital Ambulatory departments and home health resource groups for home health car. This to health with cost containment and stress, lower inpatient use. Ambulatory services are offered in many different facilities. Most are attached to hospitals or other medical facilities. They range from different surgery centers, lab centers, and physical therapy centers. There are also specialized centers such as orthopedics, chemotherapy, Ambulatory surgery, renal dialysis, and cardiology. A few examples of these services is mental health counseling and weight loss centers for wellness and prevention services. As well lab centers such as LabCorp, which perform laboratory test ordered by physicians. Physical therapy and drug
Strengths Long-standing reputation Provision of quality healthcare Highest rank in patient satisfaction Recipient of Joint Commission accreditation Serving a diverse population Weaknesses Smaller than other four hospitals Decrease in net profit Increase in expenses Significant increase in long-term debt Not-for-profit status Opportunities Changes in government regulations Change in lifestyle Influx of patients due to higher patient satisfaction Cost savings Opening of some outpatient clinics and surgery centers Threats Too much competition
Payment basis is known as the methods used by the one making payments for services provided by hospitals or doctors. There are three payment determination bases. First, cost-payment basis is a method for determining fees for medical services, and is basically the underlying method for payment is the provider’s cost. The exact amount is determined and agreed upon by both the provider and the patient. For example, the healthcare provider’s cost for providing the service could be $2,000. The healthcare provider can then choose to charge 70% of the total charge, which comes out to be $1500. There are different levels that can be used in cost based reimbursement. On the macro basis, payment can be provided for a whole array of services. Contrarily, payments for specific items are on a micro basis. Critical access hospitals usually use macro level cost reimbursement. On the other hand, healthcare providers often use micro level cost reimbursement when charging for expensive medications, meaning that the price of those medications will be based differently than their usual services (Abbey, 2012).
Therapy and inpatient psychiatric units can be extremely helpful for patients who need professional help. There are multiple types of inpatient facilities and many to choose from for a specific condition. Types of inpatient psychiatric facilities may include: drug addition, alcohol addition, sexual addiction, trauma, mental health disorders, eating disorders or other conditions. Laureate Eating Disorders Program is an eating recovery center located in Tulsa, Oklahoma.
Acute care facilities provide treatment and care for patients with sudden or unexpected illnesses or injuries that may lead to death. Non-acute care facility includes home health care, long term care, residential care, hospice, extended care, rehabilitation, nursing home, adult day care, and geriatric care.
There has been a shortage of physicians, lack of inpatient beds, problems with ambulatory services, as well as not having proper methods of dealing with patient overflow, all in the past 10 years (Cummings & francescutti, 2006, p.101). The area of concern that have been worse...
Many new technologies are being used in health organizations across the nations, which are being utilized to help improve the quality of health care. Electronic Health Records (EHRs) play a critical role in improving access, quality and efficiency of healthcare ("Electronic health records," 2014). In order to assist in expanding the use of EHR’s, in 2011 The Centers for Medicaid and Medicare Services (CMS), instituted a EHR incentive program called the Meaningful use Program. This program was instituted to encourage and expand the use of the HER, by providing health professional and health organizations yearly incentive payments when they demonstrate meaningful use of the EHR ("Medicare and medicaid," 2014). The Meaningful use program will be explored including its’ implications for nurses, nursing, national policy, how the population health data relates to Meaningful use data collection in various stages and finally recommendations for beneficial improvement for patient outcomes and population health and more.
In consequence, this will limit poor adults finding the proper treatment since many doctors do not accept Medicaid patients. High rates of uninsured populations were associated with lower primary care capacity (Ku et al., 2011). Thus, expanding insurance coverage can support more primary care practices in rural areas and can help equal the gap in primary care positions. The impact of not expanding affects APRN practice by limiting them to practice in areas where they are needed the most. This not only affects APRNs from practicing without a physician supervision but also limit those that need coverage for basic preventive measures to reduce non-paying visits to the emergency room. Ensuring access to care will be contingent upon the ability to attain progress from insurance coverage and primary
D1: I have decided to look at a 6 year old going through bereavement. Bereavement means to lose an individual very close to you. When children go through bereavement they are most likely to feel sad and upset about the person’s death. Children at a young age may not understand when a family member dies. Children may not understand bereavement. For example a 6 year old’s father been in a car crash and has died from that incident. Death is unpredictable and children can’t be prepared for a death of a family member as no one knows when someone is going to die or not. Unfortunately every child can experience bereavement even when a pet dies. It is important that we are aware that effects on the child so we can support them in the aftermath.
What is the central component of advanced practice nurses (APNs) direct clinical practice and patient/families?
I believe the most significant moment in the history of British welfare was the birth of National Health Service. The purpose of this essay is to outline the history of the National Health Service and why it was introduced into the everyday lives of the British people. As the National Health Service is a major factor of the welfare given to the people of Britain, we must look at the early years of the Welfare laws and acts passed down through the centuries, which eventually lead to the creation of the NHS. In addition to explore how social policy had an impact on the NHS, the essay will tread the discussion in the context of some of the economic, political and social concepts that influences the development of social policy in the NHS. It also
In 1983, the Medicare prospective payment program was implemented, which allowed hospitals to be reimbursed a set payment based on the patient’s diagnosis, or Diagnosis Related Groups (DRG), regardless of what treatment was provided or how long the patient was hospitalized (Jacob & Cherry, 2007).... ... middle of paper ... ... Case Management Related to Other Nursing Care Delivery Models.
reimbursement determinations. As a result, the camaraderie among physicians has developed into a more aggressive approach to impede competition (Shi & Singh, 2012). Little information is shared with patients in regards to procedures or disease control. The subjects are forced to rely on the internet for enlightenment on the scope of their illnesses (Shi & Singh, 2012). Furthermore, the U.S. health care system fails to provide adequate knowledge on billing strategies for operations and other medical practices. The cost in a free system is based on supply and demand and is known in advance of hospital admission (Shi & Singh, 2012). The need for new technology is another characteristic that is of interest when considering the health care system. Technology is often v...
...d procedures are now being monitored to improve clinical processes. Ensuring that these processes are implemented in a timely, effective manner can also improve the quality of care given to patients. Management of the processes ensures accountability of the effectiveness of care, which, as mentioned earlier, improves outcomes. Lastly, providing reimbursements based on the quality of care and not the quantity also decreases the “wasting” and overuse of supplies. Providers previously felt the need to do more than necessary to meet a certain quota based on a quantity of supplies or other interventions used. Changing this goal can significantly decrease the cost of care due to using on the supplies necessary to provide effective, high-quality care. I look forward to this implementation of change and hope to see others encouraging an increase in high-quality healthcare.
The essay will discuss the reasons why governments embark on alternative service delivery mechanisms. In addition to that, the essay will identify suitable examples, and provide a clear discussion concerning the role/s played by voluntary organizations and private contractors in promoting service delivery. ASD enables the government to render quality services to the public by optimising service costs to be efficient and effective. The essay will begin by defining key terms that are related to the topic and move to the explanation of ASD and further discuss the different mechanisms that can be used. The essays will further conclude by suggesting some solutions.
Hospitals play an important role in the health care system (Hospitals, n.d.). They are health care institutions that have an organized medical and other professional staff, and inpatient facilities, and deliver medical, nursing and related services 24 hours per day, 7 days per week. Hospitals offer a varying range of acute, convalescent and terminal care using diagnostic and curative services in response to acute and chronic conditions arising from diseases as well as injuries and genetic anomalies. In doing so they generate essential information for research, education and management. Traditionally oriented on individual care, hospitals are increasingly forging closer links with other parts of the health sector and communities in an effort