Wait a second!
More handpicked essays just for you.
More handpicked essays just for you.
Roles of nurses in family health nursing
Roles of nurses in family health nursing
Don’t take our word for it - see why 10 million students trust us with their essay needs.
Recommended: Roles of nurses in family health nursing
Bonnie, thank you for presenting your views on how Bright Road could potentially benefit from implementing a Home Health Care System, by focusing on the opportunity to be a leader in this type of care, while providing incredible services to its patient population in the convenience of their home, and at the same time relieving such burden to family members. The strengths of your recommendations rely on your argument that this is a phenomenal opportunity for economic growth, due to the expected increase in the number of individuals needing this service by 35% within the next couple of years; as well as the opportunity to serve other age groups due to the advances in technology now available. You clearly state the potential risk involved …show more content…
The one good thing going for Bright Road, is that since it would be utilizing their own health care provider to implement these services, it would be easier to rotate providers through this program and in-hospital positions, spreading any burden that might arise for providers involved in the Home Health Care service. In addition, since they are part of the hospital’s staff, these providers would be well trained, knowledgeable and well compensated, which would take away some of the factors for high turnover rates (Row et al. 2016). At the same time, having different providers cycle through the program would provide Bright Road with a plethora of feedback, on how to improve quality of care and provide better …show more content…
(2016), “increasing community-level home health performance by 10 points for all of the six measures is associated with a decrease of 0.60% point, in community-level hospital 30-day risk-standardized readmission rates”. Just as Chief Medical Officer suggested, more emphasis on training needs to be prioritized, to properly educate patients during discharge. The one concern I have in your argument on Medicare readmission, is your statement that the potential revenue generated by launching the Home Health Care program, would not offset the penalties for readmission. The main goal of implementing the Home Health Care Services is preventing the readmission to begin with, and to avoid the penalties altogether, so the revenue from this service would be a total profit, that could be reinvested into the program by providing better services, or incentivizing providers to outperform their peers and get
Eric Dishman’s Ted talk was very inspiring, especially for me, a person who is going into the health care field. The public health system he discusses in the video is so innovative and important when thinking about the future of healthcare. He talks about the three pillars that make up this system: care anywhere, care networking and care customization and of these three I think the most profound pillar is care networking. However, all of the pillars he discusses are important when making a big change in health care and improving the access, quality and cost of health care.
To guarantee that its members receive appropriate, high level quality care in a cost-effective manner, each managed care organization (MCO) tailors its networks according to the characteristics of the providers, consumers, and competitors in a specific market. Other considerations for creating the network are the managed care organization's own goals for quality, accessibility, cost savings, and member satisfaction. Strategic planning for networks is a continuing process. In addition to an initial evaluation of its markets and goals, the managed care organization must periodically reevaluate its target markets and objectives. After reviewing the markets, then the organization must modify its network strategies accordingly to remain competitive in the rapidly changing healthcare industry. Coventry Health Care, Inc and its affiliated companies recognize the importance of developing and managing an adequate network of qualified providers to serve the need of customers and enrolled members (Coventry Health Care Intranet, Creasy and Spath, http://cvtynet/ ). "A central goal of managed care is containing the costs of delivering care, but the wide variety of organizations typically lumped together under the umbrella of managed care pursue this goal using combination of numerous strategies that vary from market to market and from organization to organization" (Baker , 2000, p.2).
The needs of 30 million additional patients cannot be met by the current system. Many opponents contend that it is not a sustainable answer to the health care crisis in America.
Along the same lines as the capability gap for bundled payment models, ACOs are experiencing a similar need. CMS reported the financial results for more than 300 ACOs in August of 2015, and together, the ACOs generated savings of over $400 million. Despite these aggregate savings, more than 40% of those ACOs increased spend relative to their baseline expenditure. (Source: CMS, Medtronic analysis) As a result, there is significant opportunity for Medtronic to leverage the breadth of its product line and VBHC capabilities to play a role in bridging care settings and connecting disparate care teams in order to improve outcomes and lower costs over a longer time
Long term care facilities are for patients looking for 24 hour care, these are sometimes referred to as nursing homes. Providing safety and quality of life with nursing as well as endless supervision. Long term care facilities are held through profit or non profit organizations. Long-term care facilitates are generally classified by ownership: Proprietary (for profit) meaning owned by individual or corporation and run for profit. Religious, meaning owned and operated by a religious organization, lay/charitable meaning owned and operated by a voluntary, non governmental and non religious body. (non profit). And others would be municipal, regional, provincial and federal. “Ontario carries 17% For profit facilitates, 46% government owned, 18% not for profit, and 19% Religious facilities for long term care. That is a 48.4% rate of not for profit homes with a 51.6% rates of profit organizations” (Banerjee, An Overview of Long-Term Care in Canada and Selected Provinces and Territories). Through the whole of this research paper, the terms will be grouped looking through for profit facilities and not for profit facilities of Ontario. This paper also has the intention to promote the need for maximizing priorities in long term care facilities as they lack the funds needed to fully produce the mission of quality. “Take away the public relations spin and it is clear that even the for-profit association admits that cutting on food and staff costs, and charging higher fees is the practice to maximize profit taking from the homes. Conversely, municipalities are pouring funding into the operational budgets of the facilities to improve care. Non-profits fundraise to provide activities and amenities. They act ...
According Banner Healthcare (2016), “BHN collaborates with many commercial and government payers, plus large employer groups, to deliver on the triple aim of lower costs, high quality care and an excellent patient experience. Healthcare can be affordable with a design that engages the physician, patient and payer in seeking the best care and health outcomes” (p.2).
As a nursing home model, Green Houses are obviously providers of long-term care services, including basic nursing and medical services. According to Kane et al., “A group of GHs on a campus or scattered in a residential neighborhood operates under a nursing home license and within a state’s usual Medicaid reimbursement amounts, although a redistribution of expenditures could occur (2007). Researchers of healthcare management (and healthcare managers themselves) have an interest in studying the differences healthcare management variables that arise between different nursing home models. Healthcare management factors of interest include a model’s financial feasibility (especially for nursing home services covered by some public funds, like Medicaid),
In December 2011, Texas Health and Human Services Commission (HHSC) received federal approval of a Medicaid Section 1115(a) Demonstration Waiver, entitled “Texas Healthcare Transformation and Quality Improvement Program,” for the period starting with December 12, 2011 through September 20, 2016. The main objective of the 1115 Waiver is to improve access to and quality of health care by expanding Medicaid managed care programs and promoting health care delivery system reforms while containing cost growth. Specifically, the Waiver created two new pools of funding—Uncompensated Care (UC) and Delivery System Redesign and Innovation Payment (DSRIP) pools—by redirecting funds that were available under the old Upper Payment Limit (UPL) payment methodology. DSRIP funding is used to offer financial incentives to health care providers that develop and implement projects aimed at improving how care is delivered to low-income populations. Specifically, the providers (often referred to as the “performing providers” or “performers”) propose and execute projects like programs, strategies, and investments designed to enhance access to health care, quality of health care, cost-effectiveness of services, and health of the patients and families served.
health care for the poor and elderly (Haltstead and Lind 66). This might seem like a good
The current health care reimbursement system in the United State is not cost effective, and politicians, along with insurance companies, are searching for a new reimbursement model. A new health care arrangement, value based health care, seems to be gaining momentum with help from the biggest piece of health care legislation within the last decade; the Affordable Care Act is pushing the health care system to adopt this arrangement. However, the community of health care providers is attempting to slow the momentum of the value based health care, because they wish to maintain their autonomy under the current fee-for-service reimbursement system (FFS).
African American senior citizens face a health care crisis too. They have worked all of their lives to secure retirement, but their retirement has been threatened because of the rising cost of long-term medical care. Insurance companies have failed to provide affordable long-term care, protection that most senior citizens need. This lack of long term care and affordability has been a serious problem for the health care system. In some cities, the shortage of hospital beds is so serious that it is common for patients to stay in emergency rooms before they can be admitted to an inpatient room (Drake 109). More than one thousand hospital beds are occupied by people who could be better care for in nursing homes or through home health care (Drake 110). Of the disabled elderly 1.3 million reside in nursing homes (Drake 10). These patients are unable to perform two or more of the basic activities of daily living without assistance.
It is no secret that the current healthcare reform is a contentious matter that promises to transform the way Americans view an already complex healthcare system. The newly insured population is expected to increase by an estimated 32 million while facing an expected shortage of up to 44,000 primary care physicians within the next 12 years (Doherty, 2010). Amidst these already overwhelming challenges, healthcare systems are becoming increasingly scrutinized to identify ways to improve cost containment and patient access (Curits & Netten, 2007). “Growing awareness of the importance of health promotion and disease prevention, the increased complexity of community-based care, and the need to use scarce human healthcare resources, especially family physicians, far more efficiently and effectively, have resulted in increased emphasis on primary healthcare renewal.” (Bailey, Jones & Way, 2006, p. 381).
The two major components of Medicare, the Hospital Insurance Program (Part A of Medicare) and the supplementary Medical Insurance program (Part B) may be exhausted by the year 2025, another sad fact of the Medicare situation at hand (“Medicare’s Future”). The burden brought about by the unfair dealings of HMO’s is having an adverse affect on the Medicare system. With the incredibly large burden brought about by the large amount of patients that Medicare is handed, it is becoming increasingly difficult to fund the system in the way that is necessary for it to function effectively. Most elderly people over the age of 65 are eligible for Medicare, but for a quite disturbing reason they are not able to reap the benefits of the taxes they have paid. Medicare is a national health plan covering 40 mi...
Healthcare is intriguing. The health and wellness of people always has been intriguing and always will be. My background in healthcare came as an environmental pass down with a father as a Registered Nurse and a mother in healthcare management. It was inevitable that the journey of healthcare started being instilled without my knowledge of it, as a young child. A constant learning in the health sciences and management directed my way. By the start of college, the intrigue lead to compassion, lighting a fire for the administration of healthcare. This calling spurred by a great woman, my mother, who is a national redesign award winner by the Bureau of Primary Healthcare in Health Disparities. These footsteps down her similar path with careful guidance, but not to be confused with an easy path.
Reforming the health care delivery system to progress the quality and value of care is indispensable to addressing the ever-increasing costs, poor quality, and increasing numbers of Americans without health insurance coverage. What is more, reforms should improve access to the right care at the right time in the right setting. They should keep people healthy and prevent common, preventable impediments of illnesses to the greatest extent possible. Thoughtfully assembled reforms would support greater access to health-improving care, in contrast to the current system, which encourages more tests, procedures, and treatments that are either