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Addressing affordable health care
Addressing affordable health care
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Question 1: Healthcare is considered of one of the most complex business models in the American Industry because it is one of the only industries where the consumer actually does not technically pay for the service he or she receives (Kudyba, 2010, p. 2). When consumers go to nail salons or hair salons, he or she pays the beautician for the specific service he or she asks for. In the healthcare industry it is totally different and most consumers do not understand the complexity of this business model. The consumer actually pays insurance companies and the insurance companies pay the provider/hospital based on negotiation arrangements from the data exchanges they receive (Kudyba, 2010, p. 2). Patient as a profit center has to do with …show more content…
6) mentions some critics argue that treating patients should not be considered a business. These critics argue that these initiatives have the chance of negatively affecting patient treatment and “care as the quest for achieving enhanced operational performance may dictate procedures” (Kudyba, 2010, p. 6). I do see where these critics are coming from however, look how far medicine has come and how much has improved. These new protocols and business models are extremely beneficial to not only the hospitals but to the patients, as well. Most nurses and doctors came into this business to help people. Just because they have to follow a specific business model doesn’t change their heart. These protocols have the ability to improve patient weight time, improve care protocols, which saves time and money for both parties, and save lives. There really is no other way to go about this besides treating it as a …show more content…
For example, in 2006 24.2% of births in the US received formula supplementation within the first two days of life and the Healthy People 2020 target is to get that percent down to 14.2% (Healthy People 2020, n.d.). Furthermore, Joint Commission just ‘dinged’ my hospital because we are only a 6% exclusively breastfed hospital. Joint Commission obtained that information based on the Electronic Medical Record data and analyzed it along with other hospitals to see that we were way below average. Another way healthcare informatics is used for information derived from EHRs to improve effectiveness of care is like Kudyba stated the EHR has E-prescribing capabilities that include alerting a doctor if a certain drug they prescribe cannot be combined with another, the EHR will also alert the doctor when a patient has a drug allergy and the doctor happens to forget, and drug formulary checks. In conclusion, these all improve the effectiveness of care because if a patient is accidently prescribed a drug they are deathly allergic to they can
Health Care workers are constantly faced with legal and ethical issues every day during the course of their work. It is important that the health care workers have a clear understanding of these legal and ethical issues that they will face (1). In the case study analysed key legal and ethical issues arise during the initial decision-making of the incident, when the second ambulance crew arrived, throughout the treatment and during the transfer of patient to the hospital. The ethical issues in this case can be described as what the paramedic believes is the right thing to do for the patient and the legal issues control what the law describes that the paramedic should do in this situation (2, 3). It is therefore important that paramedics also
The cost of Medical equipment plays a significant role in the delivery of health care. The clinical engineering at Victoria Hospital is an important branch of the hospital team management that are working to strategies ways to improve quality of service and lower cost repairs of equipments. The team members from Biomedical and maintenance engineering’s roles are to ensure utilization of quality equipments such as endoscope and minimize length of repair time. All these issues are a major influence in the hospital’s project cost. For example, Victory hospital, which is located in Canada, is in the process of evaluating different options to decrease cost of its endoscope repair. This equipment is use in the endoscopy department for gastroenterological and surgical procedures. In 1993, 2,500 cases where approximately performed and extensive maintenance of the equipment where needed before and after each of those cases. Despite the appropriate care of the scope, repair requirement where still needed. The total cost of repair that year was $60,000 and the repair services where done by an original equipment manufacturers in Ontario.
Thus, reducing administrative work gives an opportunity to clinicians to spend more time with their patients. Through health informatics, some medical procedures can be automated, saving money for the health care budget. Research by Blumenthal and Tavenner (2010) states that, “The widespread use of electronic health records (EHRs) in the United States is inevitable. EHRs will improve caregivers' decisions and patients' outcomes. Once patients experience the benefits of this technology, they will demand nothing less from their providers.
It would be an awesome day in history if the healthcare industry could mimic restaurant chains business practice of combining quality control, cost control, and innovation. Even though it’s a great gesture from a patient’s perspective, there is no way that healthcare could even come close to such models of restaurant business practices. Why is that? Well, a restaurant is more predictable than any health care sector. First, restaurants are able to plan and coordinate their business practice to meet the needs of their customers. Secondly, they can control inventory and certify quality meals at an affordable price. Additionally, they can predict how many customers will
The case study by Elizabeth Layman (2011) is a very comprehensive compilation of the implementation of electronic health records, in relation to the Health Information Services Departments. Through this study Layman documents the conditions to be implemented to achieve satisfactory application of the change-over from the conventional pen and ledger system to computer documentation of patient’s records maintained by health networks.
There are several factors that contribute to the complexity of the revenue cycle. Frequent changes in contracts with payers, legislative mandates, and managed care are just a few examples of reasons why revenue cycle in the healthcare industry is so complex. Furthermore, the problems that arise in the steps of the revenue cycle further complicate the whole process. For example, going through the steps of the revenue cycle efficiently is extremely difficult when it is managed by poorly trained personnel. Furthermore, if a healthcare provider does not have the proper information system to track patient records and billing, receiving reimbursement can become difficult. In addition, one of the main factors that delay payments is denial from the insurance companies. The reason for Denial includes incorrect coding, the certain sequence of care and medical necessity or even delay in submitting claims. Lastly, inefficient patient correspondence can not only hinder the process of revenue cycle but also result in many patient complaints (Wolper, 2004).
The United States health care system is one of the most expensive systems in the world yet it is known as being unorganized and chaotic in comparison to other countries (Barton, 2010). This factor is attributed to numerous characteristics that define what the U.S. system is comprised of. Two of the major indications are imperfect market conditions and the demand for new technology (Barton, 2010). The health care system has been described as a free market in
values for instance, nurses have to practise autonomously and responsibly also accountable for safe, compassionate, person centred, evidence based nursing that respects and maintains dignity and human rights (NMC 2014) communication and interpersonal skills, practice and decision making, leadership, management and team working. All nurses are personally accountable for their own practice for instance, work within their own limitations, decisions and actions, nurses must maintain professional knowledge and competences as well as continuing professional development. All nurses are expected to abide by the codes of conduct at all times, if a registered nurse or midwife fail to uphold these standards, the NMC can take action for instance, cautions,
This paper will identify the use of Electronic Health Records and how nursing plays an important role. Emerging in the early 2000’s, utilizing Electronic Health Records have quickly become a part of normal practice. An EHR could help prevent dangerous medical mistakes, decrease in medical costs, and an overall improvement in medical care. Patients are often taking multiple medications, forget to mention important procedures/diagnoses to providers, and at times fail to follow up with providers. Maintaining an EHR could help tack data, identify patients who are due for preventative screenings and visits, monitor VS, & improve overall quality of care in a practice. Nurse informaticists play an important role in the adaptation, utilization, and functionality of an EHR. The impact the EHR could have on a general population is invaluable; therefore, it needs special attention from a trained professional.
The EHR is a computerized health record that will take place of the paper chart. The health care information will be available to all health care providers at anytime, anywhere. The record will contain medical history, diagnosis, medications, immunization, allergies, diagnostics and lab results; from past doctors, emergency department visits, school, pharmacies, and out patient laboratories and facilities (Department of health and human services, 2014). Health care providers will be able to access evidence-based tools to aid in decision-making. EHR will also streamline workflow, and support changes in payer requirements and consumer expectations. In 2004, “the HHS secretary, Tommy Thompson appointed David Brailer as the national health information coordinator to provide: leadership for the development and nationwide implementation of a interoperable HIT infrastructure, with the goal of establishing electronic health records...
If the federal government managed the healthcare at the state level the 22 states that elected not to expand Medicaid would not have left their citizens that live in poverty uninsured out in the cold. “Although 17 million Americans will become eligible for Medicaid by 2014” not every state will have the same coverages available at the same cost for their states (Richardson & Yilmazer, 2013, p. 191). The federal government would have regulates in place to prevent inconsistencies in coverage. Numerous citizens would not have to fret or be concerned that their state opted out just because they did not like what Washington was doing or to further their own political career. The Supreme Court “supine attitude” towards what all Americans need
For my case study, I would use the surveillance system to gather data to evaluate the performance of the newly introduced programs. Surveillance continuously monitors or collects data on factors such as behaviors, attitudes, number of people attendance for diabetes seminars, workshops, etc., and is thus, a crucial element to measure longer term and population based outcomes.1 Data regarding the number of people attending diabetes seminars and workshops and behavioral changes such as monitoring their diet, physical activity, and daily foot and blood checks, are necessary to evaluate the success of the new strategies. This is done through surveys, questionnaires, data collected from health departments, hospitals, and clinics regarding the
Healthcare leaders continue to put infrastructure and governance practices in place to support value-based models even asked provider still have significant fee for services revenue. However, many providers are concerned that they may be reaching a point at which the cost of building and maintaining their value-based organization is not supported by there before service reimbursement model . Health organizations that are migrating to value-based models must contend with realities and limits at their local economis, The strategies of large employers for reducing their healthcare costs, concentration other pair market and physician practice alignment. Gain market share remains a big concern regardless of the pace of the payment model change.
I have requested a placement in a health care facility because I am extremely interested in the art of sciences that it enables me to understand deeply what is going on in our body biologically and in daily life. Most importantly, I have a passion for applying what I have learned to provide aids to people in need, and further, to improve the society.
The cost of US health care has been steadily increasing for many years causing many Americans to face difficult choices between health care and other priorities in their lives. Health economists are bringing to light the tradeoffs which must be considered in every healthcare decision (Getzen, 2013, p. 427). Therefore, efforts must be made to incite change which constrains the cost of health care without creating adverse health consequences. As the medical field becomes more business oriented, there will be more of a shift in focus toward the costs and benefits, which will make medicine more like the rest of the economy (Getzen, 2013, p. 439).