the American Medical Association’s Physicians Consortium for Performance Improvement organized the National Summit on Overuse, which targeted improving five common overuse problems (Chassin, 2013). The elimination of elective delivery before 39 weeks of pregnancy without a clear medical indication was one noteworthy improvement as a result of the National Summit. Unnecessary elective deliveries place both mothers and babies at increased risk for complications and are not endorsed by American College of Obstetricians and Gynecologists, American Academy of Pediatrics, March of Dimes, or the Joint Commission (Chassin, 2013). According to Chassin (2013) the elimination of overuse could possibly be the most cost-effective way to improve the quality
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.
The Meaningful use program was set up for implementation in three stages over a five-year period. The first stage ended in 2012 and involved evaluating health trends, and ...
The Indian pharmaceutical industry enjoys certain advantages, which include low cost of innovation and capital expenditure, and strong domestic support in production, from raw material requirements to finished goods. The competitive structure of the pharmaceutical industry was being redefined due to the threat of new entrants, intense price competition, entry of large players, and new regulations and rules as well as a shift in focus. In addition, the partnerships between pharmaceutical and biotechnology companies were growing rapidly. The global pharmaceutical market is undergoing rapid transformation. There has been a dramatic shift towards emerging markets as western markets slow down.
...o find a balance between interventional and non-interventional birth. With this being said, I also understand that there are strict policies and protocols set in place, which I must abide to as a healthcare provider, in any birth setting. Unfortunately, these guidelines can be abused. Christiane Northrup, MD, a well recognized and respected obstetrician-gynecologist has gone as far as to tell her own daughters that they should not give birth in a hospital setting, with the safest place being home (Block, 2007, p. xxiii). Although I am not entirely against hospital births, I am a firm believe that normal, healthy pregnancies should be fully permissible to all midwives. However, high-risk pregnancies and births must remain the responsibility of skilled obstetricians. My heart’s desire is to do what is ultimately in the best interest of the mother, and her unborn child.
A new study of 146,752 women in the Netherlands with low-risk pregnancies has shown that there can be severe adverse effects to both mother and child if a delivery occurs at home, instead of in a hospital. Two out of every 1000 women died while giving birth at home, and 55 percent of the home birth women experienced a hemorrhage, or dangerous amount of lost blood. There is a twenty-six percent risk reduction if a woman gives birth in a hospital. The reason for this being that if an emergency treatment, like a caesarian section was needed or the child needed neonatal assistance, the hospital could and would immediately provide the care that was needed. If there are problems during a home birth, emergency assistance must be located at a hospital, not by a midwife that assists a woman in the comfort of her home.
I was surprised that in Franklin county Ohio, the rate of mothers who received no first trimester prenatal care was 35.9%. There were several issues addressed in the 2020 objects to improve outcomes for mothers and babies. Healthcare has improved according to the statics in Ohio, by enrolling more qualifying mothers on Medicaid when they apply instead of making them wait until the paper work is completed allows mothers to have instant care. Columbus has established Celebrate One which includes a mobile unit that go out in the community to provide service now to expectant mothers in their first trimester (Columbus Public Health
Worldwide, the rate of cesarean section is increasing. According to the CDC, in 2012 the rate of cesarean sections comprised 32.8% of all births in the United States (CDC, 2013). Between 1996-2009 the cesarean section rate has risen 60% in the U.S (CDC, 2013). According to the World Health Organization (WHO), more than 50% of the 137 countries studies had cesarean section rates higher than 15% (WHO, 2010). The current goal of U.S. 2020 Healthy People is to reduce the rate of cesarean section to a target of 23.9%, which is almost 10% lower than the current rate (Healthy People 2020, 2013). According to a study conducted by Gonzales, Tapia, Fort, and Betran (2013), the appropriate percentage of performed cesarean sections is unclear, and is dependent on the circumstances of each individual birth (p. 643). Though often a life-saving procedure when necessary, the risks and complications associated with cesarean delivery are a cause for alarm due to the documented rate increase of this procedure across the globe. Many studies have revealed that cesarean deliveries increase the incidence of maternal hemorrhage and mortality and neonatal respiratory distress when compared to vaginal deliveries. As a result, current research suggests that efforts to reduce the rate of non-medically indicated cesarean sections should be made, and that comprehensive patient education should be provided when considering an elective cesarean delivery over a planned vaginal delivery.
Many women today are doing more C-sections, also known as cesarean, than they are natural. Whether the reasons being because it’s more convenient or that some moms did not really have a choice, the percentage is still growing. “The cesarean delivery rate increased from 26% to 36.5% between 2003 and 2009; 50.0% of the increase was attributable to an increase in primary cesarean delivery (National Partnership for Women & Families, 201.)” There are many things to consider when deciding which is the right or safer choice. With both choices comes risks for the baby like, possible respiratory problems with a C-section. The mom has many risks to worry about for herself as well, like possibly hemorrhaging. There is also the recovery and the long-term effects that a woman has to put into consideration. They both have their pros and cons that should not be taken lightly.
Drug Promotion in the United Kingdom and Sweden: A Study of Pharmaceutical Industry Self-Regulation – Case 4
The United States uses nearly $9,000 per capita on healthcare expenditures, which is significantly more than all other countries. Why do we spend so much more when our quality doesn’t even compete? Several medical examinations and procedures performed on patients are completely unnecessary. For example, some women have a specific date to which they would like to give birth, so they will request an early elective delivery. An early elective delivery is labor that is induced between 37 and 39 weeks of pregnancy, and is also induced without any legitimate medical need. These types of deliveries cause a lot of infants to be admitted into the Neonatal Intensive Care Unit (NICU). These incidents could be completely avoided if physicians would keep woman from requesting premature labor.
It was very interesting to watch how the team proceeded to change policy. First, the team explored the EBP implemented the option of KC to the healthy mother/infant dyad. Past practice was to place newborns in a thermoregulation warmer with prolonged separation from the mother. Using the Iowa Model of Evidenced-based practice (Schaffer, Sandau, & Diedrick, 2013), the research was gathered and reviewed to support the practice change. Planning meetings took place to overcome barriers, a review of resources, and a time-line was established. Newborn physiologic well-being and safety during KC, greater patient satisfaction, and minimal cost were evaluated. The Iowa Model of EBP combined with the organizations scorecard of Quality of Quality Care, Customer Service, Quality of Work-life and Finances proved that patient care satisfaction can be impacted with little organizational cost. This project was also great for the obstetric staff. It advanced the nurses’ knowledge of the uses of an EBP model to make a sustainable change in bedside practice by incorporating the use of
...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.
Also, guarding the broadband router is crucial for home users. Default password of the router should be replaced by a more complicated password. At the same time, the password should not be too short or the words included in a dictionary otherwise it will be easily broken by the dictionary attack and the preferred DNS server may be changed to the poisoned DNS server that under the control of attacker. A strong password can ensure the security of the router and the users can stay away from Pharming attack.
Maddox, Amanda. "Ways Computers Are Used in the Medical Field | EHow.com." EHow | How to Videos, Articles & More - Discover the Expert in You. | EHow.com. Web. 03 Jan. 2012. .