the Affordable Care Act and its effects on the healthcare industry in the United States. The Affordable Care Act (ACA) “Will ensure that all Americans have access to quality, affordable health care and will create the transformation within the health care system necessary to contain costs” (The patient protection and affordable care act detailed summary, n.a.). However, what these transformations are and how they will affect the healthcare system, specifically primary care physicians are uncertain
Collaborative agreements or other physician signature for Advanced Practice Nurse Practitioners in the State of Texas. Considering this problem, I would propose to introduce a new policy to establish independent practice authority for APRNs in Texas in accordance with the educational preparation to meet the health care needs of Texas population and reduce primary care shortage. State regulations for Advanced Practice Registered Nurses (APRN) Practice varies from state to state. According
Personal Practice Theoretical Framework In our fast-paced world of health care the demand for Advance Practice Nurses (APNs) has never been stronger. According to current trends in nursing and healthcare, there are many driving forces that increase demand for skilled graduate nurses. In particular, with aging, population growth, the projected physician shortage, and the new health care models, APNs will continue to be in high demand, and will be truly needed (Naylor & Kurtzman, 2010). Given the need
A strong primary care foundation is fundamental to constructing an effective health care system. Patients who have regular access to a primary care physician are more likely than those who do not to receive the necessary preventative care before their conditions become too difficult or expensive to treat (Bindman, Grumbach, Osmond, Vranizan & Stewart, 1996). Additionally, primary care physicians are significant to providing better care to low-income patients. Access to primary care correlates
Managed health care is the leading form of health care in the United States. The most common forms of managed care providers are Health Maintenance Organizations (HMOs) and Preferred Provider Organizations (PPO’s). The main advantage of managed health care is the lower costs associated with them. The goal of managed care is to keep health care costs down without sacrificing quality. Consumer-driven healthcare plans are beginning to emerge and grow across the country (Weaver, 2010). Consumer-directed
Health Care Marketing Plan for Primary Care When promoting primary health care services, there are many factors that must be considered when developing an effective marketing plan. Primary care providers are the gatekeepers of health care in the United States; many patients have to visit them before being referred to specialist providers (Bodenheimer, 2003). They are also being tasked with ensuring patients are receiving preventative services and managing more complex chronic diseases (Akinci
have been utilized to deliver primary care, traditionally in underserved areas or to vulnerable populations. With the primary care physician workforce in decline it has been estimated, in 2020 we will see a shortage of nearly 45,000 primary care physicians. Currently, a nurse practitioners scope of practice varies widely state by state, many believe that drafting new laws to expand their scope of practice would help create a readily available supply of primary care providers to help combat the expected
understand the patient perceptions of nurse practitioners in primary care versus a medical physician in primary care. There is very little research that addresses patient perceptions of nurse practitioners delivering primary care versus medical physicians also in primary care. Due to the lack of research in this area, the focus of this literature review shifted to nurse practitioner and physician perceptions of nurse practitioners in primary care and patient outcomes. The one study found on patient perceptions
that we might not have a real answer to. Currently in the United States there are about 350,000 primary-care doctors, and the college association says that we will need at least 45,000 more by 2020. However in recent years the number of medical students going into family medicine has actually decreased. (Staline, Wang) Mark Koba of CNBC states that the U.S. is estimated to be short about 16,000 primary care doctors. That leaves about 55 million people without a doctor or struggling to find one. He goes
Professionals use age-appropriate developmental checklists to record milestones during well-care checkups (American Academy of Pediatrics, 2001). Individuals with Disabilities Education Improvement Act (IDEA) mandates that child health care professionals identify and find interventions for children with developmental disabilities through community based systems (American Academy of Pediatrics, 2006 & American Academy
Healthcare evolved from a vision in the EMS agenda for the future. The agenda describes EMS becoming community-based and fully integrated with the overall health care system. The agenda also described that EMS of the future would have the ability to not only provide acute illness and injury care, but also identify health risks, provide follow-up care, provide treatment of chronic conditions, and community health monitoring. Several services in recent years began undertaking the task of creating and implementing
The rapid growth of managed care is the response to limited financial resources and the demand for healthcare services to be affordable. Economic viability is a crucial aspect of health care. Managed care plans were developed to provided health care services, but also to be a method to collect payment for services. There are different types of managed care plans. For example, health maintenance organization (HMO), preferred provider organization (PPO), and point-of-service (POS) plans. For brevity
The Family-Centered approach to care is important to the delivery of behavioral health services for children and adolescents because it involves the families in their natural environments and allows the families to make decisions about their care. It promotes home and community based care by creating an equal partnership with the family to ensure optimal delivery of care at all levels (Brewer, McPherson, Magrab, & Hutchins, 1989). For children with special health care needs, such as mental or developmental
opportunities to reduce health care costs and prevent readmissions could save Medicare as much as $12 billion a year (Constantino, Frey, Hall & Painter, 2013). These numbers are significant from a financial standpoint, but do not consider the negative impact on the patient’s experience, the perception of poor care quality and inadequate transitional care. Hospital readmissions may be linked to ineffective discharge planning, lack of care coordination, lack of outpatient follow-up care, client’s non-compliance
Managed Care Organization A managed care organization is a collection of clinics, doctors, hospitals, pharmacies and other healthcare providers who come together to offer health care to persons who are sign up for the services. In many cases, managed care organizations operate and are referred to as networks of health care providers. Managed care organizations are comprised of health care experts from different fields who come under an agreement to offer health care services to members. Once a member
their lives at risk to help keep America safe. Sadly when they finish their service they unknowingly enlist themselves in another war: to receive proper health care from VA. Things like long waiting times, understaffed facilities, and few care options for veterans in rural areas are just the beginning of the problems plaguing VA health care. Horrifying issues that are killing our veteran are beginning to surface such as employees falsifying records, outdated facilities spreading diseases, and patient
long-term medical issues including lupus, osteoporosis, and hearing loss. Several years ago, my family had to change insurance carriers and my mom needed to find a new primary care physician. This process proved to be very challenging and stressful for her. For a period of about two years, my mom would constantly change who her primary care doctor was. Being an immigrant to this country and English being her second language, compounded with the hearing loss, communication was very challenging between
I’ve grown up in a household of primary care physicians. I often overheard stories of helping patients and changing their lives; I didn’t understand too much how a physician could change a life, until I had that experience. As a child, I was very self conscious about my teeth. I refused to smile because my teeth were “ugly”. My dentist informed me that my cuspids were growing in sideways, and I needed a corrective operation or I would lose all top teeth. I was terrified, but my oral surgeon assured
Mrs. Hudson an Haitian American woman who was referred by her primary care doctor, because of symptoms that; she is experiencing when she leaves her home. This is Mrs. Hudson’s first time to a mental health counselor. Axis V1 Addressing Format (Hays, 2008) Age: Mrs. Hudson is a 37-years old Haitian American woman who lives with her husband of 10 years and two children, ages 8 (son) and 2 (daughter).Mrs. Hudson worked as primary care doctor . Mr. Hudson is a firefighter. She has come to therapy