Health Law and Regulations
? Explain the role of one specific governmental regulatory agency that has a significant effect on the health care industry.
? Provide at least two examples of specific laws (and corresponding regulations) currently faced by the health care industry and enforced by the specific governmental regulatory agency you are examining
o Examples of such laws may include access to care, anti-discrimination, health care privacy and security, and so on.
? Include in analysis the effect of these laws on at least one specific health care provider (such as: a specific hospital or clinic) that you select.
? Provide examples and specific cases in your examination.
? Include ways that you have seen this effect in your own life or community.

RESEARCH required
? Include at least two references that are articles from peer-reviewed professional journals published no earlier than January 2000.
? Include the website for the governmental regulatory agency you are discussing in your references.
? References to include journal publication information (volume, issue number, pages); do not use a URL in place of publication information

Healthcare system reform in Kuwait: Obstacles, challenges, and future direction

Introduction:
Over the last several decades the healthcare system around the world has been continually evolving. In Kuwait these changes have taken place consistently over the last 100 years, as the country would go from the non existence of a healthcare system to one that would become one of the best in the Middle East. An example of this can be seen with the infant mortality rate in the country at the beginning of the 20th century, where it was 100 for every 1,000 births. (Kuwait Health Care System, n.d) By 2006, this number decreased dramatically, with the infant mortality rate coming in at 33 for every 1,000 births. (Tony Blair Report about Kuwait Health Care System Reform, 2009) This is significant because it shows how a shift occurred in the countrys healthcare system throughout the 20th century, where a mix of institutions would evolve. Then, during the mid 20th century when the government began receiving massive oil revenues a shift occurred in the countrys health care system. Where, the government would begin to rapidly expand the total number of hospitals and clinics that were available to the general public. The main emphasis was to effectively regulate prices, by having the Ministry of Health serving as the price regulator and ensuring that everyone has access to free or low cost healthcare services. This would help to improve the general health of Kuwaitis, with the average lifespan currently sitting at 78 years old. Yet, the changes that took place in the field of health care meant that the Kuwaitis would miss out on some of the innovations that were being developed in Western Europe and North America. This would cause a number of critics to call for various reforms to imposed, to improve the overall quality of care that is being provided. (Kuwait Health Care System, n.d) To determine how to effectively reform the system requires examining: how Kuwait can improve the overall quality of care that is being provided, how citizens can have better access to a variety of healthcare services and what actions the government could take that could take; to help the countrys health care system become the envy of the world. The answers to these different questions will provide the greatest insights as to how the Kuwaiti healthcare system can effectively be reformed.
Subthemes (Aims & Key Questions):

1) How to improve medical reporting errors?
2) How to improve performance management practices?
3) What is the patient/staff perception of provided services?
4) How the media portrayal of healthcare provision affects perception of both patients & staff about healthcare system?
Theoretical Basis:
A number of different secondary sources were reviewed to provide the greatest insights as to what is taking place in this area. This is because the news and politics surrounding the different resources is constantly changing. Therefore, to effectively determine how to reform the Kuwaiti health system requires examining the most recent pieces of information that can be obtained, which is found through the use of secondary sources.
Tony Blair Report about Kuwait Health Care System Reform, 2009, Albqabas 10 April.
The Tony Blair Report lists a number of ways that the Kuwaiti health care system can be able to effectively conduct reforms to include: promoting sports, increasing the taxes charged on tobacco related products, improving the total number of specialists in the country, establishing medical research centers and increased participation in seminars / conferences. These reforms are significant because they address an issue that has been hindering the development of health care. A good primary care system, with a specialty care system that needs improvements. The various reforms recommended by the Blair proposal, highlight how implementing reforms to the system can allow Kuwait to begin to have a system comparable to the countries in Europe (which have some of the best health care systems in the world). (Tony Blair Report about Kuwait Health Care System Reform, 2009)
Article 2. 2010, Alseyasah 19 January.
Article 2 talks about the different efforts to address the various reforms that have been taking place. Where, the Ministry of Health has been working with the World Health Organization and private companies, to increase the overall amount of medical research that is being conducted and to allow for more specialized services to be offered. This is important because the information can be used to corroborate what was recommended in the Blair Report, helping to provide a good overview of how to effectively reform the system. (Article 2, 2010)
Article 5, 2010, Kuwaiti News Agency, 18 January.
Article 5 discusses how the Ministry of Health is working with the World Health Organization to develop a comprehensive plan for allowing some kind of private insurance. This is important because it is a first step towards increasing the overall amount of choices that citizens have available to them. Where, they can augment the government run system with one that of private health insurance. The thinking is: that working a combination of the private and public programs, you can be able to see increased amount of coverage as well as services available. This will help to improve health standards dramatically. (Article 5, 2010)
Article 7, 2007, Albqabas 16 January.
Article 7 shows how the current system is not working, where the total number of medical errors and flaws has increased dramatically. This is troubling because the errors that occurred at Ministry of Health hospitals, shows how more oversight needs to be provided in this area. The information can be used to show how the current state of the health system has problems. It can then be supported later on to show how the government is attempting to address this issue. (Article 7, 2010)
Article 9, 2010, Awan, 14 January.
Article 9 talks about how the many citizens feel as if the doctors that are working for the Ministry of Health and are unresponsive to their needs. Then, the overall availability of prescription drugs can vary from one clinic to another. This is important because it shows how the government sponsored system is clearly not working, as citizens will seek out those health care facilities that are privately owned. The information presented, is useful in helping to establish how the Kuwaiti health care system can be reformed. (Article 9, 2010)
Privatization Best to Cut Inefficiencies, 2010, Available from [18 May 2010].

The article, Privatization Best to Cut Inefficiencies, talks about how in Kuwait there has been stiff opposition to opening up the public sector to private interests. This has caused unions such as the Kuwait Union Federation to oppose privatization. According to the article the fear is that if privatization is allowed to take place, many feel that private enterprise will attempt to streamline their operation. Once this takes place, it is only a matter of time until the large number of public workers will be laid off. The information presented in this article is important because it highlights the overall amounts of resistance to such changes. This can be used to show the overall backdrop and pressures that are facing the Kuwaiti healthcare system. (Privatization Best to Cut Inefficiencies, 2010)

Research Methodology:
My data will be obtained from 2 sources, primary and secondary. The primary source will be based on a questionnaire which will be conducted on both staff (clinical and non-clinical) and patients, to know their perception about the provided healthcare and what the things that needs to be reformed in the healthcare system.
To determine how to effectively reform the Kuwaiti healthcare system requires looking at secondary sources of literature. This will consist of mainly newspapers, magazines and news websites. At which point, it will provide a god overview as to what challenges are facing the Kuwaiti health system and what steps can be taken to rectify the situation. The different pieces of data will be analyzed using the quantitative method. This is when you are looking at different facts objectively, to determine the most appropriate course of action. Using the secondary sources from a wide variety of newspapers and websites, will help to provide a more in depth understanding as to what challenges are being faced by ordinary Kuwaitis, under the Ministry of Health system. Then, when you examine the different actions being taken and the proposed reforms, will help to provide insights as to how the government is addressing the problem. At which point, you would begin looking at other recommendations that were not included as part of the government reforms. This will show what areas the government is overlooking. Together, these different elements along with the quantitative method will highlight how to effectively reform the system.
Research Plan:
To gain access to different pieces of research on the subject, an analysis will be conducted on the various news wires and the internet. This will help to identify the timeliest pieces of information and it will help to provide an even greater overview of the different challenges that are facing the healthcare industry. The research will be conducted in three different stages to include: a search of all news wires for information on the topic, an internet search and then a search will be conduct looking for both kinds of information using the internet. Where, there would be an emphasis placed on looking for the different pieces of information, which will show the problems that have been occurring with the health system over the last several years. There will be a particular emphasis placed on those pieces of information that are the most current. The overall timeline for completing the research would take no more than a few hours. This is because the ground work was already conducted to provide a good overview along with other pertinent information, which was obtained through this assignment. At which point, the construction of the actual paper will take place, with the different questions that were presented earlier answered fully. Once this is accomplished, it will show how effective the various reforms from the Ministry of Health are working and it will highlight areas that need to be addressed. This will provide the greatest insights as to how to effectively reform the Kuwaiti health system.

There are faxes for this order.

This paper is meant to be both a reflection on what has changed in the health care industry, and what changes could potentially be in store for the industry.
The paper addresses the following: The paper must be laid out with use of headings for each topic:
o How health care has changed in the last 10 years.
o What you think will be the biggest change in health care within the next 10 years.
o What role you plan to serve within the industry.
o How you will adapt your skills to evolve along with the industries needs.
o How your perception of health care changed over the course of your program.
o The role technology will play in health care organizations in the coming decade.
o The financial and economic issues that will affect the health care industry in the next 10 years.
? The paper is 1,100 words in length.
? The introduction provides sufficient background on the topic and previews major points.
? The conclusion is logical, flows, and reviews the major points.
? The paper?including the title page, reference page, tables, and any appendixes?is consistent with APA guidelines as directed by the facilitator. The paper is laid out with effective use font styles, and white space.
? Rules of grammar, usage, and punctuation are followed; spelling is correct.

Write a 1050- to 1400-word paper discussing the health care industry. Address the following questions:

? How has health care changed in the last 10 years?
? What do you think will be the biggest change in health care in the next 10 years?
? What role do you plan to have in the industry?
? How will you adapt your skills to evolve along with the industry?s needs?
? Has your perception of health care changed over the course of your program? What has had the most significant impact?
? What role will technology play in health care organizations in the coming decade?
? What financial and economic issues will affect the health care industry in the next 10 years?

Include at least three references.
Format your paper consistent with APA guidelines.

Resource: The Importance of Accountability Paper Grading Criteria
Write a paper addressing the following questions:

? Why is accountability important in the health care industry?
? How is an employee?s accountability measured in the health care industry?
? How does accountability apply to ethical considerations in leadership and management?
? What does a checks-and-balances process look like in a successful organization?
? How does accountability affect an organization?s working culture?
? How can you maintain a positive working culture and avoid a working culture of blame?

1. This is a research paper and should address current trends in health care economics and the impact on the healthcare organization.
2. Paper should incorporate information on the changing healthcare environment and how the nurse can promote high-quality patient care while maintaining costs.
3. Explores how political, social, and demographic trends have affected the patient population and delivery of healthcare.
4. Paper describes nursing strategies to provide cost effective and efficient care.
5. Paper discusses CINAHL systems theory in relation to the healthcare industry, (how can healthcare operate more effectively).
6. Paper examines the role of utilization review on health care. Includes both the provider (hospitals) and payer (insurance companies) aspects of utilization review.
7. paper reflects critical thinking on the topic.
8. paper reflects creativity and original thought
9. this is a paper on economics, and not how an illness impacts the costs or economics of health care.
10.. APA format, minimum three current professional references and work cited in the paper

I need a paper that is based on different fields within the healthcare industry, such as pharmaceutical industry, health information systems, and long term care/gerontology. These things need to be covered, and add career placement in each area, and how people can advance in each area.

The general topic of this research paper is Healthcare Management Information Systems. And the specific topic is telemedicine.

This research paper is a look into the process of telemedicine and its current usage in healthcare industries around the globe and what kind of impact it has on society today and what it should be in the future. It can be done by identifying a business practice of telemedicine ??" enabled by advances in health care industry - that can be improved, reformulated, redesigned or analyzed using the frameworks and concepts of Health Management
Information Systems.

You must analyze telemidicine problems, benefits, issues, and processes and apply the different concepts of Health Management Information Systems. You will then formulate frameworks (where relevant) to determine which structures, technology, and market mechanisms are relevant to telemedicine and most importantly demonstrate how your proposed solution is an improvement on the existing situation of telemedicine and analyze the limitations of your recommendations. Make sure to provide sufficient information about every section of your research paper. In addition, your proposed solution of improvements in telemedicine usage should be supported by strong rational recommendations. Do not forget to mention the management information systems aspects of telemedicine.


Paper Requirements and Directions:

-FOCUS AND THESIS DEVELOPMENT: Strongly maintained subject, purpose, and logic. Clear, insightful, and arguable discussion. The development of all major points. Extensive and judicious use of in-depth supporting evidence. The central argument, question, or issue addressed by the paper was directly relevant to the learning objective. The material challenges the intelligence and sophistication of a college-level audience. A single focus is emphasized throughout the entire paper. The writer appeals effectively to the intended audience. The focus is consistently developed with significant and interesting details, examples and discussion. Relevant outside sources are clearly introduced and integrated into the surrounding discussion.

-DEPTH OF EVIDENCE AND CRITICAL THINKING: Evidence of higher-level thinking skills in consistent, insightful, and sophisticated ways. Sustained logical analysis demonstrating independent, synthetic, or integrative thought. The quality of the sources used to support the argument or answer the question posed by the paper was accurate; the effectiveness with which they are used to support the claims and the scope of the paper supported the rich analysis of relevant and high quality references.

-ORGANIZATION, STRUCTURE AND STYLE: The logic, flow, and organization of the paper demonstrate coherence in the introduction, body and conclusion. Sentence structure varies according to the content, purpose and audience. The sentences are clear, logical, and enjoyable to read. Word choice is precise, interesting and appropriate to the writing task. The language is mature and idiomatic. The writers tone compliments the papers purpose and suits the audience

-APA FORMAT, CITATIONS AND REFERENCES: The paper used correct APA format, citations and references. In addition, make sure to cite when needed and required. If web sites are used as references, they must include the standard reference components (title, author, publisher/company, date written, date downloaded, etc.). References without these items will be incomplete.

-LANGUAGE CONVENTIONS AND MECHANICS: The writing must be of high quality paper and sentence structures with no grammatical and spelling mistakes. The language is mature .

- Use multiple sections (like Background and Recommendation) in your research paper to make it easy for the reader to follow your paper.

- Make sure to cite when needed and not to copy anything directly from the different sources that are used, plagiarism is not tolerated.

-If you have any further questions please do not hesitate to email me or reach me in the customer control panel.

Economic Tools and Concepts Paper

? Write a 1,050- to 1,400-word paper that uses two to three economic tools and concepts to evaluate a current issue or situation that exists in today?s health care industry. Some examples of economic tools and concepts are supply and demand curves, marginal analysis, and elasticity. Include a narrative summary for any charts, graphs, and figures that are used. Consider searching Web sites to view national charts, graphs, and figures that may provide you data concerning economic tools.

Please can Gibbs write this assignment? Thank you.


This assignment is a direct research proposal which title poor healthcare leadership.

Bad leadership causes questions and offers no answers. Directions and correspondence are sometimes unclear, and a bad leader is usually unavailable to clarify. This leads to work done incorrectly or not at all, which can quickly become expensive. A bad leader does not wish to see members of his team improve for fear of one day losing his job to the employees he trains.

Purpose

Target audience

Context of the problem

Statement of the problem

Thesis Statement: Does poor leadership in the healthcare industry have an effect on workers morals and therefore an effect on patient care?


Why


Research questions


Data need and Collection Sub questions

Significance of the study why is this important

Opinion

Research design and methodology

Organization of the study

Time line: ----------------------------------

Significant: opinion why important

Please use articles and information that show thesis statement to be true and some that show not true pros/cons.

Final Paper

The U.S. health care system has numerous known issues that affect the overall quality, access, and cost of services available. For your Final Paper, you will create an eight- to ten-page proposal (excluding the title and reference pages) on your solution to one of these issues. In the proposal, you will describe the nature of the issue, trace the history of its development, describe what has and has not been done to address it thus far, provide a set of recommendations on what should be done to address it in the future, and discuss how major stakeholders should be involved to make your proposed changes.

Select 1 of the following issues in health care for the topic of your Final Paper:

1.The cost of health care
2.The health care workforce
3.The uninsured and under-insured population
4.Medical and health information technology



You are encouraged to break your proposal up into sections to be sure you address each of the questions below. Specifically, you should address the following in your proposal:
1.Executive Summary: Introduce the topic that you chose. Provide a brief overview of content of your proposal.
2.Statement of the problem: Clearly describe the topic that you chose. Define and explain the major problems related to this issue.
3.History of the problem: Review the major developments in the evolution of this problem in the U.S. How did this issue develop historically? How did we get to where we are now?
4.International context: Compare and contrast this problem in the U.S. to that of other countries. How does this issue in the U.S. compare to other countries? Is the issue more common here or in other countries and why?
5.Stakeholders: Describe the role of major stakeholders in the problem. How have federal and state governments and the health care industry worked to address this issue so far? What have been the successes and failures of their attempts?
6.Policy: Provide examples of how the P.P.A.C.A. and other federal policies have attempted to address this issue. What has been the impact of their action or non-action?
7.Recommendations: Provide a set of recommendations on what should be done to address this issue in the future. What should the major stakeholders, such as the government, the health care industry, and health care consumers do to implement these recommendations and how? Provide a justification for why you believe each recommendation will address one or more of the problems related to this issue.
8.Conclusion: Construct a brief conclusion that highlights the key points from your proposal and describes the expected outcomes if your recommendations were to be implemented.


Writing the Final Paper
The Final Paper: 1.Must 8 double-spaced pages in length, and formatted according to APA style as outlined.
2.Must include a title page with the following:

a.Title of paper
b.Students name
c.Course name and number
d.Instructors name
e.Date submitted

3.Must begin with an introductory paragraph that has a succinct thesis statement.
4.Must address each of the eight points listed above.
5.Must address the topic of the paper with critical thought.
6.Must end with a conclusion that reaffirms your thesis.

IS THE HEALTH CARE INDUSTRY A BUSINESS ? IF YES, WHY, IF NOT, WHY NOT. THIS PAPER IS DUE 5 P.M 2-13-07. IT SHOULD BE A MINIMAL OF 2 PAGES IN LENGTH NOT INCLUDING THE TITLE PAGE AND REFERENCES, DOUBLE SPACED, TIMES NEW ROMAN SCRIPT, AND FONT SIZE 12.

Marketing is an activity that is closely linked to successful business operations.

Differentiate between marketing in a business industry of your choice to marketing within the health care industry. Be sure to discuss the key roles, the impact of the external environment, etc. within each industry.

As a health care professional, develop a process you could use to help people address the issues presented by customer wants and needs. Discuss how this process would directly impact main stakeholder groups.

Debate the need for marketing hospitals and clinics.

Medical care is medical care to many. Assume you were a health care marketer for a clinic. Develop a statement of differentiation that demonstrates the advantage of your clinic over other clinics.

Your assignment must follow these formatting requirements:
Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format.

Describe the scope of strategic marketing planning and the impact the five environmental forces have on organizational strategy.

Identify the external and internal factors that influence consumer decision making.

Use technology and information resources to research issues in health services strategic marketing.

The leader of a local health care organization, Cindy Janowski, has noticed leading organizations successfully implement QI plans. Cindy wants to ensure her organization keeps current with those organizations? quality standards. She has hired you to research the industry?s quality standards and how to improve quality in her organization.

Write a 700- to 1,050-word report on your findings in which you answer the following questions:

? What are the foundational frameworks of QI? Where did quality in healthcare originate? Why do various health care stakeholders define the quality of care differently? What are the roles of various clinicians and patients in QI?

? Why is quality management needed in the health care industry? What areas must be monitored for quality? What accrediting and regulatory organizations are involved in QI? What are their roles? What helpful resources and organizations affect QI?

Read Case 6, "The Health Care Industry" (pages 222-223 the answer questions 1-4 on pages 223-224 (you may skip question 5).


There are faxes for this order.

8 page (excluding title page and reference page) paper detailing the advantages and disadvantages to of an employer welcoming a unionization attempt as well as the advantages and disadvantages of working diligently to stay union-free. The organization of the potential union activity is in the healthcare industry (hospital).

Use APA style for citations and reference page. Looking for a minimum of 2 references.

Economic theory suggests that hospitals, like other companies providing a service, should set their prices based on market factors such as:

* Product differentiation and capacity


* Barriers to entry


* Level of existing competition


* Perceived value to the customer


However, within the healthcare industry, prices are not determined by the laws of supply and demand as they are in other industries. Keeping the above points in mind:

1. Explain how economic theory is not applicable to hospitals and other healthcare service providers. Cite your sources for your response.


2. Price transparency and consumer-driven healthcare will change the way hospitals price their services in the future. Provide a research-based argument for whether or not this will actually occur and why or why not.

Assignment:
In this paper, begin to put the final project together. Be sure that your paper includes discussion of not only the information from earlier 3 papers listed below but also the following:

A. The obstacles, barriers or pitfalls (legal, ethical, personal, etc...) to success in resolving the earlier identified problem

B. Describe the factors that may influence those obstacles, barriers or pitfalls

Assignment#1:
My occupation in the military is a field medical assistant which is a general term used for all medical service officers. My specialty is a health care manager. The occupation of a health care manager can include many different responsibilities in a military hospital. Health care managers are necessary in many organizations, from hospitals to HMOs and other insurance programs. A health care manager in a small clinic may have very different responsibilities than a health care manager at a huge hospital, and both deal with very different issues than a health care manager that works for an HMO. However, the qualifications are very similar. To be a health care manager one must have a degree in health care management (or be a doctor with experience and training in management) and be able to organize and oversee aspects of management and patient care. The responsibilities also have one thing in common: a health care manager is someone other than a patient?s personal physician who has the difficult task of deciding what kind of care is appropriate and arranging circumstances so that can be provided. ?Health care managers play essential roles in keeping the business of health care running smoothly. They plan, direct, coordinate, and supervise the delivery of health care.
Within the military hospital setting, a health care manager has a number of roles. The primary health care manager is responsible only to the hospital commander, though indirectly one could say that they also answer to Tricare and insurance companies because they have to juggle their demands and conditions in order to be financially reasonable. The health care manager is the one to whom doctors and nurses must go for direction, and to whom they are answerable regarding the financial aspects and some of the organizational aspects of their job. Daily duties in a large military hospital are primarily delegatory so that subordinate health care managers do more of the paperwork, but in a small clinic, the health care manager is actively responsible for the record keeping involved with filing medical charts and organizing patient records. They also must answer patient questions about insurance, process insurance claims and take charge of the billing, collections, and other financial concerns such as taxes. Health care managers also oversee personnel development, such as hiring of civilians and organizing employees and soldiers, evaluating the performance and financial intake of civilian doctors, enforcing work schedules, and making general goals for the hospital. The health care manager may also be in charge of expenditures on equipment, and upgrading or maintaining the facility.
As can be imagined, there are a nearly infinite number of things that can go wrong for a health care manager. Two common problems are worth some attention. The first deals with the ubiquitous staff problems that arise in any managerial position. Doctors and nurses may have interpersonal conflicts. Certain doctors may not feel comfortable with the appropriate profit-consciousness and resent the interference of a manager. Budget concerns may mean that everyone has to work long hours, and complaints may arise regarding lack of flexibility or inhospitable working conditions. Poor relations within the staff and resentment between levels (like nurses who resent the doctors, or doctors who resent the interference of management) can represent a real problem with a huge scope. This problem may seem like it represents insurmountable difficulties, however, it is possible that such tensions can be reduced not by making significant changes that would threaten the hospital?s basic profit margin and management, but by implementing more personal attention would make everyone comfortable with the status quo.
On the other side of the problem that arises when staff resent the pressures placed on them from above is the problems that arise when the hospital commander or staff decide that the profit margin is not high enough. The health care manager may be asked to find a way to reduce costs, or to be more efficient, or even to reduce the number of patients. Figuring out how to balance the neat for a trim budget with the doctors need to feel that they have freedom in their treatment options can pose difficulties. Raising the profit margin, balancing the books, and assuring that the hospital is a viable business first and foremost is the biggest problem faced by health care managers in the army. Possible solutions may lie in a variety of fund-raising techniques, cutting waste, reducing unnecessary procedures on the under-insured, and trimming personnel expenses while attempting to assure quality so that the hospital can best attract patients with the willingness and ability to pay for high quality treatment. This is the problem I would prefer to investigate further, since it seems to be the most pressing for most health care managers. ?A 1988 survey of 1,400 general acute-care community hospitals found that the administrators of 700 of the hospitals feared that their institutions would be forced to close in the next five years because of financial problems.

Assignment #2:
As a health care manager, the reason for choosing this profession and the day-to-day activities, which fill my schedule, are often vary different. As a health care professional, I entered this profession to make a contribution to the health and well being of my fellow soldiers. I chose to become a part of the support system, which keeps the military functioning, and able to freely commit themselves to the defense of our country. As a health care manager, my time is filled with responsibilities, which revolve around 4 categories that have little to do with the daily care of the soldiers and civilians who use our facilities. My job responsibilities focus on the Administrative, financial, legal, ethical, and financial aspects of keeping the medical care facilities operational (so that the other health care staff, such as doctors and nurses, can tend to the medical well being of the patients.
Administratively, I am responsible to keep the diverse staff functioning as a team. A multicultural mindset has taken hold in most professional environments, including the armed services. This has created a diverse set of attitudes, and talents within the team operating in the medical facilities. While the military chain of command remains strong, as a health care administrator I am continually challenged to creatively assist my staff to work together. We see changes in demographics of staff and those we serve, and changes in technology, which create a flood of, increased demand on our resources. The multicultural mindset may be a positive paradigm to assist staff to accept the difference between us, but the increased number of differences demands increased management and problem solving time. These changes are occurring at a time when changes in financing and care management create an earthquake of system instability. (Kirkman-Liff, 2002)
Driving the financial changes in the health delivery system is raising health care costs in the public and private care sectors. The military health care systems cannot remain unaffected to the rising costs because we are interrelated. We purchase medicines form the same sources, and we purchase the same diagnostic machinery. While military wages are not as volatile as in the civilian world, the cost of health care is rising due to other factors, such as those mentioned above. In order for the health care facilities to stay in operation, I am responsible to balance needed care options with the most economical methods for delivering those health care services. In the civilian world, nearly one third of health care expenditures are spent on hospital care. When patients, employers, insurers, and the government worry about rising health care costs, they put pressure on hospitals to provide more efficient care. This pressure lands on the shoulders of the health care administrator. (Shah, Reed, Francis, Ridley, and Schulman, 2003) Unfortunately, these choices can lead to legal issues, and further to ethical considerations. Health care premium rose 13.9 percent this year, according to a recently released survey of more than 2,800 companies by the Kaiser Family Foundation and the Health Research and Educational Trust. (Knight-Ridder, 2003) This reflects the rising costs of health care. When faced with the daily decisions of operating the hospital or field medical office within budget, and providing the best medical care for my patients, I am often faced with a decision with no good options. If the treatment cost exceeds the likelihood of successful treatment of illness of injury, then my responsibility to the patient is opposed by my responsibility to the hospital. These ethical issues can lead to legal ramifications if a hospital unit is operating with it?s eye only in the bottom line, and chooses to limit care for financial reasons. These choices are not representative of the reasons I became a health care professional.
Keeping a military unit operational in the highest level of readiness is a combined effort that requires dedication from many disciplines. Medical services are one of those areas, which must serve the needs of the patient, and the overall military. We must balance the needs of today with those of tomorrow within a changing world.


References


Kirkman-Liff, Brad. Keeping an eye on a moving target: quality changes and challenges for

nurses. Nursing Economics. 11/01/2002;

South Florida Employees Face Higher Health-Care Premiums, Fewer Benefits. Knight

Ridder/Tribune Business News. 10/12/2003

Shah, Bimal R Reed, Shelby D Francis, Jennifer Ridley, David B Schulman, Kevin A

The cost of inefficiency in US hospitals, 1985-1997. Journal of Health Care Finance.

10/01/2003

www.netlibrary.com



Assignment #3:
Today, health care management for the Department of Defense is handled by TRICARE, which is a regionally managed health care program, for all active duty and retired members of the armed forces, their families and survivors. TRICARE meshes the health care resources of the Army, Air Force and navy plus the abilities of civilian health care professionals. This network has been established to provide the utmost quality care plus access to a wide variety of professionals to meet the needs of the military.
Health care management in a military setting differs from the professional who serves in a small clinic or large hospital. Although the rigors of the job can be the same because the responsibilities, i.e., to help determine and administer the appropriate care, the role of a military medical assistant is under further stringent guidance from TRICARE.
Within the confines of a military environment, the healthcare manager must also handle insurance and financial aspects of patient care. They play an evolving role in the patient?s well being that goes beyond the daily care routine.
Any number of problems can arise from a healthcare management perspective, but the majority of problem concern interpersonal conflicts and the pressures associated with healthcare profit margins. Both of these problems are compounded by the fact that health care management in any setting is under a high degree of scrutiny.
Personality conflicts abound in an environment where volatility and pressures are part of the every day routine. The key is to reduce the tensions between the staff by ensuring that there is awareness on everyone?s part of the role that each member plays and the nee for teamwork. Long hours and tension about profit margins can create a highly charged atmosphere. It is up to the delegating staff members to remove potential threats and implement a system that acknowledges individuals, their achievements and their needs. The business of caring for people has to begin with the staff.
As for profit margins, healthcare has become a business. Reducing costs and saving money are part of the health care managers responsibilities, particularly in the armed force. The objective is to cut costs but not at the expense of quality care. The solution may be to implement a variety of procedures that can substantially reduce costs while not negatively impacting healthcare. Evaluating budgets and trimming excess costs, reducing unnecessary costs, eliminating unnecessary procedures, and cutting personal expenses can provide a way to increase profit and continue to provide quality healthcare.
A revolution is taking place in the healthcare industry with the emphasis on profit. Rising healthcare costs in the private and public sector is changing the health care delivery system. Even the military health care system is being affected by the rising cost of pharmaceuticals, diagnostic systems and hospital costs.
As a health care manager it is my responsibility to insure that military personnel and their families receive the best health care options while minimizing the financial burden on the system. Ethical issues arise on both ends, as my duty is to implement the best possible solution for the patient and the system.
It is imperative that improvements continue to be made in health care to strengthen the existing system and improve the infrastructure. Healthcare services globally need to benefit from the talented resources available as demand for services increase. Medicine cannot continue to be commercialized by malpractice, misconduct and negligence.
In order to satisfy the growing needs associated with the healthcare system, initiatives need to be put into place to focus on the critical issues the industry is facing:
? In some instances, existing hospitals need to be upgraded to provide the expected level of care
? Teaching medical ethics is imperative and there needs to be a comprehensive revision based on the standards now provided through the healthcare management system
? Healthcare managers must be aware of their obligation to ?serve? to masters---the patient and the hospital. In the case of the military, that also needs to be taken into account.
? Laws regarding healthcare services need to be basic knowledge for all healthcare personnel
These recommendations still require the healthcare manager to keep the objectives of their job in view. Careful consideration needs to be given to each case and the best possible solution implemented that would satisfy all.
Amid the turmoil of constant change that surrounds the healthcare manager, rarely is there a simple solution to meeting both the patient?s needs and needs of the business. In the book, The Tracks We Leave Behind, Ethics in Healthcare Management, the author provides some expert advice on dealing with competing values and the moral issues that are part of healthcare.
With the cost of healthcare premiums rising (13.9 percent in 2003), healthcare managers are faced with the daily decisions of cost effectively running a hospital or field medical office. As a healthcare professional in the military, I realize the importance of keeping a military unit in operational readiness through the administration of quality medical services. My duty is to make sure these men and women are receiving the proper care?providing quality care in an efficient and effective manner. The business of healthcare is to cure and care and healthcare managers are the first line of defense in insuring that happens.

Bibliography
Kirkman-Liff, Brad. ?Keeping an eye on a moving target: quality changes and challenges for
Nurses.? Nursing Economics. November, 2002.
Shah, Bimal R Reed, Shelby, D. Francis, Ridley, Jennifer, Schulman, David B. ?The cost of
inefficiency in US hospitals 1985-1997. Journal of Healthcare Finance.
Perry, Frankie. The Tracks We Leave: Ethics in Healthcare Management. Healthcare
Administration Press. Chicago: 2001.
?South Florida employees face higher healthcare premiums, fewer benefits?. Knight
Ridder/Tribune Business News. October 10,2003.

4.Compare and contrast what you see as the relative advantages and disadvantages of

sending employees for educational experiences externally versus providing as much

education as possible in-house.




1. Describe the concept of informal authority and state how this differs from formal authority.

2. What is to be gained by including employees in the managers decision-making process whenever practical?

3. How can job knowledge or technical expertise be a form of power or authority?

4. What is the principle advantage of mentoring?

5. What is??"or should be??"the primary purpose of the overwhelming majority of disciplinary processes?

6. What is the essential difference between power and influence?
1. Explain the relationship of the human resources department to the rest of the organization, especially the line departments or patient care functions.

2. What has been the primary reason for the growth in the number of necessary employee-related tasks over the past four decades?

3. Why should Human Resources report to the highest practical level in the organization?

4. Why is it advisable to involve Human Resources in significant disciplinary actions?

5. What the primary functions of documentation are as contained in the record or the personnel file? Describe each of the functions, evaluating and explaining the importance of each.





ESSAY

In health care organizations of appreciable size, larger departments (for example, nursing, food service, housekeeping, and such) often perform certain human resources activities, in that they may accept employment applications directly and schedule their own interviews and make job offers. These circumstances represent the partial decentralization of human resources services, as opposed to centralization in which all such functions are performed by the human resources department. You are to compare and contrast centralization versus decentralization of human resources services, highlighting advantages and disadvantages of each, and recommend which approach you believe is best in the long run and why you believe it is best.





QUESTIONS

1. In an exchange of thoughts or ideas with another person, why is it often essential to be able to talk with the individual face-to-face?

2. Identify three signs or actions that suggest you may have intruded into another persons personal space.

3. In the organizational hierarchy, why does information seem to travel downward more effectively than upward?

4. What is the primary shortcoming of the grapevine, and how can we adjust or compensate for it? Evaluate the use of the grapevine for organizational purposes.

5. It has often been claimed that the greatest barrier to getting essential information communicated upward from the work force is managements failure to act on previous information. Why might this be so?


1.Identify the major benefits offered under the Medicare Program.

2.What is Medigap insurance? Describe the development of such plans and the reasons they came about.

3.Describe the primary objectives of unemployment insurance. How is eligibility determined under this program?

4.Discuss the Medicare Advantage program alternatives to Medicare Part A and Medicare Part B.
Essays

5.Discuss the basic benefits offered under the Part B side of the Medicare program. How are these benefits paid for?
Identify the basic characteristics of Social Insurance

1.What are the three categories of torts? Be sure to differentiate between each type of tort in your response.

2.Describe the common defenses against negligence?

3.What are the primary elements of a negligence?

4.Explain the concept of compensatory damages. Differentiate between special damages and general damages.

5.Define the term Res Ipsa Loquitur, expounding on the background of this legal concept. Give examples with your answer.

6.What is a personal umbrella policy? Name the exclusions normally present in this type policy.

7.In your opinion, what is the cause of the medical malpractice crisis in the health care industry. Support your answer and include appropriate examples.

IMPORTANT ESSAY REQUIREMENTS:

1. This essay MUST be original. I will be uploading it to a website that checks its originality percentage. NO direct quotes and always paraphrase (be sure to cite properly)
2. APA 6th edition formatting is a must!! This goes for in-text citations as well a APA reference page!
3. PLEASE double-check your spelling.
4. Voice of the essay should be authoritative. From the perspective of a leader in the healthcare industry.
5. I will be uploading a chapter from the textbook as a resource. Use at least one reference from the uploaded text.
6. Quality of content is important.

TOPIC: The future of health services with a focus on acute care geriatric services.
ADMINISTRATIVE ROLE: CEO
HEALTHCARE ORGANIZATION: Acute Care Hospital within a community that contains a large number of nursing homes, retirement communities, long term care facilities, and assisted care facilities.

The essay will include:

Identify the topic and provide a brief explanation of the topic. Dont simply define the topicexplain it. Explaining will include a definition but will go beyond and describe it in terms of the main thesis.

Identify the issue of concern you have selected within your topic area: why it is important for this hospital to focus on future issues in geriatric services?

Explain why the topic and issue of concern are important in health care administration leadership. Consider the stakeholder groups that have an interest in the topic and why this topic is important to these groups:
o Internal Stakeholders: People who function within the bounds of the organization. This group typically includes management, professional staff, and support staff.
o Interface Stakeholders: Those who operate both inside and outside of the organization. This group typically includes medical staff, a governing body or board of directors, and stockholders (in for-profit organizations).
o External Stakeholders: Include suppliers, patients, and third-party payors, including government. The health care organization needs them to survive. Other external stakeholders are competitors, special-interest groups, local communities, labor organizations, and regulatory and accrediting agencies, etc.

Explain how the organization is impacted by this topic area and issue of concern.

Describe the CEO position and where it falls in the organizational structure of this organization. Discuss the role in relation to the topic and issue of concern.

Use the Topic Selection template in the resources and be sure to use correct APA 6th edition style format, referring often to your Publication Manual of the American Psychological Association. Do not use the first person in your paper or in academic writing at this level.

There are faxes for this order.

Customer is requesting that (Isak) completes this order.

I will fax instructions on writing the reasearch paper, please follow the criteria set forth in the instructions and include your personal opinion, experience and or recommendations. This reasearch paper is for a Human Resource Managment class and is on Diversity in the Healthcare Industry. Please include a table of contents and an abstract with this paper.
There are faxes for this order.

Please write an in depth review of a legal topic; the topic is (Legal Ethics of E-mail and Social Media and its Applicability to the Healthcare Industry )

While the paper should focus on Legal Ethics of E-mail and Social Media and its Applicability to the Healthcare Industry, it MUST relate to HEALTHCARE legal issues in health care administration.

Please guard against the paper being too broad that it lacks focus or too narrow that you cannot find sufficient references.

Law Review journals are a good research source. Additional sources are the websites for the American Health Lawyers Association and Health Care Compliance Association. Some additional journal sources are listed below:

Journal Title

Health Affairs
Health Economics Policy and Law
Journal of Health Care Finance
Journal of Health Economics
Journal of Health Policy Politics and Law
Journal of Human Resources
Journal of Policy Analysis and Management
Journal of Health Politics, Policy and Law

For your final paper, you will present the future of the healthcare industry by conducting scholarly and professional research while integrating much of what has been taught in the class to address one of the four basic functional components of the U.S. health care delivery system: financing, insurance, delivery, and quality.


Identify future trends in healthcare related to either financing, insurance, delivery, or quality.

List of resources you will use to write your paper

Outline your paper


This outline should be on the subject of the future of insurance for the healthcare industry.

Assignment #5 ??" Emanuel Medical Center: Crisis in the Health Care Industry
Read the Emanuel Medical Center: Crisis in the Health Care Industry case. You are to write a 4-6 page report that answers the following questions:
1. Describe the following strategic options available to President Moen: a) merge the hospital with a competing health maintenance organization (HMO), b) sell the hospital, c) close the ED, d) close the hospital, or e) do nothing and try to maintain the status quo while dealing with the hospitals myriad operational issues.
2. Describe the six most pressing operational issues President Moen should address.
3. Perform a financial analysis of EMC. Based on the analysis, where is the company strong and where is it weak?
4. Recommend the best strategic option available to President Moen?

The format of the report is to be as follows:
o Typed, double spaced, Times New Roman font (size 12), one inch margins on all
sides, APA format.
o Type the question followed by your answer to the question.
o In addition to the 4-6 pages required, a title page is to be included. The title page
is to contain the title of the assignment, your name, the instructors name, the course title, and the date.
NOTE: One of the criteria that you will be graded on is the quality of your answers, the logic/organization of the report, your language skills, and your writing skills.
There are faxes for this order.

Customer is requesting that (bolavens) completes this order.

Decide you want to interview a health care leader. State his/her position and brief description of their work agency. After the interview write a 8 pages paper. The paper should focus on the questions below and a discussion section where
you compare the interview with the literature(be sure to use references). The paper must use APA (6th edition) format.
A-Questions:
1-Can you please present yourself?
2-What is your leadership style and ideas?
3-How do you see your leadership fit in the new Millennium?
4-How do you view error?
5-How do you view change?
6-What place do innovation and creativity have in your organization?
7-How do you cultivate a sense of responsibility and accountability in you employees?
8-What is do you think about cultural diversity in the health care industry?
9-Do you see any similarities or differences between leading and managing, and
between process and outcome?

10-As a leader how do you handle work chaos, Complexity and crisis?

B-Discussion section where you compare the interview with the literature(be sure to use references)


specification:
If available I like you to include in the discussion section references, a book called : Quantum leadership: A resource fo health care Innovation and an other book by Katzenbach, J.H. and Z. Khan (2010).Leading Outside the Lines: How to Mobilize the (In)Formal Organization, Engage your Team, and Get Better Results. Booz & Company, Inc.
Please include a reference page in the document.
Thanks,