Quality Assurance: Kaiser Permanente
Case Management Programs are More Concerned with Reducing Costs Than with Improving the Quality of Care
Rather than relying on generalized statements about case management programs, focused research on Kaiser Permanente (Kaiser) shows an egregious example of a "profits over patients" mentality in case management. By delaying, misdiagnosing, undertreating or not treating at all, Kaiser evidently save millions of dollars, until It gets caught. For example, in June 2010, the California Department of Managed Health Care (DMHC) fined Kaiser a $75,000 administrative penalty for unreasonably delaying diagnosis and treatment of autism for Andrew Arce. According to the DMHC, due to Kaiser's delays and denials, Andrew's treatment was delayed for more than a year and he did not receive needed treatment until he was damaged by Kaiser's delays and denials (Kaiserthrive.org, 2010).
Binding arbitration boards are also finding that Kaiser delays adequate treatment. For example, in November 2008, a Valencia, California couple was awarded $5 million by a binding arbitration panel because Kaiser was failed to timely diagnose and treat Timothy Howard's "transient ischemic attacks (TIA) of the retina which resulted in a devastating stroke" (Kaiserthrive.org, Courtesy of Vicki Travis of the Kaiser Papers, 2009). Though the treating Kaiser neurologist was aware of the need for more extensive testing, she did not order...
Kaiser Permanente is a titan of the managed health care industry. Established in 1945, it has grown to enormous proportions, serving approximately 9 million members through the efforts of 180,600 employees. Such gigantic proportions and wide arrays of services necessitate complex management. The organization has succeeded in establishing management that works "from the top down" with mixed results. Assessment of the Various Management Levels and Their Role in Kaiser Permanente Kaiser Permanente
Kaiser Permanente Quality Assurance Program Kaiser Permanente Facility description. Kaiser Permanente is a healthcare organization that had its origins in the pre-war industrial sector. The program offered health care for workers in the steel mills, the shipyards, and the construction companies in a nation just recovering from the depression and attempting to stand apart from the conflict and volatility evidenced across the globe. A young surgeon, Sidney Garfield, borrowed money to build Contractors
Kaiser Permanente (N. California) NCQA Accreditation Kaiser Permanente (Northern California) NCQA Accreditation Accreditation is a comprehensive evaluation process in which a health care organization's systems, processes and performance are examined by an impartial external organization -- an accrediting body -- to ensure that it is conducting business in a manner that meets predetermined criteria and is consistent with national standards (Iglehart, 1996). The 2010 federal Affordable Care Act (ACA) calls for use
Cultural Competency Health Professionals Canada This paper discusses cultural competency for health professionals in Canada. Defining cultural competence for healthcare as respectful awareness of cultural differences, the importance of this perspective is discussed. Aspects of cultural competency, ranging from the purview of the healthcare insurance industry, to the perspective of the Canadian Nurses Association, are presented. Also, Rani Srivastava's 'Guide to Clinical Cultural Competence' is used to guide the discussion. Also,
Nursing Practice Expected to Grow and Change Ageing of population and healthcare providers, coupled with reforms to healthcare, will raise demands for professionals in the field, also expanding existing professionals' required skill sets and roles. Physicians, physician assistants, nurse practitioners, nurses, and medical assistants are included in this growth area. Fortunately, healthcare is characterized by a swiftly expanding and large workforce (with 23000 new entrants every month, nationally); this sector progressed
However, because they make billing more efficient, the majority of large urban practice groups and hospitals have already made the switch to electronic records, according to Michael R. Costa, attorney and associate at Greenberg Traurig, LLP, in Boston, Mass. However, he adds, most of these organizations maintain warehouses where they store paper records that have been transcribed to electronic form. "There is resistance from some about going to a
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