Ambulatory Care
There are both advantages and disadvantages to increasing the number of physicians who limit their activities to narrower fields of practice. The advantages include the fact that because there are more specialists and there are more options for patients who actually need truly specialized care. As such, scheduling appointments and even time spent traveling to appointments is more manageable as specialists are considerably more accessible in the modern era, which was one of the goals of the Affordable Care Act (Hawkins and Grove, 2014, p. 90). The disadvantage, of course, is that there is now a specialist culture within health care. As such, patients have to pay to see a doctor twice before they can get what they need done. Most health insurance companies do not allow patients to simply go to a specialist without a referral from their primary care physician first. As such, the patient ends up…...

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References

Hawkins, D. Groves, D. (2014). The future role of community health centers in a changing health care landscape. The Journal of Ambulatory Care Management. 37(2), 90-99.

Lee, C.T., Fitzgerald, B. (2013). Model of care and pattern of nursing practice in ambulatory oncology. Canadian Oncology Nursing Journal. 23(1), 19-22.

Ambulatory Care Unit
Designing your own healthcare unit

Designing a health care unit

The health care system in the world continues to grow amid the several challenges it faces from the developments in the related sectors. The world health organization puts strict restrictions on the quality of services that hospitals and all other care units should abide. It is in this resolution that the sector is changing tremendously from the federal centered and directed care units to privatization sector. Consequently, it increases the need for introduction of quality care units in hospitals to ensure that patients and all other needy people receive the deserved attention. The emergency care system is one sector that needs critical improvement and increment of services to cater for the rising incidences of emergencies. Thus, an ambulatory care unit best fits for introduction into the current hospital to ensure quality attendance to patients.

The mission statement and values of your…...

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References

Wolper, L.F. (2011). Health care administration: Managing organized delivery systems. Sudbury, Mass: Jones and Bartlett Publishers.

Fisher, A., & OCR (Organisation). (2005). Health & social care. Oxford: Heinemann

Niemcryk, S.J., Joshua-Gotlib, S., & Levine, D.S. (2005). Outpatient experience of patients with GERD in the United States: Analysis of the 1998-2001 national ambulatory medical care survey. Digestive Diseases and Sciences, 50(10), 1904-8. doi: http://dx.doi.org/10.1007/s10620-005-2959-0 

Mangione-Smith, R., DeCristofaro, A.H., Setodji, C.M., Keesey, J., Klein, D.J., Adams, J.L., . . . McGlynn, E.A. (2007). The quality of ambulatory care delivered to children in the United States. The New England Journal of Medicine, 357(15), 1515-23. doi: http://dx.doi.org/10.1056/NEJMsa064637

Ambulatory Care, Community Health Centers, Complementary and Alternative Medicine, And Mental Health: Case Assignment
n an effort to effectively address significant health care issues facing the United States, medical professionals necessarily address the significant issue of mental health. The disparities in access to and quality of mental health care in America necessitate comprehensive steps to adequately treat traditionally underserved populations such as racial/ethnic minorities, the elderly, the uninsured/underinsured, the less educated and rural populations. n the forefront of health care, primary care providers are often best able to encounter, assess, treat and refer patients with mental illness. As a result, experts are suggesting comprehensive steps to enhance the ability of primary care providers to address our nation's mental health issues.

Analysis

Barriers and Disparities for Patients Seeking Mental Health Care

n the context of health care reform, governmental, organizational and individual health care providers are discussing key issues relevant to improving access to and…...

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In the context of health care reform, governmental, organizational and individual health care providers are discussing key issues relevant to improving access to and quality of health care in the United States. One key issue is the availability and quality of mental health care for all Americans. Though the ideal is equal access to high quality mental health care, researchers have found disturbing disparities among our population in access to and quality of mental health care. According to the Center for American Progress, racial/ethnic minorities, the elderly, the less educated, the uninsured/underinsured and rural residents tend to suffer considerable disparities in both access to mental health care and in the quality of mental health care received (Russell, 2010, p. 3); (Proser & Cox, 2004, pp. 9-11).

Regarding racial/ethnic minorities, specific data reveals that psychiatric services are underutilized, engagement and retention in treatment is problematic; schizophrenia is over-diagnosed in the African-American population; depression is over-diagnosed among Latinos; antipsychotic medications are over-dosed for African-Americans and under-dosed for Latinos; very high rates of substance abuse and suicide occur in Native American populations (Russell, 2010, p. 29). In addition, there are longstanding barriers to treatment in the form of inadequate insurance, inadequate health care workforce, inadequate diagnoses by primary care physicians, under-referral of patients to mental health care, high dropout rates from treatment and a high percentage of missed appointments (Russell, 2010, p. 29), all creating significant impacts on the mental health of racial/ethnic minorities. Experts have suggested reforms to reduce the disparities in access and quality. These include: improving access by expanding health insurance coverage; counteracting providers' biases and stereotypes of minorities by educating providers and enhancing communication between patients and providers; and enhancing more diversity among mental health providers by encouraging and creating greater opportunities for minority members to join the mental health care profession (Russell, 2010, p. 30). In a comprehensive effort to deal with disparities affecting racial/ethnic minorities, §10334 of the ACA establishes the Office of Minority Health, several minority-focused departments and transforms the National Center on Minority Health and Health Disparities from a mere center to an institute. In addition, in a specific effort to reach youth who suffer mental health care disparities due to their race/ethnicity and/or lack of education, the Comprehensive Community Health Services Program for Children and their Families was established in 1992 and has since funded 92 grant communities, 61 of which are still in existence (Russell, 2010, p. 25).

Regarding all underserved groups, including racial/ethnic minorities but also including the elderly, uninsured/underinsured, poorly educated and rural individuals, among others, researchers have suggested reforms such as better long-term planning of the mental health care workforce by acknowledging the high level of unmet needs, appropriately training

Essay Topic Examples
1. The Evolution of Ambulatory Care in the Healthcare System:
    Discuss the development of ambulatory care practices from historical perspectives to current day, emphasizing how advancements in medical technology, healthcare policies, and the shift towards patient-centered services have transformed outpatient care delivery.

2. Comparing Ambulatory Care and Hospital-Based Services: Efficacy and atient Outcomes:
    Examine the differences between ambulatory care and traditional hospital-based services, with an analysis of how each approach affects patient outcomes, treatment efficacy, and the overall healthcare experience from a qualitative and quantitative standpoint.

3. The Role of Ambulatory Care in Chronic Disease Management:
    Explore the importance of ambulatory care services in the context of managing chronic diseases. Highlight how ambulatory care centers serve as a resource for continuous care, monitoring, and education, which are vital for patients with long-term health conditions.

4. Technology and Innovation in Ambulatory Care:
    Delve into the impact of technological advancements and innovations on…...

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Primary Sources

American Academy of Ambulatory Care Nursing. Core Curriculum for Ambulatory Care Nursing. 4th ed., AAACN, 2019.

Association for Ambulatory Health Care. 2018-2019 AAAHC Standards for Ambulatory Care. AAAHC, 2018.

Phillips, Russell L., et al. \"Primary Care and Why It Matters for U.S. Health System Reform.\" Health Affairs, vol. 29, no. 5, 2010, pp. 806-810.

Institute of Medicine (U.S.) Committee on the Future of Primary Care. Primary Care: America\'s Health in a New Era. National Academies Press, 1996.

Starfield, Barbara. \"Is Primary Care Essential?\" The Lancet, vol. 344, no. 8930, 1994, pp. 1129-1133.

VA Ambulatory Care
When it comes to the job and duty of the Veteran Affairs (VA) Administration, there are many forms and types of care that commonly come up and that are discussed or debated. Just one of those, and perhaps one of the less commonly mentioned ones, is that of ambulatory care. However, it is a very important topic and it is an integrated and vital part of the healthcare chain, both when it comes to veterans and non-veterans. This report shall briefly summarize what the VA has to say about the subject. There will then be an evidence-based approach that looks at the issue, there will be a discussion about how the author of this brief report feels about the material offered and how the rest of the medical world might align (or not align) with what is described on the site. While there are many people that degrade…...

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References

Chen, J. Q., & Benusa, A. (2017). HIPAA security compliance challenges: The case for small healthcare providers. International Journal Of Healthcare Management, 10(2), 135-146.

doi:10.1080/20479700.2016.1270875

Edward, A., Osei-Bonsu, K., Branchini, C., Yarghal, T. s., Arwal, S. H., & Naeem, A. J. (2015).

Enhancing governance and health system accountability for people centered healthcare:

Veteran/Purple Heart Recipient
CAREER Profile

Highly qualified and well-rounded healthcare administrator that has a strong and diverse background in healthcare, operations, facility management, strategic planning, Lean, healthcare development and redesign background. This includes sixteen years of hands-on patient care experience as well as over ten years' experience successfully providing executive level leadership in clinical, administrative, facility planning and overall hospital disciplines. Highly skilled with implementing and managing complex issues at all levels in order to plan, develop, organize, decipher and perfect policy. Able to evaluate hospital-wide operational management programs and needs. Sixteen years of in-depth management experience with healthcare-related development projects for both ambulatory and non-ambulatory settings throughout all disciplines of healthcare. Active security clearance.

PROFESSIONAL STRENGTHs & CERTIFICATIONS

• BLS certified

• HIPAA-Trained & Certified

• Certified in Food Protection and Safety

• Advanced skills with Microsoft Office, Defense Medical Logistics Standard Support Automated Information System, Armed Forces Health Longitudinal Technology Application, VistA, IPPS, eCMS, Vet-Link,…...

In the current era of managed care in medicine, physicians and other healthcare providers and institutions have been under tremendous pressure to reduce costs. In that regard, avoiding unnecessary hospitalization is one of the most important goals of lowering the costs of healthcare delivery (Stanhope & Lancaster, 2004). Toward that end, diverse strategies have evolved to provide as many healthcare services as possible on an ambulatory basis.

Hospitals and insurance companies now encourage patients to participate in preventative medicine and routine testing intended to lower the costs associated with hospitalization over the long-term. The strategy is simply to reduce the incidence of serious illnesses, particularly those that typically develop over many years and which are capable of prevention through behavior modification and early detection through diagnostic testing (Stanhope & Lancaster, 2004).

Because state and federal governments must absorb much of the costs of uncompensated medical services, the many administrative agencies within the…...

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References Stanhope, M., Lancaster, J. (2004) Community and Public Health Nursing (6th ed.) St. Louis: Mosby.

nurses deliver evidence-Based care?
Define main ideas within the title supported from the literature

Nurse instructors confront many hurdles in the present healthcare environment. Educational methods, philosophies, and the content of curricula is required to reviewed to cater to the requirements of the professional nurses who would practice in the coming millennium. (Kessenich; Guyatt; DiCenso, 25) Evidence-based practice or EBP has currently emerged to be a remarkable attribute in nursing literature along with a key impetus in restructuring nursing practice. (Elizabeth; Pyle, 64) Evidence-Based Nursing or EBN is the strategy by which the nurses formulate clinical conclusions applying the best available research evidence, their clinical skill and patient prioritization. (Evidence-Based Nursing: University of Minnesota) It could be narrated as the meticulous, unequivocal and judicious application of the current best evidences in formulating decisions about the care of individual patients. When clinicians formulate health care conclusions for a population or group of…...

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References

Asking Clinical Questions: Introduction. Retrieved from Accessed on 18 June, 2005http://www.poems.msu.edu/InfoMastery/Questions/Questions.htm

Beyers, Marjorie. About Evidence-Based Nursing Practice. Nursing Management. October, 1999. Vol: 11; No: 1; pp: 103-105

Code of professional Conduct. Retrieved from   Accessed on 17 June, 2005http://www.nmc-uk.org/nmc/main/publications/reqForPre-regNursing.pdf 

Cronenwett, L. Research, Practice and Policy: Issues in Evidence-Based Care. Journal of Issues in Nursing. February 19, 2002. Vol: 7; No.2; pp: 57-61

Lee is only the first step in the process of building a team that is able to cover all aspects of Mrs. Lee's care. The team approach involving a social worker, nurse, physician, pharmacist, and physical therapist affords Mrs. Lee a full range of professionals attending to her various needs.
Although Mrs. Lee has a number of problems that need to be addressed the one problem that must be addressed immediately is her elevated blood pressure. Hypertension is an important risk factor for the development and worsening of many complications of diabetes and an elevated blood pressure is like walking around with a detonated bomb. Within moments, and with little warning, a diabetic patient can suffer a stroke or heart attack as a result of an elevated blood pressure. Well over fifty percent of diabetics suffer from hypertension and proper treatment of hypertension can minimize most of the tangential problems…...

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References

Calle-Pascual, A.L. (2002). A preventive foot care programme for people with diabetes with different stages of neuropathy. Diabetes Research and Clinical Practice, 111-117.

Caminal, J. And Barbara Starfield, et. al.(2004). The role of primary care in preventing ambulatory care sensitive conditions. European Journal of Public Health, 246-251.

Deichmann, R.E. (1999). Improvements in Diabetic Care as Measured by HbA1c After a Physician Education Project. Diabetes Care, 1612-1616.

Epstein, M. (1997). Diabetes and hypertension: the bad companions. Journal of Hypertension, 55-62.

Contracts with doctors often contain a clause which doesn't allow the doctors to discuss
Health care 7 with their patients financial incentives to deny treatment or about treatments not covered by the plan (Glazer, 1996). This has caused many consumers, especially those with chronic illnesses, to form organizations with the American Medical Association and physician specialty groups to promote legislation forbidding "gag rules" (Glazer, 1996). One group, Citizen Action, has 3 million members and "has been lobbying in state legislatures for laws that would require plans to disclose how they pay their doctors; give patients the right to choose specialists outside the plan; and provide appeals for patients who get turned down for expensive treatments" (Glazer, 1996).

The doctor-patient relationship is also affected if a patient must switch to a new doctor under managed care. Having a longterm relationship with a primary doctor is important because he or she is more…...

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Works Cited

Bennett Clark, Jane (1996, July). What you should ask your HMO.

Kiplinger's Personal Finance Magazine. pp. 92-93.

Glazer, Sarah (1996, April 12). Managed Care. CQ Researcher, 6,

Koop, C. Everett (1996, Fall). Manage with care. Time. pp. 69.

In doing so, organizations:
advance the idea of public assurance that the organization is concerned for patient safety and the quality of care present a safe and capable work environment that adds to worker satisfaction negotiate in regards to sources of payment for care in regards to data on the quality of care pay attention to patients and their families, value their rights, and connect them in the care process as partners produce a culture that is open to learning from the timely reporting of unfavorable events and safety concerns set up joint leadership that sets precedence's for and unremitting leadership for quality and patient safety at all points (Introduction, n.d.).

In 2012 Joint Commission made quite a few changes to the 2012 accreditation decision rules. These rules present the consistent structure that the Joint Commission uses to deliver an accreditation decision limiting unpredictability or prejudice. The first thing that was…...

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References

2012 Accreditation Decision Rules. (2011). Retrieved from www.jcrinc.com/common/PDFs/fpdfs/.../JCP-01-12-S8.pdf

About Joint Commission International. (2011). Retrieved from  http://www.jointcommissioninternational.org/About-JCI/ 

Common Questions and Answers Regarding JCI Accreditation, Clinical Laboratories, and These Standards. (n.d.). Retrieved from  http://www.jointcommissioninternational.org/common/pdfs/jcia/QuestionsandAnswer 

sCL.pdf

UK Healthcare
Within this section of Chapter One, a historical perspective of NHS will be provided. This discussion will identify problem areas that have emerged in relation to NHS with an attempt made to address the manner in which such problems have historically influenced reform efforts.

With the passage and associated provisions of the NHS Act of 1946, NHS was implemented in the UK in 1948. The NHS Act of 1946 served as the means by which a pattern of health service finance and provision was established in the UK following World War II (Baggot, 1998). According to Baggot, on the basis of the Act, the principle of collective responsibility by the state for the establishment of a comprehensive health service system was introduced, allowing for the planned use of services by the entire population at no cost. It was also intended that equality of access to services would be incorporated within…...

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References

Baggott, R. (1998). Health and Health Care in Britain. London, Macmillan,

Barlow, M. (1998). The Fight of My Life. Toronto: Harper Collins

BMA Central Consultants and Specialists Committee (1990). Guidance on Clinical

Directorates London: BMA.

Healthcare
Identify the three types of health organizations? Please explain

Three types of health organizations include managed services organizations (MSOs), preferred provider organizations (PPOs), and independent practice associations (IPAs). MSOs refer to organizations like Medicare, which usually serve as gatekeepers to patients by seriously limiting their choices with regards to medical care. PPOs refer to the generally contracted services, such as those garnered through the employer's plan or personal insurance. IPAs are private practices that bill directly to clients.

Identify the 4 levels of service. (hint: the 4th is rarely used)

The four levels of services include primary, secondary, tertiary, and quaternary care. Primary care is often of a routine nature, and pertains to standard procedures such as diagnostics or treatment interventions. Secondary care refers to areas of specialization in medicine. Because the consumer generally needs a referral to access secondary care, and because the consumer has usually already seen a primary care provider…...

Figure 1 portrays the state of Maryland, the location for the focus of this DR.

Figure 1: Map of Maryland, the State (Google Maps, 2009)

1.3 Study Structure

Organization of the Study

The following five chapters constitute the body of Chapter I: Introduction

Chapter II: Review of the Literature

Chapter III: Methods and Results

Chapter IV: Chapter V: Conclusions, Recommendations, and Implications

Chapter I: Introduction

During Chapter I, the researcher presents this study's focus, as it relates to the background of the study's focus, the area of study, the four research questions, the significance of the study, and the research methodology the researcher utilized to complete this study.

Chapter II: Review of the Literature in Chapter II, the researcher explores information accessed from researched Web sites; articles; books; newspaper excerpts; etc., relevant to considerations of the disparity in access to health care services between rural and urban residence in Maryland and the impact of the lack of financial resources. The…...

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Potter, S. (2002) Doing Postgraduate Research. London: Sage.

Qualitative research: Approaches, methods, and rigour, (2008, Nov. 7). Microsoft PowerPoint Qualitative Research AdvC08 RS.PPT. Retrieved March 10, 2009 from www.unimaas.nl/bestand.asp?id=11629

Wolvovsky, Jay. (2008). Health disparities: Impact on Business and Economics Summit. Maryland's healthcare at a glance. The Heart of Community Health Baltimore Medical Syste. Retrieved March 10, 2009 at  http://dhmh.maryland.gov/hd/pdf/2008/oct08/Jay_Wolvovsky.pdf

Others include delays in data accessibility, albeit shorter delays and the continued need for source data verification (Donovan, 2007).
Other obstacles have occurred in the developing of mobile healthcare applications. These have included mobile device limitations, wireless networking problems, infrastructure constraints, security concerns, and user distrust (Keng and Shen, 2006).

A third problem that has been encountered is that of a lack of education on not only the importance of the information technology but also training on how to use the specific pieces of equipment. The tools that are provided to people are only as good as the training that is provided on how to use them. The tools may be able to do wonderful things, but if those that are using them do not know how to get the best use out of them they will in the end be less efficient.

Medical Errors

According to an Institute of Medicine (IOM) medical…...

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References

Al-Assaf, Al F., Bumpus, Lisa J., Carter, Dana, and Dixon, Stephen B. (2003). Preventing Errors

in Healthcare: A Call for Action. Hospital Topics. 81(3), 5-12.

Brommeyer, Mark. (2005). e-nursing and e-patients. Nursing Management -- UK. 11(9), 12-13.

Damberg, Cheryl L., Ridgely, M. Susan, Shaw, Rebecca, Meili, Robin C., Sorbero, Melony E.,