Affordable Care
School-Based Health Clinics and Adolescents under the Affordable Care Act

School-based health clinics can have many advantages over traditional health care delivery methods. The primary advantage is that school-based health clinics can specialize in the individual needs of the adolescents while a primary care physician may have relatively little expertise in many of the conditions that might affect this demographic group. However, with the school-based clinics, the staff can be well versed in the specific challenges that these adolescents face and provide effective avenues to address these challenges.

Given the passage of the Affordable Care Act, the entire health care environment will be altered. Although adolescents will have increased access to more traditional challenges of health care delivery, there may be a trend in which adolescents are disadvantage in some manner because they will be less exposure to the school-clinics who specialize in many of the age specific challenges that affect…...

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Works Cited

Brindis, C., & Sanghvi, R. (1997). SCHOOL-BASED HEALTH CLINICS: Remaining Viable in a Changing Heatlh System. Annual Review of Public Health, 567-587.

Crosby, R., & Lawrence, J. (2000). Adolescents' Use of School-Based Health Clinics for Reproductive Health Services. The Journal of School Health, 22-28.

HRSA Press Office. (2011, December 8). Affordable Care Act support for school-based health centers will create jobs, increase access to care for thousands of children.

Rickert, V., Davis, S., Riley, A., & Ryan, S. (1997). Rural School-Based Clinics: Are Adolescents Willing to Use Them and What Services Do They Want? The Journal of School Health, 144-149.

b. A more aggressive marketing campaign would be an investment in DHC's future because it would establish the company's brand as the number one downtown ambulatory services center. The threat of competition from companies other than MedCenter would be less likely too.

Con a. DHC would be unable to invest in much-needed upgrades to its medical services and would be less likely to offer the extended hours clients are calling for. Thus, the plan could backfire and cause DHC to lose clients.

b. DHC risks losing its reputation, which Worth built as a medical center that did not resort to what she called "crass commercialism," (p. 200).

3. DHC can address both the needs to improve medical services and the need to aggressively market to potential and existing clients.

Pro-a. The middle ground engenders trust among existing clients b. The extension of hours and services is likely to attract new clients before MedCenter lures…...

Business Plan for a Health Clinic in Mayfield, Kentucky
Business Idea and Location

Mayfield Nursing Home is an upcoming health clinic that will be established in Mayfield, Kentucky, U.S.A. Mayfield is one of the vibrant cities in Kentucky, with a considerable population. The clinic will provide a variety of health care services for children and adults, including primary care, physical examinations, drug screening, as well as diagnosis and treatment. The clinic will be robustly committed to providing quality, safe, effective, timely, patient-centered, and affordable care. This is informed by the need to build, maintain, and enhance patient satisfaction, which will be our top priority. Commitment to patient satisfaction will be crucial for attracting and retaining customers. Services will be offered 7 days a week for 12 hours a day (8 am to 8 pm). The clinic will specifically be located along 100 South 6th Street in Mayfield. This location offers convenient access,…...

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References

Andre, K., & Heartfield, M. (2011). Nursing and midwifery portfolios: evidence of continuing competence. 2nd ed. Australia: Elsevier.

Finch, B. (2013). How to write a business plan. 4th ed. London: Kogan Page.

Graham, J., & Kaye, D. (2015). A risk management approach to business continuity. U.S.: Rothstein Publishing.

Healthcare Case Study Schuylkill County, PA
County Overview - Schuylkill County, Pennsylvania is located in the heart of the anthracite Coal region of Pennsylvania where the Schuylkill iver originates. Pottsville is the county seat, and the county showed a population of just under 150,000 as of 2010 with a density of 190 persons per square mile. The total area of the county is 782 square miles, almost all land, less than 1/2 a per cent water. The county's history, likely due to large coal deposits, focused on the railroad and industrialization (Schuylkill Chamber of Commerce, 2011).

The county experienced the high point of its population during the 1920s and 1930s, and has been losing people ever since, most between 1950 and 1970, with about a 1-2% population loss since the turn of the century. This is likely due to the lack of appropriate jobs and opportunities within the county. Schuylkill County is…...

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REFERENCES

County Health Statistics - Healthcare 2010. (2009, March). Retrieved from Pennsylvania Department of Health: http://www.portal.state.pa.us/portal/server.pt-in_hi_groupoperator_1=or&in_hi_req_objtype=18&in_hi_req_objtype=17&in_hi_req_objtype=512&in_hi_req_objtype=514&in_hi_req_objtype=43&in_hi_req_objtype=1&in_hi_req_apps=7&in_hi_req_page=10&in_ra_topoperator=or&

Comprehensive Plan. (2010, March). Retrieved from City of Pottsville, PA:  http://www.city.pottsville.pa.us/html/cp1.htm 

Election Statistics. (2010, June). Retrieved from Pennsylvania Department of State:  http://www.dos.state.pa.us/portal/server.pt/community/running_for_office/12704 

Schuylkill County. (2010, June). Retrieved from Sperling's Best Places USA:  http://www.bestplaces.net/economy/county/pennsylvania/schuylkill

" (AAF, nd)
The Health Maintenance Organization further should "…negotiate with both public and private payers for adequate reimbursement or direct payment to cover the expenses of interpreter services so that they can establish services without burdening physicians…" and the private industry should be "…engaged by medical organizations, including the AAF, and patient advocacy groups to consider innovative ways to provide interpreter services to both employees and the medically underserved." (AAF, nd)

One example of the community healthcare organization is the CCO model is reported as a community cancer screening center model and is stated to be an effective mechanism for facilitating the linkage of investigators and their institutions with the clinical trials network. It is reported that the minority-based CCO was approved initially by the NCI, Division of Cancer revention Board of Scientific Counselors in January 1989. The implementation began in the fall of 1990 and the program was experiencing success…...

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Principles for Improving Cultural Proficiency and Care to Minority and Medically-Underserved Communities (Position Paper) (2008) AAFP -- American Academy of Family Physicians  http://www.aafp.org/online/en/home/policy/policies/p/princcultuproficcare.html 

Volpp, Kevin G.M. (2004) The Effect of Increases in HMO Penetration and Changes in Payer Mix on In-Hospital Mortality and Treatment Patterns for Acute Myocardial Infarction" The American Journal of Managed Care. 30 June 2004. Issue 10 Number 7 Part 2. Onlineavaialble at:  http://www.ajmc.com/issue/managed-care/2004/2004-07-vol10-n7Pt2/Jul04-1816p505-512 

Darby, Roland B. (2008) Managed Care: Sacruificing Your Health Care for Insurance Industry Profits: Questions You must ask before joning an HMO. Online available at: http://www.rolanddarby.com/br_managedhealth.html

Healthcare Reform Models
Health Care Reform Models

Preventive Psychiatry

Shim and colleagues (2012) argue for taking advantage of provisions within the Patient Protection and Affordable Care Act (ACA) of 2010 that emphasizes preventive and integrated care. They propose that the primary care setting is ideal for screening patients for signs of mental illness and associated risk factors. A mental health wellness program could also include coaches and other experts that interface with patients on an individual basis, including at the patient's home.

Long-Term Behavioral Health Care

Bao and colleagues (2012) examined four patient populations defined by disease severity and ability to pay, and then assessed how these four groups will fare under the behavioral health provisions in the ACA. Patients with private insurance and suffering from mild to moderate mental illness will probably receive the best care at a Patient-Centered Medical Home (PCMH). The authors suggest that the presence of comorbid conditions of sufficient severity…...

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

Access and Availability

The biggest problem in terms of access to healthcare is in rural areas. Our investigation found that there are very few if any rural clinics or healthcare facilities.

Access to healthcare is also limited to those that can afford insurance or qualify for Medicare or Medicaid. The unemployed and the poor are at a major disadvantage when it comes to gaining access to healthcare. The location of healthcare facilities is limited to the larger municipalities.

Accountability

The entity that is responsible for the healthcare system is the United States Government. In addition, Puerto ico has a governor and a cabinet in place to ensure that the appropriate laws are carried out. The entity that makes laws concerning healthcare is outside of the country but the entity that enforces these laws is inside the country. Services are evaluated by state run entities and agencies of the United States government such as that…...

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References

The World Factbook -- Puerto Rico. Retrieved November 8, 2004 from;  http://www.cia.gov/cia/publications/factbook/geos/rq.html#People 

Puerto Rico: Estimated Number of Persons Living with AIDS at the End of 2002. Retrieved November 8, 2004 from;  http://www.statehealthfacts.kff.org/cgi-bin/healthfacts.cgi?action=profile&area=Puerto+Rico&category=HIV%2fAIDS&subcategory=Persons+Living+with+AIDS&topic=All+Ages 

HIV / AIDS Among Hispanics. Retrieved November 8, 2004 from;  http://www.cdc.gov/hiv/PUBS/Facts/hispanic.pdf 

Puerto Rico: Total Number of Adults with Diagnosed Diabetes, 2002. Retrieved November 8, 2004 from;

Healthcare Organization
Banner Healthcare is an American non-profit healthcare system predominantly used in Phoenix, Arizona. The healthcare organization runs twenty-three hospitals plus various other specialized units. It has about 35,000 workers in its employment and so is one of the state's biggest employers. It offers emergency care, hospital care, rehab services, outpatient surgery, pharmacies, hospice, home care and long-term care. The organization has recently begun running primary care physician clinics such as Banner Arizona Medical Clinic and the Banner Medical Group. The organization was founded when Samaritan Health System and the Lutheran Health Systems merged.

The mission statement of Banner Health is "To make a difference in people's lives through excellent patient care (Banner health, 2014). The institution is known all over the country and is well recognized. The merger that led to the formation of the institution happened over two decades ago in 1991. The resultant company launched onto an ambitious…...

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References

Banner Healthcare. (n.d.). Retrieved from Banner Healthcare:  https://www.bannerhealth.com/ 

Bannerhealth. (2014). Our Mission. Retrieved from Bannerhealth:

Evolution of Nursing oles in an Enlarged National Health Care System
The Affordable Care Act enables the provision of health insurance to 30 million people above the coverage figures prior to the enactment of the law. Because of this precipitous rise in the number of health insurance members, access to care as a function of the availability of primary care providers has been a leading issue in the transition to the nation-wide system of health care insurance. Public health models and nursing practice arrangements are changing in order to meet the immediate and anticipated care needs that have been brought to bear on the health care systems.

Public Health and Nurse Managed Health Centers (NMHCs)

From the earliest days of public health, the roles of nurses have been embedded in the social, educational, and political needs of communities. Health education has functioned as a springboard to community organizing, patient advocacy, and the…...

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References

Centers for Medicare & Medicaid Services. (2005, January). CMS.gov. Retrieved from  http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ACO/index.html 

Kulbok, P.A., Thatcher, E., Park, E., & Meszaros, P.S. (2012, May). Evolving public health nursing roles: Focus on community participatory health promotion and prevention. The Online Journal of Issues in Nursing (OJIN), 17(2). DOI: 10.3912/OJIN.Vol17No02Man01. Retrieved from  http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-17-2012/No2-May-2012/Evolving-Public-Health-Nursing-Roles.html 

National Conference of State Legislatures. (2012, September). The Medical Home Model of Care. Retrieved from  http://www.ncsl.org/research/health/the-medical-home-model-of-care.aspx 

Reid, R., Haggerty, J., & McKendry, R. (2002, March). Final Report. Defusing the confusion: Concepts and measures of continuity of healthcare. Canadian Health Services Research Foundation, the Canadian Institute for Health Information, and the Advisory Committee on Health Services of the Federal/Provincial/Territorial Deputy Ministers of Health. Retrieved from http://www.hpm.org/Downloads/Bellagio/Articles/Continuity/cr_contcare_e.pdf

Healthcare
The term health care refers to the inter-related system of care provided to persons during illness. In most of the cases, healthcare begins with the family doctor who refers patient to specialists if needed or directly order further diagnostic testing. Community health clinics perform the same procedure as a family doctor, but alongside with that, clinics also provide insight into patterns of health or illness seen within the community. Hospital just form one part of the healthcare community, as are mostly visited when a patient's condition is more acute and requires intervention by the hospitals high-end staff, since more can be done for him in a hospital rather than in a clinic where he is just an out-patient.

Clinics of various types provide very specific services, such as "pain management clinics" these clinics are targeted for towards people suffering from pain conditions. ehabilitation services also form a needed part of in-patient…...

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References

DDI (2006) Health Care Global Comparison: Leadership Forecast 2005|2006. DDI, Pennsylvania.

DDI (2007) Leading the Past: Preparing the Future. DDI, Pennsylvania.

Fischer (2007) Culture and cultural analysis as experimental systems. Cultural Anthropology. 21(1) 1-65.

Greenfield D (2007) The enactment of dynamic leadership. Leadership in Health Sciences. 20(3) 159-168.

Health Clinic Chaos: Case Study
The busy Blessed Heart health clinic is located in Seattle, Washington. The clinic is a Federally Qualified Public Health Clinic that has been serving different patients within the area. The population served by Blessed Heart includes Medicaid and SCHIP population as well as other underinsured self-pay patients. The clinic has 30 physicians who are charged with different roles based on their qualifications. Blessed Heart has just hired a new administrator, Ms. Johnson, in order to handle the hospital operations and address the issues constantly raised by the physicians. Ms. Johnson has worked for other clinics within the area and has been credited with transforming the clinics. Her last role was based within Seattle for Mexi Health Clinic. While she was there, she managed to transform the clinic and eliminate the manual processes by implementing an HMIS. The system assisted the clinic to improve on its record…...

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References

Buchbinder Sharon B. (2011). Health Clinic Chaos. Unpublished.

Ken & Scott, B. (2008). Workforce Excellence. from  https://www.youtube.com/watch?v=1puEuzPoxsw 

Prosser, R. (2014). An Exploratory Investigation of Employee Motivation in the Private Sector: A Study of Dow Corling. Cardiff Metropolitan University.

Zalcman, S. (2014). How to Keep Employee Motivation Sky High.

Healthcare -- Floor Plan
Renovation of an existing facility into a walk-in health clinic would be a complex, expensive task. It would involve careful planning, numerous stakeholders, land, building, renovations, driveway and parking, contracts, furnishings, equipment and supplies. Budget planning would be critical. Having completed this task, I would change several key aspects of my plan.

If this is a new facility or a renovation

I selected renovation of an existing facility, which is a walk-in health clinic. The floorplan follows:

(Smartdraw, LLC, 2016)

Reason you selected the facility

I chose this facility because it is an increasingly common and modern structure for providing outpatient medical care in a community

ho are your stakeholders for this project

The stakeholders for this project are: providers; patients; payers; and in certain circumstances, the patients' employers (Duke University School of Medicine - Department of Community and Family Medicine, 2016). In addition, due to my need for significant financing, other stakeholders may…...

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Works Cited

Berry, T. (n.d.). Estimating realistic startup costs. Retrieved from articles.bplans.com:  http://articles.bplans.com/estimating-realistic-start-up-costs/ 

Duke University School of Medicine - Department of Community and Family Medicine. (2016). Who are the Stakeholders in Healthcare? Retrieved from patientsafety.duhs.duke.edu:  http://patientsafetyed.duhs.duke.edu/module_a/introduction/stakeholders.html 

Medical Device Depot, Inc. (2016). Brewer Millennium series surgeon chair. Retrieved from www.medicaldevicedepot.com:  https://www.medicaldevicedepot.com/Brewer-Millennium-Series-Surgeon-Chair-p/21340b.htm 

Medical Device Depot, Inc. (2016). Clinton classic series chrome base exam stool with round footring. Retrieved from www.meicaldevicedepot.com:  https://www.medicaldevicedepot.com/Clinton-Classic-Series-Chrome-Base-Stool-p/2102.htm

Clinic Analysis
Managing Complaints: Improving Service in a 15-Bed Emergency Room

As chief operating officer, you are responsible for a 15-bed Emergency Room (ER), which has received many complaints within the last year regarding inadequate patient care, poor ER management, long wait times, and patients being sent away due to lack of space, staff or physicians to provide appropriate care.

Diagnoses: Root Causes of Clinic Complaints

The complaints at hand in viewing the lack of success in the ER at hand can be largely traced back to poor internal management within the ER. Employees operating within the ER have long been confused about the standards and protocols that the hospital has implemented which poorly effects the running of the ER from the time a new patient enters the facility. Many of the complaints lodged toward the ER make mention of an incompetent and insensitive ER staff who have led patients to leave the ER…...

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Works Cited

Carrus, B., Corbett, S., and Khandelwal, D. (2010). "A hospital-wide strategy for fixing emergency department overcrowding." McKinsey Quarterly. Web. Retrieved

from:  [Accessed on 2 Decemberhttp://www.mckinseyquarterly.com/A_hospital-wide_strategy_for_fixing_ED_overcrowding_2505 

2012].

Louisiana State University. (2012). "Good Samaritan Laws." LSU. Web. Retrieved from:

The penalties for being out of compliance when OSHA comes knocking should be enough to motivate any healthcare facility to devise a plan to make sure that they are in compliance with OSHA's regulations. The startling thing is that it took an initiative like NEP to wake these facilities up and get them thinking about being compliant. Since they deal with people and their well being on an everyday basis, these are things that they should have been doing all along and not just because there is an increased probability of getting into trouble by OSHA.

eferences

Harris, S. (2012). OSHA in Health Care: Out of Sight & Out of Mind? etreived from http://ohsonline.com/articles/2012/04/01/osha-in-health-care.aspx

Healthcare workers. (2012). etrieved from http://www.cdc.gov/niosh/topics/healthcare/

New OSHA inspection initiative focuses on healthcare. (2011). etrieved from http://www.puresafety.com/public/workingwell/?p=1209#.UAa4aFJ6EM

Occupational Safety and Health Administration ("OSHA") Targets Nursing and esidential

Care Facilities. (2012). etrieved from http://www.hancocklaw.com/p/OSHA_Newsletter_212_May_H1768037.PDF

Prepare Your Facility for the National Emphasis Program (NEP). (2012).…...

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References

Harris, S. (2012). OSHA in Health Care: Out of Sight & Out of Mind? Retreived from  http://ohsonline.com/articles/2012/04/01/osha-in-health-care.aspx 

Healthcare workers. (2012). Retrieved from  http://www.cdc.gov/niosh/topics/healthcare/ 

New OSHA inspection initiative focuses on healthcare. (2011). Retrieved from  http://www.puresafety.com/public/workingwell/?p=1209#.UAa4aFJ6REM 

Occupational Safety and Health Administration ("OSHA") Targets Nursing and Residential

I. Introduction:
A. Define Artificial Intelligence (AI) and its relevance in healthcare.
B. Provide a brief overview of the history of AI in healthcare.
C. Thesis statement: The impact of AI on healthcare and its potential to revolutionize the industry.

II. AI in Healthcare Today:
A. Diagnosis and Medical Imaging:
1. Explain AI's role in analyzing medical images and assisting healthcare professionals in diagnosing various diseases and conditions.
2. Discuss specific examples of AI systems used in medical imaging, such as deep learning algorithms for cancer detection and image-based diagnosis tools.

B. Clinical Decision Support Systems:
1. Describe how AI-powered clinical....

Misconception 1: Counselors Only Help with Serious Mental Health Issues

Reality: While counselors are trained to address mental health concerns, they also assist individuals with a wide range of issues, including life transitions, relationship difficulties, work-life balance, and personal growth.

Misconception 2: Counselors Are All Psychoanalysts

Reality: Psychoanalysis is only one approach to counseling. There are many different therapeutic models, such as cognitive-behavioral therapy, solution-focused therapy, and humanistic therapy, which counselors use to meet the specific needs of their clients.

Misconception 3: Counselors Tell Clients What to Do

Reality: Counselors empower clients by helping them identify their strengths, explore different perspectives, and....

1. Personal struggles with mental health issues: The counselor may have struggled with their own mental health issues in the past, leading them to seek help from a counselor and ultimately inspiring them to pursue a career in counseling to help others facing similar challenges.

2. Experience volunteering or working in a mental health setting: The counselor may have had previous experiences working or volunteering in a mental health setting, such as a crisis hotline, mental health clinic, or support group, which sparked their interest in pursuing a career in counseling.

3. Personal or family experiences with trauma or adversity: The counselor....

1. Increase funding for Indigenous healthcare programs: The Canadian government should allocate more funding to improve healthcare infrastructure and services in Indigenous communities. This could include building new health clinics, hiring more healthcare providers, and expanding access to services like mental health and addiction treatment.

2. Enhance culturally safe care: Healthcare providers working in Indigenous communities should receive cultural competency training to better understand and respect the unique needs and preferences of First Nations patients. This will help create a more welcoming and inclusive healthcare environment.

3. Improve access to primary care: Many Indigenous communities lack access to basic healthcare services, which....