Healthcare Delivery System
Health care delivery system

This essay is based on the health care delivery system and in a bid to elaborate more on this topic; the essay will begin with a description of the current health care delivery structure in an organization, then a comparison of two different health care delivery systems will be done. Thirdly the effects of licensing and regulatory factors on health care delivery requirements will also be highlighted and the changes occurring in the economy or with regards to licensing and regulatory factors that must be considered in the future will also be mentioned. Lastly the essay will look at the national trends that are affecting competition and pricing initiatives in the healthcare sector before concluding by noting the quality indicators that affect pricing at the local level in health care sector.

The health care delivery system

According to Starr (1982, 99-106) he described the current healthcare delivery…...

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Work cited

Ginsburg, P. (2005): Competition in Health Care: It's Evolution over the Past Decade, Health Affairs, pp 1512 -1522.

Safriet, B.J., (1992) Health care dollars and regulatory sense: The role of advanced practice nursing. Yale Journal of Regulation, pp 417-488

Starr, P. (1982) The Social Transformation of American Medicine New York: Basic Books. pp 99-106.

Porter, M. And Teisberg, E. (2006): Redefining Health Care: Creating Value-Based Competition on Results; Harvard Business School Press, pp 54-67

Healthcare Delivery System
ithin the United States there is a dynamic between for-profit and not-for-profit health delivery systems. Health, in this instance, can be defined primarily as the facility's ability to restore ill patients to optimal physical standards. Both hospitals claim to provide similar care, with in-patient and out-patient services being offered to those in need. However, the real question becomes which provides better care for patients and what types of patients seek out each type of hospital. This paper will discuss primarily for-profit healthcare delivery systems and the advantages that these hospitals bring when compared with non-profit hospitals. Specific issues that will be considered are the types of patients common to each hospital, these individuals' access to healthcare, and the impact of insurance.

For-profit hospitals are simply that, a for-profit entity seeking to bring in revenue through providing high-quality medical services to patients. This is accomplished through higher overall prices for…...

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Works Cited

Cutler, David (2000). The Changing Hospital Industry: Comparing For-Profit and Not-for-Profit Institutions. National Bureau of Economic Research: 93-112.

Pattison, Robert (1983). Investor-Owned and Not-for-Profit Hospitals -- A Comparison Based on California Data. N Engl J. Med, 309: 347-53.

Woolhandler S & Himmelstein D (1997). Costs of Care and Administration at For-Profit and Other Hospitals in the United States. N Engl J. Med, 336: 769-74.

Health Care Delivery System
The American healthcare system is a very complex system that utilizes the private sector to grow and impact medical research and technology in the attempt at making healthcare more beneficial for patients. There are three main categories of players in the American healthcare system, each with a distinct role. The first category is administrators. Included in this category are physicians and hospital administrators. The next category is insurance companies. Companies such as Aetna provide healthcare coverage for citizens and pay percentages to the administrators. The final player is research. This includes the medical drug and technology companies that continue to expand and improve modern medicine.

Hard providers are those that utilize strict healthcare management systems and refuse to grant coverage to anyone seeking to go outside of that coverage. For instance, if a person wishes to see a doctor that is not within the hard provider's network, then…...

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Works Cited

OECD Health Data (2011). Directorate for Employment, Labor and Social Affairs. Accessed 26 March 2012 from  http://www.oecd.org/document/16/0,3343,en_2649_33929_2085200_1_1_1_1,00.html

Healthcare eform: ecommendations and Analysis
Wells Fargo Small Business oundup vs. The Physicians Working Group (PWG)

According to the privately-run bank Wells Fargo's website that supports small business interests, universal single-payer health insurance is not feasible in the United States. Unsurprisingly, the bank wants as little government intervention as possible. "To the greatest extent possible, Americans should receive their health insurance and health care through the private sector. One-size-fits-all insurance and care are not wise options in a nation of 300 million people. We need better health care delivery models, financial management systems and risk-sharing arrangements" (Wells Fargo Small Business oundup, 2008, eforming health care reform). However, the Physicians Working Group (PWG) counters that the simplicity of the universal payer system and its effectiveness of achieving universal coverage has its advantages. "Administrative costs would undoubtedly be much lower than they are now, although it is a mistake to think that low administrative…...

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References

Fuchs, V.R. And Emanuel, E.J. (2005). Health care reform: Why? What? When? Health Affairs

24 (6), 1399. Retrieved:  http://content.healthaffairs.org/content/24/6/1399.full 

Key features of the law. (2009). healthcare.gov. Retrieved:  http://www.healthcare.gov/law/features/index.html 

Wells Fargo small business roundup (2008). Reforming health care reform. Retrieved:

structure of the American Healthcare System has long been a topic of much debate. The purpose of this discussion is to trace the evolution of the structure of the American system delivery service. e will begin with a timeline of the healthcare system. e will then examine the evolution of the structure of the healthcare delivery system.
Timeline

According to a timeline created by PBS the evolution of healthcare delivery services has been dramatic. At the start of the 20th century the American medical Association becomes a very important organization for doctors. In the ten years between 1900 and 1910 the membership of the American Medical Association goes from 8,000 to 70,000. It is during this time frame that the AMA gained a tremendous amount of respect and physicians focused on ways to deliver organized medicine to Americans. ("Healthcare Crisis: Healthcare crisis")

During the ten-year span between 1900 and 1910, Surgeries to…...

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Works Cited

Healthcare Crisis: Healthcare Timeline. Public Broadcasting Station.  http://www.pbs.org/healthcarecrisis/history.htm 

Richardson, William C.. Let's build a safer system for healthcare. Healthcare Purchasing News Feb, 2000

Shortel, Stephen M. Slowly Remaking the U.S. Healthcare System. Health Services Research. April, 2000

Bibliography

Reflection on Healthcare Delivery Models and Nurse’s Role in Public Health
Since commencing this RN-BSN program at West Coast University, my perception of healthcare delivery models and the role of nurses in public health programs has evolved. Prior to undertaking the course, I did not know that there are different healthcare delivery models since I believed that healthcare delivery is basically about providing care services to patients. I also believed that public health programs are simply policies enacted by the government to promote health. However, the course has changed my perception about healthcare delivery through enabling to understand that there are different healthcare delivery models with different roles for members of the clinical team. Through lessons learned from this course, the healthcare delivery models I support are acute care models, transitional care models, and the collaborative payer model because they are innovative care models through which nurses become care coordinators rather…...

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References

Beattie, L. (2016). New Health Care Delivery Models are Redefining the Role of Nurses. Retrieved September 29, 2017, from  

Tabufor, E. (2017e). The Role of Nursing Research in Demonstrating Evidence-Based Practice. Paper submitted to West Coast University.

Tabufor, E. (2017f). The Impact of Physical Activity in Health Promotion and Disease Prevention. Paper submitted to West Coast University.

Trust for America’s Health. (n.d.). Examples of Successful Community-Based Public Health Interventions (State-by-State). Retrieved September 29, 2017, from  http://www.healthyamericans.org/assets/files/Examplesbystate1009.pdf https://www.americanmobile.com/nursezone/nursing-news/new-health-care-delivery-models-are-redefining-the-role-of-nurses/ 

 

Healthcare -- Immune Suppression Syndrome Clinic
ho were the stakeholders? ho were OpenMRS's champions?

Answered in table below.

hat were the expected benefits or improvements (potentials) from the EMR system (OpenMRS)?

Answered in table below

Looking at the list of stakeholders you came up with in question 1 and the list of potentials in question 2, discuss OpenMRS's achievements in each of these arena for various stakeholders.

Answered in table below

Stakeholders/Champions

Potentials

Nneka Emenyonu

A feasible and potentially scalable method to strengthen the evidence available for implementation of ART delivery in Africa

Through development and implementation of OpenMRS, practitioners and healthcare facilities are better able to coordinate ART delivery in Africa.

UCSF Team Members

Generating ample high-quality data

The systemic use of OpenMRS has assembled a wealth of well-organized, relevant data.

JCRC

Uniformity of data collection, categorization and transmittal.

The once-decentralized, haphazard method of healthcare resulted in equally haphazard data, which has been normalized, categorized effectively and is easily transmitted among healthcare providers and organizations.

MJAP

Uniform operational…...

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Works Cited

Harvard Medical School and Brigham and Women's Hospital. (2012, May). Electronic medical records at the ISS clinic in Mbarara, Uganda.

Because consumers are administering their bank accounts, investments, and purchases online, and many turn to the web for gathering information about medical conditions and will expect the same level of control to be extended to online medical information.
6. What can we learn from other countries in formulating recommendations to improve the U.S. health care system?

Despite having the most costly health system in the world, the United States consistently underperforms on most dimensions of performance, relative to other countries. When comparing the United States to nations such as Australia, Canada, Germany, New Zealand and the United Kingdom, our health care system ranks last or next-to-last in five dimensions of a high performance health system: quality, access, efficiency, equity, and healthy lives. The U.S. is the only country that does not have universal health insurance coverage, partially accounting for its poor performance on access, equity, and health outcomes. The inclusion of…...

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References

Kovner, Anthony R. And Knickman, James R. (2008). The Future of Health Care Delivery in the United States. New York: Springer Publishing.

(Gigante, S. February 22, 2010).
These numbers suggest a population which will demand a high level of services over their retirement lives, and as such place enormous pressure on premiums and fees. The result of this excess demand will be a rejoinder by physicians, hospitals, and other service providers to increase prices. The issue will be how Medicare and Medicaid policy makers will treat these price increases. If history serves as a guide, Medicare cuts will not occur to control these price increases. Recently in November 2010, Congress again failed to act to control Medicare reimbursement costs. "Repeating what has become an ominous political ritual, U.S. lawmakers voted at the last minute Monday to delay a scheduled average 25% cut in physicians' Medicare reimbursements" (Gerencher, K. November 29, 2010). The continued inaction to control prices on a payer system which will cover an additional 78 million individuals will result in…...

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Equally disturbing on the pricing front is the obverse in the demand equation, the overall supply of health services available for consumption by the public.

Even with significant changes to the health-care delivery system and improved prevention, the United States will face a shortage of more than 125,000 physicians in the next 15 years -- a daunting problem considering that we only train about 27,000 new doctors a year. In addition, the U.S. Department of Health and Human Services (HHS) estimates that at least 16,000 more primary care physicians are needed today. The doctor shortage affects primary care as well as many medical specialties, even without an expansion of health insurance. According to HHS, overall demand for physician services will increase an estimated 22% between 2005 and 2020, while the number of primary care physicians will increase by only 18% during this period. (Kirch, D. January 4, 2010)

What is at stake then is a definitive shortage of physicians both primary care and specialty, yet in addition there is an anticipated "U.S. nursing shortage projected to grow to 260,000 registered nurses by 2025" (American Association of Colleges

Healthcare Delivery
Imagine what would go through a person's mind if he or she had wrong site surgery. What emotions would arise? Can he or she take legal action? Are ethics involved? One will study in depth the legal and ethical aspects of healthcare delivery of a 62-year-old woman. The legal aspects of the 62-year-old woman are worth noting. They failed to offer her a full disclosure along with an apology from the physician. The hospital did not fully train the doctor on how to do this through proper training. Furthermore, the patient was not allowed to see her face with a mirror to see if the correct spot was marked before the operation, which would have reduced the medical error. This physician neglected her during Ms W's time of distress. In regards to the laws that were broken, she can take him to court for "de facto admission of…...

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References

Gallagher, T.H. (2009). A 62-year-old woman with skin cancer who experienced wrong-site surgery: Review of medical error. JAMA: Journal of the American Medical Association, 302, 660-577.

quality and safety issues on healthcare delivery absolutely cannot be underestimated. When quality and safety issues are addressed head on, healthcare delivery improves for the better and patients receive a higher quality of care. The fundamental issues are thus: people are living with an increased life expectancy and a higher rate of survival. This means that the increase range of treatment options put an additional burden on professional healthcare and in lieu of that, a great deal of literature conducted has identified significant shortfalls in the way that healthcare is currently delivered. Main issues that have emerged from this literature are that the way that healthcare is that healthcare is often delivered in a risky fashion, and that failings like these contribute to avoidable morbidity and mortality, and healthcare expenditure. "There have been substantial developments in information technology hardware and software capabilities over recent decades and there is now…...

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References

Ahrq.gov. (n.d.). Reducing and preventing adverse drug events to decrease hospital costs.

Retrieved from  http://www.ahrq.gov/research/findings/factsheets/errors-safety/aderia/index.html 

Bridges, B.R., Davidson, R.A., & Odegard, P.S. (2011). Interprofessional collaboration: three best practice models of interprofessional education. Med Educ Online, 16(10),

Baystatehealth.com. (n.d.). Evidence based acute myocardial infarction care. Retrieved from  http://baystatehealth.com/StaticFiles/Baystate/Quality/Disease

Why Telehealth and Virtual Healthcare Systems are More Important in the Age of COVID Introduction
This firm can add value to a healthcare system like the VA or DoD healthcare facilities by updating them and bringing them into line with 21st century technologies that facilitate virtual healthcare delivery. Telehealth has been in existence for decades, but it is only now that healthcare organizations are beginning to realize the need for telehealth systems. The world of COVID 19 has changed the way partners, patients and healthcare providers think about healthcare delivery. This paper will describe the effect of COVID 19 on virtual healthcare delivery and show why this firm can assist the VA in upgrading its systems.
COVID 19
The coronavirus panic that began in 2019 in China, quickly overtook the West and led to a global economic lockdown from March 2020 onward. Restaurants, movie theaters, schools, churches, parks, playgrounds—all closed to prevent the spread…...

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References

BMJ. (2020). COVID 19. Retrieved from  

Care Innnovations. (2020). What is Virtual Healthcare, and How Does It Fit into Telehealth? Retrieved from  https://news.careinnovations.com/blog/what-is-virtual-healthcare-how-does-it-fit-into-telehealth 

Hansen, M. (2020). 12 Autopsy Cases Reveal TRUTH About How Patients Die From Coronavirus. Retrieved from  https://www.youtube.com/watch?v=y6h8TIxeg1g 

https://bestpractice.bmj.com/topics/en-us/3000168/aetiology 

For many people who have a pressing health issue or concern that does not occur when their doctor is in office, the emergency room is their only alternative. An emergency room doctor can’t turn them away, and for the uninsured the ER is often the place where the bulk of their health problems are addressed—including things that are non-emergencies. Now the advent of the urgent care center has changed all that. Research suggests that patients should use utilize urgent care clinics versus an emergency room for non-life threatening medical issues because they are often treated faster, utilize fewer resources, and have less out-of-pocket expenses. Finding patient accessible care has long been a problem. For example, some workers who have to be at work at 8am, before most doctor’s offices are open, might go to the emergency room to get an ear infection treated. Of course, this is how many people view…...

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References

Adesara, R., Spencer, J., & Bost, J. (2011). Office-Based Patient Education Decreases Non-Emergent Emergency Department Visits. Journal of Medical Practice Management, 131-135

Ashton, L. (2017, July). Urgent Care: A growing healthcare landscape. Nursing, 47(7), 21-24. 

Ayers, A. A. (2018, June 20). How Urgent Care Cultivates Competition in Healthcare | Journal of Urgent Care Medicine. Retrieved from

Cheney, C. (2015, November 30). The New Urgent Care Wave | HealthLeaders Media. Retrieved from https://www.healthleadersmedia.com/finance/new-urgent-care-wave?page=0%2C2

Bonura, C. (2000, November 20). ‘Urgent’ care centers cut ER waits. New Orleans Citybusiness, 4-5.

Cheney, C. (2015, November). The New Urgent Care Wave. HealthLeaders, 38-40. 

Do, Y. (2014, October 27). The Impact of an Emergency Room Fee Increase on the Composition of Patients Visiting Emergency Departments. Journal of Preventive Medicine and Public Health, 2014(20), 309-316 

Fogarty, T. (2011, October 15). Reigning in unnecessary emergency room costs – for individuals and employers. Managed Care Outlook, 24(20), 2-5https://www.jucm.com/urgent-care-cultivates-competition-healthcare/

Comparative Analysis of Global Healthcare Various governments across the globe are tasked with the responsibility of providing healthcare to the citizens. Their economic status and models influence the quality of care provided. This has resulted in the disparities in quality from country to another with some countries acting as case studies to be emulated. The following study is a comparative analysis of three healthcare systems around the world with a focus on Australia, Saudi Arabia, and Switzerland. The study compares the residents’ overall level of access to preventive and tertiary care. This is followed by the comparison of the health expenditures and healthcare funding mechanisms in the three countries. The discussion will then delve on the life expectancy for each gender, overall leading cause of death, and infant mortality rates in each selected country. The final section provides an overview of deaths caused by diabetes, obesity, cardiovascular diseases and oncological conditions…...

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References

Armstrong, E. G. (2011). The healthcare dilemma: A comparison of health care systems in three European countries and the US. Singapore: World Scientific.

In Holtz, C. (2017). Global health care: Issues and policies.

Jacobs, P., Jonsson, E., Rapoport, J., & Wiley InterScience (2009). Cost containment and efficiency in national health systems: A global comparison. Weinheim: Wiley-Blackwell.

Keystone, J. S. (2013). Travel medicine. Oxford: Saunders.

OECD (2014). Geographic Variations in Health Care: What Do We Know and What Can Be Done to Improve Health System Performance?. Paris: OECD Publishing.

OECD Publishing. (2010). Health Care Systems: Efficiency and Policy Settings. Paris: OECD Publishing.

Olson, R. P. (2006). Mental health systems compared: Great Britain, Norway, Canada, and the United States. Springfield, Ill: Thomas.

Organisation for Economic Co-operation and Development. (OECD) (2003). A Disease-based Comparison of Health Systems: What is Best and at what Cost?. Paris: Organisation for Economic Co-operation and Development.

Financing Health Care in the United States How do the rapid and dynamic changes in financing impact health outcomes within your practice?
Health is a very important part of human existence. We also live in very interesting times when there are new lifestyle diseases that emerge which require enormous medical resources in terms of finances to treat. Medical providers are thus faced with quite a number of challenges in their endeavor to provide efficient and adequate healthcare to their patients. The changes have gone as far as healthcare delivery, technological advances, and increased patient expectation. This trend of events thus requires nurses to increase financing and acquire the latest information.
Healthcare finance refers to the number of resources in terms of money that are used to ensure that the population of a country gets efficient and adequate healthcare. Allocation of these resources is necessary for creating a strong primary care and to adopt…...

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References

Woolhandler, S., Campbell, T., & Himmelstein, D. U. (2003). Costs of health care administration in the United States and Canada. New England Journal of Medicine, 349(8), 768-775.

Karkada, S. Evidence Based Practice (EBP). https://www.researchgate.net/profile/Suja_Karkada2/publication/295235501_Evidence_Based_Practice/links/56c847b708ae96cdd06acc3b/Evidence-Based-Practice.pdf

https://www.nejm.org/doi/pdf/10.1056/NEJMsa022033

In Zambia, there a number of different ways to access healthcare.  However, we are struggling to answer what the five health care providers are in the country.  There are more than five main hospitals or clinics in Zambia that provide healthcare, only two healthcare ministries, and various types of health workers including doctors, nurses, midwives, clinical officers, technicians, medical teaching staff, medical consulates, and medical licentiates.  If we had to choose the five types of healthcare providers in Zambia, we would probably break them down into those five broad categories: health technicians, nurses, midwives, doctors, and clinical....

Third party payment, such as health insurance companies or government programs, can distort the healthcare market in several ways:

1. Increased demand: When individuals are not directly paying for their healthcare services, they are more likely to utilize medical services without considering the cost. This leads to increased demand for healthcare services, which can drive up prices and strain the resources of healthcare providers.

2. Lack of price transparency: Third party payment often creates a lack of price transparency in the healthcare market. Since patients are not directly paying for their services, they may not be aware of....

1. The importance of data governance in healthcare IT systems.
2. The role of data governance in ensuring patient privacy and confidentiality in health IT.
3. Challenges and solutions in implementing effective data governance strategies in healthcare organizations.
4. The impact of data governance on improving healthcare outcomes and patient care.
5. The role of data governance in ensuring data quality and integrity in health IT systems.
6. Ethical considerations in data governance for health IT data.
7. The role of data governance in facilitating interoperability and data sharing in healthcare.
8. The impact of data governance on healthcare analytics and predictive modeling.
9. Strategies for building a....

Impact of Electronic Medical Records on Patient Care

The benefits and challenges of using electronic medical records (EMRs) in healthcare delivery
How EMRs have improved the accuracy, efficiency, and accessibility of patient information
The role of EMRs in reducing medical errors and improving patient safety
The potential risks to patient privacy and security associated with EMRs
The impact of EMRs on the patient-physician relationship and trust

Technological Considerations for EMR Implementation

The key technological requirements and challenges for successful EMR implementation
The different types of EMR systems available and their respective strengths and weaknesses
The importance of data interoperability and standards....