Cost is one of the primary issues -- it is cheaper to go to an RN than a doctor, and walk-in clinics have lower overhead costs than physician's offices, which is of great concern to uninsured or minimally insured patients. ait time is another concern -- clinics provide immediate treatment, patients do not have to wait for appointments for a brief, routine procedure, which insured patients may balk at if they merely wish to get a routine culture for strep throat. Using the Internet to access information about insurance and care results in lowered administrative costs for providers, less need for phone operators to provide advice, and results in additional speed for the consumer, in accessing records.

For a patient without insurance, ordering drugs online and not having to pay for a 'live' consult may be more cost-efficient, despite the higher costs of the drugs. Healthcare companies' desire to make a…...

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Works Cited

Kantor, Aileen. (Dec 1991). "New role for nurses." Business & Health. Retrieved 23 Jul

2007 at  http://findarticles.com/p/articles/mi_m0903/is_n13_v9/ai_11673858 

Wal-Mart to expand walk-in clinics in stores." (24 Apr 2007). AP Wire. Retrieved 23 Jul

2007 at MSN.  http://www.msnbc.msn.com/id/18292564

Healthcare Institutions
Financial Environments Paper

Healthcare institutions: Nonprofit, for-profit, and government-administered

"Three types of entities -- nonprofit, for-profit, and government" exist within the American healthcare industry (Horowitz 2015). All available evidence indicates that this status affects the business model choice of all of these institutions. "In this econometric analysis of American Hospital Association data for every U.S. urban, acute care hospital (1988 -- 2000), more than thirty services were categorized as relatively profitable, unprofitable, or variable. For-profits are most likely to offer relatively profitable medical services; government hospitals are most likely to offer relatively unprofitable services; nonprofits often fall in the middle" (Horowitz 2015). Thus it is important to understand how these various organizations view profitability, given its material effect upon how they allocate resources and impact patient care.

Not-for-profit healthcare institutions like the Mayo Clinic are dependent upon donors, government funding, foundations, and also from revenue from activities. Unlike for-profit institutions they are…...

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References

Aurora's role as a not-for-profit organization. (2015). Aurora Healthcare. Retrieved from:

 http://www.aurorahealthcare.org/aboutus/notforprofit/index.asp 

About community benefit. (2015). Kaiser. Retrieved from:

 http://share.kaiserpermanente.org/category/about-community-benefit/

Educational Mission and Nursing Practice Statements
Educational Mission Statement

The University of Iowa is known for its world-class academic programs, including the professional preparation and training that is provided through the College of Nursing. The formal mission statement for the College of Nursing University of Iowa is as follows:

"The mission of the College of Nursing is to prepare nurse leaders and to be forerunners in the discovery, dissemination and application of nursing knowledge. As a state supported higher degree program in nursing, the college is committed to preparing nurse clinicians, scholars, and educators to meet the health needs of the people of Iowa. As part of a research intensive university, the College of Nursing supports its research mission through national and international leadership in innovative educational and practice programs and the generation of new knowledge" ("UOI, Nursing," 2014).

State supported colleges and universities are somewhat unique in their missions and goals, differing from…...

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References

____. (2014). Mission Statement. The University of Iowa, College of Nursing. Retreived from  http://www.nursing.uiowa.edu/about-us/mission-statement 

____. (2014). Kaiser Permanente Mission Statement, KP Promise, and Vision. Retreived from http://www.sdnsec.org/kaiserpermanente/forms/KPPromise.pdf

Healthcare Partnership in the Community
Discuss an example of healthcare partnership in your community and specifically cite examples that show how nurses, both individually and collectively, influenced the care provided. What obstacles were confronted and what strategies were employed in order to effectively overcome them.

One community healthcare partnership that is salient in my mind is Texas Department of State Health Services' program on tuberculosis or TB. This group of projects is specifically handled by the Office of Border Health, specifically because communicable diseases transmitted over the Texas-Mexico border will inadvertently affect the state of community health of both countries (i.e., the U.S. And Mexico). Under the program, two projects have been successful and known for its accomplishment in helping decrease TB prevalence in communities near the Texas-Mexico border: Proyecto Juntos and TBNet.

Proyecto Juntos specifically centers on "bilateral TB control," centering its efforts to curbing TB prevalence by monitoring the health of…...

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References

Texas Department of Health Services, Office of Border Health. Available at:  http://www.dshs.state.tx.us/borderhealth/ 

Texas Organization of Nurse Executives. Available at: http://www.texasnurse.org/

Healthcare Budgetary Decision Making
With resources becoming increasingly limited in the healthcare industry, managers are continually challenged with devising effective strategies for dealing with budgetary concerns. The most prominent challenge comes in the form of decision making that results in striking a balance between cost reduction and the maintenance of high quality care and safety for patients. The following discussion outlines approaches that can be utilized by managers to effectively deal with budgetary concerns in healthcare settings, with an emphasis on the advantages of group decision making strategies.

It is evident that there is often a struggle in the healthcare industry for managers to continually and effectively manage depleting resources, address the ever-changing needs of patients, and all the while provide a high level of patient care (Sibbald et al., 2010). This struggle has at its core a need for improvement in regards to the processes in which priorities are established in…...

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References

Burleson, G. (1984). Management, budgeting and the use of resources -- a private sector review. Hospital and Health Services Review, 80(3), 124-5.

Sibbald, S.L., Gibson, J.L., Singer, P.A., Upshur, R., Martin, D.K. (2010). Evaluating priority setting success in healthcare: a pilot study. BMC Health Services Research, 10, 131.

Xie, H., Chaussalet, T., Toffa, S., Crowther, P. (2005). A software tool to aid budget planning for long-term care at local authority level. Studies in Health Technology and Informatics, 114, 284-90.

Healthcare Legal Issues
Discuss the impact Federalism has on the regulation of health care delivery; how do the different sources of law as they related to the federal and state governments matter, if at all?

In general, federal regulation of health care delivery would be much more appropriate and efficient than state or local law, at least in so far as major aspects of health care delivery are concerned. That is because state laws vary considerably; that makes it impossible to establish a consistent or uniform standard of health care delivery across state lines. Certainly, there are aspects of health care that are appropriate to regulate at the state or even the local level, but there are others that would be much better to regulate on a national or federal level.

One of the best examples of an aspect of health care delivery that should be regulated federally are elements of necessary health…...

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Reference

Reid, T. (2009). The Healing of America: A Global Quest for Better, Cheaper, and Fairer Health Care. New York: Penguin Group.

The experiences of seniors within the healthcare delivery system will alter how all Americans view healthcare. The healthcare delivery systems and overall organizational structure in the United States has been slow to adjust but that rest of the world is currently in flux that will migrate into our system. Technological advances in communication have made telehealth and telemedicine vialbel solutions to our outdated healthcare industry orgainzational structre. While these types of advances are only in their infancy, "...there seemed to be broad acceptance that telehealth and telemedicine had provided positive benefits to the worlds healthcare delivery system." (Telehealth Applications) Our technoloically challenged seniors have actually discovered the trend within the healthcare system and telehealth and telemedicine seems to be an advance that will find worldwide support so we as a nation will be reqquired to jump on the bandwagon.

In conclusion, this article review focused on new Healthcare Delivery Systems which…...

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References

Farnsworth, Chris. "The Truth About Fraud" Washington Monthly 01 May 1997.

Joshua-Amadi, Mabel. "Recommendations: A Study in Motivation: Recruitment and Retention in the NHS" Nursing Management. February (2003).

Soloye, Daniel J. "Privacy and Power: Computer Databases and Metaphors for Information Privacy" Stanford Law Review July (2001).

Telehealth Applications. (2004) "Current Telehealth Applications" Retrieved October 26, 2004, at  http://www.startegis.com/epic/internet/inict-tic.nsf/PrintableE/it07545e.html

Centralization and decentralization of HM

Centralized HM operations are conducted within the HM department and they assume that all employee related actions be implemented by the human resources specialists. Such an endeavor creates a context in which the human resource actions are taken in an objective and professional manner. Specifically, the decisions are made based on the organizational benefits and the technical considerations at an overall organizational level. In the case of decentralization nonetheless, the human resource decisions are taken in a less formal manner and they are influenced by personal bias of the medical staff conducting the interviews. The benefit is nevertheless that of the staff decisions being made not on grounds of organizational benefits, but on skills and abilities at a medical level.

A centralized human resource department then supports organizational gains and objectives, whereas a decentralized human resources act supports professional and medical benefits. It is expected that the…...

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References:

Connor, E.T., Educational tort liability and malpractice, University of Iowa,   last accessed on March 3, 2011http://www.uiowa.edu/~c07p134/tort.htm 

Salvador, F.A., Which is better? Formal authority or informal authority? Entrepreneur, last accessed on March 3, 2011http://www.entrepreneur.com.ph/features/article/which-is-better-formal-authority-or-informal-authority

Website of Medicare,   last accessed on March 3, 2011http://www.medicare.gov 

Stated to be barriers in the current environment and responsible for the reporting that is inadequate in relation to medical errors are:
Lack of a common understanding about errors among health care professionals

Physicians generally think of errors as individual that resulted from patient morbidity or mortality.

Physicians report errors in medical records that have in turn been ignored by researchers.

Interestingly errors in medication occur in almost 1 of every 5 doses provided to patients in hospitals. It was stated by Kaushal, et al., (2001) that "the rate of medication errors per 100 admission was 55 in pediatric inpatients. Using their figure, we estimated that the sensitivity of using a keyword search on explicit error reports to detect medication errors in inpatients is about 0.7%. They also reported the 37.4% of medication errors were caused by wrong dose or frequency, which is not far away from our result of 50.5%. (Hui, Colombia…...

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Bibliography

Discussion Paper on Adverse Event and Error Reporting In Healthcare: Institute for Safe Medication Practices Jan 24, 2000

Patient Safety/Medical Errors Online at the Premiere Inc. page located at:  http://www.premierinc.com/all/safety/resources/patient_safety/downloads/patient_safety_policy_position_2001.doc 

Medstat / Shortell, S. Assessing the Impact of Continuous Quality Improvement on Clinical Practice: What It Will Take to Accelerate Progress.

Health Policy Monitor (2001) A Publication of the Council of State Governments Vol. 6, No. 1 Winter/Spring 2001 PO18-0101

Health Care Communication
As the nation's health care resources become more and more strained, health care professionals are being asked to do more with less. They are being pressured to find cheaper ways to improve the quality of health care they deliver. Given the current circumstances, this sounds difficult and even unreasonable, but it may not be entirely impossible.

One simple way for medical professionals to improve the quality of health care they provide is by improving their health care communication skills. Health care communication is "The art and technique of informing, influencing, and motivating individual, institutional, and public audiences about important health issues. The scope of health communication includes disease prevention, health promotion, health care policy, and the business of health care as well as enhancement of the quality of life and health of individuals within the community." (U.S.D.S.H.S., 2000, p.11-20).

In health care, as in all aspects of life, communication is…...

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Bibliography

U.S. Department of Health and Human Services. (2000). Healthy People 2010: Volume I, Focus Area 11: Health Communication (second edition) Washington, DC: U.S. Government Printing Office.

Zachariae, R. et. al. (2003). The relative importance of physician communication, participatory decision making, and patient understanding in diabetes self-management. British Journal of Cancer, 88(5), 658-65.

Heisler, M. et. al. (2002). The relative importance of physician communication, participatory decision making, and patient understanding in diabetes self-management. Journal of General Internal Medicine, 17(4), 243-52.

Safran, D.G. et. al. (1998). Linking primary care performance to outcomes of care. Journal of Family Practice, 47(3), 213-20.

But due to the ineffective allocation of resources, while money was spent on his care when his blood sugar was 'out of control,' and when he began to develop blindness and other symptoms of uncontrolled diabetes, he did not receive the consistent but relatively low-care necessary to reduce the causes of his inability to manage his condition. Conclusion Healthcare operates within the market system, and is subject to opportunity costs like any other good or service. However, overall the healthcare system does not operate upon the principles of efficiency, often due to the bureaucracy of the healthcare system and its methods of reimbursement and prioritizing acute over primary care.
eferences

Gawande, Atul. (2009, June 1). The cost conundrum: What a Texas town can teach us about health care. The New Yorker. etrieved February 2, 2011 at http://www.newyorker.com/reporting/2009/06/01/090601fa_fact_gawande#ixzz1CpZ4jbV

Gawande, Atul. (2011, January 24). The hot spotters. The New Yorker. etrieved February 2,

2011 at…...

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References

Gawande, Atul. (2009, June 1). The cost conundrum: What a Texas town can teach us about health care. The New Yorker. Retrieved February 2, 2011 at  http://www.newyorker.com/reporting/2009/06/01/090601fa_fact_gawande#ixzz1CpZ4jbVR 

Gawande, Atul. (2011, January 24). The hot spotters. The New Yorker. Retrieved February 2,

2011 at  http://www.newyorker.com/magazine/bios/atul_gawande/search?contributorName=atul%20gawande 

Gibson, Jennifer, Douglas K. Martin, & Peter a Singer (2004). Setting priorities in health

Health Conundrum
Healthcare Financing and Nursing

Healthcare is one of the most contentious subjects in the United States today, with the financing of the healthcare system the specific issue of concern in legal, ethical, and pragmatic spheres. The debate surrounding this industry has impacted all areas of the healthcare industry, including the nursing profession, in a variety of complex ways that are both direct and indirect. ising healthcare costs without a rising ability to pay has created a strain on many medical institutions, and a rising demand for are with the rapidly aging population of the United States (that is, with a much larger older generation(s) in the country, the overall demographic of the nation is shifting quickly towards more elderly and care-intensive individuals) has not been adequately met with a rising provision of services (Kovner et al. 2011). The following paragraphs will explore several implications of this situation on the profession…...

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References

Cleverley, W., Cleverley, J. & Song, P. (2011). Essential of Healthcare Finance. Sudbury, MA: Jones & Bartlett.

Kovner, A., Knickman, J., Weisfield, G. & Jones, S. (2011). Jonas & Kovner's Health Care Delivery in the United States. New York: Springer.

Mason, D., Leavitt, J. & Chaffe, M. (2007). Policy & Politics in Nursing & Healthcare. New York: Elsevier.

The infant mortality rate is of 8.97 deaths per 1,000 live births. This rate places Kuwait on the 160th position on the chart of the CIA. The adult prevalence rate of HIV / AIDS is of 0.1 per cent.
In terms of economy, Kuwait is a relatively open, small and wealthy economy. It relies extensively on oil exports -- petroleum exports for instance account for 95 per cent of the total export revenues as well as for 95 per cent of the federal income. The Kuwaiti representatives have recently set the goal of increasing the oil production per day. Currently, Kuwait is facing the pressures of the internationalized economic crisis -- which however, due to recent economic surpluses in Kuwait, affects the economy to a lower extent.

Simultaneously with the increase in oil production, the Kuwaiti authorities are also focusing on diversifying the economic activities in the sense of supporting non-oil…...

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References:

Agency, Kuwait News. "Blair's "Kuwait Vision." 15 March 2010. Zawya.com. .

Al-Ansari, H. And S. AL-Enezi. "Health Sciences Libraries in Kuwait." Bulletin of the Medical Library Association 89.3 (2001): 287-93.

Al-Awadhi, Olusi, Al-Saeid, Moussa, et.al. "Incidence of Musculoskeletal Pain in Adult Kuwaitis." Annals of Saudi Medicine 25.6 (2005): 459=62.

Al-Baho, A. "Resident's Guide to the Curriculum for Training in Family Medicine." December 2008. Kuwait Institute for Medical Specialization. .

Healthcare Delivery System Challenges
The American healthcare system has been criticized as favoring the middle and upper classes while ignoring the lower classes. Based on these speculations, the federal government has constantly tried to institute reforms in the healthcare sector though some of the proposals have failed to overhaul the industry. With rising insurance costs, the number of citizens barred from accessing quality healthcare has increased to more than 45 million uninsured Americans. On the same note, it is hypothesized that with time, the problems currently witnessed in the industry are likely to increase and finding solutions to them will be a tall order for the government (Stolberg & Pear, 2010). Despite the advent of new technology in the sector, which is likely to improve service delivery over the years, it is speculated that the cost of new tests and treatments will outweigh the savings. With the better technology, physicians…...

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References

Stolberg, S.G. & Pear, R. (March 24, 2010). Obama signs health care overhaul bill, with a flourish. The New York Times: p. A19. Retrieved March 1, 2013.

Woolhandler, S. & Himmelstein, D.U. (1997). Costs of care and administration at for-profit and other hospitals in the United States. The New England Journal of Medicine 336 (11): 769-774.

Swanson, E. (July 30, 2009). Health Care Plan: Favor / Oppose. Huffington Post.

Blumberg, L.J. & Holahan, J. (2009). The Individual Mandate: an Affordable and Fair Approach

healthcare issues country. How solve ongoing problem Medicare Fraud Abuse government sufficient effective regulation enforce. If, resolve problem? recommendation ? It Economics Healthcare economically sound.
Economics of healthcare

The population of the modern day society is faced with incremental pressures, but also incremental challenges, and these new issues impact all aspects of life, including the provision of healthcare services. For instance, the more and more technological developments made within the medical and pharmaceutical industries improve the quality of the medical services and as such the life expectancy of the patients. Then, the sustained academic research conducted also improves the quality of the services and the overall quality of the medical act.

In spite of the developments made, it must also be noted that the provision of healthcare services in the United States is a complex situation, with numerous ramifications and challenges. On a first note, it is revealed that the population of…...

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References:

Angell, M.,2002, The forgotten domestic crisis, The New York Times,   last accessed on August 8, 2011http://www.nytimes.com/2002/10/13/opinion/the-forgotten-domestic-crisis.html 

Cunningham, W., 2003, The development of the U.S. health care system and its problems, UCLA Schools of Medicine / Public Health, last accessed on August 8, 2011http://www.ph.ucla.edu/hs/hs_100_4_02_lecture_cunningham.pdf

Garson, A., 2000, The U.S. healthcare system 2010, Current Perspectives,   last accessed on August 8, 2011http://circ.ahajournals.org/content/101/16/2015.full 

Gratzer, D., Why isn't government healthcare the answer? Free Market Cure,   last accessed on August 8, 2011http://freemarketcure.com/whynotgovhc.php 

1. The benefits and challenges of switching to Electronic Medical Records in healthcare settings.
2. The impact of Electronic Medical Records on patient care and outcomes.
3. The role of Electronic Medical Records in improving healthcare efficiency and reducing costs.
4. The importance of data security and privacy in Electronic Medical Records systems.
5. The potential for interoperability and data exchange between different Electronic Medical Records systems.
6. The future of Electronic Medical Records and the potential for advanced technologies like artificial intelligence and machine learning.
7. The ethical considerations and implications of Electronic Medical Records, particularly in regards to patient consent and data sharing.
8. The....

The mental health implications of COVID-19 on healthcare workers are significant and multifaceted. The pandemic has placed immense pressure and stress on healthcare workers as they face increased workloads, long hours, high levels of uncertainty, and the risk of exposure to the virus.

Some of the key mental health implications include:
1. Increased levels of anxiety, fear, and distress due to the constant exposure to COVID-19 and the feelings of vulnerability.
2. Burnout and exhaustion from working long shifts, dealing with high patient volumes, and witnessing the suffering and death of patients.
3. Post-traumatic stress disorder (PTSD) symptoms from experiencing traumatic events and....

British Occupation and the Shaping of Nyasaland's Administration and Development
Nyasaland, present-day Malawi, underwent significant changes during British occupation, which began in 1891. The British imposed their colonial administrative system, implemented economic policies, and established educational and healthcare institutions, all of which had profound effects on the country's development.
Administrative System:
Establishment of Colonial Rule: The British declared Nyasaland a protectorate in 1891, bringing it under direct British colonial rule. The British established a governor and an executive council to govern the territory.
Indirect Rule: The British adopted a policy of indirect rule, where they governed through existing local authorities, such as....

In the healthcare workplace, ethical considerations and dilemmas play a crucial role in the decision-making process, ultimately impacting patient care, staff relationships, and organizational culture. Healthcare professionals must navigate complex ethical considerations on a daily basis, such as respect for autonomy, beneficence, non-maleficence, and justice. These principles guide how decisions are made regarding patient treatment, confidentiality, resource allocation, and end-of-life care. Additionally, healthcare workers may face ethical dilemmas when there are conflicts between these principles or when there is uncertainty about the best course of action.

Ethical considerations also extend to staff relationships within the healthcare workplace. Respect, trust, and collaboration are....