Canada is even further behind in its access to high tech equipment, including machines used for MRI's and CAT scans. This shortage of equipment affects wait time for diagnostic tests, which in some provinces can run well over three months (Beaudan, 2002).
According to Michael Decter, chair of the national board of Canadian Institute for Health Information, the Canadian health care system is dazed but he still believes that modernized public healthcare is the answer. "e do well on life expectancy and immunization of children compared to the U.S.," he says, noting that the United States spends 40% more on healthcare than Canada does (Beaudan, 2002).
Americans who go to Canada for cheap flu shots often come away impressed at how Canada offers free and first class medical care to everyone. But hospital administrators will tell a different story about having to cut staff for lack of funds or about having…...
mlaWorks Cited
Beaudan, Eric. "Canadian model of healthcare ails." Christian Science Monitor. 28 Aug. 2002: 1.
David, Guy. "The Convergence between for-Profit and Nonprofit Hospitals in the United
States." (2005). The Wharton School of Business University of Pennsylvania. 13 April 2009
http://www.aeaweb.org/annual_mtg_papers/2006/0106_0800_0204.pdf
During times of labor scarcity, workers have less of an incentive to take low-paying jobs, and employers have more of an incentive to provide benefits, to attract a higher-quality workforce. During times of high unemployment, workers are more desperate for jobs and will accept work at lower wages and lower benefits. But over a long duration of time, poor health status can actually result in higher rates of unemployment and lower wages, as conditions become more chronic and impede a worker's ability to labor: for example, 64% of males with diabetes and 40% of women with diabetes between the ages of 50 and 60 were employed; versus 82% of males and 60% of female without diabetes (Jacobs & apoport 2002: 259). Diabetes is a condition often associated with the working poor and very poor, and if the disease goes unmanaged it can become more chronic and impede the ability…...
mlaReferences
Arnst, Catherine. (2008, May 25). Healthcare: Not so recession-proof. Business week.
Retrieved June 12, 2011 at http://www.businessweek.com/technology/content/mar2008/tc20080324_828167.htm
Jacobs, Philip & John Rapoport. (2002). The economics of health and medical care. Aspen.
Overall, 8% from the control group completed testing and counseling versus 23% from the intervention group, which is a "modest increase" according to the researchers. None of those who completed testing was positive for HIV.
With the results controlled for race/ethnicity, i.e., meaning, within the same race/ethnic group, the turnout from the incentive-driven group was significantly higher than the control group. It was also found that whether or not they came from the incentive group, African-Americans and to a lesser degree, Hispanics were significantly less likely to complete testing and counseling compared to the other racial groups.
The researchers concluded that financial incentive resulted in a moderate increase in the number of ED-referred patients completing HIV testing and counseling. They could not say if this method was going to increase the percentage of detection of undiagnosed HIV+ individuals or if it's going to be cost-effective. They recommended point-of-care testing, or testing…...
mlaReferences
Haukoos, J., Witt, M., Coil, C., & Lewis, R. (2005). The Effect of Financial Incentives on Adherence with Outpatient Human Immunodeficiency Virus Testing Referrals from the Emergency Department. Academic Emergency Medicine 12 (7); p 617. Retrieved May 27, 2008 from Proquest.
Experimental and Quasi-Experimental Research Design. (n.d.). Retrieved February 23, 2009, at http://www.apsu.edu/oconnort/3760/3760lect04a.htm .
Health Care esearch
The definition of health care research has evolved over the last one hundred years or so. Many scholars and researchers define it differently. The University of Washington (2011) opines that the most detailed definition of health care is that given by the Academy for Health Service esearch and Health Policy, which defines it as a branch of scientific inquiry that merges several fields looking into how factors such as access, cost individual mannerisms, financial systems, social factors, structures, processes and technologies affect the delivery of quality healthcare. The primary objective of this is to identify the best ways to organize, manage, finance and provide care that enhances patient safety and patient health outcomes (Ojo, 2014).
The objective of this paper is to highlight the importance of health care research in the modern day world. The idea of evidence-based practice and how it related to research is also discussed.…...
mlaReferences
Jacobsen, K. H. (2011). Introduction to health research methods. Jones & Bartlett Publishers.
Ojo, A. (2014). Importance of Health Care Research. Retrieved June 22, 2016 from http://www.academia.edu/9350354/Importance_of_Health_Care_Research
University of Washington. (2011). Department of Health Services. Retrieved June 22, 2016 from http://depts.washington.edu/hserv/hs-research-definitions#content
(Health Insurance Coverage, 2009). This is just a little higher than what was reported in the state of Pennsylvania over the last two-year period, which was at 25% (Krawczeniuk, 2009). "The number of uninsured rose 2.2 million between 2005 and 2006 and has increased by almost 8 million people since 2000" (Health Insurance Coverage, 2009).
Most Americans are provided with health insurance coverage through their employers. But in today's society employment is no longer a guarantee of health insurance coverage. "As America continues to move from a manufacturing-based economy to a service economy, and employee working patterns continue to evolve, health insurance coverage has become less stable. The service sector tends to offer less access to health insurance than the manufacturing sector does. Further, an increasing reliance on part-time and contract workers who are not eligible for coverage means fewer workers have access to employer-sponsored health insurance" (Health Insurance Coverage,…...
mlaReferences
Descriptive Statistics. (2006). Retrieved May 5, 2009, from Research Methods Knowledge Base
Web site: http://www.socialresearchmethods.net/kb/statdesc.php
Health Insurance Coverage. (2009). Retrieved May 5, 2009, from National Coalition on Healthcare Web site: http://www.nchc.org/facts/coverage.shtml
Krawczeniuk, Borys. (2009, March 26). Study Finds Health Care Gaps. Times-Tribune, The
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…...
mlaPotter, 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
Healthcare Leadership
Leadership and Management in Healthcare
Effective Leadership and Management
Leadership is much like communications in regards to the complexity inherent in these concepts. There are many different perspectives that are used to examine these issues and researchers study leadership and management from such disciplines includes Industrial and Organizational Psychology, Social Psychology, Business, and Sociology. There have been somewhere in the neighborhood of six to eight major approaches, depending on the vantage point, to leadership theory produced in the scientific literature over the last sixty years and even more have emerged from outside academia (Kilburg & Donohue, 2011). Competing theories include such perspectives as trait theory, situational theory, behavioral theory, competencies theory, network theory of leadership and many more.
Much of the work that a nurse-leader engages in on a daily basis rests in their ability to communicate with others; including clients, colleagues, superiors, and subordinates. Therefore, since this position is heavily group…...
mlaWorks Cited
Judge, J., & Bono, J. (2000). Five factor model of personality and transformational leadership. Journal of Applied Psychology, 751-765.
Kilburg, R., & Donohue, M. (2011). Toward a "Grand Unifying Theory" of Leadership. Consulting Psychology Journal, 6-25.
Marquis, B., & Huston, C. (2011). Leadership Roles and Management Functions in Nursing: Theory and Application. Lippincott Williams & Wilkins.
Straker, D. (2011). Transformational Leadership. Retrieved February 6, 2011, from Changing Minds: http://changingminds.org/disciplines/leadership/styles/transformational_leadership.htm
Healthcare System Practice Guideline
Introduce an overview of one healthcare system practice guideline
There are numerous areas within health care that demand change in everyday healthcare practice. More often than not, irrespective of the healthcare setting, an inventive group is required to conduct research and facilitate change. There are numerous practices that require change or upgrading. This is facilitated through the establishment and advancement of clinical practice guidelines. The selected healthcare system practice guideline is Management of Diabetes Mellitus in Primary Care (2017). This particular guideline delineates the important decision points in the Management of Diabetes Mellitus (DM) and provides well-outlines and wide-ranging evidence based recommendations assimilating prevailing information and practices for practitioners throughout Department of Defense (DoD) and Veretan Affairs (VA) Health Care Systems. Diabetes mellitus is an illness that is caused either by an absolute or relative deficiency in insulin giving rise to hyperglycemia. Type 1 DM (T1DM) is as…...
One of the more controversial questions that arises when discussing group interactions is if one person need to lead the group, for the group to be effective (Lane, 2000, Decision mapping). In healthcare, some type of hierarchy is essential. Treatment decisions cannot be made through consensus alone, especially when a patient's life is in immediate danger. Also, seniority and areas of expertise are essential to define -- a more experienced nurse's decision-making ability must have priority over a novice nurse's. Certain areas of expertise, like the staff's registered nutritionist, must be respected when providing care. In fact, research in support of a communication theory known as decision-mapping notes that "groups with ineffective leadership" are less rather than more cohesive (Stephens 1999). Knowing there is an effective source of leadership can produce confidence. However, some consultation between different people, including the patient, family, nurses, physicians, and other caregivers, is ideal when…...
mlaWorks Cited
Cartwright Stephens. (1999). Recasting groupthink as a consequence of ineffective leadership: Is cohesion the problem or the solution? Small Groups' Communication Context.
Retrieved January 20, 2009 http://www.uky.edu/~drlane/capstone/group/dmap.htm
Lane, Derek (2000). Groupthink. Small Groups' Communication Context.
Retrieved January 20, 2009 at http://www.uky.edu/~drlane/capstone/group/gthink.htm
Community Teaching Plan
Community Teaching Work Plan Proposal
Directions: Develop an educational series proposal for your community using one of the following four topics which was chosen within your CLC group:
Bioterrorism/Disaster
Environmental Issues
Primary Prevention/Health Promotion
Secondary Prevention/Screenings for a Vulnerable Population
Planning Before Teaching:
Estimated Time Teaching Will Last:
Three 2-hour sessions
Location of Teaching:
Athens Community Health Department
Supplies, Material, Equipment Needed:
Laptop; digital projector; screen
Estimated Cost:
Community and Target Aggregate:
Athens Community Health Department, Athens, Georgia
Secondary Prevention/Screenings for a Vulnerable Population
Session I: Sources of Vulnerability
Session II:Implications for Healthcare Providers
Session III: Innovative Practice; Gordon's Functional Health Patterns Assessment
Epidemiological ationale for Topic (statistics related to topic):
The literature on vulnerable people clearly indicates that the special needs of these populations and the ubiquitous barriers to quality care access lead to traceable disparities in the provision of healthcare and in their health outcomes (Edelman & Mandle, 2006).
Nursing Diagnosis:
Any number of variables or combinations of variables can impact the healthcare experiences of individuals -- and…...
mlaReferences
Agency for Healthcare Research and Quality (AHRQ). National healthcare disparities report 2008. Chapter 3, Access to healthcare. Washington: AHRQ; 2008. Retrieved http://www.ahrq.gov/qual/nhdr08/Chap3.htm
Edelman, C.L. And Mandle, C.L. (2006). In D. Como, L. Thomas (Eds.), Health Promotion Throughout the Lifespan. St. Louis, Missouri: Mosby.
[Type text]
home health care services in extending care delivery to the home setting is increasing in contemporary times. Home health care aims to shorten hospitalization and reduce the frequency of visits to the hospital for patients recuperating from a surgical operation or disease, or living with a chronic illness such as cancer, heart disease, and diabetes (Centres for Medicare and Medicaid Services [CMS], n.d.). It enables patients to have more independent living and a better quality of life. The author's organisation specialises in home health care. In conjunction with hospitals and physicians, the organisation delivers a wide range of individualised care services to patients at their own homes. Whereas the organisation has performed impressively in terms of patient satisfaction, there is still room for improvement. In cognizance of increased demand for home health care due to the underlying greater demand for healthcare in general, it is imperative for the organisation…...
mlaReferences
Centres for Medicare and Medicaid Services (CMS) (n.d.). What is home health care? Retrieved from: care/home-health-care-what-is-it-what-to-expect.htmlhttps://www.medicare.gov/what-medicare-covers/home-health-
Ellenbecker, C., Samia, L., Cushman, M., & Alster, K. (2008). Chapter 13: Patient safety and quality in home health care. In R. Hughes (ed.), Patient safety and quality: an evidence-based handbook for nurses. Rockville: Agency for Healthcare Research and Quality.
QUALITY AND SAFETY IN HEALTHCAE AND NUSING PACTICEQuality and Safety in Healthcare and Nursing PracticeQuality and safety are of great relevance in nursing practice. To a large extent, the promotion of quality and safety results in improved patient outcomes. Mitchael (2008) points out that quality and safety practices come in handy on multiple fronts, i.e. in efforts to prevent falls and medical errors. The said practices could involve the ability of nurses to integrate and coordinate various aspects in the field of nursing. However, it would be prudent to note that there are various factors in nursing practice that impede quality and safety. DNP-prepared nurses play an important role in promoting quality and safety in healthcare. This essay will highlight experiences with quality and safety and the role that DNP-prepared nurses play in ensuring quality and safety in the delivery of services in nursing and healthcare.One of the experiences associated…...
mlaReferencesMalliaris, P., Phillis, J. & Bakerjian, D. (2021). Nursing and Patient Safety. P. H. (2008). Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Defining Patient Safety and Quality Care. In: Hughes R.G (Ed.). Rockville (MD): Agency for Healthcare Research and Quality (US). Tenhunen, M. L., Heinonen, S., Buchko, B. L., & Frumenti, J. (n. d.). The expert role of the DNP prepared nurse impacting healthcare systems: Bench to bedside, classroom to boardroom. https://sigma.nursingrepository.org/handle/10755/21142 https://psnet.ahrq.gov/primer/nursing-and-patient-safety Mitchel,
Research risk management programs for health care facilities or organizations
· Introduction
Healthcare risk management entails the administrative and clinical processes, systems and reports applied for the purpose of detecting, assessing, monitoring, preventing, and mitigating risk (NEJEM Catalyst, 2018). Through the implementation of risk management programs healthcare institutions can systematically and proactively protect the patient and hospital assets, accreditation, market share, brand value, reimbursement levels and the community standards. A risk management plan can be understood as a fundamental tool for implementation of the risk management program. The plan provides structures and guidance for the business and clinical services that make it possible to deliver quality care to the patients and foster safe hospital environment (The University of Scranton, 2018).
· Description of the Incident Risk management plan
Any risk management plan must be focused on provision of comprehensive, systematic and ongoing strategies for the alleviation of risk exposure. Some of the activities in…...
Healthcare Financial Management
To quote Jonathan Clark at the beginning of his article, "Improving the revenue cycle can be a daunting task due to the scope and complexity of the interdepartmental process." Of the suggestions offered by the authors, which concept(s) give you the greatest insight into creating an improved evenue Cycle process in the organization where you work (or one in which you are familiar)? Be sure to identify which article or author you are referencing.
In his comprehensive advisory article to improve the medical industry's revenue capturing capabilities, entitled Strengthening the evenue Cycle: A 4-Step Method for Optimizing Payment, Jonathan Clark provides a series of sensible solutions to the ongoing dilemma of payment optimization. David Hammer also provides guidance to healthcare finance professional in his article The Next Generation of evenue Cycle Management, by reminding them that the key performance indicators (KPIs) which dictated policy in previous years have been…...
mlaReferences
Clark, J. (2008). Strengthening the revenue cycle: a 4-step method for optimizing payment. Healthcare Financial Management, 62(10), 44.
Hammer, D.C. (2007). The next generation of revenue cycle management. Healthcare Financial Management, 61(7), 49.
Seddon, J. (2008). Think system. Management Services, 52(2), 10.
Wilson, D.B. et al. (2004). 3 steps to profitable managed care contracts. Healthcare Financial Management, 58(5), 34.
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).…...
mlaReferences
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
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....
## Thesis Statement:
A comprehensive and multifaceted approach, including enhanced communication, patient-centered care, staff empowerment, and data-driven decision-making, is necessary to effectively improve patient satisfaction in nurse quality care.
### Introduction:
Patient satisfaction is a crucial indicator of the quality of healthcare services. Enhancing patient satisfaction leads to improved clinical outcomes, increased patient loyalty, and reduced healthcare costs. Nurses play a pivotal role in shaping patient experiences and influencing satisfaction levels. This thesis will explore the multifaceted strategies that can be implemented to improve patient satisfaction in nurse quality care.
### Body:
1. Enhanced Communication:
Establish clear channels of communication between nurses and patients, allowing....
Healthcare facility placement plays a crucial role in determining the accessibility, quality, and affordability of healthcare services for individuals and communities. It involves the strategic allocation of healthcare resources such as hospitals, clinics, and other medical facilities to ensure that the needs of the population are met effectively. Balancing equity and efficiency in healthcare facility placement is essential for achieving optimal outcomes and improving health outcomes for all individuals, regardless of their socioeconomic status or geographical location.
Equity in healthcare facility placement refers to the fair distribution of resources to ensure that all individuals have equal access to healthcare services.....
1.<strong> Startling Statistics: </strong> Begin with compelling data or statistics that highlight the staggering impact of quality patient care on healthcare outcomes, emphasizing its profound influence on patient well-being and healthcare system efficiency.
2.<strong> Personal Narrative: </strong> Share a poignant anecdote or personal story that vividly illustrates the transformative power of quality patient care, showcasing its ability to improve lives and restore hope.
3.<strong> Thought-Provoking Question: </strong> Pose a thought-provoking question that directly aligns with the essay prompt, inviting readers to contemplate the intricate relationship between quality patient care and overall healthcare outcomes.
4.<strong> Historical Perspective: </strong> Trace the historical evolution of quality....
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