1903). The management goal for HCH is to improve the effectiveness of health care delivery to the homeless and indigent of Milwaukee in close partnership with the community. In this regard, the management of the HCH community health center requires careful and timely coordination between the community health care specialists, including family practice physicians and advanced practice nurses, who provide accessible primary care preventive health services.
There are also management issues related to how the Milwaukee agency is administered according to the policies and procedures promulgated by the national organization. For example, in order to provide more one-on-one contact with clinicians who have expertise in homelessness, the HCH Network also identifies clinicians from each of the five Clusters to work with the health center team in Milwaukee. This Network representative serves on the national organization's Cluster's Steering Committee; in this capacity, the primary responsibility of the Network representative is to…...
mlaReferences
Barrett, S., Epstein, L.G., Gaston, M.H., & Johnson, T.L. (1998). Health care needs of medically underserved women of color: The role of the bureau of primary health care. Health and Social Work, 23(2), 86.
Baumohl, J. (1996). Homelessness in America. Phoenix: Oryx Press.
Carter, K.F., Green, L., & Testani-Dufour, L. (1996). Establishing outreach health services for homeless persons: an emerging role for nurse managers. Journal of Community Health Nursing, 13(4), 221.
Health Disparities Collaboratives. (2005). National Health Care for the Homeless Council. [Online]. Available: http://www.nhchc.org/collaboratives.html .
ole of Public-Private Partnerships in Healthcare
Public-private partnerships in healthcare have emerged as a useful framework in recent years in which to provide high quality healthcare services, especially to vulnerable populations. By drawing on the wide range of resources that are available in the community, government healthcare organizations can improve both the quality and accessibility of healthcare services. For instance, according to Cook (2009), "Public-private partnerships involving governments, foundations, private companies, and non-governmental organizations have proven to be valuable allies in fighting the infectious diseases and epidemics that ravage the world's poorest and most vulnerable communities" (p. 2). In addition, public-private partnerships in healthcare can provide a synergistic effect wherein the overall effects of each constituent partner are enhanced to the benefit of healthcare recipients (Bedi, 2007).
Provide an example of a public-private partnership that impacts health or care in your community or practice specialization
Each year, the U.S. Department of Veterans…...
mlaReferences
Bedi, R. (2007, March). Public-private partnerships: An old solution to present challenges. The Journal of the Royal Society for the Promotion of Health, 127(2), 60.
Benefits and risks of PPPs. (2016). The World Bank. Retrieved from org/public-private-partnership/overview/ppp-objectives.https://ppp.worldbank.
Cook, J. A. (2009, October 15). Pfizer Forum: public-private partnerships are key to fighting disease. New Statesman, 130(4559), 2.
Jasper, W. F. (2014, July 7). Corrupting healthcare: Public-private partnerships: Federal and state governments are colluding with favored corporate interests to prevent the competition needed to raise the quality and lower the cost of medical care. The New American, 30(13), 17-21.
Technology on Health Care Services:
There are several promising breakthroughs that have been made in the health care sector in the past decade. These promising breakthroughs have emerged due to the influence of information technology in this field. The main goal of these improvements in health care is to enhance the possibility of prolonging and improving people's lives amid the rise in the occurrences of diseases. Some of the recent developments that have emerged from the impact of technology include HPV vaccine, drug-eluting stents, human genome mapping, targeted cancer therapy, and natural orifice surgery.
Medical Technology:
As technological advancements have had a considerable impact on the health care field, they have resulted in the development and emergence of the medical technology concept. The concept of medical technology is described as the advancements in the equipments, processes, and procedures with which health care or medical services are delivered. The major technological changes that…...
mlaReferences:
Campbell et. al. (n.d.). The Impact of Health Information Technology on Work Processes and Patient Care in Labor and Delivery. Retrieved February 24, 2012, from http://www.ahrq.gov/downloads/pub/advances2/vol4/Advances-Campbell_47.pdf
Jamal, A., McKenzie, K. & Clark, M. (2009, December 1). The Impact of Health Information
Technology on the Quality of Medical and Health Care: A Systematic Review. Health Information Management Journal, 38(3), 26-37. Retrieved from http://ehis.ebscohost.com/eds/pdfviewer/pdfviewer?sid=1d4b81fd-5d71-4ae7-9f29-0e14037daef0%40sessionmgr4&vid=2&hid=120
Hoskins, D. (2009, December 23). The Impact of Technology on Health Delivery and Access.
Funding Health Care Services
Scenario
The writer of this work is a senior advisor of XYZ Health Care Organization and has been tasked with making a recommendation regarding how health care expenses associated with the following services should be funded within your state. The recommendations made will then be a part of a proposal that will be shared with state legislators.
State of Alabama
The State of Alabama has several programs funding healthcare. For example in 1997, legislation was passed to make provision of health care to children of families who were not able to purchase private health insurance. This program is known as the Child Health Insurance Program (CHIP) at the federal level and is called ALL Kids in Alabama. It is reported that the original U.S. legislation "provided $24 billion in aid to be used over a ten-year period. The Department of Public Health is reported to be under a mandate to…...
mlaBibliography
Facts and Issues: Health Care in Alabama Report of the Health Care Study Committee (2010) League of Women Voters of Alabama. Feb 2010. Retrieved from: http://www.lwval.org/Health_Care_in_AL_F&I/Health_Care_in_AL_F&I.pdf
How the Health Care Law is Making a Difference for the People of Alabama (2012) HealthCare.gov. Retrieved from: http://www.healthcare.gov/law/resources/al.html
Funding the Health Bill (2010) The Everyday Economist. Retrieved from: http://everydayecon.wordpress.com/2010/03/21/funding-the-health-care-bill/
Nurse in Improving Health Care Services (South Africa)
Nurses in South African community play a role in many important ways to the enhancement of individuals' health. They are pioneers of changes to systems in the community that assist the health. Besides, they play key roles in dealing with illness, impairment, and damage protection and in promotion of health. Nurses in this community function in progressively diverse environments like community health centers, educational institutions, street clinics, youth centers, and medical outposts with different associates whilst fulfilling the health needs of the communities around them.
Nursing is mainly assisting individuals (sick or well) in the performance of those actions leading to wellness, or its restoration (or to a relaxing death) that they would execute unaided if they had the necessary strength, will, or information. It is the exclusive contribution of nurses to help individuals to be independent of such assistance as soon as…...
Veteran Access to Healthcare Services
As he stood on the steps of the U.S. Capitol's East Portico in early 1865, President Abraham Lincoln articulated what would become the motto of the Department of Veterans Affairs, "To care for him who shall have borne the battle and for his widow and his orphan." This lofty goal, though, has not been fulfilled in recent years and millions of combat veterans returning from tours of duty in Afghanistan and Iraq are experiencing debilitation injuries such as posttraumatic stress disorder and traumatic brain injuries without being provided adequate access to the healthcare services for which they are eligible. To its credit, the Department of Veterans Affairs has taken a number of steps to help improve access to healthcare services for its veteran population, but reports from across the country confirm that tens of thousands of eligible veterans are still being denied timely access to healthcare…...
mlaReferences
Burke, H.S., Degeneffe, C.E. & Olney, M.F. (2009). A new disability for rehabilitation counselors: Iraq War veterans with traumatic brain injury and post-traumatic stress disorder. The Journal of Rehabilitation, 75(3), 5-7.
Gates, R.M. (2009, January 27). Submitted statement to the Senate Armed Services Committee.
U.S. Department of Defense Speeches, 37.
Medical centers. (2011). Department of Veterans Affairs. Retrieved from
Visiting Nurse Service of New York provides in home health care services to numerous patients throughout the state of New York. It was founded by one of the most famous nurses of the 19th and 20th centuries, Lillian Wald. It is a not-for-profit organization that seeks to administer health care services at affordable rates to its burgeoning population of patients. As of yet, there are no plans to expand the practice outside the borders of New York.
Strengths
The lengthy history of this organization offers it a degree of familiarity and trust with its customer base. Additionally, Wald's involvement provides a degree of credibility within the healthcare industry as a whole.
Human esources: The storied history of this organization is partly responsible for its ability to attract myriad employees (approximately 15,000) (Hoover's, 2015), who are able to serve a broad spectrum of the population by speaking numerous languages.
Not-For-Profit Status: The not-for-practice status of…...
mlaReferences
Gentiva Health Services. (2015). America's home healthcare and hospice leader. Retrieved from https://gentivacareers.silkroad.com
Hoover's. (2015). Visiting Nurse Service of New York. www.hoovers.com Retrieved from http://www.hoovers.com/company-information/cs/competition.Visiting_Nurse_Service_of_New_York.85ae1ab929f68397.html
Visiting Nurse Service of New York. (2015). What is Home Care Research? www.vnsny.org http://www.vnsny.org/vnsny-research/what-is-home-care-research/
elderly population is continues to rise nationally and this also true for the Sunnydale and Shadyville communities. In order to be prepared for both the rise in the aging population and any competition in the healthcare from Shadyville it is important to consider all potential providers. This paper will briefly look at the facets of nursing homes, assisted living, home health care, and hospice in this context.
Nursing homes
Nursing homes are the highest level of care for elderly adults outside of having them formally hospitalized (Santerre & Neun, 2012). The residents in nursing homes typically need significant help with their Activities of daily Living (ADLs). Nursing homes provide custodial care which means that the home assists with all daily activities including getting in and out of bed, providing assistance with feeding, bathing, and dressing. Most nursing homes also provide for activities for their higher functioning residents such as crafts, games,…...
mlaReferences
Ayalon, L., & Green, V. (2013). Social ties in the context of the continuing care retirement community. Qualitative health research, 23(3), 396-406.
Kelley, A. S., Deb, P., Du, Q., Carlson, M. D. A., & Morrison, R. S. (2013). Hospice enrollment saves money for Medicare and improves care quality across a number of different lengths-of-stay. Health Affairs, 32(3), 552-561
Kovner, C. T., Mezey, M., & Harrington, C. (2002). Who cares for older adults? Workforce implications of an aging society. Health Affairs, 21(5), 78-89.
National Hospice and Palliative Care Organization (2012). Figures: Hospice Care in America. Alexandria, VA: Author.
Reimbursement
Payment for healthcare services is one of the issues that has been the subject of numerous debates and most reformed aspects of the healthcare sector in the United States. This issue has attracted considerable attention because of the increased focus on enhancing the affordability of healthcare services without compromising quality. Consequently, various reimbursement models have been established to help address how providers are paid. There are many types of payers responsible for reimbursement as few patients usually can or do pay for their healthcare services privately. According to Donnelly et al. (2019), the different types of payers can be classified into three i.e. single-payer, multiple-payer, and state-based financing. Multiple payer refers to a health sector financed by various entities including the government and private health insurance.
In the scenario referenced in Topic 8, the type of payer responsible for reimbursement is a public payer funded by the federal or state government.…...
mlaReferences
Donnolley, P.D., Erwin, P.C., Fox, D.M. & Grogan, C. (2019, November). Single-Payer, Multiple-Payer, and State-Based Financing of Health Care: Introduction to the Special Section. American Journal of Public Health, 109(11), 1482-1483.Lee, J., Callaghan, T., Ory, M., Zhao, H. & Bolin, J.N. (2020, May). The Impact of Medicaid Expansion on Diabetes Management. Diabetes Care, 43(5), 1094-1101. Retrieved from https://care.diabetesjournals.org/content/43/5/1094
Measuring Outcomes, Assessment, and esearch
Health leader measures and metrics for assessment and evaluation of effectiveness, efficiency, performance, efficacy, and quality
Area of measurement
Specific measurement items
Business value (financial)
Activity-based costing
eturn on investment and cash flow
Value of employee
Professional development
Satisfaction and retention of employee
Learning and growth value
Time to develop new services
Improvement of quality
Value of customer
Satisfaction of patients
Clinical outcomes
The four areas are given focus by senior management of health care systems, to measures past and current operational performances plus the progress towards attaining future organizational goals (Grigoroudis et al., 2012). The measures mentioned under the health leaders provide additional details concerning the underlying factors and interdependencies that affect the overall performance. Thus, this balanced scorecard tool concerns itself with the continuous and total management of quality. Hospitals are forced to use the Six Sigma process to measure the important things for the business such as mortality, quality, employee and customer satisfaction.
In health care, emphasis on the…...
mlaReferences List:
Berenson, R. A., Pronovost, P. J., & Krumholz, H. M. (2013). Achieving the Potential of Health Care Performance Measures. Princeton (NJ): Robert Wood Johnson Foundation.
Grigoroudis, E., Orfanoudaki, E., & Zopounidis, C. (2012). Strategic Performance Measurement in a Healthcare Organisation: A Multiple Criteria Approach Based On Balanced Scorecard. Omega, 40(1), 104-119.
Ledlow, G. & Coppola, N. (2010). Leadership for Health Professionals: Theory, Skills, and Applications. Mississauga, Ontario: Jones & Bartlett Publishers.
Neiger, B. L., Thackeray, R., Van Wagenen, S. A., Hanson, C. L., West, J. H., Barnes, M. D., & Fagen, M. C. (2012). Use of Social Media in Health Promotion Purposes, Key Performance Indicators, and Evaluation Metrics. Health Promotion Practice, 13(2), 159-164
The primary item of significance gleaned from Needleman’s “Assessing the Financial Health of Hospitals” is the value of revenues and expenses associated with medical care facilities. Balancing these two financial concepts (and their tangible realities in a hospital) is one the main reasons such institutions are able to remain operating. When one considers medical facilities, one immediately thinks about equipment, personnel, and attempting to achieve patient objectives. However, there is a very pragmatic reality associated with maintaining the operations of such facilities. Perhaps the most demonstrable way to measure that reality is by subtracting expenses from revenues to preserve a positive balance so the facility in question can continue to serve its constituents. In the context of this reality, it was elucidating to learn about the various ways medical clinics have to earn revenues. Again, most people simply consider various facets of billing, insurance companies, and co-payments forms of revenue within…...
mlaReferences
Needleman, J. (2003). Assessing the financial health of hospitals. Retrieved from https://archive.ahrq.gov/
Reproduction and Sexual Health Promotion among Muslim Women in Pelvic Examinations
Contemporary research publications are increasingly acknowledging the influence of culture and religion on reproductive and sexual health (Arousell & Carlbom, 2016). The religious influences can partly explain the disparities in reproductive and sexual health outcomes. Religions such as Islam reflect upon the meaning of sexuality and provide a framework of what is considered bad or good sexuality, characteristics of female and male sexuality, and family planning strategies (Arousell & Carlbom, 2016). Pelvic exams are among the topics considered controversial among the Muslim community as their integrity is mostly questioned. This paper explores the impact of Islam on the relationship between healthcare providers and female patients, highlighting approaches to ensure that pelvic exams are conducted while respecting the needs of the Muslim patients.
Challenges of Conducting Pelvic Exams among Young Muslim Women
Studies indicate that most young Muslim women are under-informed about reproductive…...
mlaReferences
Arousell, J., & Carlbom, A. (2016). Culture and religious beliefs in relation to reproductive health. Best Practice & Research Clinical Obstetrics & Gynaecology, 32, 77-87.Farringdon, F., Holgate, C., McIntyre, F., & Bulsara, M. (2014). A level of discomfort! Exploring the relationship between maternal sexual health knowledge, religiosity and comfort discussing sexual health issues with adolescents. Sexuality Research and Social Policy, 11(2), 95-103.Vahabi, M., & Lofters, A. (2016). Muslim immigrant women’s views on cervical cancer screening and HPV self-sampling in Ontario, Canada. BMC public health, 16(1), 868-881
Quality of Care Provided by Nurse Practitioners
The use of nurse practitioners in providing primary care services has increased in the recent past as the number of trained NPs also increases. This study focuses on examining the cost-effectiveness and quality of care provided by nurse practitioners given their increased used in the primary care setting. The research was carried out on a group of ten female participants with a background in the healthcare profession. This paper provides an analysis and discussion of the data collected from interviews of these participants. The study shows why nurse practitioners provide high quality primary care services that are characterized by high levels of patient outcomes and satisfaction.
Cost Effectiveness and Quality of Care Provided by Nurse Practitioners
Nurse practitioners (NP) are being utilized as a point of contact in delivery of primary care for patients throughout the United States and the United Kingdom. Trained nursing practitioners…...
mlaReferences
Fletcher, C.E., Copeland, L.A. & Lowery, J.C. (2011). Nurse Practitioners as Primary Care Providers within the VA. Military Medicine, 176(7), 791.
Venning et al. (2000). Randomized Controlled Trial that Compare the Cost Effectiveness of the Nurse Practitioners and GP (General Practitioners) in Primary Care. British Medical Journal, 320, 1048-1053.
Healthcare Products
Examine the need in the organization for your proposed change
The change aims at transforming the pharmacy of the organization to avail prescription medication to our clients at reduced cost compared to the existing rates, and invest in the latest technology-based medicines. Complaints have been rife with regard to the high pricing of our medicines compared to the prices offered at other healthcare centers. Therefore, there is need to control the prices of our medicines. The latter intention can be realized with careful maintenance of efficiencies in operations by targeting specified market segments, i.e. the patients who pay for their prescription medicines from their pockets. For instance, we would streamline cash flow disruptions associated with delays in insurance compensation. We can also discontinue unwanted services to the repeat customers who are already knowledgeable and on maintenance medications. Furthermore, if we ensure that the drugs are made with the best…...
mlaReferences
Weiner, B. J. (2009). A theory of organizational readiness for change. Implementation Science, 4(1), 1.
Murillo, M. (2010). Trends affecting healthcare. Retrieved October 27, 2016, from http://www.healthadministrationdegrees.com/articles/trends-affecting-healthcare/
Snapshots: How changes in medical technology affect health care costs. (2007, March 2). Retrieved October 27, 2016, from http://kff.org/health-costs/issue-brief/snapshots-how-changes-in-medical-technology-affect/
How to change practice. (2007). Retrieved October 27, 2016, from https://www.nice.org.uk/media/default/about/what-we-do/into-practice/support-for-service-improvement-and-audit/how-to-change-practice-barriers-to-change.pdf
Health Care
In the wake on new and very contentious health care reform, many firms have undergone extensive transformations. These transformations have been predicated on both cost control and quality management. In particular quality management has had a profound impact on the underlying business operations of many health care firms. For one, firms are now finding methods in which to enhance the overall patient experience while also mitigating potential loses due to negligent means. The focus on quality management has also made firms more efficient in regards to the overall delivery of service. In particular, my firm has done extensive work with reducing elderly accidents within the facility. This quality management initiative has not only reduced costs associated with accidents, but it also has enhanced the trust and patient experience of all stakeholders within the firm (Kelly, 2011).
Identify the milestone you chose in the history of quality improvement in the first…...
mlaReferences:
1) Draper, Elaine, Joseph LaDou, and Dan J. Tennenhouse. 2011. "Occupational Health Nursing and the Quest for Professional Authority," New Solutions 21, 47 -- 81
2) Kohn, L.T., Corrigan, J.M., & Donaldson, M.S. (Eds). (2000). To err is human: Building a safer health system. Washington, D.C.: National Academy Press.
3) Kelly, D.L. (2011). Applying quality management in healthcare: A systems approach (3rd ed.). Chicago, IL: Health Administration Press
4) Lucia, Patricia R.; Otto, Tammy E.; Palmier, Patrick A. (2009). "Chapter 1
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....
Title: The Impact of Technology on Modern Society
Introduction:
Technology has become an integral part of our daily lives, significantly transforming various aspects of modern society. In this paper, we will explore the profound impact technology has had on areas such as communication, education, and healthcare. By examining both the positive and negative effects, we aim to gain a comprehensive understanding of how technology has shaped our lives.
I. Communication:
The advancements in technology have revolutionized the way people communicate with each other.
A. Improved connectivity:
1. The emergence of smartphones and social media platforms has allowed individuals to stay connected 24/7.
....
The government can play a crucial role in supporting schools in rural areas by implementing various measures. Here are some ways in which the government can help:
1. Infrastructure development: The government can provide funds for the construction and renovation of school buildings, classrooms, libraries, laboratories, and other essential facilities. This will ensure that rural schools have adequate physical infrastructure to provide quality education.
2. Technology integration: The government can facilitate the integration of technology in rural schools by providing funds for the purchase of computers, projectors, internet connectivity, and other necessary equipment. This will enhance the teaching and learning experience for....
Topic 1: The Social Exclusion of Marginalized Groups
Essay Title: Unveiling the Hidden Toll: The Profound Impact of Social Exclusion on Marginalized Communities
Introduction:
In contemporary society, the insidious forces of social exclusion continue to cast a long shadow on the lives of marginalized groups. This essay delves into the multifaceted nature of social exclusion and its profound impact on these communities, shedding light on the systemic barriers, prejudices, and societal attitudes that perpetuate their marginalization. By exploring the lived experiences of those affected, we aim to unveil the hidden toll of exclusion and advocate for a more inclusive and equitable society.
Body:
1. Institutional....
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