Market Analysis
A. Description of total market
There are several markets we could consider given the nature of our activity, however, we can integrate our assisted care in the larger category of the nursing care industry. In the United States, this has come to reach a total of around 30,000 companies, with a combined annual revenue of close to $100 billion. These companies operate around 60,000 nursing facilities. It is estimated that the average nursing home has an average annual revenue of around $5 million.
One of the interesting characteristics of the market is the fact that it is highly labor intensive, with annual revenues per worker of less than $50,000. We have decided to compete with this in two manners: first, by increasing the average salary in our association to be included in the medium to high range, in order to stimulate and motivate our employees; and second, we emphasize the importance…...
The healthcare business has seen a surge of inventions aiming at improving average lifespan, health and well-being, screening and treatment choices, and the healthcare programs efficiency and performance. With a lot of organizations implementing Patient- and Family-Centered Care, management is necessary. The PFCC cannot deliver its promises unless the health care providers achieve greater understanding and support for the PFCC.An innovative care delivery systemHealthcare innovation remains a driving factor in the ongoing effort to strike the right balance between cost conservation and healthcare quality. Business productivity and economic sustainability are seen to be dependent on innovation. New technologies open up a world of possibilities for product development. Innovation in health care is defined as the introduction of a new concept, idea, service, process or product aimed at improving treatment, diagnosis, education, outreach, prevention, and research and with the long term goals of improving quality, safety, outcomes, efficiency and costs (Omachonu…...
mlaReferences
Bokhour, B. G., Fix, G. M., Mueller, N. M., Barker, A. M., Lavela, S. L., Hill, J. N., ... & Lukas, C. V. (2018). How can healthcare organizations implement patient-centered care? Examining a large-scale cultural transformation. BMC health services research, 18(1), 1-11.
Coady, N., & Lehmann, P. (Eds.). (2016). Theoretical perspectives for direct social work practice: A generalist-eclectic approach. Springer Publishing Company.
Durmu?, S., & Krca, K. (2019). Leadership Styles in Nursing. In Nursing-New Perspectives. IntechOpen.
Omachonu, V. K., & Einspruch, N. G. (2010). Innovation in healthcare delivery systems: a conceptual framework. The Innovation Journal: The Public Sector Innovation Journal, 15(1), 1-20.
Assessing the Problem: Quality, Safety, and Cost ConsiderationsIndividuals with quadriplegia and co-morbidities who are medically fragile face a number of challenges in terms of accessing and receiving high-quality healthcare. These challenges can impact the quality of care, patient safety, and costs to the healthcare system and individual in a number of ways.One of the key challenges faced by these individuals is the need for specialized care and support. Quadriplegia, also known as tetraplegia, is a condition in which an individual has paralysis of all four limbs and torso. This can significantly impact an individual's ability to move and care for themselves, which can make it difficult for them to access routine healthcare services. In addition, individuals with quadriplegia may have co-morbidities, such as respiratory or cardiovascular issues, that require specialized care and support. This can be challenging for healthcare providers, who may not have the necessary expertise or resources to…...
mlaReferences
Jeste, S., Hyde, C., Distefano, C., Halladay, A., Ray, S., Porath, M., ... & Thurm, A. (2020). Changes in access to educational and healthcare services for individuals with intellectual and developmental disabilities during COVID?19 restrictions. Journal of Intellectual Disability Research, 64(11), 825-833.
Mao, J., Cooper, B., Chen, L., Fielding, S., & Nance, M. (2018). Adverse events in patients with spinal cord injury: A systematic review. American Journal of Physical Medicine & Rehabilitation, 96(3), 193-207.
Rayes, R., Ball, C., Lee, K., & White, C. (2022). Adaptive Sports in Spinal Cord Injury: a Systematic Review. Current Physical Medicine and Rehabilitation Reports, 1-9.
Quality and Sustainability Paper
Introduction
Quality and safety are paramount for patients experiencing illness and seeking treatment. The role of the nurse is complex, requiring effectiveness, efficiency, compassion, and understanding. Some aspects of nursing science involve research and use of evidence-based practice to provide the high quality and safety standards patients deserve. How are quality and safety measures adopted and implemented? This essays aims to look at the role quality and safety play in nursing science using a contemporary example, and seeing how real world strategies aim to test and assess standards of care to deliver the positive health outcomes patients need. By delving into real-world application of quality and safety measures, one can determine the process from cultivation of concepts, implementation, and assessment.
Quality measures in nursing science
Often a good way to understand if a patient is experiencing a high quality of care is through patient outcomes and patient opinions on their…...
Quality Care
Although there are several considerations one must weigh prior to defining medical care quality, one of the most effective definitions of this term is that care which ultimately achieves the greatest benefit while taking the lowest risk in doing so. In many ways, this notion is at the heart of the Affordable Care Act, for the simple fact that one of the principle components of this act is to emphasize preventative care since insured people's "policy will cover more than 60 preventive tests and treatments as required" (Glasserman and Hensel, 2013). Virtually no one can argue with the fact that there is a low risk associated with providing preventative care and, if implemented correctly in a safe care delivery model, it can also achieve the greatest benefit to individual health care patients, the system itself, and to the country as a whole. Thus, the prudent researchers of medical care…...
mlaReferences
Centers for Disease Control and Prevention. (2013). Affordable Care Act helping prevent disease. www.cdc.gov. Retrieved from http://www.cdc.gov/features/AffordableCareAct/
Glasser, M. Hensel, B. (2013). Preventive care services and the Affordable Care Act. www.nbclosangeles.com. Retrieved from http://www.nbclosangeles.com/news/local/Preventive-Care-Services-and-the-Affordable-Care-Act-223984451.html
Care Case Study
Slide 1 Footnotes
There have been enormous changes due to introduction of various cultural elements in the continuum of care. Before, when people were admitted to assisted living facilities or hospital settings, there were very little cultural elements outside of the majority culture which had sponsored the facility. For example, if a facility was associated with some sort of church or temple, there were elements of that religion present, but there was little alternatives for members of other cultures or religions.
Yet, today, there are now a much wider array of cultural elements available in assisted living homes and hospital facilities. Assisted living programs are regulated on the level of the state.
As such, different states have different types of programs and policies that impact the degree to which cultural characteristics are included or excluded within various assisted living facilities. Some programs encourage cultural elements of patients to be brought…...
mlaReferences
ALFA - Assisted Living Federation of America. (2009). Assisted Living Regulations and Licensing. Retrieved from http://www.alfa.org/State_Regulations_and_Licensing_Informat.asp
Medicare Payment Advisory Commission. (2011). Report to the Congress: Medicare Payment Policy. Retrieved from http://www.medpac.gov/documents/Mar11_EntireReport.pdf
National Caregivers Library. (2012). Independent Living Facilities. Retrieved from http://www.caregiverslibrary.org
Next Step in Care. (2012). Reducing the Stress of Hospitalization for Patients with Dementia and their Family Caregivers: A Guide. Family Caregiver Alliance. Retrieved from http://caregiver.org/caregiver/jsp/content_node.jsp?nodeid=2449#researchpractice
A quality assessment could turn up this problem and create the atmosphere for solving the problem creatively and effectively.
There is another aspect of the quality assessment program that directly affects all of the staff of any healthcare facility. Essentially, a quality assessment program can help make the facility more profitable, and that benefits everyone on the staff. Quality assessment can identify areas of waste and neglect that may have been overlooked before, and they can help staff members come up with solutions that are not only more viable for the patient, bust cost-effective, too. That means the fiscal health of the organization is managed and sound, and that means a more stable working environment for the staff. In a facility that is having money problems, the staff may be stressed or distracted, and that can lead to health concerns for the patients. In a fiscally sound institution, the staff…...
mlaReferences
Arling, G., Lewis, T., Kane, R.L, Mueller, C., and Flood, S. (2006). Improving quality assessment through multilevel modeling: The case of nursing home compare. Health Services Research, Volume 42 Issue 3. p. 1177-1199.
Editors. (2008). Nursing facility quality assessment. Retrieved 12 Nov. 2008 from the Lifespan Web site: http://www.lifespan-network.org/docs/10.01.20%20Procedures%20for%20Facility%20Quality%20Assessment.pdf
Wong, C.A., Cummings, G.G. (2007). The relationship between nursing leadership and patient outcomes: A systematic review. Journal of Nursing Management; Vol. 15 Issue 5, p. 508-521.
This is important, because it is showing how a lack of: following up and monitoring safety standards can increase the long-term financial problems facing a heath care facility. (Master, 2005, pp. 259 -- 285)
At the same time, there is also the possibility that the lack of focus on safety could expose the hospital to possible law suits. This is because the plaintiffs could use this information to show, how the staff is negligent in the quality care that they are providing to them. Once this occurs, it means that the costs for: medical malpractice insurance and other operating expenses will rise. While, the facility will have the negative publicity from: these lawsuits and there is the possibility of increased amounts of regulation (surrounding internal procedures). This is important, because it is showing how these kinds of issues will have an adverse effect on: the reputation and economic viability of…...
mlaBibliography
Grol, R. (2008). On the Trail of Quality and Safety. British Journal of Medicine, 336, 74 -- 76.
Master, K. (2005). Role Development in Professional Nursing. Sudbury, MA: Jones and Bartlett.
Manser, T. (2009). Team Work and Patient Safety. Acta Anaesthesiologica Scandinavica, 53 (2), 143 -- 151.
Vincent, C. (2008). Is Health Care Getting Safer. British Journal of Medicine, 13, 337 -- 345.
Anxiety, poor school performance and suicidal conduct have been among the frequent signs of sexual abuse. Excessive masturbation and other unusual sexual activities are also associated with sexual abuse. Symptoms of emotional abuse, on the other hand, are loss of self-esteem, sleep disturbances, headaches or stomach aches, refusal to go to school and running away from home. Neglect can be more visibly detected when the child's normal physical, social, emotional and mental development is hampered. Symptoms can be underweight, slower acquisition of language skills and emotional neediness. Child abuse inflicts lifelong consequences (aker 1999). These include poor school work, emotional problems, the formation of an antisocial personality, promiscuity, drug or alcohol abuse and suicide attempt. Abused children often find difficulty in establishing intimate relationships as adults (aker).
The economic, cultural, and social revolution 50 years ago changed the scenario for everyone. Young women joined the workforce even when they became…...
mlaBibliography
Baker, H. (1999). Child abuse. 3 pages. Encyclopedia of Medicine: Gale Encyclopedia of Medicine.
Bower, B. (1996). Mom-child relations withstand day-care attachment behavior in infants. 3
Pages. Science News: Science News Service, Inc.
Grooms, a. (2007). Quality child care expensive. 2 pages. La Crosse Tribune: ProQuest
decision models are used in your a major hospital organization? Does top management; make decisions by a management team, or does it all depends on the type of decision? hat method would be the most effective for different types of decisions?
In any large hospital environment, decision models and protocols are often challenged by necessity on a situational basis. In the field, the practitioner of health always faces a paradox of obedience and responsiveness. After all, certain hierarchies in the decision modeling process must be held to for legal and medical reasons. A competent patient's confidentiality must be respected, even if it is not in the patient's best interest -- for instance, a mother who wishes to keep her cancer secret from her adult children must be allowed to do so. Yet during an emergency, the primary goal is always to save a life, and one cannot ask for an…...
mlaWorks Cited
Ashley, William C. And James L. Morrison. (1997) "Anticipatory Management." The Futurist, September/October 1997, 31(5), pp. 47-50.
Richard W. Scholl. (2 Oct 1999) "Decision Making Models." Retrieved from University of Rhode Island Website on 10 Feb 2005 at http://www.cba.uri.edu/scholl/Notes/Decision_Making_Models.htm
ACA and EMS
The implementation of the Affordable Care Act (ACA) is sure to change the way EMS operate in the coming years. Accountable Care Organizations (ACO), for instance, are now responsible for overseeing how reimbursements are paid out to those agencies that provide health care -- and at the same time they are responsible for gauging whether or not quality care is delivered by providers (Koury et al., 2014). This is a tall order for a new functioning body and the ACOs tasked with these orders will have an indirect impact on how EMS operates. To see how that impact will be effected, an examination of the ACOs and hospitals interact requires examination -- because it is that interaction that will inevitably alter the way in which the EMS goes about their business. This paper will examine the relationship between the ACA, ACOs, hospitals and EMS and show how an…...
mlaReferences
ACA. (2010). Sec. 1204, 124 STAT. U.S. Government Publishing Office. Retrieved from https://www.gpo.gov/fdsys/pkg/PLAW-111publ148/pdf/PLAW-111publ148.pdf
Ahmed, A. et al. (2015). Not just an urban phenomenon: Uninsured rural trauma
patients at increased risk for mortality. Western Journal of Emergency Medicine, 16(5): 632-641.
Alpert, A. et al. (2013). Giving EMS flexibility in transporting low-acuity patients could
Informatics and Nursing Quality Sensitive IndicatorsIntroduction: Nursing-Sensitive Quality IndicatorThe National Database of Nursing-Sensitive Quality Indicators (NDNQI) is a tool designed to help nurses track and improve the quality of care they provide. The NDNQI consists of a set of indicators that measure various aspects of nursing care, including patient satisfaction, nurse turnover, and falls rates. By tracking these indicators, nurses can identify areas where care could be improved and work to implement changes that will improve the quality of care they provide. In addition, the NDNQI provides data that can be used to compare the performance of different hospitals and nursing homes. As a result, the NDNQI is an important tool for ensuring that nurses are providing high-quality care (NM, 2022).What They AreNursing-sensitive quality indicators (NSQIs) are measures of the quality of care provided by nurses. They are used to assessment the impact of nursing care on patient outcomes, and…...
mlaReferencesGray, D., Nussle, R., Cruz, A., Kane, G., Toomey, M., Bay, C., & Ostovar, G. A. (2016). Effects of a catheter-associated urinary tract infection prevention campaign on infection rate, catheter utilization, and health care workers\\\\\\\\\\\\\\\' perspective at a community safety net hospital. American journal of infection control, 44(1), 115-116.Maryniak, K., & Garrett, R. (2022). Best Practices to Prevent Nursing Errors. In Preventing Errors and Pitfalls in Nursing with Infectious Patients (pp. 59-88). Springer, Cham.NM. (2022). Retrieved from https://www.nm.org/about-us/quality/quality-measures/sites-of-care/northwestern-memorial-hospital/national-comparisons/ndnqi-national-database-of-nursing-quality-indicators#:~:text=%E2%80%9CThe%20National%20Database%20of%20Nursing%20Quality%20Indicators%C2%AE%20%28NDNQI%C2%AE%29,States.%E2%80%9D%20Source%3A%20National%20Database%20of%20Nursing%20Quality%20Indicators
Family Nurse Practitioner
The expansion of healthcare coverage through the Affordable Care Act (ACA) is expected to create an enormous increase in the number of people seeking medical treatment and healthcare. A number of demographic issues exacerbate the situation: An aging population requiring more extensive treatment and care, a rising national population, and a shortage of primary care physicians (Iglehart, 2013). The shortage of primary care physicians is one of the most crucial for national medical care because of two substantive dynamics: 1) The number of graduates from medical school who plan to enter careers as primary career physicians is currently estimated at 25%; and 2) the care that advanced practice registered nurses (APN) can provide is constrained by the current scope-of-practice laws on the books in any states (Iglehart, 2013).
An enduring tension exists between the American Medical Association and nursing advocates regarding the scope of practice that should be permitted…...
mlaReferences
Iglehart, J.K. (2013, May). Expanding the role of advanced nurse practitioners: Risks and rewards: Health policy report. New England Journal of Medicine, 368(20), 1935-1941.
National Organization of Nurse Practitioner Faculties (NONPF) (2002). Family nurse practitioner primary care competencies in specialty areas: Adult, family, gerontological, pediatric, and women's health. Pp. 21-24. U.S. Department of Health and Human Services, Health Resources and Services Administration, Bureau of Health Professions, Division of Nursing. Retrieved from http://c.ymcdn.com/sites/www.nonpf.org/resource/resmgr/competencies/primarycarecomps02.pdf
Naylor, M.D. And Kurtzman, E.T. (2010, May). The role of nurse practitioners in reinventing primary care. Health Affairs, 29(5), 893-899. DOI: 10.1377/hithaff.2010.0440.
Savrin, C. (2008). Growth and development of the nurse practitioner role around the globe. Journal of Pediatric Health Care, 23(5), 310-314. DOI: 10.10.1016/j.pedhc.2008.10.005.
Quality Measurement Proposal
The focus of quality measurements is, generally, care processes or structures having an established relationship with positive healthcare outcomes, and being under the healthcare system's control. The technical definition of quality measures provided by the Agency for Healthcare Research and Quality (AHRQ) is: a mechanism for assigning quantity to care quality through comparison to some criterion. One can apply quality measures to the evaluation of managed care organizations, healthcare providers, health programs/plans, and hospitals (U.S. Department of Health and Human Services, 2012).
Healthcare quality measurement denotes a process of utilizing data for the purpose of performance assessment of healthcare professionals and health plans against accepted quality standards. There are many forms a quality measure may assume. These measures assess healthcare across the entire array of care settings, right from hospital systems to physician offices and imaging facilities (Families USA, 2014).
Measurement of healthcare quality is an essential step in the…...
mlaBibliography
Aligning Forces for Quality. (n.d.). The Case for Measuring Patient Experience of Care. Retrieved from Good for Health: Good for Business: http://forces4quality.org/case-patient-experience
Families USA. (2014). TheVoice for Health Care Consumers. Measuring Health care Quality: An Overview of Quality Measures. Retrieved from www.familiesusa.org
National Academies of Sciences. (1999). Measuring the Quality of Health Care. In Institute of Medicine. Washington DC: The National Academy Press. Retrieved from www.nap.edu/read/6418/chapter/2
US Department of Health and Human Services. (2012, September). Advancing Excellence in Health Care. Retrieved September 2012, from www.ahrq.gov/professionals/quality/patient-safety/quality-resources/toolschtoolbox/understand
Quality of Work Life of Health Care Providers in Saudi Arabia
In iyadh, the quality of work life of health care providers is not as high as it should or could be, according to researchers (Alhousaini, 2006; Almalki, FitzGerald, Clark, 2012). Almalki et al. (2012) have shown that "30.3% of nurses in iyadh were not offered any training courses or continuing education programs and 65.9% were offered very short courses (1 to 5 days per year)" (p. 30). Overall, health care providers have expressed dissatisfaction with their work life (Almalki et al., 2012). Likewise, Abu-Zinadah (2006) has indicated that work life in conditions in iyadh are sub-par for health care providers and could be improved considerably through attention to work hours and other variables. In iyadh as well as in other regions throughout the Kingdom, a lack of clinical experience can negatively impact a health care providers' quality of work life.…...
mlaReferences
Abu-Zinadah, S. (2006). Nursing situation in Saudi Arabia. Riyadh: Saudi Nursing
Board, Saudi Commission for Health Specialties.
Al-Ahmadi, H., Roland, M. (2005). Quality of primary health care in Saudi Arabia: a comprehensive review.
Alhusaini, H. A. (2006). Obstacles to the efficiency and performance of Saudi nurses at the Ministry of Health, Riyadh Region: analytical field study. Riyadh, Saudi Arabia, Ministry of Health.
To evaluate the US healthcare system, there are two areas that have to be considered. One of these is patient care, and the other is finances. A healthcare system can only be effective if patients are getting the care they need, and if they\'re getting it in a timely manner. The system also has to be sustainable, and if it is not possible to afford the system, then changes need to be made to it. These changes should not compromise the care given to patients, though, and it can be difficult to provide proper, quality care at a price that....
Accountable Care Organizations (ACOs) like AdventHealth aim to improve healthcare quality by enhancing care coordination, reducing unnecessary spending, and focusing on preventative care. Metrics often used to evaluate their impact include patient satisfaction scores, hospital readmission rates, and the management of chronic conditions. ACOs are compared through benchmarks in these areas, cost savings, and quality of care improvements.
Determining the impact of AdventHealth ACO on healthcare quality and metrics requires a deep dive into several factors. Here's a breakdown of key aspects to consider:
Metrics used for evaluation:
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....
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