PER REPORTER: The mother is in the psychiatric unit at UMC hospital. The step-parent (reporter) was ran off earlier by the mother's family. Reporter stated he and the mother really didn't have an argument but had a talk. The grandmother pulled up to the home and mom asked the reporter to leave.…
Physician Manipulation of Reimbursement Rules for Patients Between a Rock and a Hard Place Matthew Wynia, Deborah Cummins, Jonathan Van Geest, Ira Wilson American Medical Association Synopsis and Summary A study was done to determine at what rate physicians manipulate the rules of reimbursement in order for patients to receive services for which they may not otherwise be granted under utilization review rules though the physician may find the service necessary. The 1998 study was a random study that contained a national sample of 1124 physicians who were surveyed through mailings and the response rate was 64%. Three areas of concentration were involved that asked if the physician’s (1) exaggerated the severity…
The Impact of IOM Report on Nursing Nursing plays a dynamic role in Patient care. Nurses educate, advocate, care and comfort patients. Moreover, nurses do 24 hour bedside care; they assess, plan, implement and evaluate the care and comfort of the patient. Furthermore, they communicate and collaborate on patient care with other care team members.…
High patient to nurse ratios takes away with the nurse communicating with the patient and family effectively and developing trust. Relieving patient fear and anxiety can be a challenge when the nurse has less time to spend with the patient because of increased patient load. This does not allow the nurse to develop trust with the patient and family and discuss details about the patient and their treatment. There are ways to improve this type of care, but it will take dedication and a hospital wide effort.…
Most office-based physicians practice alone, in small groups or in single-specialty groups. This can cause a divide because they may not have access to the networking tools that can enhance communication across settings and enable clinical integration. For the most part, hospitals cannot support true clinical integration because they have limited resources for positively influencing the behavior of the staff and partners involved in patient care. Patients are more likely to receive duplicative diagnostic tests, have adverse prescription drug interactions and get inconsistent care plans without coordination across multiple settings. This can negatively affect the overall patient…
In 2010, The Affordable Care Act, commonly known as Obamacare, was implemented across the United States to address the foremost issues in today’s Healthcare. These problems include lack of accessibility to quality healthcare, growing cost of care, and quality of care. While the affordable care act addresses concern of access to care for the underprivileged, it creates other new complications regarding cost and quality. Obamacare has succeeded in making care more accessible and now millions of Americans are now newly insured under government subsidized healthcare exchanges. However, the cost of care for those previously insured from either their employer or privately has increased dramatically.…
The ridiculous amount of paperwork has become a huge priority not the actual patient care. The computerized healthcare records that are now required and the 1996 HIPPA laws that were supposed to protect our privacy have done nothing but violate our privacy in such ways that I can’t even tell you. In the past most doctors had terrible handwriting and usually only the nurses could read a patients chart and decipher it. Medical charts were always locked in a separate area and you were questioned when you went to retrieve a chart as to why you needed it. Now information is available at the push of a button, you only need the patients name in most instances, not even their social security number and way too many people have access to your information.…
The health care system is very difficult to access due to many complex issues, such as disparity. Health and health care disparities refer to differences in health and health care between population groups. In other words health disparity generally refers to higher burden of illness, injury, disability or mortality experienced by one population group relative to another groups. In addition it indicated the difference between groups in health coverage, access to care and quality of care.…
All three branches of government in the United States influence healthcare decisions. Each branch is responsible for specific aspects of healthcare policies and regulations. The legislative branch determines the services or programs the government will pay for and for which members of the population. The judicial branch is responsible for interpreting laws related to healthcare. The executive, also known as the administrative branch, develops rules and regulations that further interpret the laws and oversees the implementation of various health care programs.…
First introduced in 2009, The Patient Protection and Affordable Care Act, more commonly known has Obamacare, has been one of the most, if not the most, controversial acts that President Obama has signed into law in his almost 6 years in office. After being signed into law in 2010, it quickly became contested by Republicans and Conservatives worldwide, saying it was unconstitutional. Eventually the law went to the supreme court and, in 2012, “The Supreme Court… upheld President Obama’s health care overhaul law.” However, just because the Supreme Court deemed it constitutional, doesn’t mean it’s good for our country. In fact, Obamacare will hurt many parts of the United States economy.…
With everyone having health care coverage and the ability to choose where to go for health care needs, facilities will be competing to gain the trust and respect of the public to be the most often chosen health care provider. An organization that is dedicated to putting patients and their needs first, offers the most current and precise care, focuses on prevention, has strong leadership, and is cost-effective will stand out. A facility that is managing employees in a productive manner and having happy, skilled, and proficient caregivers who provide safe, quality care is a must for achieving the best clinical outcomes. Additionally, being focused, setting achievable goals, and meeting goals is crucial for health care providers to be successful. It helps keep employees engaged, focused on the mission and values of the organization, and contributes to advancing health care as a…
Health centers are public and private non-profit health care organizations. The organizations provide high quality health care to patients regardless of their ability to pay. The health care organization helps low-income people because they will negotiate with your financial situation. The health care organization is more convenient for low-income people because it is more cheaper for them and their families. Many families do not have insurance or cannot afford insurance.…
LPN Scope of Practice Paige Pence John Wood Community College NUR-190 April 30, 2017 LPN Scope of Practice The nursing profession is essentially like all other professions, with different levels of experience and education, requires different titles and level of practice followed. Inside the nursing practice there are different levels of caregivers that you work alongside, each of them having a different reason for being there. For example, in a nursing home you will work alongside non-certified personal, certified nursing assistants, licensed practical nurses, registered nurses and many more qualified care givers.…
Advanced Practice Nurse Leader Interview Project Health care restructuring in many countries has led to substantial increases in the different types and number of APN roles, and the demand is increasing rapidly. According to the American Association of Nurse Practitioners (AANP), Nurse Practitioners (NPs) have become the chosen health care provider of choice for millions of Americans, these including specialty populations (Quallich, 2015). According to the national organization of Nurse Practitioner Faculties (2012), upon completion of a nurse practitioner program, the graduate must possess core competencies in order to practice effectively, efficiently, and independently. The aim of this paper is to discuss issues influencing the introduction of advanced practice nursing (APN) and nine core competencies necessary for APN role development, provide a detailed description of the interview conducted with a Certified Nurse Practitioner (CNP) regarding core competencies.…
This is because there are not enough doctors to meet with the needs of our country. “With a growing, aging population, the demand for physicians has intensified, and communities around the country are already experiencing doctor shortages. A 2015 study conducted for the AAMC by IHS Inc., predicts that by the year 2025 the United States will face a shortage of between 46,000-90,000 physicians. There will be shortages in both primary and specialty care, and specialty shortages will be particularly large. These shortages pose a real risk to patients.…