An electoral reform is a change in the electoral system of a country in order to improve how public desires are expressed in an election. An electoral reform is necessary for Canada’s democracy in the 21st century since the current system does not accurately represent people’s choice. By analyzing the pros and cons from the different recommendations on proportional representation (PR), I will prove how this new electoral system is a better option for Canadians over the current one, first-past-the-post (FPTP). Background…
(AANP, 2015). Although similar to the role of the primary care physician, the FNP has proven to be a rather distinct profession, delivering a more holistic approach to patients. (Barton,…
My goal as an FNP would be to broaden my scope of practice and understanding in my role as a healthcare provider. Knowing that advancing my education will afford me the privilege to work with more independence and autonomy to diagnose, treat and prescribe to my clients while planning their cares and evaluating wellness strategies to help them attain optimal health. Being well-rounded and diverse in my ability to evaluate and treat many different age groups and populations would be another goal accomplished through my career as an FNP; as well as gaining the ability to advance and practice my leadership and communication skills through developing, implementing and assessing plans for patients and through my interaction with coworkers. One other…
Introduction The goals of the Patient Protection and Affordable Care Act (ACA) has propelled all primary care practices into new and uncharted territory. To meet the primary goals of the ACA, primary care physicians would play a pivotal role in improving the health of Americans and lowering the costs of the health care they receive. The legislation plans to accomplish this by moving from fee-for-service to value-based reimbursement. The value of the value-based reimbursement is based on improving the quality of care as demonstrated by improved quality measures.…
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.…
Triple Aim In order to improve the United States health care system, we need to aim towards improving the experience of care, improving the health of the population, and reducing the per capita costs of health care (Berwick, 2008). These three aims are known as the “Triple Aim”. According to McCarthy (2010), the Triple Aim initiative was launched by the Institute for Healthcare Improvement (IHI) in October of 2007. It was designed to help the health care organizations improve the health of the populations while lowering the cost of care (McCarthy, 2010, p. 1).…
Physician quality review is important to have within the field of healthcare. For instance, this is how physicians and healthcare facilities are rated in terms of quality and efficiency, especially when it comes to treating patients. There are several important aspects that revolve around the importance of physician quality review and those include Ongoing Professional Practice Evaluation (OPPE), Focused Professional Practice Evaluation (FPPE) processes and Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). All three of these systems work together to provide patients as well as the medical staff with valuable information when it comes to choosing a physician for their quality of care.…
This improves access to high-quality and cost-effective care as presented by the IOM and the Afordable Care Act (ACA). The Tennessee Action Coalition (n.d.) states that there is over 40 years of evidence to support the high-quality and cost-effective care that nurse practitioners (NPs) provide. NPs are a vital component of the primary care workforce with 89% being prepared for primary care and 75% actively working in the primary care setting (AANP, n.d.; Tennessee Action Coalition,…
Introduction Managed Care is a system that manages how the health care market is utilized. Managed Care maintains how the cost, usage, and quality. Managed care is the provider that gives the healthcare market it’s health benefits for government funded programs. The managed care programs are guaranteed payments with most medical facilities. The managed care program is the inside provider that makes sure that all health care business is beginning handled correctly.…
Challenges in Physician-Patient Relationships in Managed Care Introduction The United States healthcare system has been controlled by managed care organizations for more than 25 years. The purpose of managed care was to restrain the rising cost of healthcare while maintaining high levels of quality care. The rules and regulations created by managed care organizations has cause some significant issues within the physician practices. A positive physician-patient relationship is essential to receiving good healthcare.…
Nurses are champions in adapting to change and identifying creative measures to help modify their practice, so it is not surprising that they are eager to meet these challenges head on. The assumption has been made that the delegation of physician care to FNPs will lead to better use of resources, however nurses must continue to be mindful of the possible risks and implications that may accompany these demands. Sacrificing nursing values cannot be tolerated. It continues to be a slippery slope as nurses cross the line into a medical role while maintaining a nursing framework. Having a concrete understanding of nursing theory and nursing values will help preserve the nursing identity during the newest healthcare…
There are several business principles related to patient and system costs in health care that are needed to maintain safe, quality, patient-centered care that is fiscally sound. For this discussion, I will put myself in the shoes of a nurse manager, director of nursing, Chief Nursing Officer, or business owner and consider three of the principles from the Greg Fisher Power Point (2008). The principles I will examine are: 1) decide what makes you different; 2) manage employees; and 3) set goals. The reason why I selected these three business principles is that they appear to me to be a good place to start the groundwork for any business model, including the field of health care.…
How is the role of government likely to change? The role of the government will increase by supporting advance technology innovation across an extensive range of healthcare specialties. Sponsors of public and private healthcare segments will champion efforts to accelerate innovation and sustain advances in medical technology. As healthcare cost increase, federal funding should also increase for innovating healthcare IT infrastructure and promote science and research for more innovation.…
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.…
The First-Past-The-Post system (FPTP) is currently used to elect representatives to the House of Commons. It is true that FPTP is an efficient and simple way of voting that has been trusted for years. Nevertheless, FPTP discriminates against minority parties and leads to non-accurate election results. The large amount of wasted votes is also a major criticism associated with the FPTP system. Recently, the Alternative Vote System is recognized as a way to increase fairness and improve election results.…