Essays on Ambulatory

The chief operating officer (COF) plays a key role in the development and implementation of various organizational processes in a healthcare organization. The COF has a complex and challenging role while opening a new ambulatory care centre in the city for his/her organization. The COF would have an option to opt for professional autonomy, social contract, or free market perspective to design the entire workflow process and structure for the new centre (Patterson, et al. 2015). The practice of social contract has its many benefits and disadvantages. It provides a widespread assessment of the society the needs of the ...

Every state has its own licensing board that is responsible for developing its set of requirements which nursing students are required to abide by in order to be BSN graduates from their respective institutions. The establishment of these requirements is a means of ensuring nursing students are endowed with the ideal and recommended set of qualities and qualifications required to undertake their roles as Registered Nurses in the best way possible. As a Chamberlain College of Nursing student, I am bound by certain requirements established by the institution as discussed below, which I am required to fulfill in order ...

Imaginary Clinic

The clinic is a general practice clinic. It provides person-centred, progressive as well as comprehensive whole-person health care to persons and families in their society. It encompasses the foundations of an efficient health care system (“Capterra” par.1).

Branches of the Clinic

The clinic is a stand-alone clinic. However, satellite offices will be opened in different towns within a year in an attempt to reach more people (“Capterra” par.1). The clinic has four physicians and 7 physician extenders. That is, four nurse practitioners and three physician assistants. More physicians and physician extenders will be recruited as time goes. The new physicians will be sent ...

Tele-Medicine in a Satellite Facility

Telemedicine is an old concept but new technology that enables a healthcare provider at one location to provide basic healthcare services such as diagnosis, intra-operative assistance, and medical consultation to patients, physicians or paramedical staff in a satellite or remote facility. Most researchers and scientist believe that there is no substitute for patient-doctor face to face interaction; however, telemedicine could be used to manage a few medical cases efficiently and remotely. In first prototype of telemedicine was introduced in the 1980’s in the form of slow-scan images, facsimile machine or telephone (Hsieh, & Hsu, 2012).The mode of communications ...

EHRs

Electronic Health Records are a broad category of HITs containing a patient’s clinical history. The system’s primary user is the provider and would encompass primary clinical information relevant and unique to the patient from the provider’s perspective. Some of the information contained in EHRs include demographics, medication reports, patient charts, laboratory data, and past medical information. Thus, the system is an automated version of patient information offered as part of the support process from various interface users (Keyhani et al., 2008). This paper considers the lifecycle of EHRs through a description of the process involved in ...

Introduction

Healthcare is an integral part of a nation’s well-being. Despite its importance, there has been an increasing trend in the costs of health care. With the current high national debt, health care reimbursement should be part of the equation ("Healthcare Reimbursement | Knowledge Hub | athenahealth", 2016). The policy makers, physicians, and patients are well aware of the steps they need to take to reduce the costs of health care by considering health insurance plans. The insurance policies enable the doctors and other health practitioners to provide quality and efficient health care to the people. Health insurance payers are provided ...

In the recent past, governments through the health department have been calling for the increase in outpatient services among health care facilities considering that payers have come up with incentives as a way of reducing hospitalization charges in addition to the length of stay. As a result, a new shift oriented towards payment for performance and accountability in health care provision has emerged in addition to health organizations concentrating on medicine for preventive health, educating of patients, and care changes. Today, the most affordable medical therapy is offered in ambulatory care setting, yet the outcomes of adverse drug events ...

http://www.euratlas.com/Atlas/northern_italy/ravenna_san_vitale.html San Vitale is an Early Byzantine centrally planned, octagonal church, used initially as a martyrium for the local martyr Vitalis. It is the most elaborate interlinking of the strands of politics, church, and art in Ravenna in Italy. Ravenna was the seat of Byzantine Italy until the 8th century. The basilica of San Vitale was built as part of the Justinian project to reform the Empire. Justinian’s major aim was the restoration of the former Empire. He inaugurated new programs in the fields of administration, army, justice, and architecture. His ambition was to fill the Empire with ...

The reasons behind persisting health disparities across socioeconomic class in America are not fully understood. A 1.2:4.0 mortality rate ratio exists among people in the lowest socioeconomic class and those in the highest socioeconomic class (Cohen, Farley, & Mason, 2003). The difference in mortality ratios indicates that socioeconomic status plays a significant role not only in mortality rates, but also in the quality of life across socioeconomic classes. In the year 2012, a report by the New York City (New York City Health Department, 2012))Health Department indicated that hospitalization rates in neighborhoods with high poverty levels more than tripled ...

This project concentrated on the collection, analysis, and review of data based on the needs assessment that explored the benefits of reducing LOS/excess days. The information under analysis emphasized on finding the issues affecting this problem. The target population included all the major stakeholders at the facility, such as the hospital administrator, patients, physicians, and nursing staff. The data collected focused on the needs assessment of LOS as a healthcare issue and all associated factors. Some of the healthcare needs earmarked for further interpretation included the social-economic impact of LOS/excess days on patients, the hospital’s take on the ...

Nursing information systems (NIS) are of vital importance to advanced nursing practitioners (APNs). The Electronic Health Record is one such system that records, stores, and transmits patient health information as generated through single or multiple encounters within the health delivery environment. Encompassed in this system are progress reports, demographics, vitals, medications, lab reports and medical histories (Atherton, 2011). The NextGen Ambulatory EHRs is an NIS developed by NextGen. The system offers EHRs associated solutions for both hospitals and private practitioners. Also known as NextGen Healthcare, the system is a generalized EHRs software that promises to transform various practices within ...

Problem Description

The case at hand points out that the risk for readmission and occurrence of preventable complications as high in the home care settings upon discharge from ambulatory surgery centers. This problem implies that upon discharge, the patient’s risk of complication was much higher than their counterparts in full-time clinical settings. In a bid to address this problem, it is vital to organize an effort to reduce chances of complication and readmission rates due to lack of poor service delivery in homecare settings. The ambulatory surgery settings, otherwise named ambulatory surgery centers (ASCs), represent a type of facilities that ...

Banner health is a non-profit health organization in the U.S with its headquarters based in Phoenix in Arizona. This organization is currently operating in seven states in the country, that include Arizona, California, Alaska, Colorado, Nevada, Wyoming, and Nebraska. The organization is operating 25 acute-care facilities and several other special facilities. Banner health organization is also operating clinics, hospital care, emergency care, hospice, ambulatory surgery centers, rehabilitation services, long-term care, home health agencies, clinical laboratories and primary care (Banner Health, 2013). This organization has made itself unique as a healthcare institution in the sense that it’s committed to ...

There were two participants in this debate, Mary Ziegler, who is a professor at Florida State University College of Law and has been published by the Harvard University Press and Clarke Forsythe, a representative from the Americans United for Life, who also is a published author on the issues of law. Forsythe seems conversant with the history of the abortion laws in the country, Mary, on the other hand, interprets the law in a way a layman can understand without all the law jargon. They both are aware of the topic at hand which was to outline the Texas ...

Part 1

A: Imagine you are working as an aged care support worker for an individual who receives support in their home. You spend a lot of time at the house and have developed a great rapport with the whole family; they treat you like part of the family.

On one occasion, the family tries to give you a gift.

B: There are many other potential ethical issues that may arise from working closely with a family or an individual. Identity one (1) other potential ethical issue or dilemma that may arise. Complete the table:

C: Imagine that the family asks you to do some extra weekend cleaning or other support work for cash:

1. What is the potential conflict of interest?

The situation leads to personal and professional conflicts of interest.

2. What action should you take? (50-100 words) According ...

The CIHQ is one of the country’s newest agencies that offers accreditation services to acute care providers in meeting Medicare participation standards. The organization offers accreditation support to home health agencies, hospitals, long-term care facilities, and ambulatory care facilities. CIHQ receives its funding from CMS and membership fees. The resources available for those seeking accreditation includes surveys and support tools. These resources are helpful in ensuring that organizations maintain their services in an EBP and cost effective manner. Lastly, CIHQ defines quality improvement as the achievement of care quality, service, and treatment through cost-effective measures (Tavenner, 2013). The ...

The CEO of your health organization comes to your office and states that she is not happy with the efficiency of the new ambulatory care clinic; she does not believe that the new clinic is being effective.  Come up with three different measures for efficiency and three different measures of effectiveness that you feel are uniform and applicable to ambulatory care clinics.

Measures of Effectiveness

Mission According to the Rocket Model of team effectiveness, the first measure of effectiveness that can be a[applied within the context of the ambulatory clinics is an evaluation of the mission of the clinic`s team. ...

Health Care in Russia vs Health Care in the U.S.

According to the Institute of Medicine of National Academy of Sciences, the United States of America is a single developed industrial country that does not have universal health care. Instead there is a powerful health insurance system, partially funded by government through national programs. As a result 45% of total health care expenditures are spent on these programs (Sultz and Young 154). Unlike the U.S., Russian Federation has free universal medicine, and state constitution guarantees each citizen free health care services. Numerous debates rise regarding both American and Russian health care systems, their availability, effectiveness and expenditures. Each of the systems has ...

Electronic Health Record (EHR) contains the health information of a patient. The information includes the patient’s past medical history, medications, problems, laboratory data, radiology reports, vital signs, and progress notes. The record is in digital format and can be shared by different healthcare settings. The EHR support services are provided by the Regional Extension Centers (RECs). The list of Health Care Information System Vendors that offer EHR products is given below.

Others include McKesson Provider Technologies, Siemens Medical Solutions, Epic Systems Corporation, Eclipsys Corporation, Healthcare Management Systems, Meditech, among others. In this work, I have made a comparison of the ...