Essays on Care Organization

Medicare

What are the purposes of Medicare regulations other than the one mentioned above? Medicare was signed into law in 1965 with the intention of providing better healthcare to the citizen through medical insurance. It provides protection to its recipients, and it is a government program intended to provide insurance to the aged and people living with certain disabilities (Moon, 2006). It is mandated by the law to provide hospital insurance, medical insurance and cover drug prescription for its recipients. How will the federal government enforce compliance in the Medicare Advantage program? Which two other Medicare regulations do you think ...

The centers for Medicare and Medicaid define an accountable care organization as a group of medical professionals and hospitals, whose aim is to share medical and financial responsibilities for coordinated care to patients (McCarthy, 2013). The team members unite to provide harmonized and high eminence care to the Medicare patients, who visit the medical institutions. The coordinated care that is provided assists in ensuring that patients, particularly the chronically ill patients, have access to timely and quality care. Additionally, it helps in preventing medical errors from occurring as well as reducing pointless replication of services. If the ACO programs ...

Introduction

The term managed care refers to various healthcare insurance plans used in the United States, which are aimed at moderating the cost of providing care to the citizens. Essentially, the techniques used are intended to enhance the quality of patient care provided in the medical facilities. The approaches also include the systems of financing the enrolled organizations under the managed healthcare concept and techniques. In this essay, three types of managed care plans will be discussed. Furthermore, their impact on the way services are delivered at Healing Hands Hospital will be included. The paper will identify the changes that ...

Managed care models are strategies put in place to safeguard the functions and activities of the managed care facilities within a country. The managed care models usually have a continuum to guide their activities and operations. The continuum, therefore, is critical to understanding the differences between managed care plans. In particular, the continuum is responsible for the scope of control a managed plan has over the activities of health facility (Martino, Elliott, Haviland, Saliba, Burkhart, & Kanouse, 2016). As a result, it helps in clarifying the main reason behind the differences in the control of the managed care models. In ...

Public Health Workforce

Public Health Workforce The workforce in healthcare includes not only the medical staff as it is also viewed as an industry that provides a wide variety of jobs. On the other hand, many health care workers find jobs using different employment sites. The Internet offers various opportunities for health care workers to win a job, in which their qualifications fit in. One of the sites that frequently offers health care-related jobs is the Public Health Online site, which not only attract public health professionals, but also other potential individuals that qualify in various public health careers (Public Health Online, ...

Introduction

Laurel Ridge Health Care Organization is a chain of nursing homes and medical facilities that specialize in providing quality health care for their clients. The organization is reputed as a leader in quality health care provision. The facilities that are provided by this health organization aim at maintaining perfection when it comes to health care. The facility has a large panel of qualified medical personnel, who work around the clock to provide the best medical care to their clientele. They have a high staffing rate that is the quest for a provision of quality health care. Currently, they have ...

Strategic grouping in healthcare allows healthcare organizations within an area of similar capabilities and facilities to be grouped and mapped geographically. Strategic mapping and group analysis can enable health care organizations to spot changes and any trends arising in the healthcare sector and in the particular service area the organization falls in to. This enables the top management in a healthcare organization to make prudent management decisions that focus in positioning the organization for better performance in the future. Furthermore, strategic plans that are dynamic and allow for group analysis and mapping enable business implementation in the health care ...

Introduction

Strategic planning can be defined as the process by which an organization creates a guiding document used in directing a business from its current position to meeting its future goals in the most efficient way possible. Therefore, the tool helps the management to identify the current traits of the business and generates a vision that indicates the future goals of the firm. Strategic planning assists in determining the strategy through which future goals of the company can be met. It is worth acknowledging that strategic management is an important tool used in the management of health care organizations. The ...

Abstract

In healthcare financial management, health insurance contributes in determining the healthcare services. The fee schedule provides a list of charges reimbursed for service providers and suppliers. Center for Medicare services, CMS, uses the fee schedule to determine the facilities and non-facility in healthcare provisions. Physicians, ambulance and medical equipment services among others help in the determination of the fee schedule by Medicare Physician Fee Structure (MPFS). The study focuses on CPT code 99214-office visit as the reference in the service delivery by the center of Medicare services. The Medicare and Medicaid rates are essential in determination the fee schedule. ...

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Long-term care is usually required for those people, who have chronic illness and/or disabilities, thereby requiring personal care assistance for long period of time. This long-term care not only includes health-care services but also requires assistance in personal care and activities such as dressing, eating, bathing, walking, and transferring (Housing Bureau for Seniors, 2015). This paper deals with the information about the care required by older people and integration of long-term care services in a cost-effective and attainable manner.

Percentage of older people requiring long-term care

Older people require not only formal care at home but also require long-term care either at home ...

A hospital is not just an institution where one can get professional examination and treatment, this type of medical organization is also to provide excellence in medical research, patient case and medical education services. Some hospitals serve as outstanding examples of high-quality and well-planned health system management within a wide clinical network and are consistently expanding the range of multispecialty services. This paper reviews the policy and principal daily operations that relate to the area of ethical and fiscal responsibility of health care assistants (HCAs). Management system of any medical institution presupposes that HCAs are competent stewards of resources ...

Compensation strategy of an organization plays a pivotal role in determining the success of the company. Moreover, the compensation strategy of a healthcare organization forms the basis of achievement of the overall organization. Compensation includes monetary and non-monetary constituents such as basic salary, health insurance, retirement plans, and performance bonuses. An effective compensation strategy of an organization can make it successful and place it in a better position in the competitive market. Operating budgets of healthcare organization highly depend on total compensations such as cash compensation and other benefits. Human Resources (HR) play a critical role in designing compensation ...

Currently, the United States health care system is struggling with an acute shortage of health practitioners especially nurses who are the major and significant primary health providers and close allies of the patients on their journey to full recovery and enhancement of their well-being. Thus, there is a need to boost and support the effort that will increase the number of health care practitioners in the country. On the other hand, just like the rest of the world, United States is also an aging society and the general population keeps increasing. Notably, during the 21st century, persons of the ...

Introduction

Change is a perpetual in today’s fast paced world. What is modern today becomes obsolete tomorrow. New technologies mean a change in the way on thinks, learns and gets his information or uses it. Any organization may feel the challenges brought about by those new technologies and why they need to implement them within their culture. Any change within or outside an institution is sure to incite mixed reception and perception among its members and clients. The essay applies a change theory to an organizational-based on Kotter’s change model and plans a change process. The change process ...

In the article, Healthcare Facility Benchmarking, Mulva and Dai (2009) point out the need for facilities to engage in the benchmarking process, as it provides them with a better understanding of the quality of medical services offered. Benchmarking helps in highlighting the metrics within other facilities that define quality with an aim of ensuring that the facility intending to engage in the same market has a higher capacity of attaining these metrics. Mulva and Dai (2009) provide a scenario in which leading healthcare facility owners and contractors undertook a process of benchmarking in 2009 as a way of establishing ...

Contextual factors that can influence the transformational change project (TPC)

When entrepreneurs attempt to start any business, they have to consider several external factors that can affect the business. Similarly, when organizations take any transformational change project into consideration, they need to determine the factors that can influence the project. Political, social, economic, environmental, legal, company resources and competition in the industry the business is going to transformed are the factors that send significant impact over the transformational change project. Hence the aim of this project is to analyze the impact of these contextual factors on the TCP (transformational change project).

Analysis of contextual factors

Mandates and Regulations: Mandates refer to the codes, ...

Introduction

Health care organizations face two main challenges, which include a shortage of staff and the high turnover rates due to poor job satisfaction. The issues are compromising the quality of care offered at the respective institutions, hence call for a need to be resolved (Lehmann & Rennie, 2016). The purpose of the above study is to inform on the impact of the two issues to health care organizations and the necessary recommendations to help solve the problem.

The Two Issues the organization is facing

The nursing shortage is a worldwide challenge, and globally, the health care demand has tremendously increased over the recent past. This comes with ...

Implications of Change in Healthcare Delivery System on nurse leadership

Technology drives most of the healthcare delivery system and the changing technology has resulted in the transforming face of modern healthcare system. The practice of nursing becomes quite dynamic when seen in purview of the technological advancements and their implications (Melnyk et al., 2012). For example, genetics and genomic field has encountered a substantial change as large number of diseases, risk factors, therapies and treatments have genomic elements which are influenced by lifestyle and environmental factors, thus having a greater impact on nursing practice. This compels the nurse leaders know more about genomic and genetics to effectually teach and ...

Banner Healthcare is facing some major issues that are the barriers to its growth. There are certain factors because of which the institute is not able to prosper according to the expectations. The paper highlights the readiness of the organization in Providence of health care facilities to the citizens and also the policies implemented by Banner Healthcare to overcome the issues about the growth of the network, staffing of nurse, management of resources, and satisfaction of patients. Banner Health is a nonprofit health care organization with the aim of providing the best health care around the different states of ...

The delivery of primary care is crucial in the delivery of primary as well as preventive care to people that demand these kinds of services. Having access to primary care is essential in improving and maintaining health. Those who receive primary care obtain greater preventive services and are likely to conform to their treatment. Moreover, those who receive primary care are less prone to illness as well as premature death (Starfield et al., 2005). For a primary care to be effective, it must be coordinated, comprehensive, prompt, and focused on the needs of the patients. An effective delivery of ...

One of the major challenges facing healthcare administration is the problem of diversified care. The modern world and all the technological improvements that are found in medicine mean that levels of care are better than ever, but this is not without challenges for administrators. An increasing number of specializations in medicine, for example, mean that administrators must prepare for an increasing number of units and specialists, which in turn leads to problems with funding and human resources. There are also issues associated with the fact that patients are generally more aware of technological advances in medicine, and may be ...

Problem Statement/ Purpose

The study was based on the fact that the scales used for assessing the depth of sedation in critically ill children, especially for the ones who are subjected to neuromuscular blocking agents are not as reliable as they should have been. The researchers proposed the use of BIS or Bispectral Index monitoring along with the conventional sedation scale among the paediatric ICU patients who are intubated and are under ventilators. The study method included evaluation of 17 nurses working in the PICU unit. The BIS was implemented for a period of 8 weeks which was guided by a BIS ...

There are many health concerns for the majority of the people in any community. Individuals in the community have different health issues. Some of the common health issues of the people are those that are related to nutrition and physical activity, overweight and obesity, HIV/Aids, substance abuse and mental health. Various factors affect the proper running of a health organization together with its workers. There has been an increase in the spending of the health organization mainly due to the increase in the level of technology. Medical technology is a broad term that describes the processes, equipment and procedures ...

Instruction:

Heath share of Oregon ACOs The phrase ACO is an acronym for Accountable Care Organization. This term refers to groupings of hospitals, doctors, and other healthcare providers. The involved parties voluntarily come together to give high quality coordinated care to Medicare patients. Essentially, ACOs came up as a result of the poor service delivery in public hospitals. It is worth noting that patients have for a long time complained about the high cost of Medicare. Furthermore, they also experience reduced healthcare delivery that is not flexible to their needs. The legacy system adopts a “one size fits all healthcare ...

The importance of accountability in the health care industry

The core of accountability is answerability, which means bearing the responsibility to answer questions that pertain to the decisions and actions made (Brinkerhoff, 2003, p.11). This constitutes procedures or processes by which one subscribes to and is obliged to provide a justification as one is held responsible for his/her action by another entity who has interest in the actions. Given the nature of the word, two questions arise in the discussion of accountability: 1. what was done, and 2. why was it done. Sanction is another term that is closely linked to accountablity, and this denotes penalties in relation ...

Chapter 7

Identification of problem or issue Q1 Answer In this chapter, the author is presenting the problem that makes health care organizations not to learn from their mistakes. He has a believe that these organizations do not consider their mistakes to enhance improvement. The author believes that understanding and learning from mistakes is an important tool in problem-solving. It also shows how reliance to problem solving can be counter productive if great attention is not offered.

Q2 Answer

This topic is important to all the individuals of the world, health care organizations and any other organization that does not learn from its ...

Summary

Differences The Kaiser Permanente (KP) is an autonomous integrated not-for-profit health care organization. It comprises of the Kaiser Foundation Health Plan, Permanente Medical Groups, and Kaiser Foundation Hospitals. The organization has its services spread across eight regions. It focuses on the successful evolution of a system that encourages physician and managerial partnership for quality and efficiency in patient care. The Mayo Clinic is a non-profitable healthcare organization based in Rochester Minnesota. This organization concentrates on education, medical practice and research. It operates as one of the largest nonprofit organizations in the world that specialize in complex healthcare issues through ...

Introduction

The modern day business environment requires that people and organizations become more diversified in their quest to remain competitive in the market and globally at large. It will involve acceptance and acknowledgment of the differences that employees have regarding any characteristics. Age can be considered diversity, so is culture, race, disability, as well as gender. The 21st century has seen the global interaction between people from all cultures of the world in search of fortune in both globally and locally. People have mixed in different styles, and everyone has the different culture, but is employed in the similar job ...

Impact of Nursing Leadership on Patient Care

Introduction Management and leadership are distinct and interconnected concepts that govern the organizational aspects of planning, organizing, and monitoring the provision of service. Effective management requires ideal leadership qualities; these aspects develop a shared sense of mission that helps achieve the organizational goals while minimizing any organization, political, and resource barrier (Kotter, 1996). Nursing leadership and management are primary and integral aspects of the provision of innovative, quality, and cost-efficient patient care. In particular, nursing leadership and management encompass a wide range of leadership qualities including delivering clinical care, enhancing patient care coordination, as well as boosting quality improvement ...