...Ambulatory Care Hospitals have many advantages to gain by switching from inpatient settings to outpatient ambulatory care settings. Hospitals can make more money by having outpatient services; they can get more patients in and out of the hospital in one day, rather than keeping patients in overnight. They also save money by not using as much supplies on the patients that are in and out the same day. By using inpatient settings, hospitals would have to spend more money for the patient’s overnight stays, the supplies and medication they use for them. By changing the settings to ambulatory care does change the view that society has on it. I believe the society has better perspective and more respect for the changes because there are many people who do not like going to the hospital, let alone staying the night. If a patient has the opportunity to go in and get done what needs to be and go home, they would be a lot happier. Ambulatory services can improve by having more communication with the patient. Some hospitals that have these services to not communicate with the patient as much as they should, some doctors do not come in and talk to the patient before any procedure or care is done. Also they could improve on faster discharges for patients. Many hospitals tell patients that it is ok for them to go home, all they need is their discharge papers, and then it takes them an hour or two to get them to the...
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...what facility I choose and what the purpose is in the health care industry. Second, I will identify the population the uses the facility I chose in my research. Next, I will identify the key characteristics of the facility. Then I will explain to why I chose the facility type and then put it all together in my conclusion. The facility I chose to research is the Ambulatory Care Clinic. An ambulatory care clinic has a broad range of medical services available for patients. Having such an advanced technology in today’s healthcare, more doctors and other healthcare providers are having ambulatory care for their patients. Some places that offer the ambulatory care are in doctor offices, hospitals, or in an ambulatory surgery center and some procedures include the following: x-rays, blood tests, minor surgeries, endoscopy, biopsies, childbirth, and many more. The purpose of the ambulatory care clinic is to provide in and out, patient procedures safely and to save time and money for patients. It also prevents from infection to spread with since the patients are not staying overnight with infection can set in. The people that use the ambulatory are patients, staff, families, and the general human population. Both men and women use these services as well and all ages and different diversities. The population in today’s healthcare wants to go to an ambulatory care clinic because of the flexibility hours. The ambulatory care clinics are open more hours to serve multiple patients’ needs...
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...Inpatient Care & Ambulatory Care I will discuss and compares inpatients care and ambulatory care on bases of scope and level of service, venues for care deliver, impact on health care finance, and future trends in medicine and care delivery. The term inpatient refers to a patient staying overnight in a health care facility, such as a hospital or a nursing care facility.Outpatient refers to services provided while the patient is not lodged in the hospital or some other health care institution.There are direct personal involvement within the level of services in the practice of ambulatory /outpatient services which detect,prevent disease such as hypertensions, diabetes , cancer screening and immunization programs. Since death happened and caused by disease that are contagious , primary prevention lesson the danger of morbidity are enforced by encouraging people to wear seat belt, clean treatment for water/sewage and sanitation inspections in restaurants. One method of ambulatory/outpatient service is that clinician would travel from house to house to skilled practitioners in relatively more complex facilities is a form of medical care. Ambulatory/outpatient can be distinguished in the following categories: Primary care help to control costs, utilization and the rational allocation of resources.and serve as patient advisor , advocate, and system gatekeeper, gives advice regarding to diagnoses, therapies and provides care for chronic conditions. Secondary care on an outpatient...
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...Ambulatory Care is “medical provided on an outpatient basis, including diagnosis, observation, consultation, treatment, intervention and rehabilitation”. An Ambulatory Care facility would be considered a walk in and walk out. Ambulatory care setting consists of various elements that make it what it is. If considering going to an ambulatory care facility they different places that would include dialysis clinics, ambulatory surgical centers, and offices of physicians just to name a few beyond the numerous health professions. When entering into an ambulatory care facility the nurses, will be “acting as partners and advisers, assist and support patients and families to optimally manage their health care, respecting their culture and values, individual...
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...exceeding 12 hours)” is the standard…the increase of day surgery was driven by innovations in surgical and anesthetic techniques” available for the first time because of technology.(Gilliard, Eggli & Halfon, 2006, p.2). Ambulatory care facilities or outpatient facilities where patients can receive surgical procedures and treatments with little or no recovery required allows patients to go...
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...Hospital Care Inpatient Hospitalization To Ambulatory Care Services (2010) from the Researchomatic. Retrieved on 09/05 , 2014 noted ambulatory care Sensitive situation are those "for which good outpatient care can possibly avert the need for hospitalization, or for which early intervention can avert difficulties or more critical disease" Although hospitalization rates are leveraged by socioeconomic components for example scarcity . I will discuss and compares inpatients care and ambulatory care on bases of scope and level of service, venues for care deliver, impact o health care finance, and future trends in medicine and care delivery. There are direct personal involvement within the level of services in the practice of ambulatory /outpatient services which detect/ prevent disease such as hypertensions, diabetes , cancer -screening and immunization programs. Since death happened and caused by disease that are contagious , primary prevention lessen the danger of morbidity are enforced by encouraging people to Utilization An inpatient day (also referred to as a patient day or a hospital day) is a night spent in the hospital by a patient. The a verage number of days a patient spends in the hospital is called the average length of stay (ALOS). The total number of inpatient days incurred by a population o ver a gi ven period of time is referred to as days of care. Mathematically, days of care = number of discharges × ALOS National data on days of care per 1...
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...First, an issue must be relevant in order to even consider choosing an OD Practitioner. For example, I knew of an organization that experienced high volume of ambulatory care during work hours and observed excessive sick leave on the books. Verifying these issues through data or employees input is important because it determines the primary areas of concentration for the OD Practitioner. During a town hall this issue was brought to management and resulted in an external OD Practitioner that specialized in health care/nutrition on site for one year. Although the data collected by the organization may be a starting point for the OD Practitioner, they themselves may request additional data. OD Practitioners often examine company records and interview a few key members to gain an introductory understanding of the organization, its context, and the nature of the presenting problem (Cummings & Worley, 2009, pg. 76). After data verification, the process of choosing whether to select an external or internal OD Practitioner begins. There are several criteria’s that are important when evaluating an organization, whether internal/external. For example, expectations, time, resources, and guidelines are critical areas that must be understood between both parties to ensure a smooth process. The customer expects an OD Practitioner to have some history of the organization so they are aware of the culture. Additionally, the skills and background of the OD Practitioner are a necessity...
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...Over the past several years there has been a decline in the rate of hospitals occupancies. The U.S. government saw the need to contain the rising cost of medical services. In 1983 the U.S. government made changes to the social security amendment coverage. That law required Medicare to stop paying hospitals per diem rate on the basis of their cost to operations. Instead hospitals would receive a pre-establish fixed rate per admission (Shi &Singh, 2013). In recent years there is extraordinary growth in ambulatory and out patients care setting. Receiving care in an out outpatient care setting is becoming more popular with patents as while insurance companies. Insurance companies prefer this type of service because treatments are typically less...
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...1. How would you describe the consumer decision process for patronizing an ambulatory health care facility? (Type of service, initiator) Based on the case, it appears that customers choose health care services based on what they can afford, the choice of doctors available, services needed, and location. The ambulatory services became popular due to the ability for Perpetual Mercy Hospital to offer services with greater mobility and efficiency than before. Also, consumers tend to choose hospitals based off their needs and the radium in which they work. For instance, some customers have employer-related doctor visits such as workers’ compensation exams and pre-employment exams. These type of exams consist of basic check-ups and fluctuate with hiring by local employers. 2. How would you characterize the DHC’s performance after being open eleven months from a financial, marketing, operations, and hospital-wide perspective? From a financial and operational perspective, the hospital did not perform well in 1999 and 2000. Based on exhibit 5, there was a net loss each month beginning May 1999 and March 2000. On the other hand, from a marketing perspective, the hospital was successful in sending out referrals to individuals who have private-held insurance coverage. The large amount of Medicare customers prevented the hospital in meeting financial performance goals, in that this type of coverage includes subsidization. 3. What is your prognosis for the DHC next year assuming...
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...Accounting Principles SA HCS/571 January 11th, 2014 R.G. Generally Accepted Accounting Principles Every organization consists of an accounting department that manages the finances. The key element to maintaining any hospital, ambulatory care center, or private medical office is to have a structured financial statement and a team of accountants to audit the establishment. The generally accepted accounting principles that are reviewed include entity concept, going-concern concept, matching principle and cash vs. accrual accounting, the cost principle, objective evidence, materiality, consistency, and full disclosure. The “certified professional accountants are required to indicate whether an audited set of financial statements is in compliance with generally accepted accounting principles” ( (Finkler, Kovner, & Jones, p.104, 2007). The entity concept focuses on the object of study whether it may be a hospital, urgent care center, nursing school, or a private medical office. The intention of the concept is for identification purposes. It is related to health care, for example, a hospital may be affiliated with a long term care facility, a nursing school, and medical office. The hospital is considered as one entire entity. A long term care facility, nursing school, and medical office are considered subentities. The financial statements are prepared separately for each of the identified subentities. The second factor of the generally accepted accounting principle is...
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...on the way to his dialysis appointment, as one of the Medicare schemes. Medicare payed over 5 million to ambulances alone last year over 314 million there budget. What prosecutors are noticing are there is an easy excess to get into the ambulance business “in the case of Penn Choice, Mudrova, a Russian immigrant with no medical training or advanced degree, was doing administrative work at a doctor’s office when she got a loan from her family to start the ambulance company, according to Kenny.”(Pettypiece,S.2014) Ambulance Company would sit outside dialysis centers recruiting patients who were able to take themselves to the dialysis appointments there selves, and as a result get a kickback from the company’s also. Penn Choice recruited ambulatory patients outside dialysis centers, telling them they could get Medicare to pay for rides. The company also acquired patients from another ambulance provider, Brotherly Love, which was closed by law enforcement in 2011 for billing Medicare for patients who could have safely been transported by other means and paying them kickbacks, according to Leahy. Brotherly Love sold names and addresses of its passengers to Penn Choice for $2,000 each, she said. The passengers were paid 100 to 400 in cash for their rides. The passengers are of people who are poor and easily able to get to work along with the scam. It was stated in the article one customer who was a...
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...improve health care.1-3 Nevertheless, electronic-records systems have been slow to become part of the practices of physicians in the United States.4,5 To date, there have been no definitive national studies that provide reliable estimates of the adoption of electronic health records by U.S. physicians. Recent estimates of such adoption by physicians range from 9 to 29%.4,5 These percentages were derived from studies that either had a small number of respondents or incompletely specified definitions of an electronic health record.5,6 To provide clearer estimates of the adoption of electronic-records systems by U.S. physicians, the Office of the National Coordinator for Health Information Technology of the Department of Health and Human Services4 supported our project to develop and test measures of adoption and to deploy those measures in a representative national survey of U.S. physicians. The goal was both to gather accurate information on current levels of adoption and to provide survey items that could be used to generate similar data over time on the diffusion of electronic health records and on physicians' perceptions of the effect of such systems on their practices. This report addresses the following questions: What proportion of physicians report that outpatient electronic health records are available to them in office practice? How satisfied are physicians who use such systems, and what effect, if any, do they believe these systems have on the quality of care they provide...
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...Perpetual Mercy Hospital 1. How would you describe the consumer decision process for patronizing an ambulatory health care facility? (Type of service, initiator) Based on the case, it appears that customers choose health care services based on what they can afford, the choice of doctors available, services needed, and location. The ambulatory services became popular due to the ability for Perpetual Mercy Hospital to offer services with greater mobility and efficiency than before. Also, consumers tend to choose hospitals based off their needs and the radium in which they work. For instance, some customers have employer-related doctor visits such as workers’ compensation exams and pre-employment exams. These type of exams consist of basic check-ups and fluctuate with hiring by local employers. 2. How would you characterize the DHC’s performance after being open eleven months from a financial, marketing, operations, and hospital-wide perspective? From a financial and operational perspective, the hospital did not perform well in 1999 and 2000. Based on exhibit 5, there was a net loss each month beginning May 1999 and March 2000. On the other hand, from a marketing perspective, the hospital was successful in sending out referrals to individuals who have private-held insurance coverage. The large amount of Medicare customers prevented the hospital in meeting financial performance goals, in that this type of coverage includes subsidization. 3. What is your prognosis for the...
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...Ambulatory care providers are becoming an increasingly important part of the U.S. health care system. Technological progress has made many treatments previously offered only in the hospital now possible in an ambulatory setting. This shift to ambulatory care, while generally recognized as a positive move toward a less expen- sive and more appropriate health care setting, has often left providers scrambling to adjust to rapidly changing technology and new, complex reimbursement systems. Safety net providers, in particular, have difficulty keeping abreast of a rapidly chang- ing health care system because they serve low-income, uninsured patients and face constraints imposed by their funding sources. There are many businesses like ambulance services that are private. Their fees are collected by the person that is using the service to be transported to the doctor or the use of their insurance they use to assist with their services. The community also provides some of the services and they are supported by taxes. In some cases, this is very rare. The hospital provides some of the ambulance services which are paid for by their insurance company or the patient for the service that is rendered at that time. In the community where I live, the patient is charged for the ambulance service regardless if someone gets on the ambulance when they arrive at the home. But the service is always community based. This is how the ambulatory service is paid for rather than it getting paid for by our...
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...To: VP of Ranbaxy Travels From: Sai Krishna Bhimavarapu Re: Introduction of travel plans for the Baby Boomers Date: May 30, 2012 “Life begins at 40”. This is the new age mantra for the BOOMERS. These are the people who have the time, the money and the desire to spend. Being highly capable of making decisions for themselves and being aware of the outside world, they are able to perform the activities with ease. Like the younger generation, they are also very enthusiastic about what they do and what they look like to others. Per the U.S Census, the median income of the average U.S household (age 45-55) is about $85,000. This income is post expenditures which is available at their disposal. These Boomers want to travel the world since they the time and money. As Saint Augustine said “The world is a book, and those who do not travel read only one page". Therefore, Using this, I suggest that our travels should focus of introducing travel plans for the baby boomers. A Second Honeymoon Most of these people have spent their life looking after their loved ones and kids. The spouse is most often forgotten or taken for granted. We can focus on a product called ‘second honeymoon’ to the couples. it would be an amazing idea to actually give them a package which would make them feel young again. With the power of buying and the increasing options for international travel, these people can actually visit places they have only heard of in television shows. The boomers can actually...
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