...Growing Need for Nurses Based on Immigration Trends Dr. 02/25/2012 The word “profession” is very generally defined as a vocation dependent on specialized training, with a purpose of supplying advice and service to others, for monetary compensation, without the expectation of other gain. Contemporary health care in my experience as a nurse can be defined as symbiotic relationship between nurses, doctors, paraprofessionals, patients, and insurance companies. This multifaceted symbiotic relationship has each involved party complementing and enhancing the other for reasons that often independent of each other. Nurses often act as the intermediaries between doctors and the families of patients, while also servicing patients to insure a return to health along with being held accountable to the facilities who employ them. Nursing, meets the generally accepted definition of a profession based on the above listed standards: Although there is no overall consensus as to what constitutes the proper attributes of a profession, the following characteristics are commonly noted: a unique body of knowledge, altruistic service to society, a code of ethics, significant education and socialization, and autonomy in practice, i.e. reasonable independence in decision-making about practice and control of the work situation and conditions. While it could be argued that nursing meets many of these criteria, it is clear that it does not now and never did have autonomy, understood as...
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...hospitals across the world are being affected financially. Rural communities are less wealthy; the majority of the residents are uninsured. They tend to use the emergency room as their primary care, putting a financial burned on the hospital. In 1986 the Emergency Medical Treatment and Labor Act (EMTALA) was enacted by congress as part of the Consolidated Omnibus Reconciliation Act (COBRA). EMTALA allows uninsured patients to receive care with an emergency condition regardless of insurance status or the ability to pay. The law states the patient may not be turned away and care cannot be delayed due to pay concerns. EMTALA requires the hospital to stabilize the patient before transferring or discharging the patient (Encyclopedia of Everyday Laws, 2013). According to The Center for Disease Control (CDC), about 135 million people visit the emergency room each year and hospitals lose approximately $34 billion in unpaid medical bills. With the passing of the Patient Protection Affordable Care Act many unnecessary or preventable emergency room visits will be eliminated. My action plan for Ashe Memorial Hospital is to design a program to decrease the number of uninsured patients using the Patient Protection and Affordable Care Act (PPACA). By decreasing the number of uninsured people, it will also: • decrease the number of emergency room visits • increase the number of people to receive preventative care • increase the quality of patient care A comparative analysis was done on two...
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...MBA 5101 Unit 1 Case Study Gary Campbell Our text defines a tort as “a civil wrong” and negligence as “a tort, a civil or personal wrong” (Pozgar, 2012). Negligence as it is related to healthcare is an unintentional commission or omission of an act that a reasonably prudent person or organization would or would not do under normal circumstances. Not following a recognized standard of care could be considered negligence. The case I have chosen to study is one from the Circuit Court of Baltimore City Maryland and is that of Enso Martinez a minor by and through his parent (Rebecca Fielding) vs The Johns Hopkins Hospital in Baltimore Maryland July 2013. I would describe this as a landmark, “David vs Goliath” case involving medical negligence in the form of nonfeasance and malpractice. Reckless and willfulness disregard for safety is called criminal negligence and is often considered a form of gross negligence, a more serious tort (Pozgar, 2012). The question in my mind throughout the read was; “did the conduct of the provider and the hospital constitute criminal negligence”? The jury’s verdict and plaintiff’s award seemed to suggest yes. As a health professional, while I might agree with the Jury’s decision, I’m not so sure I agree with the size of the award. Did Johns Hopkins Hospital (the Hospital), negligently fail to perform a timely Caesarean section, causing Martinez to suffer from cerebral palsy, retardation, and other disorders. The following are...
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...population demographics on the needs and services for a selected population. The author must identify the population on which the case study will focus on the aging population, patients with a particular chronic disease, children, patients with AIDS, patients requiring long-term care, or emergency management. The author must identify the targeted population, gather data about the population demographics, and describe the general impact that changing demographics may have on the health care market. The author will discuss why and how the changes in demographics will affect health care. Two health care related challenges identified for the population is chosen. The author will also describe how a chronic disease wellness program may affect the costs for this demographic. In conclusion, the author will discuss the marketing needs or services needed for this population as well as how the chosen population can address these challenges. The population demographics that the author has chosen to write a summary on is the influence of illegal immigrations on emergency health care. Immigration reform is one of the most forming or expressing division or issues opposing the United States policymakers. The increase in the number of illegal immigrants in the United States over the last 10 years has led to conflict about the influence of illegal immigration on emergency health care. The number of possible security threats assumed by unauthorized entrance into the country has increased, as well...
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...strives to answer questions based on the case study “Emanuel Medical Center: Crisis in the Health Care Industry”. As excerpted directly from the case study, Mr. Robert Moen, Emanuel Medical Center (EMC) president and CEO, was experiencing a number of challenges in 2002. The medical center faced numerous challenges in its external and internal environment. First, EMC garnered an onslaught of negative attention for the “Haley Eckman incident” in which a young man, who happened to be a gang member, died within view of EMC’s Emergency Department (ED) medical personnel rendered no care and watched. The emergency department at EMC was also experiencing greater pressure to deliver services in an increasingly difficult health care environment, particularly after the federal Emergency Medical Treatment and Active Labor Act (EMTALA) was enacted; legislation that required access to emergency medical care for all, regardless of one’s ability to pay. Additionally, larger, for-profit managed care facilities were making substantial advances into EMC’s service area. Internally, the cost of operating the ED had increased significantly and patient traffic had vastly exceeded the capacity for which the ED had been designed. In addition, reimbursements for services from health maintenance organizations (HMO) and government programs had been drastically reduced. At the same time that other regulatory burdens had increased, EMC began to experience labor shortages, namely among nurses, that drove...
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...well known that a person born in the United States is an automatic citizen regardless of the mother's citizenship status. However, the United States is unusual in its offer of citizenship to anyone born on U.S. soil. Only a few European countries still grant automatic citizenship at birth. The United Kingdom and Australia repealed their U.S. style policy in the 1980s after witnessing abuses similar to those plaguing the U.S. today. Why does the United States continue to allow a practice subject to widespread fraud? The answer lies in how American jurisprudence has interpreted the 14th Amendment to the Constitution. Babies born to illegal alien mothers within U.S. borders are called anchor babies because under the 1965 immigration Act, they act as an anchor that pulls the illegal alien mother and eventually a host of other relatives into permanent U.S. residency. Jackpot babies are another term. The 14th Amendment was ratified in 1868 to protect the rights of native-born Black Americans, whose rights were being denied as recently-freed slaves. In 1866, Senator Jacob Howard clearly spelled out the intent of the 14th Amendment by writing: "Every person born within the limits of the United States, and subject to their jurisdiction, is by virtue of natural law and national law a citizen of the United States. This will not, of course, include persons born in the United States who are foreigners, aliens, who belong to the families of ambassadors or foreign ministers accredited...
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...today and therefore has result in the restructuring of healthcare into a managed care. As a result of this above reason, an ethical gap is always encountered almost on daily basis. As shown in this case study, Mary and John, along with their daughter Martha, have demonstrated how religion, culture, legal, and ethical issues can easily be encountered in the healthcare arena. Honestly until now, I have never considered ethical issues to be of a grave concern in nursing practice; nor given any deep thought to ethical matters when dealing with patient with different background. Prior to now, most cases relating to patient’s background or ethical issues has been resolved easily. I think why these have been easily resolved is because patients are more accommodating and accepting. I think all human races have this general background of being accepting of their fellow human beings. However, some cultural groups are more accepting than others depending on their level of understanding and belief. I think that as from this moment on, every time we treat any group of people, we should begin by looking deeper into these matters than we used to. I have always treated my patient as if they are there for me to render my nursing without question. I think the medical personnel are guilty of not paying much attention to ethical issues as well as the patient. Most patients adopt the rule of “when you are in Rome,...
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...Wee-Care Urgent Medical Website Plan 1909 Oak Bluff Trail Austell, Georgia 30122 770-942-3199 weecare.com Monifa Mwangi January 4, 2011 Executive Summary One of the top complaints of individuals seeking non-critical emergency services is wait time. For emergency room visits, a patient may spend 2-3 hours in an emergency waiting room for non-critical treatment such as fever, cough, sprains, etc. Quick2treat is an online concept developed to allow consumers access to WeeCare’s current office wait times and allows the patient to schedule an appointment, or hold their place in line for urgent care treatment. Once the patient has confirmed the appointment time, the patient is guaranteed to be seen within 15 minutes upon arrival. Internet registration for non-life threatening emergency department services that allows patient and family to avoid dreaded time in a waiting room. The concept of Quick2treat follows current technology for real-time online status reporting used by the airport industry, amusement parks “fast pass” system and online reservation services in restaurants. The market indicates that there is a significant need for quality “urgent” care other then emergency services provided by area hospital’s emergency rooms. Currently, the clinic employs competent, well-educated physicians and support staff to respond to the current needs of patients, however, there is room for growth. WeeCare has developed an excellent reputation with many of patients, through...
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...Jail System The Prison Law of the People's Republic of China was adopted and went into force on December 20, 1994 at the 11th meeting of the Standing Committee of the Eighth National People's Congress. Regulatory Authorities The Prison Law provides that the State Council judicial administration (Ministry of Justice) supervises all prisons across the country. The Ministry of Justice has a Bureau of Prison Administration that supervises all prisons in the country. In the provinces (municipalities directly under the central government and autonomous regions), offices of justice are responsible for managing prisons in their own jurisdiction through their prison administration arms. Prisons in China are divided into two categories: Prisons incarcerating inmates who have been condemned by courts to a fixed-term sentence, life sentence or death penalty with two years reprieve. Male and female inmates are warded separately, with female wards managed by female law enforcement personnel. Prisons may also be divided into wards for felons and criminals of misdemeanour. Penitentiaries for juvenile delinquents, criminals of minor age who have been condemned by courts to a fixed-term sentence, life sentence or death penalty with two years reprieve. Special protection is extended to juvenile delinquents, with customized procedures in place to cater to their needs. Prison Setup and Staffing The Prison Law provides that the State Council judicial administration approves the establishment...
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...Legal Case Study: A Ouestion of Futllity-Baby K, 832 F. Supp. 1993). 1022(E.D.Va. the In this case, infant girl wasborn with the congenitalmalformation anencephaly which left only her brain stem functioning.This limited function allowed for a conshe tinuation of respirationbut the infant was permanendy unconscious; could not see,or interact with her environment.At birth the physiciansand an institutional ethics committee advisedthe mother that the use of a ventilator that had been put wasfutile and should be withdrawn.The mother into placeawaitinga firm diagnosis the resistedthese recommendationsand, becauseof the disagreement, hospital attempted to have the baby transferredto another hospital.'Whenno comprehensive d to a nursing home. the hospital would acceptthe transfer, infant was m the following the transfer, infant wasreadmittedto the hosoccasions On several pital and given ventilatory support.Although the hospital attempted to resistthese The court deterst provide the services. the courts held that they admissions, mined that to refuse care to the infant would be in violation of the Emergency Medical Treatment and Active Labor Act (EMTALA), a federal statuteconcerning the child abuse, Americans with DisabilitiesAct (ADA), the Rehabilitation Act of 7973, end parental decision-making rights as guaranteed by the Fourteenth Amendment to the Constitution. 1. How would you resolvethis dilemma? to is resources it reasonable require the hospitalto provide 2 . In a time of scarce...
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...The What, Why, How, and Who of the Family Leave and Medical Act Douglas E. Jones MGMT 5843 Current Issues in Human Resource Management Abstract The Family Leave and Medical Act is one of the acts approved by Congress to allow for an employee to have a certain amount of time to deal with a medical emergency. In this informa-tional paper, I will discuss the 4 major reasons for implementing of the FMLA. I will begin with what is FMLA, that is a thorough definition of FMLA and what it was originally intended for. Then I will proceed with the why of FMLA. Why was this act proposed and why was it passed into law. Next, I will discuss how the FMLA works. How is it supposed to work and is it actual-ly working? Included in this, I will present some case studies to that will present different as-pects of FMLA. And finally I will discuss who uses FMLA. Who was it intended to help, who it is actually helping and who it is harming. Also, I will present case studies that will either confirm or deny if the FMLA is working. Finally I will offer some possible solutions to help to fix what is broken with FMLA and even possibly offer some suggestions for further research on FMLA. Introduction FMLA is designed to allow certain family members up to 12 weeks unpaid leave for family emergencies. It was enacted in 1993 but has had some changes made to it due to legisla-tion. FMLA was originally designed to cover both employees and employers. Since its inception, there were...
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...resources are required to implement DOCS Scheduler, except for due diligence. But with Azure, it’s a no-brainer: Azure helps us satisfy all the medical healthcare regulations in terms of security and privacy. It simplifies the entire due diligence process for IT.” * * Don Scipione, President, ACME Express Solution name: DOCS Scheduler Company: ACME Express Website: www.docsscheduler.net Country or region: United States Company profile ACME Express is a software development company that focuses on scheduling management for hospitals. Supporting Microsoft software and services Microsoft Azure SQL Database Microsoft Azure Virtual Machines * * “Essentially no IT resources are required to implement DOCS Scheduler, except for due diligence. But with Azure, it’s a no-brainer: Azure helps us satisfy all the medical healthcare regulations in terms of security and privacy. It simplifies the entire due diligence process for IT.” * * Don Scipione, President, ACME Express | | | | | Microsoft Healthcare Solution Case Study | | | | | | | On-call scheduling app consolidates calendars, contact information for hospitals | | | | | “Our mission is to dramatically increase the productivity of healthcare schedulers and to produce a fair schedule for providers, an accurate system for emergency departments, and a low-cost solution for hospitals.” * Don Scipione, President, ACME Express ACME Express is on a quest to revolutionize...
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...the impact of this bill/policy on each stakeholder including access, quality, and/or cost. •Create a plan of action to affect the health care disparity. Describe specific actions you propose to take in this plan of action. •How you will evaluate the effectiveness of this plan of action? An ideal health delivery plan would strive to expand physician access to rural areas. We will facilitate more recruitment for potential medical students from rural areas. "Research indicates that physician’s personal characteristics play a significant role in their practice location." (Singh, 2008, p. 132) If the medical student comes from a rural or inner city area, they are more likely to start their practice there. This will help with the This will help with the lack of physicians in these areas. There will also be rural-based training programs for medical students. "Appropriate training can help alleviate some of the preconceived deterrents to rural and inner city practice" (Singh, 2008, p. 132) There will be more incentives for medical students who choose to practice in rural areas. Also, facilitating more reimbursement opportunities so that they are comparable to physicians in suburban and metropolitan areas. Today, access is restricted to those who have health insurance through their employers, covered by government programs, can afford to buy with private funds, or can pay for services directly.(Singh, 2008) Because of lack of adequate and affordable...
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...RH LAW [ REPUBLIC ACT NO. 10354 ] AN ACT PROVIDING FOR A NATIONAL POLICY ON RESPONSIBLE PARENTHOOD AND REPRODUCTIVE HEALTH Be it enacted by the Senate and House of Representatives of the Philippines in Congress assembled: SECTION 1. Title. – This Act shall be known as “The Responsible Parenthood and Reproductive Health Act of 2012″. SEC. 2. Declaration of Policy. – The State recognizes and guarantees the human rights of all persons including their right to equality and nondiscrimination of these rights, the right to sustainable human development, the right to health which includes reproductive health, the right to education and information, and the right to choose and make decisions for themselves in accordance with their religious convictions, ethics, cultural beliefs, and the demands of responsible parenthood. Pursuant to the declaration of State policies under Section 12, Article II of the 1987 Philippine Constitution, it is the duty of the State to protect and strengthen the family as a basic autonomous social institution and equally protect the life of the mother and the life of the unborn from conception. The State shall protect and promote the right to health of women especially mothers in particular and of the people in general and instill health consciousness among them. The family is the natural and fundamental unit of society. The State shall likewise protect and advance the right of families in particular and the people in general to a balanced and healthful...
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...past data indicates it has not always been so. The Institute of Medicine determined in the late 1990’s that 44,000 to 98,000 patients die from medical mistakes each year (Wachter, 2008). This tremendous number of deaths places medical care mishaps between the fifth and eighth leading causes of deaths in the United States (Kizer, 2001). In 2002, The Joint Commission established National Patient Safety Goals (NPSG) to help accredited organizations with patient safety in specific areas. An advisory group comprised of nurses, physicians, pharmacists, risk managers, clinical engineers, and others with appropriate experience advises The Joint Commission on how to address emerging patient safety issues. This group also periodically develops and updates the goals. The goals are grouped into broad categories and for 2011-2012, cover such categories as patient identification, health care-associated infections, improving communication, medication safety, reducing falls, and risk assessment. A discussion of selected elements underlying the current NPSG such as hand washing techniques, training, and lack of communication between healthcare personnel that can lead to medication errors, to falls, and even death, plus other related factors such as staffing shortages, problems with using outdated equipment, considerations in using the electronic medical records, and compliance with statutes provide insight into the challenges faced by today’s healthcare institutions and providers. Healthcare...
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