...The nation of Canada has a dynamic health care system which functions as a publicly-funded, single-payer system. Health care in the country is commonly referred to as Medicare, with spending decisions regarding it being made at the provincial level. The health care system offers many benefits to Canadian citizens, such as how every citizen is covered, regardless of class or financial status. Studies show that a plurality of citizens are satisfied with this health care system, however, there are several apparent issues within the system that are in need of some alteration. Some of these issues include significant wait times and an unequal distribution of quality health care, especially for those living in rural areas. With this knowledge, one...
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...The debate over a universal health care system has been going on for years in our country. Some say it will decrease costs so that all members of the nation will be able to see a doctor; others say it will ruin many employments and raise the costs to the every day American for the bills of this system. Both arguments have evidence to support their claim while also provide some appeals to emotions. The choice for a universal system is supported by many who have been in the shoes without care. The support for this claim comes from many anecdotal pieces of evidence that show grim stories of those left without healthcare. The author of the editorial does use factual evidence to support his claim as well as the emotional pulls. As a well written...
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...The Analysis of Market Failure in the U.K and the U.S. Health Care System Contents Executive Summary 3 1. Introduction 3 2. Findings 3 2.1 The health care system in the U.S. 3 2.1.1 Adverse selection 4 2.1.2 Moral hazard 4 2.1.3 Market power (the pharmaceutical firm) 5 2.1.4 The Medicare-Medicaid 7 2.1.5 Suggestions and solsolutions...................................................8 2.2 The health care system (NHS) in the UK 9 2.2.1 Asymmetric informtion 9 2.2.2 Incentive problems 9 2.2.3 Market power of the health authority 10 2.24 Suggestions and solutions....................................................... 11 3. Conclusion 12 Reference List 12 Executive summary The main purpose of this report is to assess two approaches to health care, and briefly discuss market failures and the induced inefficiencies in them with the comprehension of applied microeconomics. This report will try to link the facts in health care provision with the essence of each health care system. Several practical proposals will be constructed. 1. Introduction Health care, as one of the most complicated public services, is an essential issue both in economic and social areas. The provision of health care is a matter of a whole nation’s welfare quality. In the contemporary world, there are two dominate but distinguishable health care systems. One is publicly provided...
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...2. Data mining search parameters A data mining algorithm is a set of heuristics and calculations that creates a data mining model from data. To create a model, the algorithm first analyzes the data you provide, looking for specific types of patterns or trends. The algorithm uses the results of this analysis to define the optimal parameters for creating the mining model. These parameters are then applied across the entire data set to extract actionable patterns and detailed statistics. The mining model that an algorithm creates from your data can take various forms, including: * A set of clusters that describe how the cases in a dataset are related. * A decision tree that predicts an outcome, and describes how different criteria affect that outcome. * A mathematical model that forecasts sales. * A set of rules that describe how products are grouped together in a transaction, and the probabilities that products are purchased together. Microsoft SQL Server Analysis Services provides multiple algorithms for use in your data mining solutions. These algorithms are implementations of some of the most popular methodologies used in data mining. All of the Microsoft data mining algorithms can be customized and are fully programmable using the provided APIs, or by using the data mining components in SQL Server Integration Services. You can also use third-party algorithms that comply with the OLE DB for Data Mining specification, or develop custom algorithms that can be...
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...processing and analysis Kachia LGA (A brief overview) Results of Evaluation: • ON MEETING OBLIGATIONS & RESPONSIBILITIES BY PARTNERS: Page 14 Obligations and Responsibilities of NPHCDA and Areas where NPHCDA has failed in fulfilling its obligations and responsibilities Obligations and Responsibilities of Kaduna State Government and Areas where SMOH has failed in fulfilling its obligations and responsibilities Obligations and Responsibilities of Kachia Local Government and Areas where Kachia LGA has failed in fulfilling its obligations and responsibilities. Obligations and Responsibilities of Communities and Areas where Communities have failed in fulfilling their obligations and responsibilities Obligations and Responsibilities of Tulsi Chanrai Foundation and Areas where TCF has failed in fulfilling its obligations and responsibilities. • On Project Activities to meet Objectives Page 20 Organization of health services Staff disposition Range of services provided at health facility Ward Health System Project Map Major health problems Essential Drugs Exemptions and Deferments Referral programme. (including Ambulance Service) Essential Equipment Health...
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...Clinic Thomas R. Rohleder, PhD Division of Health Care Policy and Research Mayo Clinic 200 First Street SW Rochester, Minnesota 55905 tel: 507-538-1532 Email: rohleder@mayo.edu Peter Lewkonia, MD Faculty of Medicine University of Calgary Calgary, Alberta Diane Bischak, PhD Haskayne School of Business University of Calgary Calgary, Alberta Paul Duffy, MD Faculty of Medicine University of Calgary Calgary, Alberta Rosa Hendijani Haskayne School of Business University of Calgary Calgary, Alberta July 2011 Abstract We report on the use of discrete event simulation modeling to support process improvements at an orthopedic outpatient clinic. The clinic was effective in treating patients, but waiting time and congestion in the clinic created patient dissatisfaction and staff morale issues. The modeling helped to identify improvement alternatives including optimized staffing levels, better patient scheduling, and an emphasis on staff arriving promptly. Quantitative results from the modeling provided motivation to implement the improvements. Statistical analysis of data taken before and after the implementation indicate that waiting time measures were significantly improved and overall patient time in the clinic was reduced. Keywords: Outpatient Clinic, Discrete Event Simulation, Process Improvement, Patient Waiting I. Introduction Visiting hospital outpatient clinics is a very common way for patients to access health care. These clinics typically schedule appointments...
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...Rohleder, PhD Division of Health Care Policy and Research Mayo Clinic 200 First Street SW Rochester, Minnesota 55905 tel: 507-538-1532 Email: rohleder@mayo.edu Peter Lewkonia, MD Faculty of Medicine University of Calgary Calgary, Alberta Diane Bischak, PhD Haskayne School of Business University of Calgary Calgary, Alberta Paul Duffy, MD Faculty of Medicine University of Calgary Calgary, Alberta Rosa Hendijani Haskayne School of Business University of Calgary Calgary, Alberta July 2011 Abstract We report on the use of discrete event simulation modeling to support process improvements at an orthopedic outpatient clinic. The clinic was effective in treating patients, but waiting time and congestion in the clinic created patient dissatisfaction and staff morale issues. The modeling helped to identify improvement alternatives including optimized staffing levels, better patient scheduling, and an emphasis on staff arriving promptly. Quantitative results from the modeling provided motivation to implement the improvements. Statistical analysis of data taken before and after the implementation indicate that waiting time measures were significantly improved and overall patient time in the clinic was reduced. Keywords: Outpatient Clinic, Discrete Event Simulation, Process Improvement, Patient Waiting I. Introduction Visiting hospital outpatient clinics is a very common way for patients to access health care. These clinics typically schedule...
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...Paper #2 [Rhetorical Analysis Assignment (1)] (4 full pp. double-spaced) Sicko Analysis In 2007 documentary Sicko Michael Moore addresses the issue of America’s health care system. This topic has been in continuous debate among our political leaders for many years now. Michael Moore believes America’s health system is morally corrupt which is unreasonable for being the wealthiest country in the world. In many instances throughout the film, he argues the fact that the American health care system is subject to fraudulent decisions, aiming towards governmental funds, rather than the rights of American citizens. Furthermore, he compares health care conditions from around the world, arguing that countries with this benefit are much better off than those that are not. This movie is an attempt to encourage middle class individuals to stand up for what Moore thinks of their Constitutional right, health care. In the movie Moore uses different techniques to support his argument that universal health care is better than government regulated health care. One of which was to interview individuals around the United States about their health insurance experiences. One of the most memorable stories came from a mother whose four-year-old daughter died because she was refused care at a hospital. The way Moore sets up this particular interview is unforgettable. As she begins telling her chilling account, the camera zooms into her face. When the camera zooms out, we see that behind her is...
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...Case report: Paediatric Orthopaedic Clinic 1- What is capacity utilization at every step in the process? What is the direct resource utilization? Using the data provided in the case, we are able to compile all data necessary to compute the capacity utilization at the clinic. Activity | # of Staff | Available time | Activity time | Number of Patients | Time needed | Utilization10 | | | /Staff | Total | N | F | N | F | N | F | Total | | 1. Front Desk | | | | | | | | | | | | a. Registration | 3 | 180 | 540 | 5 | 5 | 32 | 48 | 160 | 240 | 400 | 74 % | b. Verification | 3 | 255 | 765 | 9 | 4 | 32 | 48 | 288 | 192 | 480 | 63 % | 2. Radiology Department | | | | | | | | | | | | a. X-ray imaging | 6 | 240 | 9603 | 11 | 11 | 32 | 40.8 | 352 | 448.8 | 800.8 | 83 % | b. Development of X-rat | -1 | 240 | 9604 | 7 | 7 | 32 | 40.8 | 224 | 285.6 | 509.6 | 53%8 | c. Diagnostic reading and comments | 3 | 240 | 4805 | 5 | 5 | 32 | 40.8 | 160 | 204 | 364 | 76% | 3. Hand-off X-ray to Clinic | | | | | | | | | | | | a. Collection of X-ray | 3 | 2556 | 7657 | 2 | 2 | 32 | 40.8 | 64 | 81.6 | 145.6 | 19% 9 | b. Filing/exam room prep | 1 | 255 | 255 | 2 | 2 | 32 | 48 | 64 | 96 | 160 | 63% | 4. Examination Room | | | | | | | | | | | | a. Surgeon | 1 | 255 | 255 | 7 | 4 | 32 | 14.4 | 224 | 57.6 | 281.6 | 110% | b. Resident | 1(2)2 | 255 | 255 | - | 7 | - | 33.6 | - | 235.2 | 235.2 | 92% | c. Cast technician...
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...Change and Culture Case Study I Mergers occur almost every day in the business world for one reason or another. In health care two or more facilities may merge because of lack of staff, budget cuts, or poor administration that causes pending closures of one or more facilities. When mergers of two healthcare facilities occur, top line management and administration are normally always the first to get the axe from the healthcare facility that needed the bailout. This leaves middle management with the task of effectively aligning the staff of the healthcare facilities without causing conflict that would undermine the good nature of the newly formed health care facility. The scenario calls for acting as a middle manager in a healthcare facility that has just merged with a previous competitor. Each facility will come with their own set of flaws and flourishes. This paper will address how middle management can form a bond with employees of both facilities. It will also give best practices on how to jointly implement inpatient and outpatient services and correct flaws and continue to flourish as one health care facility that provides the best service to their patients. The usual reason for two health care facilities merging is because one facility is not doing well and is in danger of being shut down. The not doing so well can be attributed to budget, quality of service, employee retention, training, space, or a takeover in board members. There are other reasons for mergers...
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...Bisht et al. Globalization and Health 2012, 8:32 http://www.globalizationandhealth.com/content/8/1/32 REVIEW Open Access Understanding India, globalisation and health care systems: a mapping of research in the social sciences Ramila Bisht1*, Emma Pitchforth2 and Susan F Murray3 Abstract National and transnational health care systems are rapidly evolving with current processes of globalisation. What is the contribution of the social sciences to an understanding of this field? A structured scoping exercise was conducted to identify relevant literature using the lens of India – a ‘rising power’ with a rapidly expanding healthcare economy. A five step search and analysis method was employed in order to capture as wide a range of material as possible. Documents published in English that met criteria for a social science contribution were included for review. Via electronic bibliographic databases, websites and hand searches conducted in India, 113 relevant articles, books and reports were identified. These were classified according to topic area, publication date, disciplinary perspective, genre, and theoretical and methodological approaches. Topic areas were identified initially through an inductive approach, then rationalised into seven broad themes. Transnational consumption of health services; the transnational healthcare workforce; the production, consumption and trade in specific health-related commodities, and transnational diffusion of ideas and knowledge...
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...represent more than 3 million health care members nursing profession is one of the major divisions of work force in United States. Nurses played an important role in setting the 2010 Affordable Act, legislation and creating Medicare and Medicaid programs. There are lot of hurdles inhibits nurses to respond successfully with reforming healthcare system. In order to overcome these obstacles nurses are well educated and well positioned in healthcare system to lead these changes. In 2008, Institute of Medicine and Robert Johnson Foundation appointed a committee to evaluate the need for healthcare transformation. Committee made some recommendations regarding improve education and training of nurses, nurses need to achieve highest level of education, nurses should collaborate with other healthcare professional to redesign healthcare system and accurate planning of work force for data collection. According to the report the committee suggested that many problems facing nursing education system nursing education system need to be advanced. Impact of IOM report on education. In 21st century statistics shows that there are many health issues affecting American population and it will be increased to 20 percent of the population by 2030.In addition to that nation’s health care needs also increasing. Primary goal of nursing education is to prepare safe and quality care of patients. Chronic disease conditions like cardiovascular diseases, mental health illness arthritis and obesity...
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...and Their Increased Use of the VA Medical System - VPT2 Data-Driven Decision Making - C207 August 12th, 2015 Forecasting the Future Female Veteran Population and Their Increased Use of the VA Medical System The use of the Veterans Affairs medical care system has significantly increased over the last decade due to two recent wars and an aging Vietnam Veteran population. As females have been accepted in all roles into the military, their population within the military has progressively multiplied over the last three decades. Since females in general typically use healthcare at a higher rate than their male counterparts, it is necessary to ascertain if the female veteran population and their usage of the VA is trending in the direction of growth. Should the numbers be trending in a manner that shows significant growth, a further in-depth study would be indicated to determine future growth beyond the course of this analysis could provide. This trending information as well as future studies, should they be indicated, would assist VA management in determining future monetary and staffing budgets. Data Collection To evaluate the potential for growth within the female veteran population, data was collected online from: Veterans Affairs (VA) detailing veteran population statistics by state, age group, and gender; a Women’s Health Veteran’s Affairs Publication detailing the socio-demographic, utilization, and Costs of Care of female veterans; and data was also collected...
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...Self-regulation has become a “mantra for both governments and private industry in the neoliberal era (Burch et al., 2013, p. 259). Given the onset of recent environmental disasters related to the oil and gas industry, the oligarchic telecommunications industry, and our crippling health care system, the role for government watchdogs becomes ever more so important. Thus for any type of change to occur, effective governance is important as it must also progress with any changes in society (Marin, 2009). For this to occur, this requires an ombudsman - also known as a watchdog, or adjudicator who has the “power to set standards and apply sanctions” (Burch et al., 2013, p. 259). The ombudsman or watchdog acts as a “moral compass and societal conscience,” making it even more relevant in today’s 21st century (Marin, 2009). However, in the event that the ombudsman/watchdog model is unable to help with any type of meaningful reform or provide justice, it starts to experience public criticism. Therefore, the focus of this paper will be to explore the role of government watchdogs in Canada and their decreasing influence on public and private sector institutions. In doing so, it will be understood how we must create a balanced system of government- and self-regulation, and in turn allow a greater path towards having independent bodies, or watchdogs handling disputes. Discussion and Arguments As mentioned, an ombudsman or watchdog acts as the moral compass or guide in our society. The initial...
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