...Running head: Hospitals and Long-Term Care Facilities Hospitals and Long-Term Care Facilities Sharhonda Harvey Dr. Gary A. Morris Health Services Organization – HSA 500 August 8, 2010 Hospitals and Long-Term Care Facilities 1. Describe the difference between nonprofit and for-profit hospitals. There are numerous factors that differentiate nonprofit and for profit hospitals. According to Horwitz (2005), “Two-thirds of all U.S. urban hospitals are nonprofit, with the remainder split between for-profit and government ownership” (p. 790). One major difference between the two entities is that nonprofit entities tend to put excess funds back into the organization and receive tax exemptions, whereas for-profit entities keep the profits and dispense them among stock holders. Overall, whether the hospital is nonprofit or for-profit it is imperative that each entity meet the needs of the patients, work under the same health guidelines, and provide the appropriate training for staff to ensure they are providing safe care. Nonprofit hospitals are commonly known for their role in the community. Williams (2009) found “nonprofit entities serve a community service and have special recognition under the law due to their role in our society” (p. 185). These organizations do not have owners but they are overseen by a board of community members that makes decisions on how the facility is operated. As it relates to financial assistance, monies are sponsored by various institutions...
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...Hospitals and Long-Term Care Facilities Glennis Bogard Dr. Angela J. Smith Health Services Organization – HSA 500 February 17, 2011 Abstract Hospitals can be set up as nonprofit or for-profit facilities. The differences between the nonprofit and for profit hospitals will be discussed. Hospitals have experienced different trends in the last thirty years. This paper will identify at least three major trends that have occurred within the hospital sector. Three examples that describe and differentiate the roles of hospitals and nursing homes are providing long-term care. The conclusion of this paper will be a brief critiquing of the current state of long-term care policy in the United States. Hospitals and Long-Term Care Facilities Describe the differences between nonprofit and for-profit hospitals. A characteristic as stated by Williams and Torrens (2008) of nonprofit hospitals is that these hospitals do not function under the realm of regular corporate law but under a special provision of the corporate law in each state. It is also noted that nonprofit hospitals also function under special federal and state tax provisions because of recognition of their community service function. Other characteristics of nonprofit hospitals are they do not have owners and their governing body is a community based board that has complete authority over operations. Nonprofit hospitals, in general, are not required to pay most of the taxes at federal, state and local levels...
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...Johnniece Harris Long Term Care Facility Joint Commission Accreditation Long term care facilities use Joint Commission Accreditation as a benefit to show the quality and commitment to the health care organization. A long term care facility that is Joint Commission accredited will have a more appealing look to reimbursement centers and to the patient and families that they care for. Having this accreditation is also a risk management tool. The likelihood of a bad outcome is reduced if a facility is accredited by the Joint Commission. There is a team put together to come up with accreditation standards and to make sure facilities stay compliant with these standards. Performance is evaluated to ensure standards are followed. Joint Commission accreditation has been around for many years. Most Long Term Care facilities today are not joint commission accredited. There are eligibility requirements that must be met in order for facilities to become accredited. A facility has to have beds licensed by the state as nursing home beds, excluding intermediate care facilities specializing in care for individuals with mental retardation and other developmental disabilities. Beds designated as long term care beds under a hospital license, excluding beds belonging to a long term acute care hospital and hospital swing beds. Beds, units or facilities certified by Medicare or Medicaid as skilled nursing facility beds. Beds, units or facilities designated as long term care by a governmental...
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...Hospital and Long-Term Care Facilities Kevin L. Coleman Strayer University Professor: Dr. Kaluyu HSA: 500 February 12, 2012 By 2030 it is estimate that the United State population will be over the age of 65. The baby boomer generation although active will be placed a financial burden on the country due the need of healthcare. With the uncertainty of MEDICARE the prospect maybe bleak, and long term care will be essential for the aging impact that about to occur. In order to get a grasp on the impact and the need for long term healthcare we have comprehend the important of non-profit and profit hospital, what are the growing trends; what are the difference between hospital and nursing home, and what is the current state of United State long term care. Describe the differences between non-profit and profit hospital Most people do not give much thought rather a hospital is non-profit are for profit, but there is a strict difference between the two. Non-profits hospital typically accepts anyone with a medical need who comes into their doors, regardless of their ability to pay for the services. Because of their willingness to except any all patient non-profit hospitals receive tax exemption. Also, non-profit hospitals are much busier than profit hospitals. In larger urban cities non-profit hospital are extremely essential to their community. Most of these type of hospital emergency room stay busy. Television show like ER is a visional testament to how non-profit...
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...(2013, August). The Denver Hospice. H&HN: Hospital &Health Networks, 87(8), 37-38. This article is about how the Denver hospice has won a lucrative award 2013 Circle of Life Award. What allowed the Denver hospice win this award was there unique program that they come up with in dealing with palliative care. Palliative care is an up and coming method of health care that deals with easing of pain for any stage of someone’s disease. Hospice care only deals with patients in the final stages of their disease. The Denver hospice is leading the way by branching out and developing a palliative care program to service more people than just standard hospice alone. The Denver Hospice's fearless culture of innovation has produced partnerships that bring hospice and palliative services to a wide variety of people who might not otherwise have access to them (Greene). Palliative care is a difficult item to get funding for. No one wants to fund the final minutes of a person’s life. Although, Denver Hospice has a reputation of never turning anyone away, they will treat whoever is in need. Denver Hospice works with many different groups to try to cater to the clientele as well as get funding. The Veterans Administration has worked with the Denver Hospice to identify special needs of veterans, who make up 31 percent of the hospice's patients (Greene). Many of which may have seen combat or had to endure something that which has made care now that much more difficult. It is important...
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...SERVICES ★ ★ ★ What are Long-Term Care Hospitals? Most people who need inpatient hospital services are admitted to an “acute care” hospital for a relatively short stay. But some people may need a longer hospital stay. Long-term care hospitals (LTCHs) are certified as acute care hospitals, but LTCHs focus on patients who, on average, stay more than 25 days. Many of the patients in LTCHs are transfered there from an intensive or critical care unit. LTCHs specialize in treating patients who may have more than one serious condition, but who may improve with time and care, and return home. Services provided in LTCHs typically include comprehensive rehabilitation, respiratory therapy, head trauma treatment, and pain management. I’ve heard a lot about “long-term care.” Is this the kind of care that long-term care hospitals give? No. Long-term care usually refers to care that’s basically custodial (like help with feeding or dressing), even if there’s some health care given. Medicare doesn’t cover this kind of care, which can be given in your own home or in various kinds of facilities (like assisted living facilities). LTCHs are hospitals that give inpatient services to people who need a much longer stay to get well. ★ Do I pay more in a LTCH than in an acute care hospital? Generally, no. Under Medicare, you’re only responsible for one deductible for any benefit period. A benefit period begins the day you’re admitted to a hospital or skilled nursing facility (SNF), and ends when...
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...Terms in Chapter 7: Outpatient Services and Primary Care Ambulatory care Outpatient services, including (1) care rendered to patients who come to physicians’ offices, outpatient departments of hospitals, and health centers to receive care; (2) outpatient services intended to serve the surrounding community (community medicine); and (3) certain services that are transported to the patient. Community-oriented primary care Health care that incorporates the elements of good primary care delivery and adds a population-based approach to identifying and addressing community health problems. Complementary and alternative medicine The broad domain of all health care resources other than those intrinsic to biomedicine. Gatekeeping The use of primary care physicians to coordinate health care services needed by an enrollee in a managed care plan. Hospice A cluster of special services for dying persons (those with a life expectancy of six months or less), which blends medical, spiritual, legal, financial, and family-support services. The venue can vary from a specialized facility to a nursing home to the patient’s own home. Medical home Patient-centered care based on the principles of the Chronic Care Model-that is, use of evidence-based guidelines, application of appropriate health information technology, and use of “best practices”-that seeks to consistently and reliably meet the needs of patients while being accountable for the quality and value of care provided. Outpatient ...
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...home 1. Describe the differences between nonprofit and for-profit hospitals. The general belief or theory is that nonprofit hospitals do a better job of focusing on their people; that is, they provide better quality of care. On the other hand, for-profit hospitals are more business oriented; more emphasis is placed on cost and operating efficiency than nonprofit hospital does. I believe this is a significant difference because while staff members in a nonprofit hospital may see themselves as caregivers, staff members in for-profit may seemingly see themselves as cogs in a production wheel. The mission and purpose for these two types of hospitals is also a very important and makes a significant difference. Financial pressures have forced all hospitals to focus on costs and operating efficiency, blurring the line between money and mission. Still, nonprofit employees believe more strongly that their organization's mission makes them feel that their jobs are important. It seems that the mission of care delivery tends to be more prominent in nonprofit hospitals. Hence, it may be safe to say that nonprofit hospitals do a better job than for-profit hospitals of making their staff feel that their contributions are valued and meaningful. Lastly, another difference would be in the area of materials and equipments needed to do the work right. With a focus on operating efficiency, for-profit hospitals frequently operate with lower staffing ratios (Woolhandler & Himmelstein, 2004)...
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...Long Term Care Hospitals and Long-Term Care Facilities Glennis Bogard Dr. Angela J. Smith Health Services Organization – HSA 500 February 17, 2011 Abstract Hospitals can be set up as nonprofit or for-profit facilities. The differences between the nonprofit and for profit hospitals will be discussed. Hospitals have experienced different trends in the last thirty years. This paper will identify at least three major trends that have occurred within the hospital sector. Three examples that describe and differentiate the roles of hospitals and nursing homes are providing long-term care. The conclusion of this paper will be a brief critiquing of the current state of long-term care policy in the United States. Hospitals and Long-Term Care Facilities Describe the differences between nonprofit and for-profit hospitals. A characteristic as stated by Williams and Torrens (2008) of nonprofit hospitals is that these hospitals do not function under the realm of regular corporate law but under a special provision of the corporate law in each state. It is also noted that nonprofit hospitals also function under special federal and state tax provisions because of recognition of their community service function. Other characteristics of nonprofit hospitals are they do not have owners and their governing body is a community based board that has complete authority over operations. Nonprofit hospitals, in general, are not required to pay most of the taxes at federal, state...
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...signed in to law the Patient Protection and Affordable Care Act. The Affordable Care Act alters the insurance market in the United States, increases revenues from a variety of new taxes, expands public insurance and it declines private insurance coverage, mandates that residents have health insurance, decreases and reorganizes spending under the nation’s largest health insurance plan which is Medicare. It has been said that if the Affordable Care Act is implemented to its full power that it can have a lead in different health choices for the United States in the future. I begin by providing a broad outline of the Affordable Care Act’s key features to help guide the discussion of the bill’s projected effects. History of the Affordable Health Care Act The Affordable Care Act is a long, complex piece of legislation that attempts to reform the healthcare system by providing more Americans with affordable quality health insurance and by curbing the growth in healthcare spending in the U.S.. Reforms include new benefits, rights and protections, rules for insurance companies, taxes, tax breaks, funding, spending, the creation of committees, education, new job creation and more. Democrats and Republicans have been working to create laws that reform the American health care system for decades. Almost every President over the last century has proposed healthcare reform unsuccessfully. The Affordable Care Act, modeled after health care reform in Massachusetts, was the first successful...
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...Long-term care can have a different definition for each individual. Before taking this course my understanding of Long-Term Care was a community that the elderly would live in when not being able to take care of themself or not have a caretaker. However, having been able to obtain more knowledge on the subject, Long-Term Care can vary from Adult Day Care to Assisted Living. There are different options to choose from when having to choose a Long-Term Care facility for you loved one. An Adult Day Care is similar to a child day care. It is a facility where one can drop off a loved one while they are at work and can then pick them up at the end of the day. These facilities offer the amenities to socialize with one another and do activities that can strengthen their minds and increase mobility on their motor skills. During my college years, I had to participate in one of these facilities for an assignment and it was a great experience. Members would play dominoes, sew, and do plenty of arts of crafts. Another form of Long-Term Care is an Assisted Living Facility, this consist of a facility that can be mostly associated with an apartment complex. It can offer services as a regular living community with medical attention for those who require it. When comfortable with your living settings and are able to be fully independent, residents are able to upgrade their living arrangements. Only those who are able to independent with their ADL’s are able to living in this type of facility...
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... When the health care program was released there seemed to be minor and minimum issues for civilians to apply online. There are several different parts to this healthcare program. The Obama care program was established to help low income, fixed income individuals, people who could not afford to pay the regular amount for insurance. The Obama care program is intended to help individuals with affordable insurance plans. This health care program is regards of the economy, the issues that individuals have finding jobs, getting a job with a company that allows decent insurance, and help their employees. Not just the employees who have been with the company for years. The program does not necessarily create insurance but it is to help regulate private insurance to maintain privacy, the rights of individuals and in the process it gives them high-quality insurance. Going with this health care program it allows the fact that like other types of insurance you cannot be withheld from because of certain types of health issues. It allows you to have insurance like others do. The Obama care program allows assistance for the older generations which are also known as baby boomers. It is said that once you purchase a plan it will and can cover the minimum and the standard essential benefits that one may need to have insurance. With your medical history that is no way possible that you can be declined to have the insurance plan that you have applied for. Due to Obama care is available for anyone...
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...types of facilities accredited by each accreditation program. * Ambulatory Care Accreditation Program – This accreditation program was established in 1975. Organizations accredited by this program are free standing ambulatory care organizations like surgical, medical/dental and diagnostic/therapeutic services in a variety of settings like, ambulatory surgery centers, military clinics, recovery care/short stay, sleep centers, teleradiology, telemedicine diagnostics, etc. Currently there are approximately 1,900 such organizations. In addition there is the Primary Care Home Medical Certification for Joint Commission accredited ambulatory care organizations. This certification focuses on care coordination, access to care, and how effectively a primary care clinician and interdisciplinary team work in partnership with the patient (and where applicable, their family). * Behavioral Healthcare Accreditation Program – This accreditation program began in 1975. Organizations providing services for people with developmental and intellectual disabilities, mental health and chemical dependency. Some of these organizations are: Addictions Center, Crisis Stabilization (24-hour acute care setting), Outdoor Behavioral Services, Outpatient Counseling and Therapeutic Schools (both day and 24- hour). Currently there are over 1,900 behavioral healthcare organizations. * Critical Access Hospital Accreditation Program – This accreditation program was introduced in 2001. Hospitals that have...
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...renting a new facility for the orthopedic line at Trinity Community Hospital. Hospital construction, like most other construction, continues to struggle to recover from the years of economic hardship. Advantages 1. Building- 5,000 sq. feet PT center- $120 per sq. foot- $600,000 The facility would be new and the hospital would have complete control over the design of the expansion. This would give us access the also make modification without approval from any outside parties. With this process the hospital would be able to make energy efficient modifications that might be present in the current facility. These processes would be able to save the hospital on operating cost and set a leading role for healthcare facilities that are going “green”. Building a new facility would help increase in value which would also in turn increase the equity of the hospital. The hospital will also have the ability of leasing any extra space which would build revenue. 2. Leasing- 5000 sq. foot MOB adjacent to hospital-$20 per sq. foot With leasing, the hospital would not have to risk any investment losses that might occur when building or buying a facility. ***One major advantage to this is that there is not as much cash needed up front in order to occupy the space. There would be more monies left over to fund the start up as well as purchasing state of the art equipment that can better service the patients. 3. Buying existing- existing building adjacent to hospital-$700,000($525...
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...are many people involved in the care and decisions surrounding older adults. Many times when aging individuals begin to need assistance, or help the question is who will take this responsibility, who will protect the elderly? More often than not family members are the first to step and take on the responsibility of elderly family members. Granted family may not always be the best option for taking on the responsibility of another, there may alternate motives, or the family may not be providing the best care. This is why it will really depend because each individual’s situation will differ from another. In some instances an aging adult may not have any family that can take on this responsibility. Therefore in some instances close friends or acquaintance may need to take this role. As stated previously this will depend on the individual circumstance of the aging adult. There may be instances where friends or acquaintance may not be the best option; they may not be protecting the elderly. Additionally there are also times that elderly individuals are not able to make decisions; there may be diminished competency which does not allow the person to make choices for themselves. Hospitals, community organizations, and other long-term care organizations should be allowed to make major decisions in the best interest of the patient. Thus there are times when family, friends or acquaintances, and hospitals, community organizations, and long-term care facilities that all need to protect the...
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