...governments. HR has therefore become a huge investment for medium and large companies across industries. This paper will define human resource management and describe the changing roles of Human Resource (HR) management in response to trends in globalization, technology, diversity, e-business, and ethics. The function of the Human Resources Management (HRM) includes a variety of actions required by the Human Resource Department. The key goal of HRM is deciding what staffing needs, whether to use independent contractors or hire employees to fill the needs of the company by recruiting and training the best employees and ensuring they are high performers. HRM also deals with performance issues and ensure personnel and management practices conform to the various regulations when rectifying issues. Other activities include managing the approach to employee benefits and compensation, employee records and personnel policies. Small businesses (for-profit or nonprofit) usually have to carry out these activities themselves because they cannot afford part- or full-time help (McNamara, C., 1999). However, small businesses should always ensure that employees have and are aware of the personnel policies which conform to the current regulations. These policies are often in the form of employee manuals, which all employees should have a copy...
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...Administrative ethical issues occur in health care today such as patient privacy, confidentiality or HIPAA. It is best to resolve this type of issue because patient privacy in health care is very important. These policies are designed to protect the rights of patients by making sure personal information of the patient is not disclosed in any way. Protecting a patient’s privacy by way of disclosing personal information and is not to be released without personal formal consent. Also, of employees discussing patient information on the job to people with no knowledge of the patient or even off the job. Many health care organizations enforce privacy policies such as HIPAA and confidentiality although all employees do not abide by such policies. It is being found that more frequently that people from these health care organizations are breaking these policies and their must be changes to provide patients with protection. Administrative ethical issues of the HIPAA Policy within health care organizations must make necessary changes to appropriately protect the rights of patients. The issue at hand is that of health care organizations properly protecting the rights of their patients. The article that will be discussed in this paper is that of OCR issues proposed Modifications to HIPAA Privacy and Security settings (Frank Irving, 2004). The population that is affected by it most has been impacted by such ethical issues brought upon by employees of health care organizations. The population...
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...Running head: Future trends in Health Care Future trends in Health Care HCS 533 April 23, 2012 Robert Ropnow PH.D. The findings of a review of trends in health care delivery that are associated with innovations in electronic communications are topic of discussion in this paper. The review focuses on four specific issues. The first issue concerned the ways in which electronic communications may be applied effectively as an external delivery mechanism in the communication of patient-specific information. The second issue centered on the impact of distance-delivery on the effectiveness of health care. The third issue involved a determination of the effects that the use of electronic communications have on health care delivery today. The fourth issue required a projection of the likely affects that the continued use of electronic communications will have on health care delivery. These interrelated issues are addressed in separate discussions in this paper. The Ways in which Electronic Communications May Be Applied Effectively as an External Delivery Mechanism in the Communication of Patient-Specific Information When considering the ways in which electronic communications may be applied effectively as an external delivery mechanism in the communication of patient-specific information, it is useful to first (a) identify the parties who will likely be involved...
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...University of Maryland Ambulatory Care Center: Highlighting Issues and Solutions DeVry University HSM 420: Managed Care and Health Insurance \ Introduction The quality of care is measured through the patient receiving the care. The patient measures quality of care through needs and preferences, care given without unnecessary delays and healthcare is not affected by gender, race, age or income. The Surgical Clinic at the University of Maryland strives to meet these goals by providing stellar care in a facility given the Leapfrog award for over a decade. Through observation there were a few areas in which could use improvement. Patients wait times affect how the patient perceives the care given. Another major issue is the need for consistency, reassurance to the patient that although the same physician may not be treating you during each visit the physicians are familiar with your individual case. Patients often find the location of the clinic difficult to find within the hospital which causes frustration upon arrival. The availability of clinics can cause an issue for patients. Description The University of Maryland Medical Center Surgical Clinic is governed by an ambulatory services team with different scopes of practice, including Doctors, Nurses, Administrators and other Clinical staff. The clinic staffs the Practice Manager, three subspecialty Nurses, a Medical Assistant, a Practice Assistant also the Scheduling Coordinator. The University of...
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...Orientation to course 1. Course descriptions 2. Course outcomes/competencies 3. Textbooks B. Course Requirements 1. Student assignments and responsibilities 2. Minimum level of achievement 3. Evaluation tools C. Course/ Clinical Assignments and Evaluation D. Major Concepts 1. Caring 2. Clinical judgment, clinical reasoning, and nursing judgment 3. Clinical microsystem 4. Collaboration 5. Critical thinking 6. Cultural competence and Diversity 7. Ethics 8. Evidence-based care 9. Healthcare environment 10. Human flourishing 11. Informatics and Information management 12. Integrity 13. Knowledge, skills, and attitudes 14. Leadership 15. Nursing and Nursing Process 16. Nursing-sensitive indicators 17. Patient and Patient-centered care 18. Personal and Professional development 19. Professional identity 20. Quality improvement 21. Relationship-based care 22. Safety Teaching-Learning Strategies * Review course syllabus distributed by instructor * Read requirements and policies related to program found in Nursing Student Handbook (NSH) * Review course supplemental learning guide (SLG) * Text for course * Read definitions of Major Concepts used in the Program...
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...Future Trends in Health Care Sukhwinder Kaur HCS/533 November 19, 2012 Sheryl-Anne Murray Introduction The findings of a review of trends in health care delivery that are associated with innovations in electronic communications are topic of discussion in this paper. The review focuses on four specific issues. The first issue concerned the ways in which electronic communications may be applied effectively as an external delivery mechanism in the communication of patient-specific information. The second issue centered on the impact of distance-delivery on the effectiveness of health care. The third issue involved a determination of the effects that the use of electronic communications have on health care delivery today. The fourth issue required a projection of the likely affects that the continued use of electronic communications will have on health care delivery. These interrelated issues are addressed in separate discussions in this paper. Electronic Communications as an External Delivery Mechanism When considering the ways in which electronic communications may be applied effectively as an external delivery mechanism in the communication of patient-specific information, it is useful to first (a) identify the parties who will likely be involved in such interchanges and to (b) determine the types of information most likely to be exchanged. Further, depending upon of types of information likely to be exchanged it is also useful to consider how and in what form such information...
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...measure patient and family satisfaction of care. Whether it be perception of care, quality of care, care management or patient outcome. Nursing care is a critical determination in the quality of care in hospitals and in patient outcomes. They are a critical component of the healthcare delivery system. According to the American Nurses Association (“Nurse Quality Indicators”, 2011) the definition of nurse sensitive indicators is as follows: “Nurse sensitive indicators reflect the structure, process, and outcomes of nursing care. The structure of nursing care is indicated by the supply of nursing staff, the skill level of the nursing staff, and the education/certification of nursing staff. Process indicators measure aspects of nursing care such as assessment, intervention, and RN job satisfaction. Patient outcomes that are determined to be nursing sensitive are those that improve if there is a greater quantity or quality of nursing care (e.g., pressure ulcers, falls, and intravenous infiltrations)” An understanding of nurse sensitive indicators by anyone on the nursing staff or anyone involved in patient care would help identify issues that could interfere with patient care in the future. These are measured in healthcare by monitoring, surveying, and tracking of pressure ulcers, patient falls, restraint use, skill mix, and bloodstream infections. It can also consist of patient satisfaction ratings, pain management, staff satisfaction with job, and total number of nursing care hours...
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...End of Life Essay It is very important for people to discuss and manage end of life issues. There are many issues that may need to have resolutions such as life support, curative vs symptom management, courses of treatment. Other issues such as burial plots and funeral arrangements. I have found that many people feel they have more time to discuss end of life issues. They feel that they have plenty of time to discuss their wants and wishes for the death and dying process with their loved ones. It is very important to discuss end of life issues with your significant others, spouses, children because one never knows when the end of life issues may come up. Maybe it is a young mother diagnoses with stage 4 ovarian cancer. Maybe it’s a 76 year old male patient that feels that while he has lived a good life, it is never enough time. Or it could be a 16 year old teenage girl that had a soft tissue sarcoma that wasn’t diagnosed until it had metastases all over her body. I have taken care of all of these patients. It is never too early to discuss end of life issues, but sometimes it can be too late. Death is very personalized such as life. It is important that the individual is allowed to pass in a manner that is important to them and to feel that they have taken care of issues that they may feel need to be resolved. We might think that we know what our loved ones want, but it could be very different from what they actually want. For example we may think that our...
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...Running Head: LEGAL AND ETHICAL ISSUES 1 Legal and Ethical Issues Herzing College Online U7A1: MBA 663-8: Health Insurance and Managed Care LEGAL AND ETHICAL ISSUES Legal and Ethical Issues The current landscape of the healthcare industry changes rapidly with new rules and regulations, placing many healthcare insurance and managed care organizations in jeopardy of litigation because of legal and ethical issues. Controversy surrounds the healthcare industry because of the decisions made by managed care organizations regarding patient treatment and payment to providers. The following examines the legal and ethical issues surrounding the everchanging healthcare insurance and managed care organizations. Managed Care Conflict The problem facing managed care organizations and health insurance is the inherent conflict with their goal of cost containment by reducing service utilization, with the healthcare delivery system that places the patient’s health first (Kongstvedt, 2013). According to Saunier (2011), the definition of managed care is: 2 Processes or techniques used by any entity that delivers, administers and / or assumes risk for health services in order to control or influence the quality, accessibility, utilization, costs and prices, or outcomes of such services provided to a defined population. (Saunier, 2011, p. 22) Saunier (2011) describes the purpose of these organizations that manage care is the control of costs by “implementing aggressive cost containment...
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...today’s society many physicians are not equipped to manage the health care concerns of gay and lesbian patients because of inadequate education received while completing their medical education. In this paper the subject to be examined is the issues related to gay and lesbian health care and examine a study performed by the Department of Psychiatry and Human Behavior at Brown Medical School and Rhode Island hospital evaluating how supplementary education may contribute to an increased level of readiness and concern by physicians when dealing with gay and lesbian patients and their medical, psychological and sexual issues. In 1973 the American Psychiatric Association (APA) discontinued the labeling of homosexuality as a mental disorder and in 1975 the APA urged psychologist to work toward removing the stigma attached to homosexuality leading to many changes in therapeutic practices and the mental health community began treating the problems of gay and lesbian patients, rather than treating the gay or lesbian patient as the problem. Sexual orientation is one of the largest problems in society today. One of the ethical concerns in treating this population of people is with the health care providers themselves. When a health care provider is treating gay and lesbian patients, he or she must confront his or her beliefs and values when dealing with the issue of homosexuality. Treating a gay or lesbian patient becomes extremely difficult when he or she believes that homosexuality...
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...relationship among professional values, ethics, and legal issues. A person’s personal values and ethics can influence their professional values and ethics in the workplace. Finding the right balance between personal and professional views in the workplace will help foster a successful career. This paper will cover relationships between legal and ethical issues as well as personal values and professional ethics. Relationships between Legal and Ethical Issues According to Wacker-Guido & Watson (2010), there are eight ethical principles that nurses encounter when making decisions in clinical settings, autonomy, beneficence, no maleficence, veracity, justice, paternalism, fidelity, and respect or others. In other terms nurses have personal freedom, the right of self-determination, a duty to perform good actions, duty to prevent any harm for occurring to their patients, the obligation to tell the truth, treat all patients equally and fairly, allow others to make decisions for individual patients, keep promises and commitments they make, and to treat everyone with respect. Ethical values are influenced by personal feelings, and are interpreted differently depending on the beliefs of the individual. The Britannica Concise Encyclopedia defines the code of ethics for nurses as follows: The code of ethics for nurses was developed as a guide for carrying out nursing responsibilities in a manner consistent with quality on nursing care and the ethical obligations of the profession. With...
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...Background and History EMC struggled with multiple issues. These issues included operating over capacity, an outdated ED, not being equipped financially or structurally to handle the influx of patients, the lack of physicians available to care for patients, and the lack of follow through on ED protocols. This section will address two key issues pertaining to EMC. These issues are fast tracking the ED at EMC and the need for specialty physicians to care for patients. The average occupancy rate of the hospital is 50 percent. The emergency room was created for 16,000 visits but sees over 45,000 visits. EMC serves the medical needs of the local community, regardless of social, ethnic, or religious background. EMC’s customer base is a growing, aging, and culturally diverse population. Over half of the ED visits are by uninsured or underinsured patients. EMC was the last independent hospital in the area. Managed care was encroaching on the area, including Kaiser Permanente. Kaiser was set to make significant inroads to the EMC service area in the next 18 months. EMC expected the strong possibility to contract with or be acquired by Kaiser. An additional threat by Kaiser Permanente existed because they were planning to build a facility close to Emanuel Medical Center. With the implementation of EMTALA, hospitals were required to give access to emergency medical care for all regardless of the ability to pay. HMO’s and government programs lowered reimbursement rates to the hospital...
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...TREATING A PATIENT WITH CANCER: MAINTAINING PATIENT QUALITY OF LIFE Introduction Cancer is one of the most prevalent diseases in the U.S. Case (2011) noted that the 2010 report of the American Cancer Society (ACS) indicated that more than a million an d a half new cases of cancer are diagnosed every year. Along with physical disease, cancer also brings a significant impact on the patient’s overall quality of life (QOL). This paper asserts that for optimal patient outcome, healthcare workers, particularly nurses, need to attend to the cancer patient’s overall QOL rather than simply focusing on the physical disease of cancer. This essay will first address the issue of understanding what constitutes the patient’s QOL. Then key factors that directly affect the QOL are reviewed in the context of current best evidence. That will be followed by a section that addresses the nursing implications of this subject. The paper concludes with a brief summary and conclusion about the importance of maintaining patient QOL in cancer patients. The first element, is thus to define what is meant by “quality of life.” The next section of this paper addresses that specific issue. Defining Patient Quality of Life Before patient QOL can be addressed in a nursing practice, it is essential to understand what is meant by QOL. Bahrami (2011) has noted that no specific, well accepted definition of patient QOL exists. One reason for this lack of consensus on QOL is that life quality is a highly...
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...There are many administrative issues that can arise in the health care field; one that not only can affect the patient but also their privacy is HIPPA. The Health Insurance Portability and Accountability Act (HIPPA) was made into a law on August 21, 1996 (HIPPA overview, p1). The law is steered toward improving the efficiency and effectiveness of the health care system by standardizing how to exchange data for administrative and financial transactions, while protecting the security and confidentiality of that information. While HIPPA was placed into effect to help patients and their confidentially, there are many issues that can arise. One important issue understands who is affected and its impact on the population. Also what arguments or facts are used to support the proposed solution, and what ethical and legal issues reported for the administrative issue. Understanding the managerial responsibilities related to administrative issues is also very important. Identifying solutions and how they can assess the issues at hand can be very beneficial as well. ` One factor to understand is who the issues of HIPPA effects, and what issues can arise because of these issues. There are many ethical issues that can arise from HIPPA, which can have a great effect on patients and their privacy. HIPPA allows and in many cases requires that confidentiality be kept, while patients can give written permission for their information to be shared with a medical organization or single physician...
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...facilities, patient safety is little to non-existent and if they are, there displayed on a need be and not obliged basis. They are displayed case by case rather than nursing home protocol. Even with changes in regulations, reporting systems, and documentation over the past couple of years, the nursing home industry still has its share of problems. Patient safety is meant to provide patients freedom from healthcare associated preventable harm, meaning when things go right, nothing bad happens. Nursing home organizations have been constantly trying to improve their reputation and the way people view them, but how? Don’t patients make up a nursing home? What about their safety? Shouldn’t we start there? How do we make improvements? Telehealth, a new approach to improving patient safety in nursing homes, will use telecommunication technologies to deliver health related services and information that support patient care, administrative activities, and health education (Dixon, Hook, McGowan, 2008). In this paper I will explore the major benefits of Telehealth and how its implications can improve patient safety in nursing home care. What is Telehealth and why is it important? Telehealth is the means and methods to improving access to care and reducing healthcare associated costs. It is also a system that can be used for education purposes, to keep physicians and medical staff in the know on healthcare changes and updates; in which combined together are the steps to improving patient safety...
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