...Health Care Interview HCS/235 December 10, 2013 Health Care Interview An LPN is useful in a primary care setting; LPNs' have a larger scope then Medical Assistants. A university of phoenix student conducted an interview with an LPN named Melissa Apadoca. Melissa works at Kaiser Permanente in the Family practice and Primary care facility. Just a brief background on Melissa, she has been an LPN for 7 years. Did her LPN training at Denver School of Nursing. Melissa is currently enrolled at the University of Phoenix pursuing her LPN to BSN to become a registered Nurse. She is in her freshman year at the University of Phoenix and anticipates on being done by the end of 2015. A brief over view of the Family Care clinic Melissa works at for Kaiser Permanente. This department has an over all of 15 providers, this includes doctors, D.Os’, Nurse Practitioners, and Physicians assistants. Melissa’s role in the department is mostly direct patient care in the aspect of Medication distribution and medication injections. Her biggest role is in giving patients test results, such as blood labs and other pathology results over the phone. University Of phoenix student: “with going over your primary responsibilities in your specific department at Kaiser Permanente, who are your primary customers”? Melissa Apodaca: “we are a family practice clinic”. So what that means is that we see people from birth to death”. “So I guess the answer to your question would be people of all ages are...
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...What Do Americans Want Out of Healthcare? Team 2: Michael Drescher, Tim Geiger, Heather O’Dell, Carla Raynor Part A: Consumer Preferences and Desires Overview We began with online research, surveying a group of healthcare consumers, in an effort to better understand what Americans want out of their healthcare system. Our aims were to determine what these consumer’s valued, their product and service preferences, consumption patterns, and their capacity and willingness to purchase healthcare. To facilitate this process we used Survey Monkey. Demographics of respondents We garnered responses from 80 individuals with the following characteristics: * * 65% of respondents are age 30 – 49 * Nearly all respondents are married and work full-time * Half of respondents combined annual household income in 2014 of $150,000 or more; 32% have incomes between $75,000 - $150,000 * 3 of 4 respondents were female - consistent with fact that women make most healthcare purchasing decisions for their families * 36.25% of respondents have a graduate degree; 26.25% have a bachelor degree & 26.25% attended some college but do not have a degree * 70% pay for healthcare via employer-sponsored insurance; 17% have individual/family plans * 66% share healthcare purchasing decisions with others; 1 in 3 is the sole decision maker Summary of Findings Consumption of heathcare services: Two thirds of respondents receive only an annual exam...
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...Tobacco Control Policy 1/25/15 To: The Honorable Sylvia Mathews Burwell Office held: Cabinet Secretary Department of Health and Human Services From: Date: January 26, 2015 Re: Tobacco Control Policy: Use of Plain Packets for Cigarette The purpose of this memo is to propose a tobacco control policy. The health policy is expected to contribute towards prevention of notable effects resulting from tobacco use, especially smoking through reinforcing public awareness on the effects of cigarette smoking. Recommendations on policy implementation will also be offered. Summary/ Problem Statement Tobacco use, especially smoking has been attributed ample health conditions. World Health Organization identifies tobacco use as a core concern for public health, being one of the enormous threats to public health in the world. Despite the existence of public awareness programs, tobacco use continues to impact on our society economically, socially, and health wise. Therefore, it is time to introduce a more appropriate approach of passing the message to the peoplethat will complement the existing policies. The policy deals with cigarette packaging, where advertising images should be removed from cigarette packets and replaced with images passing health messages. Discussion Currently, cigarette manufacturers use the cigarette packet for advertisement, brand promotion, and some section for health message. Arguably, the health...
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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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...t | | |Health Care Fraud and Abuse | | | | | |Tannisia Brown | |6/17/2012 | | | Health care fraud is the filing of dishonest health care claims to obtain a profit and is considered a white collar crime. Health care abuse is when someone overuses or misuse services. Both, Health care fraud and abuse, in the United States is an ongoing issue and is costing the United States government billions of dollars. Every time a fraudulent act is perpetrated the insurance company passes the cost to its customers. Due to the high volume of health care...
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...Portfolio Theory Case (Professor David Moreno) PARTNERS HEALTHCARE CASE The goal of this case is to teach to students the relevance of non traditional assets (as real states or commodities) in a well-diversified portfolio. Moreover, students will be able to practice with the most important concepts from portfolio theory as efficient frontier, dominated portfolios, Sharpe ratio, among others. In addition, students are learning how portfolio theory can be useful not only for portfolio managers but for any company or firm with some funds to manage. To do this case students must work in groups and, at the end, each group must give a printed copy of the answers to all these questions. Moreover, they should prepare a presentation in Power Point or Word answering these questions for their presentation on the classroom. Short Questions (You should answer these questions very shortly) 1. How do the hospitals obtain their profits? Why do the hospitals use or need the Long-Term Funds? Compute the annual returns obtained by the LTP between 1995 and 2004 and represent them on a graph. In addition, what has the average return been during that time period? 2. According to the text the physician organizations or hospitals can invest their financial resources in several centrally-managed pools. What are these pools? How are they? 1 Portfolio Theory Case (Professor David Moreno) 3. The problem presented in the case is a typical problem of portfolio theory. Is it a security selection problem...
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...Affordable Health Care for America Act (H.R. 3962) The Economic Impact The Affordable Health Care for America Act (H.R. 3962 was originally signed into law by President Barack Obama in November 2009, but was not upheld by the Supreme Court until June 2012. The updated statue is known as Patient Protection and Affordable Care Act. The purpose of this reform is to provide affordable and quality health care for all Americans. At the State level, insurance companies are required to justify rate increases of ten percent or more to make sure that the increase is not unreasonable for individuals and small businesses. States should have a Rate Review program established, if not then the Federal Government will perform the rate reviews for that state. This will affect the state because small business will not have to cut back on employees due to increases in health care premiums which in turn could possibly reduce unemployment, Medicare/Medicaid and food stamps benefits at the state level. Equity of Resource Allocations in U.S. Healthcare Under the Affordable Healthcare Act, all Americans will have access to affordable and quality healthcare. This bill should reduce the number of uninsured people by thirty million. The Congressional Budget Office (CBO) predicts a 200 billion dollar reduction in the federal deficit over the next ten years and a decrease in healthcare spending by the government. This act will provide tax cuts and subsidies to employers to help increase the number...
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...Stephanie Morris Ortiz V. St. Peter’s Grand Canyon HLT-520 August 14, 2013 Hospitals are on a rise with entering into exclusive contracts with physicians to operate departments within the hospital. Physicians that are not in an exclusive contract are forbidden from performing the covered services. Physicians that are not in exclusive contracts they are terminated or services are being reduced. Exclusive contracts are negotiable. There are five important critical issues that should not be overlooked when negotiating. The important issues are scope of services, hospital politics, compensation structure, termination issues, and obligations after termination. Scope of services are very important you need to have it defined fully what services will be provided. Be aware in negotiating the contract to make sure the scope of services are defined broadly including current and future services to be provided. Compensation is very important in a contract. We all want to know how much we will be paid for the services we are providing. In an exclusive hospital the compensation is based on the demographics of the hospital’s service area. A breach of contract is when one party fails to hold up their end of the bargain under the in contract that is in place. Breach of contract could be actual or anticipatory. The actual breach of contract is when one party refuses to perform the required services that were agreed upon in the contract. The services not done...
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...Analyzing Managerial Decisions: Interwest Health Corp by Ronald J. Sanders HCM-540, MBOL5, Health Care Organization Instructor: Wenyuan Teng Saint Leo University Distance Learning October 24, 2013 Abstract In order for manager to properly manage a company, there needs to be a constant analysis of the decisions that arise daily. Not only do manager’s make personnel decision, they often times are confronted with the decisions of resources and data entry. Because managers must answer to the shareholders, they must be the bearer of the good and the bad news. When making and analysis, managers should, 1) identify the source of the problem, 2) information analyzed, 3) recommended courses of action, and 4) review the analysis conducted. This paper takes a look at a case study on how Interwest Health Corp analyzes managerial decisions. At the conclusion, readers will form a different perspective on how to analyze managerial decisions. Introduction Managers are devoted to the task of making decisions that will affect the worth and synergies of their firm they manage. Consequently, they bear the chore of maximizing their profits by the decision they make. In the past, many formal theories have been formulated as models for making rational choices. These theories have been accepted as practice when faced with a dilemma. As with any decision, there must be an analysis when making a decision. When making a decision, managers should consider the source of...
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...Quality Data Collection HCS/588 February 13, 2012 Pam Crocker Quality Data Collection Quality is considered a vague concept that can be subjective and unscientific. However, quality can become a definitive concept by collecting and analyzing data. Centers for Medicare and Medicaid Services (CMS) evidence based measures defines quality of care. For example, administering aspirin for acute myocardial infarction patients, making sure that pneumonia patients receive antibiotics in a timely manner, and ensuring smoking cessation programs while hospitalized and at discharge. Senior leadership is responsible for defining quality for the organization. When the leadership team is familiar with using quality measures, the health care team can do the right thing for the customer and increase financial responsibility for the hospital (Dlugacz, 2006). In this paper the subject to explore is potential improvement for the BayCare organization, the data needed to monitor improvement, data collection tools, and two tools that measure and display the quality improvement data. Potential Areas of Improvement Three areas of potential improvement for the BayCare organization are falls, hand hygiene, and improving team member satisfaction. Although the team goals for each of these are within the goal target, areas for improvement still exist. Monitoring Improvement Monitoring improvement for each potential area requires collecting specific data collection. Hand hygiene requires quality...
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...Positioning and Differentiating HCS 539 Week 4 Positioning and Differentiating Houston is heavy in health care organizations. In order to survive within this market it is essential to position an organization so that it finds its niche in the area. Cypress Fairbanks (Cy-Fair) in located in a suburb of Northwest Houston along with its sister hospital Houston Northwest. Both facilities are owned and operated by the Tenet Corporation and follow under the Tenet umbrella. While the two are sister hospitals, they are independent of each other and therefor are competitive. Each facility has positioned itself to differentiate the individual facilities as unique and separate, while sharing certain resources. Houston Northwest is located near downtown Houston. It is a level 3 trauma center has stroke and chest pain accreditation. It has a close proximity to Cy-Fair but has an easier access due to its proximity to the freeway. Cy-Fair is located approximately twelve miles from Houston Northwest. It possesses a level 4 trauma designation, chest pain and stroke accreditation. However, it is physically more difficult to reach Cy-Fair as it is approximately five miles from the freeway and traffic is more congested thus decreasing the amount of ambulance traffic that the organization receives. “Differentiation is achieved when consumers perceive that a service differs from competitive offerings on any characteristics, including pricing” (Fisher, 1991, p. 19). Houston Northwest...
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...EXECUTIVE SUMMARY The Marcus Island healthcare system is characterized as socialized medicine where all residents have access to primary care, pharmaceuticals and diagnostic testing. While residents have access to care, they are responsible for a small portion of the payment at the time of service, and in some cases, those who are willing to pay a premium are afforded better access to services. While patients themselves believe their healthcare is either adequate or good, there are several aspects of the Marcus Island healthcare system that suggest care could be better. Specially, Marcus Island’s health care system has been running increasing budget deficits for the past five years. The health care system lacks access to comprehensive services including preventive care and screenings, mental health, dental service, and specialty care. Long wait times for appointments are an issue, as well as continuity of care between providers. Furthermore, there is no system in place to track quality of care indicators. An overhaul of the health care system is needed, including improvements in budgeting and increasing access to the full range of comprehensive health services. In addition, implementation of an electronic health records system would allow for greater continuity of care, improved efficiencies in services, and tracking of quality indicators. DEMOGRAPHICS Demographics: Marcus Island has thirty million residents; the population is growing. Family size is generally...
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...Emerging market report 2007 Disclaimer PricewaterhouseCoopers has exercised professional care and diligence in the collection and processing of the information in this report. However, the data used in the preparation of this report (and on which the report is based) was provided by third-party sources. This report is intended to be of general interest only and does not constitute professional advice. PricewaterhouseCoopers makes no representations or warranties with respect to the accuracy of this report. PricewaterhouseCoopers shall not be liable to any user of this report or to any other person or entity for any inaccuracy of information contained in this report or for any errors or omissions in its content, regardless of the cause of such inaccuracy, error or omission. Furthermore, to the extent permitted by law, PricewaterhouseCoopers, its members, employees and agents accept no liability and disclaim all responsibility for the consequences of you or anyone else acting, or refraining from acting, in relying upon the information contained in this report or for any decision based on it, or for any consequential, special, incidental or punitive damages to any person or entity for any matter relating to this report even if advised of the possibility of such damages. The member firms of the PricewaterhouseCoopers network (www.pwc. com) provide industry-focused assurance, tax and advisory services to build public trust and enhance value for its clients and their stakeholders...
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