...currently work in the Home Health Care industry. During my time working in the home care industry, I have seen a growth in the demand of home health care providers and services. I found an article in the University Library that explains how home health care is a transformed way of health care delivery. Now a days hospital stays are costing an enormous amount of money. Some insurances will not cover the whole expense and it is costing Americans to go into debt due to medical bills. Health care reform has challenged the home care industry to reemerge as the primary city for delivery of health care, just as it was in the beginning of the 20th century (Donnell & Sampson 1994). Each year billions of dollars is spent on technology that will innovate our health care system. The federal government is also planning to spend up to $29 billion in incentives to encourage hospitals and doctors’ offices to digitize health care records (Lee, 2013). This goes to show that as the years pass our health care system will be completely revolutionized and most of the health care system will be digital. The technology that was been created for home care has made it safe for clinicians to go into peoples home and administer a variety of therapies. Also, an extensive array of disease entities that were once treated in the hospital can now be managed safety and effectively in the home. I think the reform of home health care will change health care drastically. Further development in home monitoring will...
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...The Impact of the Aging Population on the Health Workforce in the United States: Summary of Key Findings March 2006 This study was funded by the National Center for Health Workforce Analysis Bureau of Health Professions Health Resources and Services Administration Prepared by Center for Health Workforce Studies School of Public Health, University at Albany 7 University Place Rensselaer, NY 12144-3458 Impact of the Aging Population on the Health Workforce in the United States The expected growth of the older adult population1 in the U.S. over the next 50 years will have an unprecedented impact on the U.S. health care system, especially in terms of supply of and demand for health care workers. The supply of health care workers may decrease as they age and large numbers retire and/or reduce their working hours. At the same time, older adults consume a disproportionately large share of American health care services, so demand for health services will grow. The aging of the population will also affect the nature of the skills and services the health care workforce must be equipped to provide, and the settings in which this care is provided. The so-called “baby boom” generation (people born between 1946 and 1964) is already having an effect on the health care system and it is expected to grow as the century progresses. The number of Americans age 65 and older (35 million in 2000) will rise by more than 19 million to 54 million by 2020. From 2000 to 2050, the number of...
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...Slade HCS310 August 30, 2010 Audrey Crooms A variety of health care services in the United States provides continuum of care for health services. The need for long-term care is growing as the average life span of Americans continues to lengthen. The Centers for Medicare and Medicaid services estimates that about nine million men and woman over the age of 65 in the United States will need long-term care. Long-term care is a range of medical and social services designed to help people who has disabilities or chronic care needs. Services may be short or long-term and may be in a personal home in the community or in a residential facility. Long-term care facilities such as nursing homes provide care for the elderly or people who are unable to take care of them selves. The important of this paper is to discuss the continuum care of long-term care and examine the future trends of long-term care. Long-Term Care In defining long-term care there are several points. Long-term care is low tech, although it has become more complicated because many elderly patients with complex medical needs are being discharge into long-term settings. The age groups that mostly require long-term care are those who are 85 and older. This age group will double by 2030 and double again by 2050. Long-term care facilities are facilities that provide 24- hour skilled nursing assistance with activities of daily living, health services, and a number of activities. Many people would prefer not...
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...into perspective, we will see 60 million to 107.6 million; a 10 percent increase as the Baby Boomers will reach their retirement age. Within that same time period, the number of Americans over 65 will more than double, with an increase in population of 34 million to 70 million; an almost eight percent increase (Administration of Aging). The average life expectancy has increased almost 20 years for females and 16 years for males, in part due to the advancements of our educational system and healthcare. We, as Healthcare Managers, must plan accurately because of this current trend of extended longevity. Fail to prepare, prepare to fail. What do these words mean for our country? It is imperative that we, as Americans, prepare for the future in all aspects due to such a large population. We will see drastic increases in aging, income, and the need for a practical plan by every American because of the statistics that have been listed. The proof is in the pudding by showing the statistics given by the Administration of Aging; we see increases in all age brackets, with median incomes being $25,704 for males and $15,072 for females (Administration of Aging). There is a need for more pensions because 35 percent of Social Security beneficiaries depend upon Social Security to make up for about 90 percent or more of their income. Therefore, by referencing back to the Abstract, looking at the abovementioned statistics, as well as the necessity of Medicare...
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...Long-Term Care Phyllis E, Adams HCS 490/Health Care Consumer: Trends and Marketing March 31, 2014 Dr. Eboni Green Long-Term Care As the “baby boomers” reach retirement age there will be many questions raised concerning how our society will sustain certain systems that support the current and future retired population. With newer health initiatives people are living longer and in better health than in the past. The irony is that this is one of the dynamics that will put a strain on our economic and healthcare systems in the future. “Today, 40 million people in the United States are ages 65 and older, but this number is projected to more than double to 89 million by 2050” (Jacobsen, Kent, Lee, & Mather, 2011). It is not easy to say who will and will not prosper during this time. Supplemental programs like Medicare and Medicaid were developed to assist the low income citizens with medical care cost. Will Medicaid and Medicare cover costs for long-term care? Can the low-income aging population afford long-term care, or will they have to depend on family for support? Will there be an adequate number of medical professionals to address the medical needs of the aging population? Are the “baby boomers” financially prepared for retirement needs? Will our supplemental programs be depleted in the near future? These are a few of the questions surrounding this issue that I will attempt to address in this paper. Long term care is a term often associated with medical care...
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...Income Mobility: Up & Down the Economic Ladder by Tom Thompson Dr.Walker Senior Seminar 7/29/2009 Thomas L. Thompson Dr. Christopher Walker Senior Seminar July 29, 2009 Income Mobility: Up & Down the Economic Ladder People always say they do what they do to make life better not only for themselves, but for the future well-being of their children and hopefully those actions will get passed on to their children. This is my way of thinking of the paying it forward theory; giving all I have, to make the lives of my children better than the one I grew up with and the one I currently live. One of my most favorite quotes about getting ahead in life came from a philosopher and pastor Russell Conwell that is hand-written by my grandmother in a Bible that was given to me some years ago. It goes like this, “For a man to say, I do not want money, is to say, I do not wish to do any good to my fellow men" (Conwell). Everyone wants money, only if it is to do good for your family’s future. From the rich business professional perched high in their penthouse to the lowly street peddler on the corner, everyone has a story on how and why they ended up in that position. The United States is seen as the place where everyone has the opportunity of the “American Dream”. That includes the opportunity for one's children to grow up and attain to their fullest potential in which they are capable of, and seen for what they are and not what they are born with. It is the opportunity...
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...“Eighty percent of adolescents entering the foster care system have severe mental health problems” (Source E). Children in the foster care system have experienced trauma, abuse and neglect, and counseling is an effective non-drug solution. However the majority of these children are misdiagnosed; foster children are prescribed psychiatric drugs instead of counseling or other non-drug alternatives. These misdiagnoses are then added to a child’s medical history, which lacks consistency from constantly being transferred to different homes. Overhauling America’s foster care system will be challenging and strenuous, but is a necessary step in improving the welfare of foster children, who spend on average over two years in purported temporary placement...
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... Agile Care Team model The current concern in most health care organizations is to devise the appropriate ways that will embrace the management of the departments within the premise. That should create, update, and continuously improve health care delivery aligned with the triple aim initiative. Mostly, their primary goal is to provide appropriate levels of patient care as well as care quality. Additionally, they target the patients and member population as well as well as the optimization of the costs for health care delivery. Thus, health care providers should learn from and implement Lean methodologies since the priorities focus on process efficiencies and health management outcomes. Notably, the focus of the approach is to understand and improve customer value within the organization. That will allow for remote access to various products and services. The improvement targets both the patients and providers, hence optimizing health care delivery. Agile Approach constitute the sequential execution of processes within a given period and provides a feedback loop to the clients to ensure solution validation. The goal of the model is to advance service delivery within various the hospitals since it enhances the relationship between the health providers and the patients. An example of a nurse-managed model The figure above illustrates the Triple Aim Model. Most health care models currently implement various processes that will embrace the above example...
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...The Future of Nursing: Leading Change, Advancing Health http://www.nap.edu/catalog/12956.html Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine PREPUBLICATION COPY: UNCORRECTED PROOFS Copyright © National Academy of Sciences. All rights reserved. The Future of Nursing: Leading Change, Advancing Health http://www.nap.edu/catalog/12956.html THE NATIONAL ACADEMIES PRESS 500 Fifth Street, N.W. Washington, DC 20001 NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The members of the committee responsible for the report were chosen for their special competences and with regard for appropriate balance. This study was supported by Contract No. 65815 between the National Academy of Sciences and the Robert Wood Johnson Foundation. Any opinions, findings, conclusions, or recommendations expressed in this publication are those of the author(s) and do not necessarily reflect the view of the organizations or agencies that provided support for this project. International Standard Book Number 0-309-XXXXX-X (Book) International Standard Book Number 0-309- XXXXX -X (PDF) Library of Congress Control Number: 00 XXXXXX Additional copies of this report are available from the National Academies...
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...Statistics make the world go round, literally. A certain population or ethnicity and their disease trends can really have an effect on what can happen in the future for our healthcare systems. Demographics and Disease trends can go hand in hand with one another because disease trends are so constant and unnoticeable that it continues daily, therefore having a particular group being affected by the same disease. Some people do not believe it, but all you have to do is look at the statistics and you will then see how greatly they affect one another. To break things down, demographics are groups of people with a common link, such as; age, gender, race, education level, income level, even marital level, and etc. When in an environment where links are similar or the same, the same trends start to get picked up as well, linking you within the range of your demographics. Environment plays a big role in demographics as well. If you live in the same neighborhood or community as someone, you are linked to that person no matter how small of importance it is. With everyone doing the same trends which come to them like habits, they may never go away until they know that it is a problem. Environment happens to play a role as well when it comes to demographics. Environment happens to play one of the main roles. Habits become hard to break because of the type of environment you around. Who, what, and the things that you are surrounded by happen to make up part of your environment...
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...Future Trends in Health Care Future Trends in Health Care Twenty years ago no one in the health care industry could have dreamed of the advancements we are experiencing today. The technology has advanced treatments, equipment, and delivery of care. Information is key to successful problem-solving and health service delivery (Hovenga & Heard, 2010). Combining and progressing in the information technology field has and will continue to advance care. Change and potential progress in health care are influenced by many factors, one important factor today is progress in information and communication technologies (ICT), leading to new pervasive or ubiquitous ICT, providing new opportunities to support or even enable new types of health care services (Haux, Howe, Marschollek, Plischke, & Wolf, 2008). The use of the Internet, e-mail, and other electronic services like telemedicine has helped this industry touch out of reach areas and specialties. Just try to think of where the health care industry can go from here. The development and refinement of the Internet has helped the industry explorer and research faster. It has also allowed health care to be exposed to the public for research and education. The use of e-mail for a form of communication reduces time, which may be critical in a health care issue. Telemedicine allows the use of medical information exchanged from one site to another via electronic communications to improve patients' health status (ATA, 2011). The...
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...Before this simulation exercise I had little to no idea how home care health and hospice care was regulated by health insurance companies and Medicare. They both have different goals. Home health care aids at improving the patient’s condition through administration of treatment and other services, which must be covered by Medicare. According to Stanhope & Lancaster (2014), Hospice care can be either “home-based and/or in-patient…focus on comfort, pain relief, and mitigation of other distressing symptoms.” The simulation was focused on three different scenarios; home health care, transition to hospice and hospice care. This paper will discuss my experience with each scenario, the debriefing process and how the experience changed my nursing practice....
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...branched out from strictly clinical, hospital and nursing home setting to other areas. Due to strict health insurance payment guidelines, patients today are being sent home from the hospitals faster and sicker. This in turn increases the demand for more nursing care in the home. A lot of today's nurses are filling this need between the patient’s home and the hospital health care team. This trend continues to grow. Due to shorter hospital stay of patients, multiple skilled nurses and advanced technology, many changes will be impacted in Nursing in the year 2020. Some of these changes that will be made in the year 2020 are the following: 1. A shift from hospital to specialty care nursIng. 2. A shift to facing increasingly complex ethical dilemmas 3. A shift from working as a part of a hospital staff to "Dejobbing". Hospital opportunities will continue to rise in specialty areas. Due to advanced technology, critical care nurses will stay in demand to treat patients for conditions that previously would have been fata1. Other specialty areas would continue to be in demand such as preoperative, neurological, emergency and cardiovascular areas. Maternal/child health is another good choice for future nursing. The - .. , the sub specialties of Neonatal Intensive care and Pediatric Oncology continue to grow (Greene 192-208). Other good choices for future nursing are case and care management. Case management focuses...
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...The United States of America is the place known to many as the land of the free, home of the brave, and the place to start a better life. With any place that has good qualities, some have not so good qualities. The homeless population in the United States is at a staggering high, and many individuals are suffering because many lack employment/financial resources, housing resources, support from family and friends, and others negligence; such as natural disasters or fires. Homeless individuals may have no other choice than to live on the streets, trains, and alley ways to name a few places where homeless people seek shelter. The history of homelessness, social problems, demographics, common clinical issues, and intervention/future interventions will be explored to determinate how homelessness is caused and how it can diminish with time. Homelessness has been around for some time and is increasing with time. Homelessness was noticed soon after the Great Depression, which caused many people to lose his or hers home. “During the Great Depression in the 1930, many families were no longer able to afford their homes and It is thought that over two million people were homeless at this time and suffered severely from hunger and extreme poverty” (American History Of Homelessness, 2011). The Great Depression was an era of life where the stock market crashed and many where out of jobs and many lost their home. “The Great Depression began in October 1929, which sent Wall Street into a panic...
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...Report Decorative Interiors(DI) is the company established by Rocco Rapini in 1988, which specialized in sales and services of upholstery, bedding, window coverings, wallpaper, carpets and other home décor items. From 1992-2002, DI sales were grown resulting in profits. At the same time, work on Rocco Rapini and his wife was also increased. They tried to hire decorators but resulted in negative experiences. But finally they appointed Mary Morris as commission-based sales person. She increased the company’s sales to record values. But she behaves as a dominating person to Rocco Rapini and used company’s connections for her benefit. Rocco Rapini dismissed her in august, 2005. Since 18 months, sales were not improved and at the same time, interior design business became more competitive. With the stress of business, Rapini affected with heart attack in July 8, 2006 and doctors advised him to change his life style. Problem statement is Rapini is thinking about whether to choose best alternative ways available to continue his business or to consider doctor’s advice. Available options were selling the business, convert to home-based operation, move the business to cottage country and hire professional help. Based on the criteria of health, future financial stability for his family, future growth of business, my recommendation is to hire the professional which satisfies all the criteria. 2 TABLE OF CONTENTS: Situation Analysis………………………………………………………………... Statement of the problem………………………………………………………… ...
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