...COMPETENCY Policy: SCOPE: This policy impacts all staff and departments in National Psychiatric Care and Rehabilitation Services PURPOSE: This policy demonstrates a commitment to a comprehensive linguistic and cultural competency plan and describes how it will meet the linguistic and cultural needs of the residents it serves. The objectives of this policy include the following: 1. To ensure that National Psychiatric Care and Rehabilitation Services is aware of and identifies enrollees who may need additional resources to meet their cultural and linguistic preferences. 2. To ensure that National Psychiatric Care and Rehabilitation Services meets the language requirements of its client health plans and their State mandated requirements to provide enrollee materials in easily understandable formats, including special attention to the reading level requirements set forth. 3. To ensure that National Psychiatric Care and Rehabilitation Services meets the needs of enrollees who may require materials in additional formats such as large font, braille, audio recordings, etc. 4. To ensure that National Psychiatric Care and Rehabilitation Services meets the needs of enrollees in providing access to interpreters, onsite and offsite when speaking with National Psychiatric Care and Rehabilitation Services staff. POLICY: National Psychiatric Care and Rehabilitation Services has developed a Cultural Competency Plan and training program to create an awareness of and sensitivity to the linguistic...
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...National Health Care System “Of all the forms of inequality, injustice in health care is the most shocking and inhumane.” Martin Luther King, Jr. A national health care system is a program operated by the government, designed to provide health care for people in need of medical assistance. All industrial nations except the United States have a national health care system that covers everyone. Generally, in the U.S. health care systems are privately funded insurance companies. The U.S. has three forms of governmental health care; Medicare for the elderly, Medicaid for lower income families, and the Children‘s Health Insurance Program. The problem with these health care systems is that many people fall short of qualifying. Is the U.S. in dire need of a national health care system or should we always rely on the familiar and dependable; as in private health care systems? In the U.S. billions of dollars are spent each year on health care; “approximately 232 million out of a total of 274 million people now have health insurance” (Blue Cross Blue Shield 2001); leaving 42 million people uninsured. Insurance can be expensive for people to attain on their own, this explains why the majority are covered mainly through private health care provided by their employers. Not all employers provide insurance, such as, small business who can‘t afford to provide coverage for their employees. People who have insurance frequently waste money on health care that exceeds their needs; while...
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...National competency standards for the registered nurse Introduction • • returning to work after breaks in service, or • National competency standards for registered nurses were first adopted by the Australian Nursing and Midwifery Council (ANMC) in the early 1990s. The ANMC was a peak national and midwifery organisation established in 1992 to develop a national approach to nursing and midwifery regulation. The ANMC worked in conjunction with the state and territory nursing and midwifery authorities (NMRAs) to produce national standards – an integral component of the regulatory framework – to help nurses and midwives deliver safe and competent care. educated overseas seeking to work in Australia involved in professional conduct matters. The National Board may also apply the competency standards in order to communicate to consumers the standards that they can expect from nurses. Universities also use the standards when developing nursing curricula, and to assess student and new graduate performance. The ANMC officially became the Australian Nursing and Midwifery Accreditation Council (ANMAC) on 24 November 2010. The name change reflected ANMC’s appointment as the independent accrediting authority for the nursing and midwifery professions under the new National Registration and Accreditation Scheme (the National Scheme) that came into effect on 1 July 2010 (18 October 2010 in Western Australia). These are YOUR standards — developed...
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...Health care system is multifaceted because the system is characterised by variety of aspects. The system involves monitoring the services for social agencies. This process again involves wide range of services because it allows many social workers to coordinate their efforts. Many argue that the multifaceted nature of health care system takes into account high expenditure or the high cost of providing the health care facilities. Health care is financed in U.S through various programs. Financing in U.S is entirely different than other countries. This difference is due to the fact that U.S does not have its national health insurance plan. Government programs, self insured plans and insurance companies are some of the payers involved in financing. U.S does not have national insurance plan for its citizens like other countries but various public programs for the benefit of poor, disabled and elder people are organised. There are basically two approaches to health care financing namely: - Market based financing and government financing. Multiple payer health care system is funded by privately owned health insurance companies and is therefore called as market oriented. It is dependent upon the paying capacity of the beneficiary and accordingly the insurance plan is purchased by the beneficiary. Various health plans cover various health care services but choice depends upon the purchasing power of the beneficiary to a greater extent. Advantages and disadvantages of this system...
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...INTRODUCTION This essay is all about discharge care planning and will be discussed in two parts, the first part will highlight patient profile, assessment and discharge care planning with evidence based rationale using a framework based on Roper- Logan-Tierney (2000) model of nursing which involve giving nursing care holistically by using 12 activities of living (AL) and also incorporate nursing process to carry out care plan in this essay, which are maintaining a safe environment, communicating, breathing, eating and drinking, eliminating, personal cleansing and dressing, controlling body temperature, walking and playing, mobilising, sleeping expressing sexuality and dying. Also with the above mentioned framework, factors influencing the activities of living which include biological, psychological, socio-cultural, environmental and political economic will be considered. Also demonstration of how discharges are planned and problems identified will be discussed, which will involve members of the multidisciplinary team (MDT) and their roles in the patients care, education and support for family/carers. The second part will explore how recent health service legislation has influenced this care plan and its impact on caring of older people with long term condition. In this essay, issues on professional values according to Nursing and Midwifery Council (NMC) Code of Professional Conduct (2008), which include consent, confidentiality, respect and dignity will be undertaking. For the...
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...Timeline: History of Health Reform in the U.S. VIEW: Early 1900's 1930 – 1934 1935 – 1939 1940 - 1945 1945 - 1949 1950 - 1954 1955 - 1959 1960 – 1964 1965 – 1969 1970 - 1974 1975 – 1979 1980 - 1984 1985 - 1989 1990 – 1994 1995 - 1999 2000 – 2004 2005 – 2009 2010 1912 Teddy Roosevelt and his Progressive party endorse social insurance as part of their platform, including health insurance. 1912 National Convention of Insurance Commissioners develops first model of state law for regulating health insurance. 1915 The American Association for Labor Legislation 1912 Teddy Roosevelt and his Progressive party endorse social insurance as part of their platform, including health insurance. 1912 National Convention of Insurance Commissioners develops first model of state law for regulating health insurance. 1915 The American Association for Labor Legislation Early 1900's 1921 Women reformers persuade Congress to pass the Sheppard-Towner Act, which provided matching funds to states for prenatal and child health centers. Act expires in 1929 and is not reauthorized. (AALL) publishes a draft bill for compulsory health insurance and promotes campaigns in several states. A few states show interest, but fail to enact as U.S. enters into World War I. The idea draws initial support from the AMA, but by 1920 AMA reverses their position. 1927 Committee on the Costs of Medical Care forms to study the economic organization of medical care. Group is comprised of economists...
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...Leading Change: A Plan for SAMHSA’s Roles and Actions Strategic Initiative #3: Military Families Lead: Kathryn Power, Director, Center for Mental Health Services Key Facts • Approximately 18.5 percent of service members returning from Iraq or Afghanistan have post traumatic stress disorder (PTSD) or depression, and 19.5 percent report experiencing a traumatic brain injury (TBI) during deployment.48 Approximately 50 percent of returning service members who need treatment for mental health conditions seek it, but only slightly more than half who receive treatment receive adequate care.49 The Army suicide rate reached an all-time high in June 2010.50 In the 5 years from 2005 to 2009, more than 1,100 members of the Armed Forces took their own lives, an average of 1 suicide every 36 hours.51 In 2010, the Army’s suicide rate among active-duty soldiers dropped slightly (162 in 2009; 156 in 2010), but the number of suicides in the National Guard and Reserve increased by 55 percent (80 in 2009; 145 in 2010).52 More than half of the Army National Guard members who killed themselves in 2010 had never deployed.53 In 2007, 8 percent of soldiers in Afghanistan reported using alcohol during deployment, and 1.4 percent reported using illegal drugs/substances.54 Between 2004 and 2006, 7.1 percent of U.S. veterans met the criteria for a substance use disorder.55 Mental and substance use disorders caused more hospitalizations among U.S. troops in 2009 than any other cause.56 According to an...
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...United States has a lot of work ahead of them to do with our health care system compared to other countries, such as Japan, Great Britain, Germany and the rest of the world with national health care coverage for all. I wonder what does it takes to get us there. I believe, if the President, Congress and the rich all come into agreement with some hard decision and realities they can come up with a solution. Since the rich is running the country, the little people have to suffer the consequences because it all boils down to the cost, The cost for health care is the biggest challenge that everyone has to come into agreement. If we have a standardized price and cost for everything, such as you premium insurance cost will be $1,500 a month and the specialties services $50.00 deductible, hospital stays $100.00 a day, and prescriptions drugs $10.00 for every script for everyone, this will make a difference for everyone. The Obama plan cost over a trillion dollars, if we can mirror the Pelosi/Reid plans and not have it stopped by the bipartisan majority we can make head way. We will have to compromise and fight until this time, or we will have big problems of everyone gouging on who can make more money, until we can get everyone on one accord with national health care plan as the Japanese has established. Nationalized Models United States Japan Components and structure of the selected models The US health care system consist of personal medical services, preventative, diagnosis...
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...November 30, 2012 Obama Care Plan Audience: Americans in Need In today's nation health is one of the biggest issues. A higher percentage of people making less substantial income that can't afford health insurance are less privileged than the wealthy. Though the United States has the most expensive healthcare system in the world, 47 million Americans have no health insurance. Healthcare is the country's largest economic sector, four times larger than national defense. Yet millions can't afford to take care of their health needs. Can anything be done to save it? Yes it can because President Barack Obama has a plan to help the families in need. His plan is the Obama Care which will help millions of families across the nation. The Obama Care will provide healthcare and insurance to the low income and middle income Americans in need. This plan will bring benefits and services, the massive cost of the plan, and it explains the plan very well. Research has shown that the Obama Care is administered by the federal government and is presented as an alternative to private health insurance. The Obama administration has been working on health care reforms and the Obama Care since Barack Obama was first elected into office. So what does it mean to you? There are really only a few things you need to know about President Obama's Obama Care Plan. The Affordable Care Act contains almost two thousand pages of reforms to the insurance industry and the health care industry in order to cut...
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...& Wilson, 2010 ). Health IT has changed the ways of communication and documentation. Informatics in healthcare has helped to increase the efficiency of our healthcare system. By moving away from hand written medical records, information has become more organized, more manageable, and much more easily accessible. Advancements in technology have allowed organizations to become more productive and more cost effective. Informatics has helped organizations in reducing their staff needs, ultimately saving them money. As healthcare IT continues to advance, patient safety, quality of care, and costs will continue to improve, and privacy and security will continue to be the goal for all electronic information. The use of electronic health information to improve the quality of care requires the exchange of electronic health records, which increases the need for security and privacy. Because of this, it was essential to establish collaborative governance guiding health information technology infrastructure (Rundio & Wilson, 2010) . The Health IT Patient Safety Action and Surveillance Plan addresses the role of healthcare informatics within the U.S. Department of Health and Human Services promise to patient safety. The objective of the plan is to use healthcare informatics to make care safer and to continuously improve the safety of health IT (“HealthIT”, n.d.). The Health IT Safety Plan lays out actions that can be taken to improve the safety of health IT. The plan highlights improving...
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...Health Care Spending My position on national health care spending is way too much monies is going out and not enough people supporting the problem. A universal health care plan for every man, woman, and child who resides in the United States is the most economical way to achieve this goal. All working citizens must have monies automatically taken out of their paychecks and if you can afford more than the basic plan, then there will be plans available that you can upgrade to like Aflac. No matter how poor or how rich you are, everyone has the basic plan and everyone contributes to that plan. In this paper we will discuss the current level of national health care expenditures, the level of spending, where the nation should cut, and how the general public’s needs are being paid by, to finally doing some forecasting of future economic needs. At a NCSL Legislative Summit in August, 2013 it was noted that America spends, on average, nearly $9,000 per person on health care each year. The cost to the nation is $2.8 trillion, almost 18 percent of the GDP. The GDP is projected to be at 19.6 percent by 2021 (National Conference of State Legislation, 2013). In the projected years of 2011-2021 Medicare is expected to have a growth of 6.1% per year average over these years, Medicaid growth is expected to be 8.2% per year, private spending average per year 5.3%. By 2021, federal, state, and local government health care spending is projected to be nearly 50 percent of the national health expenditures...
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...Assessment on Health Care Politics and Policy Brittani Cornett Health Care Policy 3200 Professor Walpole November 16, 2013 The overwhelming majority of Americans agree that reform of our healthcare system is necessary; however, the debate continues to rage over the specific type of reform we need. With the health care reform more people will gain health insurance, coverage will be more affordable, and people will have access to the health services they need. These provisions will improve the lives of millions of Americans and give them the peace of mind that comes with knowing that they have coverage no matter what. Prior to the Patient Protection and Affordable Care Act was passed, the Democrats and Republicans had not been able to compromise on a deal. Subsequently, President Obama and House Republicans failed to reach an agreement on a plan that would extend the nation's debt limit. This paper will evaluate two consequences involved in policymaking of health care reform; the committee involved, and the reasons the House will not come to an agreement in efforts towards health care reform. On March 23, 2010 the Affordable Health Care Act became a law. This meant that insurance companies would no longer stand between consumers and their healthcare providers. They could no longer dictate what services would be limited, and the need for seeking approval before receiving emergency care at a facility...
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...Health Care System in Turmoil Alice Felton MHA 622 Healthcare Ethics & Law Dr. Teresita Gonzalez August 5, 2012 Health Care System in Turmoil The current health care system in the United States is in turmoil for many years because of two major problems which continues to be: patient access to care and the cost of care. There are well over 50 million Americans who continue to be uninsured today and a national health care tax called the Patient Protection and Affordable Care Act of 2010 has been passed and challenged and upheld by the United States Supreme Court, as a tax not a law, here recently which is suppose to be an answer to most of our health care insurance issues. Even though most Americans may agree that our health care system is in turmoil and needs to be reformed, not everyone agrees that a national health care tax is the solution. In the United States as the health care system continues to be in turmoil the patients are continuing to struggle to keep their medical care and that can be either if they are trying to maintain at least a standard of care or just simply hoping that the medical facility that they may prefer, such as a local hospital or community center will be able to stay in business, or that they will have continued accessed to emergency rooms even if they are the uninsured. In the midst of this health care system turmoil there are other segments in the health care sector that may be experiencing financial problems, such...
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...approach to mental health/illness within Australia from the 1970’s to the 1990’s. You will need to include at least three (3) government enquiries/investigations which have helped shape government direction in the provision of mental health services. A Federal Government Inquiry released in the same year as the 1955 State Grants (Mental Institutions) Act provided large amounts money to institutions for capital works, was damning of the ‘inadequate’ mental health system, highlighting low standards of care, abuse and overcrowding (Stoller, 1955). As a result of this, there was a wider general interest in mental health. In what could be the beginnings of deinstitutionalisation in Australia, as the report also called for an increase in community services. Funding provided by the government in the seventies was pivotal to the establishment of community mental health services being more assessable with outreach and after care programs being setup in hospitals. This also heralded the beginnings of many Non government and independent services. * In 1983, the Richmond Report, release in New South Wales, advocated strongly for further deinstitutionalisation and an increase in community services for people with psychiatric disabilities. It suggested a change in funding arrangements from hospitals to community based care services, the expansion of integrated community based services, the separation of developmental disability services from mental health services and a decrease...
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...Office of the National Coordinator for Health Information Technology (ONC) Federal Health Information Technology Strategic Plan 2011 – 2015 Table of Contents Introduction Federal Health IT Vision and Mission Federal Health IT Principles Goal I: Achieve Adoption and Information Exchange through Meaningful Use of Health IT Goal II: Improve Care, Improve Population Health, and Reduce Health Care Costs through the Use of Health IT Goal III: Inspire Confidence and Trust in Health IT Goal IV: Empower Individuals with Health IT to Improve their Health and the Health Care System Appendix A: Performance Measures Appendix B: Programs, Initiatives, and Federal Engagement Appendix C: HIT Standards and HIT Policy Committees Information Flow Appendix E: Statutes and Regulations Appendix F: Goals, Objectives, and Strategies Appendix G: Acronyms ONC Acknowledgements Notes 3 6 7 8 21 28 36 49 51 65 67 70 74 77 77 78 Goal V: Achieve Rapid Learning and Technological Advancement 43 Federal Health IT Strategic Plan 3 Introduction he technologies collectively known as health information technology (health IT) share a common attribute: they enable the secure collection and exchange of vast amounts of health data about individuals. The collection and movement of this data will power the health care of the future. Health IT has the potential to empower individuals and increase transparency; enhance the ability to study care delivery and payment systems; and ultimately achieve...
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