...discusses the effects of safe, effective and affordable care rendered at the primary level. Nurses can further this initiative by taking their education to the next level, which will allow stronger leadership roles and in turn will lead directly to improved care at the primary level. Transforming Practice Access to healthcare has been rewritten with the implementation of The Affordable Care Act of 2010 (ACA). This will allow open access to healthcare for millions; in turn increasing demands on healthcare professionals. In keeping with IOM report, ways in which a practicing nurse can implement changes are varied; in current practice it would begin with education and prevention early in the acute care stay in order to be preemptive in post-acute care period also early in a nurse’s education familiarizing oneself with the patient care needs in under-served communities, which allows for an insightful nurse to keep with the goals of primary care. Finally, continuously seeking reeducation on providing culturally competent care. The changes nursing will endure following the ACA are: Practice Setting- At the height of transforming practice in healthcare is the when and where of primary care. The need to shift care from acute care settings, and into the homes,...
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...20/20: A Vision for the Future of Counseling: The New Consensus Definition of Counseling David M. Kaplan American Counseling Association Vilia M. Tarvydas The University of Iowa Samuel T. Gladding Wake Forest University Author Note David M. Kaplan, Professional Affairs, American Counseling Association; Vilia M. Tarvydas, Department of Rehabilitation and Counselor Education, The University of Iowa; Samuel T. Gladding, Department of Counseling, Wake Forest University. The authors wish to thank Jason Wilke for his assistance. Correspondence concerning this article should be addressed to David Kaplan, American Counseling Association, 5999 Stevenson Avenue, Alexandria, VA 22304. E-mail: dkaplan@counseling.org Abstract With the promulgation of the 20/20 consensus definition of counseling, there is finally profession-wide clarity as to what it means to engage in professional counseling. This article describes the development and discusses the implications of the definition: Counseling is a professional relationship that empowers diverse individuals, families, and groups to accomplish mental health, wellness, education, and career goals. The 20/20 consensus definition of counseling has been endorsed by 29 major counseling organizations. Keywords: counseling, definition, 20/20, consensus, professional identity 20/20: A Vision for the Future of Counseling: The New Consensus Definition of Counseling For well over half a decade, the counseling profession has been...
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...Professional Development of Nursing Professionals Candace Tiley Grand Canyon University April 21, 2013 Professional Development of Nursing Professionals The nursing profession represents one of the largest work forces in the nation with more than 3 million members. In 2008, the Robert Wood Johnson Foundation (RWJF) partnered with the Institute of Medicine (IOM) and began 2 years of research to develop a thorough report on the future of nursing. As we move closer to the implementation of the Affordable Care Act (ACA) of 2010, nurses will be asked to take on the task of transforming the nursing workforce and expanding the delivery of nursing care. (Montalvo, 2010) We, as nurses, are in an important and unique position in that we are the segment of the healthcare field who addresses patient care both in a holistic realm as well as a contextual realm. The purpose of this paper is to look at three aspects of the IOM research and its implications. Nurses Scope of Practice is one of the key areas that the IOM put its focus upon. One of the ways the IOM anticipates changes imminently at hand is that nurses will be required to function to the full extent of their training and education no matter what level of education they currently have. The nursing profession is plagued by polices that are outdated. This is particularly true with regard to the policies regarding Scope of Practice. Much focus is being placed on APRN’s (Advanced Practice Registered Nurses) to act...
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...THE INTERNATIONAL JOURNAL OF KNOWLEDGE, CULTURE AND CHANGE MANAGEMENT Madrid, Spain Diversity Assessment Tools: A Comparison Abstract: Much has been written about how to address diversity in the human resources function (recruitment, retention, professional development etc.) but less has been written about how to develop strategies to leverage diversity in other areas. This study proposes an approach to exploring diversity through the value chain and a tool to help an organization assess its strategy. The Diversity Audit Tool (DAT) was developed from an analysis of current diversity practices in the Information Communications and Technology (ICT) Sector in Canada. This paper will review the dimensions of the tool and compare it to six other diversity lenses. Keywords: Diversity assessment, diversity audit tool, diversity lens, “business” case for diversity. Increasingly corporations in Canada have stressed the importance of embracing diversity and have stressed the benefits of creating inclusive work environments which: Promote the work of all organizational members and ensures that it is acknowledged, respected, and that employees are compensated equitably for it Value diversity both within the organization and outside of it Implement a meritocracy – rather than non-job-related ascribed characteristics – ensuring the need for equality and fairness underpins the organizational culture Emphasize individual accountability at all levels of the organization Constantly...
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...legislative reform in American history relating to health care. The impact to our economy on many levels of scale and our constitutional rights are all being questioned and debated without a definitive answer to long term reality of its implications. Reform is necessitous to the continuance of providing care, controlling fraudulent activities and waste, as well as, exploring new innovative ways to maintain a high level of quality services within the legalities of our legislative branch. The balance of these aspects have been challenging and perplexing in materializing the reforms into fruition. The concentration during reform has been on quantity of the insured population, effects on businesses as in tax benefits, taxation, and the CMS. The ACA, legislatively is in the beginning stages to reform health care. Thus far the application of reform are in disarray as it is on the operating table cut wide open and bleeding out, without a surgeon in the room. The complexity has the medical society and American constituents confused and anxious of its impact....
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...Professionals Professional Development of Nursing Professionals Erica L. Carroll Grand Canyon University: NRS-430V Professional Dynamics December 13, 2015 Professional Development of Nursing Professionals The 2010 Institute of Medicine (IOM) report “The Future of Nursing: Leading Change, Advancing Health” asks “What roles can nursing assume to address the increasing demand for safe, high-quality, and effective health care services?” (IOM, 2010, p. xi, par 2). This paper will address three major categories that are impacted by the IOM report: education, practice, and leadership. Impact on Nursing Education According to the IOM report nursing education should include change management, quality improvement, and care management, as well as stressing the importance of lifelong learning and continuing education (IOM, 2010). To this end, the IOM is in favor of an all Bachelors of Science in Nursing (BSN) work force (IOM, 2010). The IOM isn’t alone, one survey showed 76% of physicians surveyed felt BSNs were more competent that Associate Degree in Nursing (ADN) (Institute of Medicine, 2010, p. 171, par 1). The American Association of Colleges of Nursing (AACN) also supports the need for BSN trained nurses. They state the BSN trained nurse is better-rounded, has more advanced critical thinking skills, and are more ready to step into an entry level leadership role than their ADN counterparts (AACN, 2012). One study shows hospitals would rather hire BSNs than ADNs, fueling the educational...
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...information on this study, or other aspects of the Acas Research and Evaluation programme, please telephone 020 7210 3673 or email research@acas.org.uk Acas research publications can be found at www.acas.org.uk/researchpapers ISBN 978-1-908370-07-5 Workplaces and Social Networking The Implications for Employment Relations Andrea Broughton Tom Higgins Ben Hicks Annette Cox Prepared for Acas by: Institute for Employment Studies Sovereign House Church Street Brighton BN1 1UJ UK T: 01273 763400 F: 01273 763401 www.employment-studies.co.uk Copyright © 2009 Acas The Institute for Employment Studies The Institute for Employment Studies is an independent, apolitical, international centre of research and consultancy in public employment policy and organisational human resource issues. It works closely with employers in the manufacturing, service and public sectors, government departments, agencies, and professional and employee bodies. For 40 years the Institute has been a focus of knowledge and practical experience in employment and training policy, the operation of labour markets, and human resource planning and development. IES is a not-for-profit organisation which has over 70 multidisciplinary staff and international associates. IES expertise is available to all organisations through research, consultancy, publications and the Internet. Acknowledgements The authors would like to thank BT and HMRC as well as staff at Acas for taking the time to talk to us about their...
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...PRIMARY HEALTH CARE CLINICS IN WILLIAMSON COUNTY, TEXAS MARKET RESEARCH AND ANALYSIS AUSTINTATIOUS CONSULTING, LLC PREPARED FOR: DR. CHAU NGUYEN TABLE OF CONTENTS I. PURPOSE AND SCOPE OF ENGAGEMENT ........................ 1 A. YOUR CLINIC ........................................................................... 1 B. OUR EVALUATION.................................................................... 2 II. THE EVOLUTION AND CURRENT STATE OF THE HEALTH CARE INDUSTRY IN THE UNITED STATES............................... 2 A. THE IMPACT OF MEDICARE ...................................................... 3 B. IMPACTS OF THE THIRD-PARTY PAYER SYSTEM ........................ 3 C. THE AFFORDABLE CARE ACT AND BEYOND .............................. 5 III. MARKET STRUCTURE........................................................... 5 A. QUALITATIVE ASSESSMENTS .................................................... 5 B. QUANTITATIVE MEASURES ....................................................... 7 IV. COMPETITIVE ENVIRONMENT .......................................... 9 A. THE FIVE FORCES ................................................................. 10 B. SYNTHESIS ........................................................................... 11 V. LEGISLATIVE AND REGULATORY CONCERNS ............... 12 VI. CONCLUSION .................................................................... 12 ABSTRACT This analysis and memorandum were prepared by Marshall Coover, Chau ...
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...Telehealth utilizes electronic data and telecommunications to support long-distance, clinician-based patient and professional health education, public health and health administration (HHS, 2013). Components of telehealth include videoconferencing, the internet, store-and-forward imaging, streaming media, terrestrial and wireless communications (HHS, 2013). Telehealth systems such as the Health Resources and Services Administration aims to increase and improve the use of telehealth to meet the needs of its underserved patients by (HHS, 2013): •Developing relationships within HRSA and other Federal agencies, states and private organizations to create telehealth projects. •Administers telehealth grant programs. •Provides technical support. •Evaluation of telehealth technology and programs. •Development of telehealth policy initiatives aimed at improving care access and quality health services. •Promotion of knowledge exchange regarding best telehealth practices. Telehealth is an invaluable addition to multiple care settings. Store-and-forward programs provide the smaller hospital to draw upon the knowledge of its much larger counterparts (HHS, 2013). As such, teleradiology and teledermatology programs are of particular interest to critical care facilities and rural health centers (HHS, 2013). Applications such as teleradiology and remote EKG services carry a greater likelihood of being covered by third party payers as they do not typically involve...
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...show that physicians are frustrated with our current ‘value by number’ system; they argue that they are overworked due to discounted insurance payments and increasing oversight. Our research foretells two alarming trends within the US physician landscape. The first concern is that there will be a shortage in primary-care physicians as early as the year 2020 and secondly, most medical practices will be owned by a hospital or affiliated with a large network within the next ten years (Kirchoff, 2013). The former concern places population health at risk and could reduce access to care while the latter has the potential to increase overall costs and reduce competition and innovation in the health care industry. The Affordable Care Act (ACA) marks a milestone in our nation’s history; it requires every U.S. citizen to obtain medical insurance or pay penalty and also, it places greater emphasis on physicians to increase coordinated care while reducing costs through quality improvements. The ACA’s mandates are not surprising given total healthcare expenditures are forecasted to reach 20% of federal spending by 2020, which approximately 86% is attributed to treatment for chronic diseases. Professor Clayton Christensen briefly illustrates...
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...Contemporary Human Resource Management Summary This is a report regarding the human resource function of Harrison Brothers Company addressing the company’s CEO. In order to collect the needed information, interviews with the Human Resource, Store and Operations Manager were conducted. HR and store managers completed a questionnaire regarding their perceptions of the HR department’s responsibilities. There is a problem with high rates of turnovers and labor shortage. Issues with the employees’ training and development must also be dealt with. Recommendations for a more efficient recruitment and selection process as well as performance management and reward system are made in the report. The aspects of discipline and change management are also discussed. Finally, a new structure of the HR department and of the company in general is being proposed. TABLE OF CONTENTS Summary………………………………………………………………………………………......2 Contents…………………………………………………………………………………………...3 List of figures……………………………………………………………………………………...4 1. Labor shortage………………………………………………………………………………...5 2. Recruitment campaign………………………………………………………………………...5 3.1 Recruitment sources…………………………………………………………………….....5 3.2 Targeting a specific group through positive action………………………………………..6 3.3 Realistic job preview (RJP)…………………………………………………………….....6 3. Selection…………………………………………………………………………………….....6 4.4 The interviews……………………………………………………………………………..6 4.5 Personality and...
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...M01_FOOT0988_06_SE_C01.QXD 4/13/11 12:36 PM Page 1 CHAPTER 1 Introducing human resource management Objectives By the end of this chapter you will be able to: ● define what is meant by the term ‘human resource management’ ● understand the roles of line managers and human resource managers in managing people ● outline the range of activities with which practitioners of human resource management are likely to be involved ● demonstrate how human resource management can make a difference by adding value to an organisation ● outline some of the current issues facing HR managers. HRM? What’s it all about? This book is designed as an introductory text for students studying human resource management (HRM) either with a view to becoming HR specialists themselves, or for those who are starting or hoping to start a career in management. As you will discover, people management forms a large part of every manager’s job, whether they work in a large multinational organisation, a not for profit organisation or a small charity. Organisations also increasingly aim for all employees to be motivated and involved, so an understanding of the subject is important for everyone. As stated in the preface, we intend that you should become actively involved in your own learning as you progress through the book. Even though you are just beginning this subject, you may already have ideas about some of the topics that you are about to study and you may even have a general idea of the role and...
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...Accountable Care Organizations May 5, 2012 Accountable Care Organizations represent a strategy outlined within the Affordable Health Care Act to control costs and improve quality. They require partnerships between providers, hospitals, and communities. There are challenges in health systems where private practice is the predominant practice structure. Key issues and challenges to an effective ACO are cost reduction and utilization management, business model shifts, risk sharing and population management, consolidation, a changing role of IT and value of data, physician integration, clinical process improvement, and consumerism and the patient. How to reduce cost is a question that has been pursued, and it needs to be looked at, as well as utilization of management. Does this mean that homes for critically ill children or a hospital that cares only for transplant patients is becoming the future of health care in the USA? Why Accountable Care Organizations? No one will dispute the high cost of health care in the United States. Critics often say that it is the result of how health care providers are paid. They claim that—with a fee for each service— this results in increased and wasteful spending. Critics say that this system rewards providers just for doing more procedures, rather than for providing efficient and high-quality care (Matthews, 2012). In an effort to handle this problem, the United States Government has passed legislation: The Affordable...
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...not limited to, the process of scanning and digitization, or stored in a database or retrieval system, without the prior written permission of the publisher. Published by American Psychological Association 750 First Street, NE Washington, DC 20002 www.apa.org To order APA Order Department P.O. Box 92984 Washington, DC 20090-2984 Tel: (800) 374-2721; Direct: (202) 336-5510 Fax: (202) 336-5502; TDD/TTY: (202) 336-6123 Online: www.apa.org/pubs/books E-mail: order@apa.org Typeset in Sabon, Futura, and Univers by Circle Graphics, Columbia, MD APA Editorial and Production Staff APA Books Editorial Director: Mary Lynn Skutley Senior Editor, APA Style: Anne W. Gasque Production Manager: Jennifer M. Meidinger Production Editor: Harriet Kaplan APA Journals Director, Editorial Services: Paige Jackson Editorial Supervisor: Jeffery Hume-Pratuch Manuscript Editor II: Chelsea Lee Manuscript Editor II: Stefanie Lazer 1-4338-0704-1 978-1-4338-0704-6 Copyrighted Material. Not for Distribution. Copyrighted Material. Not for Distribution. Contents Electronic Media How References Are Constructed 2 Notation 2 General Guidelines 4 Consistency 4 Use of the Archival Copy of Version of Record 4 Electronic Sources and Locator Information 4 Understanding a URL 4 The DOI System 5 The DOI as article identifier 5 The linking function of DOIs 6 Providing Publication Data for Electronic Sources 6 General Guidance on Including DOIs and...
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...Cornell University ILR School DigitalCommons@ILR CAHRS Working Paper Series Center for Advanced Human Resource Studies (CAHRS) 5-1-1995 Employee Compensation: Theory, Practice, and Evidence Barry A. Gerhart Cornell University Harvey B. Minkoff TRW Corporation Ray N. Olsen TRW Corporation Follow this and additional works at: http://digitalcommons.ilr.cornell.edu/cahrswp Part of the Human Resources Management Commons This Article is brought to you for free and open access by the Center for Advanced Human Resource Studies (CAHRS) at DigitalCommons@ILR. It has been accepted for inclusion in CAHRS Working Paper Series by an authorized administrator of DigitalCommons@ILR. For more information, please contact jdd10@cornell.edu. Employee Compensation: Theory, Practice, and Evidence Abstract [Excerpt] As organizations continue to face mounting competitive pressures, they seek to do more with less and do it with better quality. As goals for sales volume, profits, innovation, and quality are raised, employment growth is often tightly controlled and in many cases, substantial cuts in employment have been made. To accomplish more with fewer employees calls for effective management of human resources. Typically, the employee compensation system, the focus of this chapter, plays a major role in efforts to manage human resources better. Keywords employee, compensation, organization, profit, human, resource, manage, pay, market Disciplines Human Resources...
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