...1. Three examples of healthcare policies in New Jersey that fall under state regulation: 1. Standards for Licensure of Adult and Pediatric Day Health Services N.J.A.C. 8:43F 2. Adult and Pediatric Day Health Services N.J.A.C. 8:86 3. New Jersey Patient Safety Act Three examples of healthcare policies that fall under the regulation of the federal government: 1. HIPAA- Health Insurance Portability and Accountability Act of 1996 2. Administration for Children and Families (ACF) 3. Centers for Medicare and Medicaid Services (CMS) 2. As consumers, we obtain most of our healthcare needs from the market rather than through our government. In certain situations, lack of resources can make it difficult to purchase goods and health services directly from the seller, therefore the government puts specific programs in place. For example, Medicare, a universal program for those with financial struggles and who are 65 years or older, is put in place to treat people who have been diagnosed with a serious illness regardless of their ability to pay. Another healthcare service that is offered to the underprivileged population is Medicaid. “Because of its selective nature towards a particular subset of people, this type of program is offered on a need base for care only and is often less expensive” (Nickitas, D. M., et al., 2011, p. 11). Therefore, the offered benefits of Medicaid are more wide ranged than a universal program such as Medicare. Both of these services...
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...Our Elders Pay the Price Shelly Brewster HLTH 481-905 April 2, 2014 Our Elders Pay the Price The current healthcare system is problematic in America, and the elderly population is suffering the most financially. Prescription costs are sky-rocketing and since insurance and social security do not cover all the costs, the elderly are paying out of pocket for their medications. Employees in the medical field should prescribe drugs that treat multiple symptoms, suggest substituting brand names for generic names, and navigate patients to cost effective programs. Healthcare administrators need to create a policy for medical staff that will require them to monitor and provide more financially suitable healthcare options for elderly consumers in addition to recommending lifestyle changes which will result in a decrease of medication costs. Healthcare providers need to educate consumers on the fact that prescription drugs can often times be substituted for lifestyle changes. Doctors almost always suggest a pharmaceutical solution, often times without even considering alternatives. If healthcare administrators implement the need for doctors to go beyond the “quick fix” of drugs and encourage them to prescribe lifestyle changes instead, medication costs would be nonexistent. For example, high cholesterol is an issue in our country and if left untreated it can develop into secondary problems such as diabetes, high blood pressure (or hypertension) and several other complications. More...
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...possible for many Americans. The Affordable Care Act is an act in the healthcare system that was enacted into law by President Obama in 2010. The Affordable Care Act has three main objectives; making healthcare insurance affordable and available to many Americans, expanding the Medical care insurance to cover all adults earning less than the 138 percent of the national poverty level, and promoting innovative procedures of delivering the medical care so as to lower healthcare costs (Schembri & Ghaddar, 2018). The ACA has promoted health care access by many...
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... | |Theme 1 | | | |Principles of Governance | |Traffic | |Population | |Healthcare (Singapore and UK) | |...
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...reform the American healthcare system, protect patients, and to provide insurance for more people in our country that could not previously afford or receive it. Since the Affordable Care Act has been passed, it has created uproar in our country. Many people in our Country do not want to be forced to purchase a healthcare plan created by the government, others don’t want to pay the increased taxes that have been enacted to help fund the new healthcare act. However, when it comes down to it, our healthcare system needed some change. The insurance companies had too much power; they could refuse to cover someone based on the most miniscule pre-existing condition. For the U.S. being the wealthiest country in the world, our healthcare was nowhere near the top in the world. There was a huge amount of fraud and waste going on in medical facilities across the nation, which was leading to increased unnecessary costs and overall inefficiency. The Affordable Care Act wont fix all of these problems right away or maybe even years down the road, but at least it is a step in the right direction and is putting methods into action to fix our healthcare system. The following policies are my three favorite policies of the Patient Protection and Affordable Care Act. One of my favorite policies of the Affordable Care Act is that it will prevent insurance companies from refusing you coverage because of most pre-existing conditions (Klein)(www.kff.org). This part of the new healthcare reform also prevents...
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...Healthcare reform and policy establishment has been driven by politics since modern medicine began to make a rise in our western culture. In 1935, President Franklin Roosevelt was the first to attempt to integrate a national health care program within social security. President Harry Truman proposed a multi payer insurance fund while in office but also was unsuccessful. Multiple presidents have attempted to succeed at providing healthcare reform and finally succeeded in 2010 with the Affordable Care Act. Each political party has their own agenda that they use to guide the policies they support. Unfortunately, many health care providers are not aware of the policy challenges that our profession faces daily and the impact our government has on healthcare policies. Policy making is driven by committees within our federal and state government where bills that have been presented are reviewed. Each party typically will push for new policies that benefit their political party often voting for bills in the legislature that gain the most popular vote. The passing of policies through our legislature impacts healthcare in various ways. For example take the Bill presented by Illinois congresswomen on safe patient-staff ratio. If this bill is passed and becomes policy, hospital systems will be forced to revamp patient census requirements, when there is only one study available showing improved quality of care. . It is crucial that evidence based practice be incorporated with policy making...
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...influence Policy and Change in healthcare? Abstract This paper discusses how effective Leadership can influence policy and changes in the Unite States healthcare system. The implementation of new policy is often meant to improve the quality of the nation's ever-changing health care system. Several research organizations particularly healthcare based, have examined the strengths and limitations of health care in the United States and have recommended strategies to evaluate, improve the quality of health care, and leaderships ability to influence implemented changes to the system. This question proposed is can leadership style encouraged and influence both public and private initiatives to define and monitor the quality of care, measure health outcomes, develop better evidence and guidance on the appropriate use of medical services, and organize systems to improve health services and outcomes? The issues summarized in this paper are from scholarly journals, and text that offers several prospective, including real life examples that will illustrate my argument. The future of healthcare seems more defined that ever or at least compared to the last 60 years. Our great nation has had a significant history of great leadership both transactional and transformational. I will start off by saying, Leadership is not just about performing a job: It’s about making a difference. When thinking about changes in healthcare, whether it is institutional change, program change, or policy...
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...book is Objective 5 – “Integrate advocacy skills in the influence of public policy.” The ultimate premise of the book was that there needs to be transparency and accountability in healthcare. Currently the healthcare system is broken and burdening our families, businesses and national debt (Makary, 2012). Through transparency, however, we can empower consumers to make the practice of medicine more honest, address the cost crisis, and make hospitals accountable to the delivery of safer care. Advocacy is an important role nurses must take for their patients. One example Makary (2012) provided was a nurse who will administer a medicine even if she believes it was ordered incorrectly, because that hospital...
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...PROFESSIONALS In 1970, The National Academy of Sciences established the Institute of Medicine (IOM), a non-governmental, non-profit organization, developed to provide advice on the national level that addresses issues of medical care, education, and research. Through research, collected data, and nurse-led solutions, the IOM created an informative report in 2010 called The Future of Nursing: Leading Change, Advancing Health, which provides specific recommendations on the improvement of the nursing workforce and the healthcare delivery system. The report is directed towards various entities; individual policy makers, national state and government leaders, licensing bodies, educational institutions and consumer advocates, are just to name a few. Three particular recommendations, transforming education, transforming practice and transforming leadership, will be further discussed to display how each transformation will impact changes in the nursing profession and the health care delivery system. Transforming Education The first recommendation to be discussed that will impact change in the nursing profession and the health care delivery system is the transformation of education. The IOM report states that “nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression” (IOM, 2010, p. 163). Several educational pathways have become available for nurses to smoothly transition from the Associate Degree...
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...pursuing this project. ACKNOWLEDGEMENT First, I would like to thank my supervisor .................... who has guided me in writing this project. More particularly my special thanks go to my lecturers for taking me through the whole course. I am also greatly indebted to my fellow students who were with me throughout the course work. OPERATIONAL DEFINITION OF TERMS Class A drugs- drugs deemed by the government to cause the most lethal harm when consumed. They attract heavy jail terms including life in prison. Community care- a term used in healthcare policies to mean looking after people with particular needs in the community. Local strategic partnership- a single non-statutory body, aligned with local authority boundaries that bring together at a local level the different parts of the public sector as well as the private, business and voluntary sectors so that different initiatives and services support each other and work together Policy- this is a guideline set by the government with the aim of achieving specific goals. It outlines the strategies to be utilised in realizing desired objectives and results. Strategy- the methodology or tactics employed to fulfil the mandate and objectives of a...
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...E ROLE OF LAW IN THE U.S. HEALTHCARE SYSTEM USING THE LAW TO PROMOTE OUR POLICY GOALS AND ETHICAL PRINCIPLES The study of law is more than simply memorizing a list of activities that are illegal, such as Medicare fraud or price-fixing. It is more than memorizing the penalties for particular violations, such as the number of years in prison one can receive for a class B felony or the fine for driving 50 miles per hour in a 35 mile per hour zone. It is more than trying to remember the names of court cases or the citations to statutes and regulations. Instead, law is a policy discipline and a social science. Moreover, the law is not cast in stone, but is subject to change. For hundreds or perhaps thousands of years, people have reconsidered and changed the rules that govern their activities. In a democratic society, we have the power to make further changes in the laws by which we live. Therefore, as students and scholars of law, we not only study the current state of the law, but also what we think the law should be. In particular, we consider how we can use the law to accomplish our goals of public policy. We begin this type of analysis by identifying a practical problem. For example, we may want to focus on discrimination, violence, environmental pollution, or inadequate access to healthcare services. Then, we try to figure out how to use the law and the legal system to solve that particular problem by creating a new law or by changing an existing law. ...
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...The Innovations and Incentives in Healthcare Discussing the innovations that improve the healthcare system and financial incentives. Furthermore, do financial incentives increase the quality of care that patients receive from physicians? Understanding the cost and complications when it comes to innovations and financial incentives in the healthcare system. Also, examining the Medicare/Medicaid payments that physicians receive based on the quality of care to patients. Finally, what can help the federal government come up with ways that help improve and expand the comprehensive healthcare laws? Innovation for Healthcare Innovation can be a challenge in the healthcare system for the healthcare professions and patients. Innovation is very crucial...
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...Obama Care Policy POL 201 American National Government Amanda Bearden Instructor Little May, 20 2013 The Obama Care Policy In my essay I plan to discuss with you what Obama Care Policy or other wise known as Patient Protection and Affordable Care Act of 2012. As we discuss this topic I will be pointing out the issues of the policy as well as explain the history and the meaning of this policy, pro's and con's of the Obama Health Care Policy and the issues that come with it in regards to Federalism. I will also be evaluating the pro's and con's from two other perspectives. It is to my understanding that the biggest controversy with the Act would be that it is required that you purchase private health insurance or you will be faced with a fine. Although that does not include those that fall under a certain income bracket in which those that do qualify in this category Medicaid would be provided for that person for example to someone with a lower income. In other words though every person in the United States will be required to have health care insurance through a private provider or through the Federal or State assisted programs that are available by 2014. So what happens if you fail to possess the medical coverage well you are faced with penalties. The insurance will start at $95 or up to 1 percent of income, whichever is greater, and will rise to $695, or 2.5 percent of income, by 2016 (Galewitz, 2010). The history of Obama care all began back...
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...of medicine discussing the future of healthcare. “The United States has the opportunity to transform its health care system to provide seamless, affordable, quality care that is accessible to all, patient centered, and evidence based and leads to improved health outcomes” (Institute of Medicine, 2010). This report has a significant effect on nursing. The impact on nursing practice, nursing education, and nursing leadership will be discussed. The Impact on Nursing Practice “Nurses should practice to the full extent of their education and training (Institute of Medicine, 2010).” In order for all patients to receive primary care then advanced practice nurse’s such as Nurse Practitioners should be used to their full extent of their abilities. There are several ways in which new opportunities are being opened up to advanced practice nurses and several barriers to overcome in order for them to improve healthcare. New Opportunities Healthcare is changing towards primary care. It is vital that nurses have advanced education in order to provide primary care. Advanced practice nurses, for example, are being used by the Department of Veterans Affairs to bring care to veterans in areas of the United States where they would not usually receive care (Institute of Medicine, 2010). Kaiser Permanente is having nurses manage discharging patients (Institute of Medicine, 2010). A highly educated nursing staff can invoke many changes for a healthcare system. A hospital can become more high-tech...
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...improvement of the economic well-being and quality of life, in this case for a country, may bring about social, technological and cultural changes, which are socioeconomic factors, such as better healthcare and education, and rising costs of childcare services; sociocultural factors, such as perceptions of marriage and childbirth; and biological factors; which can in turn affect the fertility rates of a country. Even though institutional factors, in this case natalist policies, attempt to reverse the trend of rising or falling fertility rates, economic development is still the main cause of declining fertility rates in developed countries (DCs). Therefore, the...
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