...Continuum of Care Health care services in the U.S. include all services from prenatal care to Palliative care up to the last days of life (Barton, 2010). The way most Americans receive their initial health care is from their General Practice physician for some symptom that needs professional care. Depending on how severe the symptom, or symptoms, turn out to be, either a prescription is given to patient, blood work or X rays done, or admittance to an inpatient hospital. Heath care delivery varies, depending on you geographical region, race/ethnicity and SES (Shi, L. & Singh, D., 2012). Geographic In some rural areas, there is usually one hospital with a small inpatient unit, one source of ambulatory care, and all services are offered under one roof: inpatient, outpatient, nursing home (Wakefield & Linden, 2013). With 40 physicians, and more than 425 employees, Grinnell is one of the top rural medical centers in the greater Poweshiek County area of Iowa. Also on staff is a resident physician staff of 40 or more practitioners that provide services usually only offered in major healthcare centers (About Us, 2009). Race/Ethnicity Black Americans fall behind with their health due to mainly their SES, regardless of the “progress” that was made in the last decades. This race usually reports their health as fair or poor. Next is the is the Hispanic race, who may run into issues of accessing health care in America, due to immigration issues that my disqualify...
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...Continuum Of Care Process Traumatic brain injury can be a very serious problem among adults in the U.S. It can occur without warning and can change your life in an instant. Brain injury is responsible for a substantial number of deaths and even permanent disabilities (“Traumatic Brain Injury,” 2014). In order to treat this type of injury adults usually undergo a step-by-step process through different health care settings. The patient would seek assistance from a hospital, their healthcare provider, pharmacies and from pharmaceutical companies. All these health care settings work together to enhance the health and wellness of our communities. The first step in this process is hospitalization. From the early 1700’s to today, the development of the hospital in the US has drastically changed. In the beginning, they provided care for the very poor. Today, however, physicians are more interested in providing care to other social classes and communities (Barton, 2010). If an adult is getting treated for a traumatic brain injury, then physicians will most likely use a CAT scan to see the severity of the injury and to generate a clearer view of the patient’s anatomy. The use of the CAT scan is directly related to biotechnology companies. They are companies that manufacture medical equipment for different healthcare organizations. This equipment provides hospitals with state of the art technology to detect and treat various diseases. A patient will also be given some medications...
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...Understanding Continuum of Care Services Damita Boone HCA/210 August 3, 2012 Stacy Hull Vance • What is long-term care? Provide an example. Long-term care is a variety of services that includes medical and non-medical care to people who have a chronic illness or disability. Long-term care helps meet health or personal needs. Most long-term care is to assist people with support services such as activities of daily living like dressing, bathing, eating, and using the bathroom. Long-term care can be provided at home, in the community, in assisted living or in nursing homes. Long-term care can be given at any age depending on the situation or disability. The type of long-term care an individual may receive depends on their current situation but all situations are subject to change. For example, my current patient had no use of her arms so she needed 24hour care. I had to feed, dress, bathe, groom, and even drive her to the places she needed to go. Unless her current condition changes, she will always need assistance. I was doing private duty so I took care of her in her home. The shifts were split between two other people so our performance for her was at good standards. • What is the continuum of care services in the United States? The continuum of care services is a concept involving an integrated system of care that guides and tracks a patient over time through...
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...Palliative care is defined as patient and family-centered care that enhances the quality of life through prevention and relief of suffering associated with life-limiting illness or injury. Care is provided through the continuum of the holistic approach to person-centered care that includes terminally ill patients and their families. The module provided by Stanford School of Medicine highlights all the important aspects of palliative care and services. It also explains the necessity of the involvement of interprofessional team, including physicians, nurses, social workers, and many other healthcare professionals. A team approach is required in order to recognize and address the extent needs of patient and family. The module provides an excellent...
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...obtain the local perceptions of barriers to and facilitators of quality of care. During this interview the continuum of care of care and the role of each unit involved in the provision of surgical care would be discussed in order to identify bottle necks and best practices. Sampling: The sampling method used is a purposive sampling because the information required is possessed by personnel intricately involved in the continuum of care of surgical patients. This includes consultant surgical...
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...Personal Responsibility Kathleen Donovan Gen/200 October 13,2014 Kristine Faultner Personal Responsibility Personal responsibility is the ideal that a structure of set behaviors should be employed by one’s volition to hold one’s self accountable in daily life to meet personal, fiscal and educational tasks to successful completion. These behaviors have a rule governing the consequences due to action or inaction by the individual. Consequences are either positive or negative in nature regardless of being personal, educational or work related. Throughout daily life, we all have obligatory responsibilities as well as self-imposed responsibilities. It is often heard that someone would rather point the proverbial finger for their failures toward someone else or some outside cause. In truth, as individuals, personal responsibility is accepting the outcome of either a good or bad decision and learning from it. In matters of business and family, issues arise, and decisions are sometimes unclear. These may be due to an unhealthy family bond or strained relationship. At times, people tend to make poor decisions with their emotions rather than facts or the weighted measures for outcome. As people, we at times tend to fail to see the long projected outcome over a short term goal. In matters of finance, one must not take on a greater financial burden than one can bear. Dr. Muir’s article sites an excellent demonstration of a person that had great examples of personal responsibility...
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...Continuum of Care Presentation Annotated Bibliography Stephanie E Whitfield HCS/235 November 16, 2015 George Fisher Continuum of Care Presentation Annotated Bibliography Clemens-Cope, Lisa and Kenney, Genevieve. (2007). Low Income Parents' Reports of Communication Problems with Health Care Providers: Effects of Language and Insurance. Public Health Reports, 122, 206-216. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1820424/?tool=pubmed The research article discusses a study about parental reports of communication problems with health care providers, focusing on low-income families. The researchers use literature and quantitative analysis as the primary methods in their study, and they analyze data from the 1999 and 2002 National Survey of America's Families. The results show that 24.4% of low income parents reported poor communication with health care providers, and foreign-born parents were 11.8% more likely to report communication problems than American-born parents. The authors advise using professional translating services in hospitals and clinics to reduce communication barriers and improve health care. Flores, Glenn. Language Barriers to Health Care in the United States. The New England Journal of Medicine. Volume 355:229-231 (July 20, 2006), Number 3. http://content.nejm.org/cgi/content/full/355/3/229 This article discusses the grave medical miscommunications and the increased incidence of adverse clinical consequences that occur...
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...Understanding Continuum of Care ServicesAccording to "National Care Planning Council" (2012), “When a person requires someone else to help him with his physical or emotional needs over an extended period of time, this is long-term care.” Long-Term care is usually needed by people who are disabled, injured and the elderly. While some people might need assistance in many activities some people may only require minimum assistance. Long-Term care patients can usually be found in a nursing facility, retirement centers, and rehabilitation facilities.Some of the help long-term care provides is help with bathing, dressing, eating, daily household chores such as laundry, house cleaning, and ensuring their monthly expenses are being paid. Long-Term care patients may also need help with transportation to appointments and other daily obligations.("National Care Planning Council", 2012).Long-Term Health Care is one of the biggest challenges the United States faces today because of the expense it requires to take care of people who are in need of this type of care. According to the U.S. Department of Health and Human Services the amount of people who need long-term care is on the rise. In 1982 the amount of people who required this care was 29.2 million people. It is estimated by the year 2020 the amount of people will be 52.1 million people. Applebaum and Kunkel (1991)Often times, people do not think about the future, and they do not properly prepare for life altering events; such as...
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...Annotated Bibliographies Lisa Stevens Kaplan University Annotated Bibliographies Au, A., McAlister, F., Bakal, J., Ezekowitz, J., Kaul, P., & vanWalraven, C. (2012). Predicting the risk of unplanned readmission or death within 30 days of discharge after a heart failure hospitalization. American Heart Journal, 164(3). 365-372. Retrieved from: http://www.medscape.com/viewarticle/771215_print This article sought to find an appropriate model to predict the risk of unplanned heart failure readmissions. The primary outcome from chart reviews also included death of heart failure patients within 30 days of discharge. The study looked at Centers for Medicaid and Medicare Services (CMS) models and the LACE+ index, to mention two of many that looked at prediction ability. The LACE+ index is a model that looks at length of stay, acuity, the Charlson comorbidity score and age, to predict readmissions. They found that no one model was appropriate in predicting the 30-day readmission rates, although using a combination of the models was an improvement to that predictor. The authors are all physicians, PhDs, or have a Master’s degree- helping to establish credibility. The authors also make a statement as to the funding of the project and that they (the authors) were solely responsible for all data collection, design and submission approval writing for the project, also lending credibility to the study. The references used for this study were appropriate in age, of the 28; 13 were...
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...The continuum model of health insurance and managed care that best describes an efficient model is an open panel HMO. As Kongstevedt (2009) explains, an open panel HMO has been part of the health maintenance organization program which allows physicians to participate in the HMO program through the support of an independent practice association. A doctor who participates in this program not only is allowed to see HMO patients, but also those who are not HMO members. This option is in contrast to a closed panel HMO, in which the physician is linked directly to an HMO, and is under contract to see only HMO patients that are assigned to that doctor in the organization (p. 64, 65). An open panel HMO was not originally designed for a health maintenance...
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...|College of Natural Sciences | | |HCS/235 Version 3 | | |Health Care Delivery in the U.S. | Whenever there is a question about what and when assignments are due, please remember this syllabus is considered the ruling document along with your Instructors Policies and Course Requirements located in our Course-materials forum. You will also find our Course Calendar at the end of this Syllabus. This will assist you with when all assignments and DQ’s are due. Course Description This course provides a broad overview of the various functions of the United States health care system. The historical evolution of health care is examined. The student is introduced to the various forms of provider models and service delivery systems found in private and public health sectors, including ambulatory, acute, mental, and long-term care. The financing aspects of health care and their influence on health care delivery and quality are outlined. Policies Faculty and students will be held responsible for understanding and adhering to all policies contained within the following two documents: • University policies: You must be logged into the student website to view this document. • Instructor policies:...
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...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 to be placed in a long-term care facility. However, some...
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...Chapter 10, "Biomedical Research, Health Services Technology, and Technology Assessment" * Chapters 11, "Overview of the U.S. Health Services Delivery System" * Chapter 13, "Primary Care" * Chapter 14, "Secondary Care" * Chapter 15, "Long-Term Care" (pp. 349–369 only) * Chapter 16, "Tertiary Care" * Chapter 17, "Palliative Care" * Chapter 18, "The Care of Special Populations and Special Disorders" (pp. 399–406 only) * Chapter 19, "The Health Services Delivery System: How Managed Care Has Influenced Delivery" (Note: This chapter was assigned in a previous week; review it as needed with this week's focus in mind.) * Article: The Scan Foundation (2011). Improving the continuum of care: Progress on selected provisions of the affordable care act one year post-passage. http://www.thescanfoundation.org/improving-continuum-care-progress-selected-provisions-affordable-care-act-one-year-post-passage As you have learned, health care services are provided through a range of organizations. For this Discussion, you will consider how direct- and indirect-care organizations integrate by examining your own experiences as a health care consumer. Begin by brainstorming all the health care organizations that have helped to meet your health care needs within the last few months to one year. Consider the settings and providers you have visited, as well as how and when you have decided to utilize their services. Think about referrals and...
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...health care system is complex and fragmented. Navigating the system to achieve maximum health outcomes is challenging for most consumers. Two concepts designed to overcome barriers to quality health care are the continuum of care and continuity of care. The continuum of care refers to the variety of health care services across the life span. Continuity of care refers to provider and informational consistency within those services. Integrated delivery systems are health care delivery entities working together to promote continuity and coordination of care across the health care continuum. Continuum of Care The health care delivery components in the public and private sector health care systems provide services from preconception to death resulting in a lifetime continuum of health care services. Health services are available for every stage of life, health, and even death. Your texts organize the health services delivery system into primary, secondary, tertiary, long-term, and palliative care. Within that framework, health care delivery services can be categorized as ambulatory, acute, or long-term. Ambulatory care, such as visits to a physician's office, is defined as care that does not involve admission to an inpatient facility. Preventive care such as immunizations or screening, wellness exams, and other routine care are part of the ambulatory care domain. Medical and surgical procedures provided in outpatient facilities also are considered ambulatory care. Acute...
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...Understanding Continuum HCA/210 Understanding Long Term Care Long Term care is a range of services and support that patients may need as they age to meet there every day ADLs or Activities of Daily Living. Most long term care is not medical care it is care that is given to a patient that has had and acute or chronic illness. For examples if a patient gets in a car accident and becomes paralyzed from waist down they most likely will need assistance with bathing, dressing, toileting and eating those are examples of ADLs. What is Continuum of Care? Continuum of Care services in the U.S. is an integrated system of care that will guide and track a patient over time spanning all levels of intensity of care, providing a model to guide daily decisions about the patient’s healthcare delivery. Furthermore continuum of care is meant to guide post for a patient to have their overall care managed. For example a patient can receive assistance with basic care like setting up doctor’s appointments or more extensive care such as hospital care. What are the problems with Long Term? Long-term care is one of the greatest challenges facing the health care delivery system today because of the cost. With the rising cost of healthcare period in the U.S., long-term care services are more extensive due to the fact that many people are living longer this is causing a lot of work place shortages , quality of care is being jeopardize and also the financing is at...
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