...Emerging Standards of Care: Cultural Competence Nur 531 July 29, 2013 Instructor Greg Friensz Emerging Standards of Care: Cultural Competence The current U.S. population exhibits unparalleled sociocultural and ethnic diversity, yet the nursing workforce fails to reflect the current state of the nation’s diversity. According to Clark, Calvillo, Fongwa, Kools, Dela Cruz, Lowe, and Mastel-Smith (2011) non-Hispanic Whites constitute 83.2% of the nursing workforce, although Hispanics, African Americans, American Indians, Asians, and other ethnic groups remain underrepresented. Nursing faces the challenge to meet the health care needs of such a culturally diverse population while promoting diversity in the workforce through educating nurses on cultural sensitivity and competence. Cultural competence in nursing is evolving as the standard of care. Nursing and other health care providers must employ knowledge of various social and cultural influences in the care setting to promote patient-centered care (Mitchell, Fioravanti, Founds, Hoffmann, & Libman, 2010). It is crucial to recognize and appreciate the relevance of diversity in the acute care setting to set standards of culturally competent nursing care, and improve care delivery through meeting and improving these standards. When examining definitions and concepts of cultural competence, it is evident that it not only pertains to race, sex, age, and ethnicity, but encompasses “other inseparable factors of culture...
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...Emerging Standards of Culturally Competent Care NUR/531 University of Phoenix Emerging Standards of Care: Cultural Competence The current U.S. population exhibits unparalleled sociocultural and ethnic diversity, yet the nursing workforce fails to reflect the current state of the nation’s diversity. According to Clark, Calvillo, Fongwa, Kools, Dela Cruz, Lowe, and Mastel-Smith (2011) non-Hispanic Whites constitute 83.2% of the nursing workforce, although Hispanics, African Americans, American Indians, Asians, and other ethnic groups remain underrepresented. Nursing faces the challenge to meet the health care needs of such a culturally diverse population while promoting diversity in the workforce through educating nurses on cultural sensitivity and competence. Cultural competence in nursing is evolving as the standard of care. Nursing and other health care providers must employ knowledge of various social and cultural influences in the care setting to promote patient-centered care (Mitchell, Fioravanti, Founds, Hoffmann, & Libman, 2010). It is crucial to recognize and appreciate the relevance of diversity in the acute care setting to set standards of culturally competent nursing care, and improve care delivery through meeting and improving these standards. Cultural Competence ...
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...disclaims any and all liabilities based on such information or on omissions therefrom. The recipient must not reproduce, disclose or distribute the information contained herein without the express prior written consent of McKinsey & Company, Inc. 12 Executive summary India Pharma 2020: Propelling access and acceptance, realising true potential 13 Global pharmaceutical markets are in the midst of major discontinuities. While growth in developed markets will slow down, emerging markets will become increasingly important in the coming decade. The Indian pharmaceuticals market, along with the markets of China, Brazil and Russia, will spearhead growth within these markets. The Indian pharmaceuticals market has characteristics that make it unique. First, branded generics dominate, making up for 70 to 80 per cent of the retail market. Second, local players have enjoyed a dominant position driven by formulation development capabilities and early investments. Third, price levels are low, driven by intense competition. While India ranks tenth globally in terms of value, it is ranked third in volumes. These characteristics present their own opportunities and challenges. In 2007, we undertook an exercise to assess the potential of the market by 2015. At that time, the country was beginning to witness...
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... The current situation of healthcare delivery systems that are focusing on quality, patient centered approach, effective and efficient care, access to care etc are all leading to integrated delivery system approach. In future also, the healthcare systems are expected to undergo a lot of changes and challenges to improve healthcare outcomes and serve the respective community according to its needs. There is a definite and obvious scope for integrated delivery system in the future, when on one hand there would be a whole new system of PPCA and its implications and also a great number of newly insured populations to accommodate. Along with that, there would be a lot of competition among the hospitals in certain areas such as adaptation of Electronic Health records and provision of quality health services to a large number of people. Integrated delivery system would seem to help overcome many obstacles in the way because it will be helpful to avoid fragmented care and duplication of services and as a result reduce cost and increase overall health outcomes. 1. Identify the largest for-profit as well as not-for-profit health systems in the United States. Provide specific information about each, including the number of hospitals, the number of employees, and total revenue. Compare these health systems and discuss the ones you think will grow at the fastest rates. The largest for profit health system in USA is “Hospital Corp. of America” that is based in Nashville, Tenn. The company...
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...Understanding the Patient Intake Process Name Axia College of University of Phoenix HCR 220 Date Tekne, a Greek word which means an art or craft is where the word technology is derived from. Technology is the study or science of crafting, which are logia. The way in which healthcare is delivered is changing due to clinical information technologies. In an effort to support advancement and innovation of technologies in healthcare, research organizations are creating networks of delivery systems and health plans. The focus of this clinical information technology is centered on a prevention-based, consumer driven model of healthcare. The innovation of new technologies is dependent on many factors: Clinical accountability, consumer demand, research programs, medical advancements, population health targets and the capacity and resources as an industry for technology development. Innovation stimulates the industry to produce large quantities of medical devices and therefore promote them to the healthcare providers. The “clinical pull” of technology, is sometimes impervious with the “technology push" because physicians often resist the change of new technology due to its significance or its impact on day-to-day workflow (Protti, D). With the accessibility of computers, physicians are now able to look up information on his or her patients. Some physicians do not have the capability to write electronic prescriptions or digital health records. Physicians...
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...Health & Medical Informatics Review Article Raghupathi and Raghupathi, J Health Med Informat 2013, 4:3 http://dx.doi.org/10.4172/2157-7420.1000132 Open Access An Overview of Health Analytics Wullianallur Raghupathi1* and Viju Raghupathi2 1 2 Graduate School of Business, Fordham University, New York, NY, USA Finance and business management, Brooklyn College, City University of New York, Brooklyn, NY, USA Abstract Objectives: We examine the emerging health analytics field by describing the different health analytics and providing examples of various applications. Methods: The paper discusses different definitions of health analytics, describes the four stages of health analytics, its architectural framework, development methodology, and examples in public health. Results: The paper provides a broad overview of health analytics for researchers and practitioners. Conclusions: Health analytics is rapidly emerging as a key and distinct application of health information technology. The key objective of health analytics is to gain insight for making informed healthcare decisions. Keywords: Data warehousing; ETL; Descriptive analytics; Discovery Introduction analytics; Health analytics; Informed decision; Insight; Predictive analytics; Prescriptive analytics management, and preventive care. In one scenario, for example, the use of health analytics technologies can ensure that emergency room doctors are briefed and ready to treat patients prior to their arrival...
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...Emerging Trends in Healthcare A Journey from Bench to Bedside 17 February 2011 © 2011 KPMG, an Indian Partnership and a member firm of the KPMG network of independent member firms affiliated with KPMG International Cooperative (“KPMG International”), a Swiss entity. All rights reserved. Acknowledgement India’s competitive advantage lies in the lower production and research cost, its large pool of low cost technical and scientifically trained personnel, and large number of compliance certified manufacturers and service providers, which make us different from others. ASSOCHAM feels that technology incubation is no longer confined to a few institutions; it is a responsibility that we have to share, if we wish to see a better and a healthy future ahead. There is an immense need to develop skilled manpower in the area of healthcare and modern as well as traditional medicines. I am glad that this Summit on Emerging trends in Healthcare will bring forth the journey from research desk to the bedside of patient, as we will look at healthcare at the frontline to identify some common challenges that may help explain the complex nature of healthcare and the scale of the “change” challenge. I wish to thank KPMG for unanimously contributing towards this Knowledge Paper, which gives a rich and comprehensive insight of the trend in healthcare. I would also take the opportunity to thank QCI for supporting this event. The case studies contributed providing the best of...
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...Point of Care Testing | Health Services Management Issues and Trends Fall 2011 | | The combining of Point of Care Testing and Health Care Clouds is an emerging trend and innovation that is driving Canada’s healthcare transformation from today into tomorrow….. Trends help to understand how things have been changing in various fields over a given time. There are many current trends in health care and those that address our most prevalent situations in healthcare today are those that bring “best practice” with “cost effectiveness”. Cost effective health care means ensuring the right service is efficiently provided at the right time, in the right place, by the most appropriate and least expensive combination of health care providers. One aspect of these emerging trends is Point-of-Care (POC) testing and POC diagnostics. For many years laboratory testing was performed by technologists in a central laboratory. This was necessary because of the complexity of the testing. Computer technology has now taken analysis from the laboratory to the patient’s bedside, the doctor’s office or the patient’s home. This testing is called point-of-care testing (POCT) and is defined as testing at the point where patient care is given, wherever may be. The POCT results are timely, allowing more time for rapid treatment of the patient. It empowers clinicians to make decisions at the “point-of-care” and has the potential to significantly impact health care delivery...
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...Kristine Vyers HCS/587 August 20, 2013 Organizational Change Plan -Part 1 Abstract Rapidly changing patient care environments result in significant ramifications for nursing team members caring for patients. These recent changes have refocused the current workflow views back onto inter-disciplinary teams, and collaborative working environments, and lead to a reexamination of nursing roles in the Long-Term Acute Care (LTAC) arena. Using action research methodology allows for the identification of areas of change, clarification of core and specialty skills, which in turn assist in the redefinition of nursing roles and eventually the adaption of a new nursing model. The new nursing model requires ongoing, detailed, and process driven education to establish and clarify the change objectives and new nursing roles. Quantitative and qualitative data collected from numerous sources, in conjunction with unit-based round tables, individual patients, nurse managers, and administrative interviews allows for consideration of multiple stakeholders. When patients vocalize a positive experience with services provided, this information helps to shape the new roles and responsibilities for the nursing teams. Proposed Change After the second California Medicare Services survey in 2013 major nursing deficiencies were highlighted between K Hospital’s patient acuities and the current staffing mix. In response to these specific deficiencies and under corporate direction an...
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...Merck: Business Analysis Tamikiia Brown MGT521 July 11, 2011 Sharon Palmitier Merck: Business Analysis Merck is a flourishing research-driven pharmaceutical company, which discovers, develops, manufacturers, and promotes an extensive variety of human and animal health products. Although Merck is one of the biggest pharmaceutical companies of the world, they still come across problems today while striving to sustain a lead against its competition. Merck has achieved success with its lengthy history of breakthrough drugs and the development of three significant pharmaceutical products: antibiotics, vitamins, and hormones. Merck’s success relies heavily on its management and how they modify the business model in place to that of the ever-changing economy. Influence of Economic Trends The global pharmaceutical market is likely to undergo a wide variety of changes with new competition arising in India, China, Malaysia, South Korea, and Indonesia. This new competition has a growing economy and has made a difference between the product cost and disposable income of consumers. According to NASDAQ (2011),“ Global pharmaceutical market sales are expected to grow at a 4-7% through the year 2013 largely being driven by the growing access to health care in emerging economic regions” (para. 2-5). Short-term growth within this area is stimulated by the United States market, as it continues to be the largest pharmaceutical market in the world. A focal point on research and...
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...analytics to look for sustainable solutions to such problems as pursuit public health, deciding and implementing more appropriate treatment methods for patients, supporting clinical enhancements, monitoring the protection of healthcare systems, reassuring...
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...IIM BANGALORE Final Report for Contemporary Concerns Study Project Repositioning Strategy for Indian Pharmaceutical Companies in Global Context Submitted to PROFESSOR MURALI PATIBANDLA (FACULTY,CORPORATE STRATEGY AND POLICY) Submitted By Ravela Madhurika- 1211132 Tanveer Mohd Ansari-1211151 Contents Introduction .................................................................................................................................................. 3 Global Pharma Industry ............................................................................................................................ 3 Major players of the world pharmaceutical industry ................................................................................... 5 Major Players ............................................................................................................................................ 6 Pfizer Inc................................................................................................................................................ 6 GlaxoSmithKline .................................................................................................................................... 6 Sanofi-Aventis ....................................................................................................................................... 6 Novartis ..............................................................................................................
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...Key Success Factors and Common Pitfalls for Health Care Businesses Overview Previous sections of this guide provide investors with tools for analyzing health-sector investment opportunities. This section deepens investor’s knowledge of the sector by presenting key elements of different types of health care businesses, including hospitals, clinics, laboratory and diagnostic facilities, pharmaceutical retailers and distributors, and medical education and training institutes. Each is characterized by distinct factors to consider when appraising credit and investment worthiness. A discussion follows of success factors and common mistakes that investors see in financing requests from each of these types of businesses. The box on this page describes one banker’s experience with health-sector borrowers in Uganda. Hospitals Key Elements for Analysis: Typically private hospitals earn revenue from inpatient and outpatient services, surgical procedures, diagnostic testing (laboratory and radiology), and drug sales. The number of beds defines the inpatient capacity, and bed occupancy rate and average length of stay are key metrics for determining inpatient numbers (a key revenue driver). Similarly, outpatient numbers and consultation fees drive outpatient revenue. Key profit centers are usually surgical procedures, diagnostic tests, and drug sales, rather than room rates and consultation fees. Because of the equipment and facility requirements, hospitals are generally much more capital...
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...Introduction 2 III. Macroeconomic Review 3 IV. Stock Market Analysis 6 V. Industry Analysis 8 VI. Company Strategic Analysis 10 VII. Company Financial Analysis 12 VIII. Application of Valuation Methodologies 13 IX. Conclusion and Recommendations 15 X. Exhibits 16 A. Exhibit A 17 B. Exhibit A 17 XI. References 18 Introduction Pfizer, headquartered in New York, NY, is committed to applying science and global resources to improve the health and well-being of individuals of all stages of life. Ian Read, CEO, leads the company through innovation and solid long term performances on the NYSE. Pfizer is also on the London, Euronext and Swiss exchanges. They make every effort to provide everybody with access to affordable, top of the line, safe remedies and health related services to those in need. Some of Pfizer’s most famous products include, Lipitor, Lyrica, Diflucan, Zithromax, Viagra, and Celebrex. Pfizer is committed to providing sustainable solutions to the biggest health issues in the world by continuously reviewing and updating their products and services to reduce their environmental footprints. The company maintains the highest ethical standards in all that they do such as sales and marketing to research and development. Pfizer, along with all industry players, are forced to comply with many laws regarding patenting, testing, safety, and efficacy. Pfizer is a leading innovator in the pharmaceutical field that offers a range of products...
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...the Study: The research has been conducted to assess the level of satisfaction that the patients are receiving from the ICDDR, B hospital sector. This study is conducted in consideration of the ICDDR, B’s successful implementation and continuous process of providing special care to lowest income people. This study contains graphs and figures and also some suggestions that can be taken by ICDDR, B in order to improve their service in their hospital sector. The Gaps model has been discussed, also the strategy by ICDDR, B has been put forward in this report. Using the data followed by the survey, we will be able to pinpoint the strong points of their service sector and specify the reasons of their success. Moreover, the study shall be a potent tool in providing other hospitals the specific strengths of their services. This study could be used as a benchmark for other hospital who have been struggling to deal with patients in terms of providing appropriate service. 1.2 Background of the Company: 1.3.1 About the Company’s Service Offerings Formation and other relevant information about the company’s operations: The International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR, B) is an international health research organization located in Dhaka, Bangladesh. Dedicated to saving lives through research and treatment, ICDDR, B addresses some of the most critical health concerns facing the world today, ranging from improving neonatal survival to HIV/AIDS. In...
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