...and other problems in the health care system, the quality of health care in the United States is better than it is anywhere else in the world and might be threatened by health reform. In fact, 55 percent of Americans surveyed last year said U.S. patients receive better quality of care than do those in other nations, even though only 45percent said they thought the United States had the world’s best health care system. The U.S. has the most expensive healthcare system in the entire world, and it’s just about twice as expensive as other countries. The administrative costs which are at 19-25% of the cost also 34% added for profit hospitals are the very reason why it’s so expensive. I will also add that South Africa as well as America is the only countries that will not provide healthcare for its citizens. “Despite ludicrous right-wing anecdotal claims of high dissatisfaction among those who live in countries with universal healthcare, the reality is that, with the exception of Italy, Americans are more dissatisfied with their healthcare than are the citizens of every other developed nation, including England, France, Germany, and Canada.”(Peter Hussey, 2004). Moreover, the quality of medical care will allow countries to do a comparison of performance to that of such with other countries. There is not a country that will really score consistently the best or worst overall to any other country. Each country has maybe one or two areas that need improving in and also learn from international...
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...2008-2009 brochures from the U.S. Bureau of Labor Statistics, nursing provide the largest percentage of healthcare employment, which is expected to rise considerably in the next decade. This seems to be the steps moving forward in nursing, as the need for training nurses’ jobs opens up with prospects. In health care the important purpose is to provide quality care and good medical attention to patients that is in need. Patients build a professional relationship with the staff and nurses who are assigned to physician to make sure patient have a good treatment plan. The medical profession as a registered nurse is described as detecting and treating individual reactions to real or possible health troubles. The health problems can be treated through services, such as health training, health guidance, and performing medical treatment. The treatments have to be ordered by a licensed doctor, or another health care provider authorized under this commissioner's regulations. Regulatory, statutory, and credentialing requirements are vital factors that involve registered nurses in this active healthcare atmosphere. The trial that deals with the job is to guarantee community safety through sensible results, to avoid over government and troublesome requirements (CNS, 2003). Registered Nurses obtained specialized clinical information and proficiency to provide healthcare. Registered nurses are required to obtain a master or doctorate degree. They develop their skills by indicating...
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...DISRUPTIVE PHYSICIAN By Irene Greenstein Risk Management in Healthcare Loyola School of Law Master in Jurisprudence in Health Law Dr. Blauhard's story… The Chief of Vascular surgery, Dr. Blauhard,, strode confidently down the central corridor of the operating theaters. Passing the open heart surgery rooms and the new hybrid theater he knew that his patient would be going to sleep in room 12, his room. The patient was lucky to have him as her surgeon. He had been vice-chairman of vascular surgery at a major university and had published extensively in his chosen field. He was viewed as a star. But he was not respected or revered or even liked by the staff at his new hospital. In fact, his behavior at the new hospital had been outrageous. He yelled. He criticized. He threw instruments. He humiliated nurses and technicians and even environmental services workers. He was insufferable to work with and for. So as he pushed through the doors into operating room 12 a sudden quiet fell and bodies tensed. The patient, scheduled for a popliteal aneurysm repair was fast asleep and intubated, sleeping deeply inhaling the agents that allowed the surgeons to invade and repair. The aneurysm pulsed quietly in the right leg, awaiting repair. The right leg was clearly marked across the front of the knee. But prior to prepping, the patient was rolled from the supine position into the prone position, effectively shifting the right leg to the left side of...
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...Quality in Healthcare HCA305 Instructor Steel Michelle Freezeland November 14, 2011 Quality in Healthcare Quality Analyze future trends in U.S. healthcare related to that one topic. How does the quality of healthcare in the United States compare to the quality of care in other industrialized nations? Focuses of facility sizes and procedures facility sizes to assist a growing population facility procedures to increase care Staff procedures to increase communication How can an acceptable quality of health care be assured for all? Through follow up procedures and through grade card procedures for physicians. Being sure that all care that is given is given the same for all. Will providing data in areas such as patient outcomes, compliance with national standards for preventive and chronic care, and comparative costs to the public be an acceptable measure of healthcare delivery outcomes? Yes, This gives ability for patients to view care and treatment of others For those that don’t know the facility well this kind of data can increase the ability to patients to view facility procerdures and doesn’t make the patient blindsided. Though physicians believed that only physicians could and should judge the quality of hospital medical care, they found participation in such hospital peer review activities a most disagreeable obligation. What were the problems with the process? Biasness of this statement They can judge the work being done the end result is judged...
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...(TQM) There are always great opportunities to improve the performance of healthcare in organizations. In today’s economy, coupled with overwhelming changes in healthcare policy, requires solid, on-going performance improvement in healthcare. What does that mean? It means healthcare providers at every level must examine their organizations from the most strategic level on down to the simplest routine process for opportunities to streamline, improve and optimize the care given and the costs associated with that care. I will later discuss three big ideas in order based on their greatest potential benefit in the healthcare organization which includes total quality management, outsourcing, and customer relationship management. Quality improvement in health care has developed gradually as emerging ideas have been explored and implemented within various clinical and non-clinical settings. One of the more recent methods of quality improvement which has been introduced into healthcare organizations is Six Sigma. Six Sigma is a rigorous set of processes and techniques to measure, improve, and control the quality of care and service based on what is important to the customer (Liberatore, Page 440). The goal of this approach is to bring procedures to defect-free levels by trying to eliminate variation in processes. Defects are seen as any factors which lead to customer dissatisfaction. Many processes in healthcare require a near-zero tolerance for error, especially in the clinical setting...
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...affected the nursing role and also their boundaries. Extending nursing role has happened in order to improve patient care. In Malaysia, registered nurses had given a credentialing to be able to undertake a wider range of clinical activity. The National Council of State Boards of Nursing has stated that definition of professional boundaries are the spaces between the nurses power and apply the following concepts are a spaces between nurses and a patient, nurses and doctor and also to other healthcare worker. College & Association of Registered Nurses of Alberta stated in their article “professional boundaries separate therapeutic behavior which well intentioned or not could lessen the benefit of care clients, families and communities”. Professional boundaries is a guideline for all nurses to perform their work as a professional without violent or crossing the limit of responsibility. Nurses need to practice and consistent with professional standards. Maintaining appropriate boundaries controls these power differentials and allows for a safe connection between the professional and client based on the client’s needs. Being a perioperative nurse since year 2000, I can see many changes in nursing policy and also the hierarchy of relationship between the nurse and doctor. The changes in healthcare context which have created negotiation space for nurses, leading to the evolution of new working relationship with...
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...The Quality and Safety Education for Nurses The overall goal through all phases of The Quality and Safety Education for Nurses (QSEN) is to address the challenge of preparing future nurses with the knowledge, skills and attitudes necessary to continuously improve the quality and safety of the healthcare systems in which they work. In order to accomplish this goal, six competencies were defined. These competencies from the Institute of Medicine (IOM) are patient centered care, teamwork and collaboration, evidence-based practice, quality improvement, informatics and safety. Over a decade has passed since the Institute of Medicine’s reports on the need to improve the American healthcare system. The Quality and Safety Education for Nurses (QSEN) initiative was developed with the goal of integrating quality and safety competencies into nursing education. All 6 attributes of QSEN are equally important although I believe that everything revolves around patient-centered care. Every individual responds differently to medication and different aspects of healthcare and we must use team work and collaboration to figure out what works best for that specific individual, we must use evidence-based care because like mentioned previously what might work for Mrs. Johnson might not work for Mr. Smith even though they have the same disease, we always have to improve our care and technology to find new ways and it is all for the patient. We must learn new information and how it pertains to the...
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...Murphy and Dr Paul Kavanagh, Head of Professional Competence at the Medical Council, explain the implications for health managers. Healthcare is changing. A generation ago, a doctor could complete training equipped with the knowledge and skills to remain fit-for-purpose throughout their career. Developments such as the internet now make it easier for doctors to access ever-accumulating bodies of knowledge from all over the globe which they can use to continually improve patient care. Similarly, patients’ expectations have changed as a result of being able to access an abundance of information about healthcare online. This progression in the doctor-patient relationship has created a need for transparent arrangements to help assure the public that doctors are keeping up-to-date and are committed to lifelong learning and skills development. Prof. Kieran C Murphy In May, the Medical Council will launch new professional competence schemes, which will be operated by Postgraduate Training Bodies. Registered medical practitioners will be subject to a statutory obligation to maintain professional competence. Health service managers will need to take cognisance that, for employed doctors, their employer will have a legal duty to facilitate the maintenance of professional competence. This development will positively impact the quality and safety of healthcare. The Medical Council consulted with a range of stakeholders including doctors and the public on the new professional competence schemes...
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...The New Role of the RN with A New BSN Degree [Name of Writer] [Name of Institution] The New Role of the RN with A New BSN Degree Introduction Quickly increasing the scientific knowledge and rising complications in healthcare authorize that the practiced nurses have power over the training for education corresponding with the branched out accountabilities that can be of necessity for them. Since the healthcare moves from the hospice-focused, in-patient management to extra initial and precautionary cure all through the society, the system of health care calls for registered nurses who are not merely capable of doing practice within numerous care settings- equally inside and further than the hospices- but are competent to work out with extra self-determination in clinical decision making, management of the cases, administration of un-licensed equipments and supplementary supporting staff, supply of direct bed-side healing, educating the sufferers by means of the labyrinth of the resources of health care, and guiding them on the procedures of treatment and implementation of hale and hearty styles of living. Above all, the grounding of the opening level qualified nurse calls for a superior direction to the community-centered initial care for health, and an impact on the promotion and preservation of health, and lucrative synchronized management. Role of RN with a BSN Degree Contrasting the graduate students of programs of associate degree nursing or diplomas...
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...Health Policy Letter Prepared Remarks: J. Jones, M.S.N., R.N. Compliance Officer, Impact Medical Group Safe Patient Handling and Mobility Program February 1, 2015 Impact Medical Group (IMG) has for several years been advocating for a Safe Patient Handling and Mobility (SPHM) program to create a safer culture within healthcare. Healthcare workers have been consistently identified by the United States Bureau of Statistics, based on the information from the Department of Labor Occupational Safety and Health Administration (OSHA), as having one of the most dangerous of all jobs in the United States (Fitzpatrick, 2014). The most frequent injury within this field is muscle strains and sprains to the back and shoulder during patient handling. Research-based evidence shows that lifting/handling tasks are physically demanding actions and result in injury and pain (Fitzpatrick, 2014). This is because of the frequency they are carried out and the weight involved. Spinal loading when performing various patient lifting tasks has been researched. No technique, including two-person lifting, was found to be safe (Fitzpatrick, 2014). The National Institute for Occupational Safety and Health (NIOSH) recently reviewed a lifting formula from the perspective of manual handing of patients. It concluded that the maximum weight for lifting in patient handling tasks was thirty-five pounds (Fitzpatrick, 2014). Currently, OSHA does not have a specific regulation about ergonomic hazards...
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...Law and Health Care System Administration Table of Contents I. Physician-Patient and Hospital- Patient Position II. Contract Principle and Breach Warranty III. Four elements of negligence IV. Governing board of a health care corporation I. Physician-Patient and Hospital- Patient Position As a health care administration, the importance of the physician-patient relationship is to agree to provide treatment in return for payment. Professional liability can arise if a contract is breach (Showalter, J.S. p.57). In the event if the absence of a contract between physician and patient, the law usually imposes other duties on the physician. In example physicians have no legal obligation to help accident victims. Laws in most states does not require them to be Good Samaritans. The character of the physician-patient relationship is creatively shaped by both of them in contrast to a simple merging of two different dynamics. As a result, everything that is generally known about the illness in question as well as respective therapeutic options can be transformed into something new to suit the individual situation of the patient. Whereas effect and efficacy of any medical action are accessible to objective proof, the actual benefit for the patient can only be assessed by an individual "measure of evaluation" which has to be taken into account in any consultation (Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz (2007). Hospital-Patient relationship...
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...the nurse practice act, Is it consistent with standards? Do you have current clinical skills to perform the act safely? Is the act with in in standard of care? Are you prepared to accept the consequences of your action? The six main categories of practice are assessment, Analysis, Outcome Identification, Planning, Implementation, and Evaluation. By implementing standards of care we are able to provide excellent care to out patients. Different entities that might be involved in developing a standard of practice are The American nurses Association and the Joint Commission on Accreditation of Healthcare Organization (JACHO) have established and recognized standards of care. Standards of care are found at the national and state level. State boards of nursing develop standards of care at the state level and enforce those standards. The American Nurse Credentialing Center (ANCC) work on the national level. Professional specialty nursing organizations, Educational institutions, state boards of nursing and other government agencies develop standards of care. American...
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...prohibited by the nurse practice act, Is it consistent with standards? Do you have current clinical skills to perform the act safely? Is the act with in in standard of care? Are you prepared to accept the consequences of your action? The six main categories of practice are assessment, Analysis, Outcome Identification, Planning, Implementation, and Evaluation. By implementing standards of care we are able to provide excellent care to out patients. Different entities that might be involved in developing a standard of practice are The American nurses Association and the Joint Commission on Accreditation of Healthcare Organization (JACHO) have established and recognized standards of care. Standards of care are found at the national and state level. State boards of nursing develop standards of care at the state level and enforce those standards. The American Nurse Credentialing Center (ANCC) work on the national level. Professional specialty nursing organizations, Educational institutions, state boards of nursing and other government agencies develop standards of care. American Nurses Association: Professional Standards (2014). Retrieved from http:// nursing world.org/nursing standards. Creasea, J.L., & Fridberg, E.E. (2011). Conceptual foundations: The bridge to professional nursing practice (5th ed). [Elsevier Mosby.]...
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...Case Example: Falls James Brown Measuring Performance Standards/HCS/588 July 10, 2013 Professor Mean Jeans Case Example Falls Patient falls during inpatient hospitalization has become a top safety issue for long term care facilities and hospitals. Inpatient falls have a major impact of length of stay (LOS) especially when fall-related injuries require additional tests (head trauma), surgical interventions (hip fractures), and therapy (physical and rehabilitation therapy). Reducing falls among inpatient (hospitalized patients) is a growing patient safety concern for health care organization. Today, health care organizations are being more proactive in reviewing, evaluating and implementing fall prevention program and strategies. Collecting and analyzing data are vital components for measuring, monitoring, and revising quality and improvement programs. The purpose of this paper is to analyze the case example Falls and examine the data collection methods used to monitor and revise quality improvement programs. Measures to Monitor and Revise Quality Program Implementation According to the Center for Disease Control and Prevention (CDC, 2010), falls are the leading cause of injury among individuals 65 years and older. Falls can result in severe injuries such as hip fractures and head trauma. The economic impact for medically treating and managing fall and fall-related injuries are astronomical. In 200, the U. S health care system spent over $23 billion dollars on falls...
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...HOME HEALTHCARE TENCY THOMAS AMERICAN SENTINEL UNIVERSITY HOME HEALTHCARE Home health care helps seniors live independently for as long as possible, given the limits of their medical condition. It covers a wide range of services and can often delay the need for long-term nursing home care. More specifically, home health care may include occupational and physical therapy, speech therapy, and even skilled nursing. It may involve helping the elderly with activities of daily living such as bathing, dressing, and eating, or it may include assistance with cooking, cleaning, other housekeeping jobs, and monitoring one’s daily regimen of prescription and over-the-counter medications. At this point, it is important to understand the difference between home health care and home care services. Although they sound the same (and home health care may include some home care services), home health care is more medically oriented. While home care typically includes chore and housecleaning services, home health care usually involves helping seniors recover from an illness or injury(Eldercare.gov, 2012). That is why the people who provide home health care are often licensed practical nurses, therapists, or home health aides. Most work for home health agencies, hospitals, or public health departments that are licensed by the state. When purchasing home health care directly from an individual provider (instead of through an agency), it is even more important to screen the person thoroughly. This...
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