...Healthcare in the US needs better management and more effective policy. Most people agree that Healthcare should be accessible to every American. However this is not the case. In the Health Care Systems class we discussed that medical payments are the number one reason people go bankrupt in America. This is an indication that Healthcare is not only inaccessible but it is not affordable to many Americans. This is a problem we need to fix as a country. As of where it stands now, healthcare is dependent on income. In a country where income inequality is a result of several factors such as where you were born, education, and race, this puts several millions of Americans at a disadvantage. There are inefficiencies within the system that prevent us from giving the highest quality of healthcare. It is hard to point the finger, but every party involved must take responsibility. One such area is in health informatics. We aren’t fully utilizing the data that providers and payers have. This could dramatically increase the quality of care. In my genetics class we talked about the amount of data they compiled to construct the human genome. They did this so efficiently that they were able to figure out if you were more likely to be conservative or liberal based on certain gene expression. If we were to utilize the data, the same way we used data to construct the human genome, we would be able to increase the quality of healthcare by a serious margin. My hope throughout this program is...
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...“Transformational change is associated with organizational restructuring and represents a broad and complex radical shift, as the organization “reinvents itself.” (Johnson, 2009) In the healthcare industry, things are changing every day. New technology, medication, and the way we deal with patients changes on a daily basis. Change is necessary because there are people behind the scenes always finding new ways to better improve the quality of care we give to our patients as well as creating new technology to help assist with the way we treat our patients. Adding and taking away from departments are changing as well. With change we may want to be uninterested with it, supportive of it, to be a participate in it, or unreceptive about it. Whether the case may be, change has increased and will continue to happen whether we like it or not. Throughout this paper I will discuss two healthcare organizations that have experienced change. “Effective change has been characterized as unfreezing old behaviors, introducing new ones, and refreezing them.” (Al-Abir, 2007) Change can be random, rare, occasional, or continuous. Change that are predictable allow preparation time, whereas change that is unpredictable may be difficult for everyone to respond effectively too. Since in healthcare changes happen so fast, they are more than likely predicable. Even though change is recognized, the employees what to be able to understand why change is occurring and how it will affect them in...
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...1. Introduction What is the goal or the idea behind risk management one of their focus is to reduce the financial risk other areas that may seem not important is the regulation. One of the principal issues facing health care risk management is governmental regulation. Over the last few decades, there has been a growing public demand for accountability in health care delivery. The consequent tightening of governmental regulation has led to a greater allocation of an organization's resources to regulatory compliance. Some states, including New York, enacted stringent incident reporting requirements for hospitals, requiring additional staff to investigate and prepare such reports. Additionally, competition among hospitals has also fostered a greater concern over the community's perception of quality of care. Many hospitals have had to compete harder for patients as inpatient lengths of stay decrease and more procedures are performed on an outpatient basis. Risk management in the health care In the past risk management and quality improvement job was separate in the health care organization. Even though, the job function may have been different the goal was the same. Managing risks is the quality of services provided & the safety of patients, their careers & visitors. To manage risks to staff & subsequent risks to service quality. To manage risk of failing to meet national & local priority targets to manage risks to the efficiency of services...
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...Healthcare for Canadians Vanessa Feliciano Rasmussen College H200/HSA2117 Author Note This assignment is being submitted on, 9/3/2014 for Prof. Kelly McGrath. Health care is a service business that exists to meet the necessities of the general public. In discussions of health care reform of the United States and the Canada is both countries' health care systems are different however, both countries appear to be similar, suggesting that it might be possible for the U.S. to adopt the Canadian system. Canada's healthcare has a great influence on the Canadian economy. Below are a few facts about the economy and health care (http://www.canadian-healthcare.org/page9.html): • Healthcare expenses in Canada average about $100 billion in 2001. •Approximately 9.5% of Canada's gross domestic product is spent on health care. In comparison, the United States spends close to 14% of its GDP on health care. •Individually, Canadians spend about $3300 per capita on health care. •At a local level, funding is between one-third and one-half of what provinces spend on social programs. •About three-quarters of all funding come from public sources, with the remainder from private sources such as businesses and private insurance. Insert in-text citation here for bulleted list. In 2013, Canada anticipated to exceed $211 billion in health care spending or $5,988 per person. Additionally, it has estimated to utilize 11.2% of Canada’s gross domestic product...
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...“Ruger Clinic” Rosalind Carter Ellis Dr. Merle Point HSA 525: Health Financial Management-Assignment # 2 January 28, 2012 Introduction: The Housekeeping Service department of Ruger Clinic, a multispecialty practice in Toledo, Ohio, had $100,000 in direct costs in 2007. These costs must be allocated to Ruger’s three revenue-producing patient services departments using the direct method. Two cost drivers are under consideration: patient services revenue and hours of housekeeping services used. The patient services departments generated $5million in total revenues in 2007, and to support these clinical activities, they used 5,000 hours of housekeeping services. 1 What is the value of the cost pool? The allocated amount of the cost pool is $100,000 which is the result of the Housekeeping Service department’s direct costs for 2007. 2 What is the allocation rate if: A. Patient services revenue is used as the cost driver? According to Gapenski (2008), the cost driver is the basis which the cost poll is allotted. Therefore, the 2007 cost pool allocation amount divided by the 2007 generated patient revenues will result in an allocation rate of 0.02 ($100,000 / $5,000,000 = 0.02) B. Hours of housekeeping services is used as the cost driver? The 2007 cost pool allocation amount divided by the total hours (cost driver) of housekeeping services will result in an allocation rate of $20.00 per hour ($100,000 / 5,000 = 20.) 3 What is a cost-volume-profit (CVP) analysis and why...
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...Running head: U.S. HEALTH CARE SYSTEMS Savetta Evans-Driffin Professor Mary Granoff HSA 500 April 28, 2013 Abstract In this paper I will identify and evaluate at least three forces that have affected the development of the health care system in the U.S. I will then speculate on whether or not the forces I identify and evaluate will continue to affect the health care system in the U.S. over the next decade. I will also include another force that I believe will impact the health care system of the nation. Lastly, I will evaluate the importance of technology in health care. 1. Identify and evaluate at least three (3) forces that have affected the development of the health care system in the U.S. Forces that have affected the development of the health care system in the U.S. are geography, language, and finances. One-fourth of the U.S. population lives in rural areas. Compared with urban Americans, rural residents have higher poverty rates, a larger percentage of elderly, tend to be in poorer health and face more difficulty getting to health services. The circumstance of where you live has a significant overall effect on the number of primary-care doctors, specialists, hospitals and other health resources available. In rural communities, lack of transportation and distance to an emergency room or a hospital can be important barriers to receiving prompt treatment. Specialty services, such as treatments for rare diseases or expensive diagnostic...
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...There is a growing scarcity in health care professionals in the United States, according to the Health Resources and Services Administration (HRSA), roughly 20 percent of Americans live in areas where there aren’t sufficient health care providers, sixteen percent have few dentist and 30 percent are in areas that lack mental health specialists. With a growing and aging population the demand for more physicians has increased around the U.S. These deficiencies of primary care and specialist have a major effect on patients. Per the Association of American Medical Colleges (AAMC), a study conducted suggests that by 2025 the United States faces a shortage of 46,000-90,000 physician. In the article “Are There Enough Doctors for the Newly Insured?” by Michael Ollove, he indicated that the “federal government estimates the physician supply will increase by 7 percent in the next 10 years. But the number of Americans over 65 will grow by about 36 percent, according to the U.S. Census Bureau”. This means that the aging baby boomers are growing rapidly and are in need for medical attention which is creating a problem for the current health care workforce. The Health Resources and Services Administration (HRSA) have developed shortage criteria called the Health Professional Shortage Areas (HPSAs) and the Medically Underserved Area, to determine if an area of population has a deficiency in health care providers. Per the HPSA, there should be 3,500 people for each primary care provider; no...
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...In spite of various medical advancements and technological innovations, America is yet to place a system that can easily deliver a high quality yet economical health care to its people. Health care should be as much about patient care as prevention. Prevention of diseases would make health care a lot easier as well as cost effective. In my opinion, health care at the end of the day should be simply about the patient and patient alone. It should be how professionals in the industry can deliver the best care to its sick people. Often we have seen that health care industry is only about efficiency and maximization of revenue by providing quick turnaround times. Patients may not have fully recovered especially from life threatening diseases for example Cancer and may have been released too quickly. With the advent of technology it has become easy for a patient for self diagnosis in the confines of his home. Smartphone, tablets as well as computers can be found in abundance. With the internet also readily available on these devices a great idea for accessing expert health care should be made available online, where a patient can consult a medical professional online regarding his or her symptoms and get a quick answer and if necessary visit a hospital or a clinic. Moreover, some diagnoses do not require visiting a health care institute for checking. For example, a Glucometer can easily measure the level of sugar present in a person’s blood almost instantly and accurately, as reported...
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...Funding the Rising Cost of Healthcare Kershena Thomas Health Services Organization May 18, 2014 Crystal Russell, Instructor Funding the Rising Cost of Healthcare The United States’ total health care cost is expected to rise to about $4.8 trillion in 2021. That increase will be up from $75 billion from the 1970s. Health care spending will be responsible for approximately 20 percent of gross domestic product (GDP), simply stated it will equate to approximately one-fifth of the U.S. economy (Galewitz, 2010). Nearly 51 percent of the country’s spending goes towards the cost of medical services provided by physicians and hospitals, while prescription drugs account for about 10 percent. Private hospitals only receive approximately 3.75 percent of the nation’s overall health care spending. Some consumers as well as employers face hardships trying to afford health insurance premiums; therefore, many employers are unable to afford to offer healthcare to their employees. This is especially common in companies that employ less than 10 employees. With the constant rise in healthcare cost, about 49 million Americans were uninsured in 2012, while those who were insured faced an increase of 7.2 percent causing costs to exceed $20,000 for families. A comprehensive analysis of the impact of health care reform and a synopsis of where healthcare would be without reform was conducted by The Council of Economic Advisers (CEA). The analysis also included a report that identified...
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...HMA1: Trends in Healthcare Western Governors University Healthcare Management Case Study HMA1 Linda Gunn August 21, 2010 HMA1: Trends in Healthcare The American healthcare system is in the midst of change. No other time in history has the call for healthcare reform been so strong. It is the emergence of expensive new technologies with an aging population and a new call for equitable quality access of health services for all citizens that have pushed for the impending change. Successful managers will need to understand the impetus for this change. The challenges will provide many opportunities for a manager that is properly prepared to lead and guide their organization. Model trends in the United States. Historically, the United State’s healthcare system has been provider dominated. Physicians ordered and directed care without concern for cost or resources. While complex and ever-changing, the focus was on treatment of infectious diseases such as polio, influenza, small pox. (Shortell & Kaluzny, 2006) Our current model of healthcare places much of the responsibility and burden of the cost of medical care on the individual. American healthcare spending approaches 17% of our gross domestic product (GDP), the highest of any member of the World Health Organization. Our performance consistently underperforms in comparison to our peer nations in such measures as life expectancy, infant mortality and overall level of health. (World Health Organization [WHO], 2000) ...
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...about the Affordable Care Act and Indian Health Care Improvement Act, which extends current law and authorizes new programs and services within the Indian Health Service. This information is all well written and easily accessible for the general public, members of IHS, providers, and also those looking for a career opportunity in this specific field. This site also provides legal information such as eligibility and legislation for IHS, which covers 566 federally, recognized tribes in 35 different states. Overall this site is credible and well put together in order to aid the public in learning more about the health system for Native Americans and Alaska Native. NBC News. (2014). Broken promises: Reservations lack basic care. Healthcare on NBC News. Retrieved from http://www.nbcnews.com/id/31210909/ns/ health-health_care/t/broken-promises-reservations-lack-basic- care/#.VIOJX4d692c This news article provides a real life example of the Indian Health Service system failing to provide proper care to a five-year-old girl on the Crow Reservation in Montana. The article goes on to discuss the legality and weaknesses that are highly present in the IHS and also refers to the “don’t get sick after June” concept that is said when federal dollars for this service run out. Provided these real life examples and detail research...
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...“Universal Healthcare” Synopsis: The essay, “A Universal Healthcare System: Is It Right for The United States?” by Marleise Rashford describes the positive effect of universal healthcare. In the essay she explains how a universal healthcare system will help this country. The United States is the only industrialize nation that does not provide healthcare for its citizens. She criticizes the American healthcare system. “The current American system cost too much, cover too little and excludes too many” according to Rashford. Marleise Rashford emphasizes that money is not the issue why America has not reform its health system. Corruption, lobbyist, and private insurances are the ones responsible for this. The essay mentions that 45 million Americans are uninsured. This essay will analyze and critique Rashford’s essay. I support the universal healthcare system. The United States is the only industrialized nation without universal healthcare. The United States ranks poorly compare to other industrialized nations on healthcare. Universal healthcare will cover all the American citizens. It will benefit the underprivileged citizens of this country. American citizens will have a longer life expectancy. Infant mortality rates will decrease. The United States is the only industrialized nation without universal...
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...Costs Of Healthcare Christine Amargo HCA305 The U.S. Health Care System Sherry Grover June 9, 2014 Everyone wants to have access to health care and in order to access it they need insurance, but unfortunately not everyone can afford health insurance. The United States spends more money on health care than any other country, but raise the cost of health insurance to the citizens. Health care should be affordable if the government is willing to spend as much money as they are on it. Health insurance should be able to affordable to all classes lower, middle, and higher. The citizens of the United States has the right to know why their insurances cost are going up and if they are going to get more bang for their buck. The reason why healthcare cost is rising each year is because no one is managing the spending. Money is being spent between all accounts of healthcare and shared amongst each other. There needs to be a line where companies stop spending and try to manage the money they have if they don’t the cost of healthcare will just keep rising. The primary issues of healthcare cost are access to healthcare, and affordability of healthcare. The United States health care spending has been growing rapidly for many years, but many citizens are without appropriate health care. This is affecting the two governments major health insurance Medicaid and Medicare and the private insurance companies. As the health care spending rises, the citizens will be faced with difficult choices...
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...Healthcare has played a pivotal role in my life for more than 7 years, both professionally and personally. Within these 7 years I have served as a healthcare personnel in 6 different organizations and I’m currently a member of Presence Resurrection medical center quality improvement team. These positions provided me the unique opportunity to experience healthcare from different perspective, both as a consumer and provider. During these 7 years I participated in "cutting edge" delivery systems that influenced not only individuals but health care organizations throughout the system. In 2013 I was tasked to develop an effective way of ensuring safety in a hospital based workplace; here, I championed a pioneering idea of implementing rotational evaluation of the personal protective equipment (PPE) on the unit to ensure that they are updated at all times for use. My Presentations to my manager was well appreciated and implemented; thus, the goal for Increase hygiene was met with great success. Personally, my experience in the world of consumer healthcare has been less than desirable. My father has undergone 8 total joint replacements in 2 different medical facilities. With my background in healthcare, I was took responsibility in evaluating the care he received. For the most part the nurses were attentive and able to anticipate his daily needs. They appropriately challenged him to push beyond his expected limits in order to utilize his rehabilitation to its fullest effect...
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...In contemporary healthcare, what is the role of information systems on productivity? Table of Contents Introduction 1 Literature review 2 Problem analysis and discussion 3 Electronic Health Records (EHR): 4 Computerized physician order entry (CPOE): 8 Conclusion 9 Recommendation 10 References 11 Introduction The healthcare industry is undergoing a drastic change in the modern world where the imprints of information technology (IT) are expanding and the combination of these two industries is leading to a new era of computerized hospital information systems. Baker (2008). The importance of information technology cannot be over emphasized for two major reasons, first, where a high level of accuracy is required (which can be fulfilled by digital mediums) and second, where a large size of transactional data exists and the requirement of analyzing this data supersedes (which can be fulfilled by having large databases and analyzing them using IT tools). There are numerous IT based applications in the environment and it has really become a challenge for the CTO of a healthcare facility to decide over the progressive plan for adoption of IT based systems in the purview of health information technology (HIT), computerized physicians order entry (CPOE), electronic health record (EHR) and many other similar programs found across the world. The primary question raised against any kind of IT investment is “how the proposed IT system will improve productivity...
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