...Evaluating Results and Benefits 23 July 2013 Health-care providers each share one common goal, which is to provide high quality care to their patients. A very effective tool to use in accomplishing this task would be to measure the performance of the organization. Measuring performance will help them to determine how well the organization is accomplishing the established goals. It will allow for an analysis of where and what changes are needed to be made in order to improve performance and to improve the quality of the care provided. If the organization measured the performance, they would be able to understand what is working well in the organization and then they would be able to share what they have learned with other like organization in order for them to learn from their successes or failures. In my research, I found that there are several reasons for measuring performance within the healthcare field. The first reason is Quality Improvement, measuring performance will tell you what you are doing well in and will show you the areas where adjustments are needed. Measuring performance in the healthcare field tells you whether or not the organization is achieving the ultimate goal of improving patient care. Transparency is another reason I found for measuring performance within the healthcare field, stakeholders outside of the organization, funders, patients and patient advocates all want to know about the quality of care that is being provided. Patients are interested...
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...Essential Skills Reflection Name Institution Essential Skills Reflection For a nurse, higher education at the University of West London (UWL) has offered me a broader knowledge base that I will be able to apply to improve nursing care outcomes concerning patient care, quality standards, and other nursing skills. In this respect, graduating from a nursing program will offer me the opportunity to be a better healthcare practitioner and work within teams for the best outcomes. In fact, the higher education knowledge base that I will acquire upon graduation will make me more attractive to employers. In this case, employers will trust me with more responsibilities since I will know more about the patients’ overall conditions, work independently with minimal supervision, actively engage teams, and even make leadership decisions with regards to the direction that the care plan will take (Oermann 2015). As a result, the higher education program for nurses will make me more attractive to employers and enable me to get jobs with more responsibilities, work independently with minimal supervision, work within teams, and occupy leadership positions that come with the duty of decision-making. I have embarked on many endeavours in my life, but I believe that attending higher education at UWL has been the most rewarding as well as challenging mission. Not only have I gained valuable academic knowledge, but I have also learnt communication skills and how to apply them for the best outcomes in...
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...Managed Care Managed care “a health care system with administrative control over primary health care services in a medical group practice. The intention is to eliminate redundant facilities and services and to reduce costs. Health education and preventive medicine are emphasized. Patients may pay a flat fee for basic family care but may be charged additional fees for secondary care services.” http://medical-dictionary.thefreedictionary.com/managed There are many different definitions to what would be considered a managed care. The above is the best and most simple explanation. Providing quality health care services that are economically friendly to the participants are major components to a managed care, all while simplifying and arranging the services that are offered. Managed care programs aim to make sure there are certain standards in place, act as a monitoring service by measuring performance of health care institutions and make sure the cost is reasonable for the members. Some managed care programs also aid members in maintaining a healthy status through annual checkups and routine prevention checks. Managed care plans will often cover all or a large portion of health care services if the members of the plan stay within a certain network of physicians, providers and services. There are times when a manage care plan will allow the plan participants to seek health care services outside the network, however, these services are offered at lower coverage placing more...
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...School of Nursing Participates in professional organizations and activities that influence advanced practice nursing and/or health outcomes of a population focus. NONPF CORE COMPETENCY #2: Leadership NONPF Core Competency CATEGORY # II-7: Participates in professional organizations and activities that influence advanced practice nursing and/or health outcomes of a population focus DSGNE Program Outcome # 2: Utilize critical inquiry to advance the discipline and profession of nursing PYC Specialty Program Outcome # 2: Utilize an evidence-based approach to initiate change and improve primary care practice across the lifespan AACN Essential Standard # VI: Health Policy and Advocacy AACN Element # VI-5: Advocate for policies that improve the health of the public and the profession of nursing This Exhibit Contains: A membership certificate to the Coalition of Advanced Practice Nurses of Indiana (CAPNI). Rationale and Support: Joining professional organizations is a great way for advanced practice nurses to stay up to date on current healthcare information and share their ideas and opinions with other professionals. Professional organizations, such as CAPNI, provide numerous benefits for nurse practitioners. Becoming a member of a professional organization allows nurse practitioners to attend conferences and annual meeting with cohorts across the country. Attending these conferences is a great way to network with other professionals in the same field and...
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...Carl Taylor Reflection : Insights into primary health care : There is at least one common characteristic between different countries in the field of health is access to care. Needs of health are insufficiently covered by the provision of health services. Several policies have been implemented in this direction. Today, work focuses on the primary health care concept following the Alma Ata Declaration. The philosophy behind PHC (primary health care) is based upon: • holistic understanding and recognition of the multiple determinants of health • equity in health care • community participation and control over health services • focus on health promotion and disease prevention • accessible, affordable, acceptable technology • health services based upon research methods. These philosophical ideals have been variously interpreted into strategies and services which further the ideals. Primary health care strategies include needs based planning and decentralised management, education, intersectoral cooperation, multi-disciplinary heath workers and a balance between health promotion, disease prevention and treatment. Services to provide primary health care should be locally based, affordable and acceptable, well integrated and offer a multi-disciplinary range of care from health promotion to rehabilitation. This original ideal of primary health care has become known as comprehensive PHC. This is in contrast to selective primary health care which is more medically focused...
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...Perspectives on Latino Lay Health Promoter Programs Columbia Southern University Marketing Research and Comparative Strategy dba 8230 Angel H. Collado May, 13th 2014 Article reviewed by Angel H. Collado Carter-Pokras, O.D. PhD., Jashchek. G. MPH, Martinez, I. PhD., Brown P.B., Mora S.E. MA, MPH, Luciani, I. PA; Perspectives on Latino Health Promoter Programs: Maryland, 2009. American Journal of Public Health, 101(12), 2281-2286, doi:10.2105/AJPH.2011.300317 About the authors Carter-Pokras, Olivia.D. PhD. Belongs to the School of Public Health, University of Maryland, College Park, Department of Epidemiology and Biostatistics. Jashchek. Graciela MPH, is with the School of Public Health, University of Maryland, College Park. Martinez, Iveris L.PhD, belongs to Herbert Wertheim College of Medicine, Florida International University, Miami. Brown Pamela B., S.E., MA, MPH, with the Baltimore Medical System of Baltimore, MD. Luciani, Ileana, PA, is with the Latino Providers Network, Baltimore, MD. Newton , Nancy, consultant in Tekoma Park, MD. In this article it was summarize all the relevant information about the common practices and barriers in the design, implementation, monitoring, and evaluation of Latino lay health promoter programs. High rates of uninsurance, low levels of health literacy, and limited access to culturally and linguistically competent care place Latinos at risk for adverse health outcomes and underscore the need to improve access to health services and chronic...
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...Running head: Self Reflection 19 ones influence; love of all humanity means respect for the dignity of and sensitivity to the needs of others; and humility is the acknowledgement of our own limitations (“the more we know, the more there is to learn). (Cathcart, 2000; Welfel, 2010) Emerson said, “Desire is possibility seeking expression.” If a person truly wants something, the possibility of achieving or attaining it surely exists. Problems arise when people confuse probability with possibility and when they decide that we already know everything required to perform a task; far too many variables exist for people to really „know‟ everything required to resolve any one situation. As professionals, we must proceed cautiously and judiciously based on what we have learned about ourselves, our core beliefs and values, and the standards and guidelines of our professional associations; while listening to the messages the world is sending us from within, being realistically optimistic, and realizing that there is no limit to human possibilities and human potential. The ultimate power to achieve lies within each individual and can only be actualized by Self -exploration, Self -discovery, Self -motivation, Self -discipline, Self -mastery, Self- confidence, Self- understanding, Self- acceptance, and Self- realization. Without a set of values, these actions will lack direction and focus. Measuring them against a set of values requires that we, as professionals...
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...Art and Science Table of content pg.no Introduction 2 Description of incident 3 Feeling and thought 4 Evaluation 4 Analysis 8 Conclusion 10 Action Plan 11 Reference 12 Introduction Nursing is a great discipline and nurses have the honour and expertise in healing humans and bringing them back to normalcy (Reed P G, 2006). In discharging their duties effectively there is always a question that remains unresolved whether nursing should be approached as a science or an art or both? Academicians and practitioners stand on both sides and some tow along the middle path. Gary Rofle (2002) suggests that it’s not a pure science and discounts the opinion that nursing reflects technical rationality. He suggests that reflective learning, learning as an outcome of doing, which is closely related to art and which differs from individual to individual, dimension should also be considered. From the above discussion we can conclude that nursing...
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...Company Introduction, Market Segmentation, and Product Positioning MKT500 April 24, 2012 Executive Summary DTPME is a Christian owned and operated health care service company that serves in North Carolina and expanding into the Europe market. We will be serving an exclusive geographic segment of the multi-billion dollar health care industry, and will create value for our clients by offering quality, reliable health care products supported with top notch service and a 100% satisfaction guarantee. DTPME customer base will be individuals and families, which may need additional monitoring in case of an emergency who may be coping with an acute or chronic illness, recovering from surgery or an injury, or assistance with basic everyday living needs. DTPME was formed as an incorporated organization with three owners. DTPME’s current location, with 500 employees in a 150,000 square foot building, is located in Raleigh, NC. DTPME partnered with German institute Fraunhofer to develop this new medical alert pendant and bracelet that has a built-in sensor with a camera. DTPME has kept abreast of the current and future technologies in healthcare equipment and will offer the latest medical alert device to customers. Current market research indicates that within the next year, technology will grow significantly in terms of the devices that will connect the healthcare providers to patients. DTPME will also be positioned as a distributor of this device...
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...healthcare, patient perceptions as well as structures or systems of organization is undertaken (Centers for Medicare & Medicaid Services, 2016). The Centers for Medicare & Medicaid Services, on their website explain that those parameters are chosen as they are related the goals defined for healthcare quality. Quality measures are classified into four general categories namely structural, process, outcome and patient experience (Morris & Bailey, 2014). Structural measures seek to acquaint consumers with the healthcare provider’s systems, processes and overall capacity to dispense high quality care. Process measures on the other hand give an indication of the steps the provider takes to maintain or improve health for the healthy and the unwell respectively (Agency for Healthcare Research and Quality, 2015). The agency also defines outcome measures as the type of measure that give a reflection of impact that healthcare services have on the status of the patient. Finally, patient experience measures give feedback from patients on their experiences as they received healthcare services, inclusive of its interpersonal dimension (Morris & Bailey, 2014). This report takes particular interest in the structural measure and the process measures of healthcare quality. Process is the exchange and all the activities that...
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...encompass decision making within nursing practice. Cullum et al (2007) identifies four requirements:-Clinical experience, valid researched evidence, available resources and lastly but no less important the patient preferences and experiences. The area of clinical practice to be studied is within a community district nursing team consisting of 7 qualified nurses and 3 health care assistants. The location is situated within a seaside town with a large population of over 65 year olds. Through clinical experience, the author has found a flaw in quality of care when nursing staff are using the overview assessment document which has been adapted from the single assessment process produced by the Department of Health (DOH, 2002). When assessing nutrition there is a series of six questions and an asterisk to consider the “Malnutrition Universal Screening Tool” (MUST, 2003) however experience in practice would suggest the tool (MUST, 2003) isn't used and a local unknown screening tool is used on some rare occasions. The author feels management of these vulnerable patients is lacking and in order to improve patient care a clarification of guidance and service change maybe required. Exploring Cullum's (2007) theory of decision making, the author needs to justify the service change with valid researched evidence. As a nurse in practice it can be...
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...Problem Employees Required Reading: Marquis, B.L. & Huston, C.J. (2015). Leadership Roles and Management Functions in Nursing: Theory and Application, 8th ed. Philadelphia: Wolters Kluwer. Chapters 23, 24 & 25 Recommended Reading: Institute of Medicine (1999). To Err is Human: Building A Safer Health System. Washington, D.C.: National Academy Press | | Student Response | Objectives | Discuss concepts of quality control, quality assurance and quality improvement. Chapter 23 | Discuss the following:Quality control - refers to activities that are used to evaluate, monitor, or regulate services rendered to consumers.Quality Assurance - Quality assurance models seek to ensure that quality currently exists.Quality Improvement - assume that the process is ongoing and quality can always be improvedDefine the following terminology * Critical Event Analysis – process used to determines discrepancies between care provided and unit standards. * Root Cause Analysis – process used to obtain further information regarding why the standard was not met. * Benchmark - the process of measuring products, practices, and services against best-performing organizations. A tool for identifying desired standards of organizational performance. * Standard - predetermined level of excellence that serves as a guide for practice. Standards have distinguishing characteristics; they are predetermined, established by an authority...
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...education have discovered the need to address teaching strategies that focus on the new generation of students. In teaching an undergraduate course on Nursing the Client with a Mental Illness, the affective domain of learning is used to develop interpersonal competence, self-awareness, and self-reflection. The teaching technique used is an experiential exercise that asks students to create group mandalas using art materials on circular pieces of butcher-block paper. The mandala concept is derived from the Buddhist tradition and means “circle” or “center” in Sanskrit. Carl Jung introduced this technique to the United States and incorporated it into his therapy. As a creative, active learning strategy, the mandalas helped the faculty meet the clinical objectives for the course and the learning needs of a new generation of students. They also helped students learn about Eastern philosophy, group process, self-awareness, and Jungian therapy. F Received: June 20, 2002 Accepted: May 19, 2003 Ms. Marshall is Assistant Professor, University of Texas Health Science Center, San Antonio, Texas. Address correspondence to Margaret Cole Marshall, MS, APRN, BC, Assistant Professor, University of Texas Health Science Center, San Antonio, 7702 Floyd Curl Drive, MC 7951, San Antonio, TX 78229; e-mail: marshall@uthscsa.edu. aculty in undergraduate education are finding the need to address teaching strategies that focus on students’ learning styles, technological expertise, and critical thinking...
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...performance and ethics (2004) and will be used for students and new staff within the practice setting. The NMC publication Nursing: Towards 2015 (2007) debates on the future of pre-registered nurse education therefore the innovation can be adapted for all staff.It will demonstrate achievement of the learning outcomes (6.1) The development of effective relationships with learners within the context of practice, (6.2) The opportunities and limitations of practice as a dynamic learning environment in relation to the facilitation and evaluation of learning in practice and (6.5) Examine a range of methods of assessment and select those which are appropriate to assessing knowledge, skills and values. It has been created as the Primary Care Trust has an existing pack but it is merely a welcome pack which lists information about the organisation, link tutors and spoke placements and fails to address the individual learning need and style. Previous ideas and suggestions of students and team members have been considered, in addition to a recent team audit on student experiences and the pack will be an overall strategic plan for the department. The pack (appendix 1) will include a welcome letter, list of staff and contact numbers, mission statement, map of area, bus timetables, hours of working, and uniform requirement. It will also include an outline of the learning opportunities and the role and responsibility of the district nurse. Documentation will have to be...
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...The following Profit and Loss Statement for ‘Nursing Salaries and Supplies’ summarizes the cost variances of price, efficiency, and volume. From these variances a projected total loss of $6,730.00 was calculated; Nursing salaries being the primary cause for budget overage. “The following three major factors influence costs: input prices- evaluate what portion, if any, of that increase was controllable or avoidable, productivity of inputs- measuring productivity has become increasingly important in the healthcare industry as a result of the emphasis on cost containment, and output levels- any increase in the number of services required per unit of output directly affects costs. Cost increases could have resulted from higher prices paid for inputs such as wage and salary” (Cleverley, Song, & Cleverley, p. 384). Supplies came within budget with profit of $1,040. In general, the primary reason for a cost change at the departmental level between two periods can be stated as a function of the following three factors (Cleverley et al., 2011, p. 386): 1. Changes in input prices 2. Changes in input productivity (efficiency) 3. Changes in departmental volume Below is the breakdown of salaries and supplies: Actual Cost for Nursing Unit Actual Month’s Cost Nursing Unit Number 6 Actual Patient Days 600 Resource Quantity Used Unit Cost Total Cost Head nurse 180 $36.00 $6,480 RN 1,800 32.00 57,600 LPN 1,200 16.20 19,440 Aides 2...
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