...(2010). Understanding the U.S. health services system (4th ed.). Chicago: Health Administration Press. * Course Text: Understanding the U.S. Health Services System * * Chapter 8, "The Health Services Workforce" * Chapter 9, "Hospitals" (Note: This chapter was assigned in a previous week; review it as needed with this week's focus in mind.) * 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...
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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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... | | |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: This document is posted in the Course Materials forum...
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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 Long-term care is when an individual needs someone to help them with their physical and emotional needs for a long period of time. Patients need help with their everyday activities. Some examples of long-term care would be senior or nursing homes, assisted living and in-home nurses. In the United States, continuum of care is a concept involving an integrated system of care that guides and tracks patients over time through various services. It allows a patient to have their care managed effectively from basic care services, such as prescriptions to making appointments, to more advanced care services, such as hospital care, critical care or long-term care services. It creates a medical community where the doctors and ancillary staff, which are involved in a patient’s treatments, all communicate with one another regarding a patient’s health. Long-term health care is one of the greatest challenges facing the health care delivery system today. This is due to the aging population growing extremely fast. The first of the baby boomers generation is joining the already elderly in the retirement age and there are a lot more individuals from that generation to reach the retirement age as well. The resources used for long-term care are also extremely expensive. Long-term care costs the delivery system a huge amount of money. It requires many resources such as home care, assisted living, adult daycare, respite care, hospice care and nursing homes...
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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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...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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...necessity for long-term care is increasing which will require additional training and education for health care personnel, family members, and patients. Family members can have peace of mind knowing their family member will gain confidence in learning how to become accustomed to his or her new life while maintaining a quality continuum of care during and after treatment for physical, mental, or age associated illnesses. Long-term care is also known as personal assistant services and is defined as an individual who requires health care assistance for more than 90 days. Personal assistants provided to a patient help them with the activities of daily living (ADL) as well as instrumental activities of daily living (IADL). These activities may include personal care services like bathing, doing household chores, and other activities to help the patient remain independent while still residing in or near his or her home while maintaining the quality of care the person is accustomed to if there are no medical hindrances preventing it. Long-term care also includes community services, such as meals, adult day service programs, and transportation services (Austin & Wetle, "The long term care continuum, Who needs long-term care?," 2012). Residential facilities, such as skilled nursing facilities and assisted living facilities, also provide long-term care services along with housing ("National Clearinghouse For Long Term Care Information,” n.d.). Continuum of care services are utilized by...
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...The purpose of this paper is to submit a case study of a single parent facing health choices with limited resources and apply the Health Psychology four key frameworks. Fatima is the young mother who is making the choice to first feed her family and in the process is not addressing her own health symptoms that may put her at risk for serious consequences. In this paper we will look at options in her decision making that may improve both her health and her children’s and improve the family health future. The strategies will be developed from the text of Dr. Jane Ogden in The Psychology of Health and Illness and the Dr. Robert M Kaplan, “Health Psychology: Where Are We And Where Do We Go From Here?” and with the insightful work by Dr. Gabor Mate in When the Body Says NO: Exploring the Stress-Disease Connection Fatima and Health Challenges of a Single Parent...
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...differ from non-aboriginals in access to health care and overall health outcomes. Although the overall health of Aboriginals has been improving over the past 20 years (Health Canada, 2013), as a group, Aboriginal people still have the shortest life expectancies and poorest health (HCC, 2012). Literature and antidotal research as cited several factors they negatively affect health outcomes. An important barrier that this paper will discuss the concept of cultural safety as a barrier to access health care by Canadian Aboriginals. It will then define cultural safety and discuss the evolution of...
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...R T H E R N T E R R I T O R Y D E PA R T M E N T O F H E A LT H Health Promotion Strategic Framework 2011 - 2015 www.healthynt.nt.gov.au NT Department of Health Health Promotion Strategic Framework 2011 - 2015 Background This framework provides a structure for describing the type of health promotion actions that are used across the Northern Territory. It enables a shared understanding of the actions that can be taken to improve health and wellbeing. It also provides guidance about embedding a health promotion approach into all planning processes, programs and service development across the NT. While this framework is intended to be used within the health sector, we strongly encourage other sectors and agencies outside of the health domain to use the framework. This framework should be used in conjunction with health promotion audit tools and other health promotion resources available in the NT, such as the Public Health Bush Books and the Quality Improvement Program Planning System (QIPPS). It is also designed to be used as a guide, together with other local, regional and national frameworks, policies, strategies and resources. Why Health Promotion? The World Health Organisation (WHO) acknowledges the growing evidence that health promotion and preventive health approaches are effective in improving overall health and wellbeing, reducing the burden of chronic disease and injury, addressing health inequities, facilitating the better use of resources and enhancing economic...
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...Care Management Model Based on My Philosophy Care Management A shift from encounter based care to continuums of care is one of the biggest changes occurring in health care today. This change is driven by governmental legislation, payer incentives, and the recognized need by providers and healthcare systems. The lack of coordinated care results in medical errors, unnecessary procedures, and other forms of waste. This also creates higher costs for the patient, lower quality, and produces an unsatisfactory patient experience. A study performed by the Midwest Business Group on Health in collaboration with the Juran Institute revealed that 30% of all health care expenses result from poor quality care. In 2009, total health expenditures in the U.S. were $2.5 trillion. This means that $750 billion was the result of poor quality (Ralston & Park, 2011). Care Management Model Based on My Philosophy Case management and clinical pathways are strategies used to manage patient care. Although they use different approaches, both are related. The primary function of a case management program is to enhance the coordination of needed resources for patients and their families. Case managers facilitate access to services, both clinical and non-clinical, by connecting the individuals to resources that support him/her in playing an active role in the self-direction of his/her health care needs. Clinical pathways, on the other hand, are tools and systems. The tool reflects only part of the case...
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...Assignment 1 Chestnut Ridge Counseling Services (CRCSI) is a community mental health facility with three locations in Fayette County, PA. They are a 501 ©, nonprofit organization. They provide comprehensive behavioral health outpatient services in a professional, and compassionate manner to promote wellness and improve the quality of life of children/adolescents, young adults, adults and seniors (age 65 or older). The agency offers programs for persons with co-occurring mental and substance abuse disorders, persons with serious mental illness (SMI), those who have experienced trauma, and individuals with post-traumatic stress disorder (PTSD). They also provide assertive community treatment (ACT), consumer run (peer-support) services,...
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...Sciences HCS/531 Version 3 Health Care Organizations and Delivery Systems Copyright © 2012, 2011, 2007 by University of Phoenix. All rights reserved. Course Description This course is a comprehensive approach to health care delivery systems that provides the student with an in-depth understanding of health systems and organizations. Students will examine historical evolutions of the health care industry and recent impacts that influence the delivery of health care. 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: This document is posted in the Course Materials forum. University policies are subject to change. Be sure to read the policies at the beginning of each class. Policies may be slightly different depending on the modality in which you attend class. If you have recently changed modalities, read the policies governing your current class modality. Course Materials Shi, L., & Singh, D. A. (2012). Delivering health care in America: A systems approach (5th ed.). Boston, MA: Jones and Bartlett. All electronic materials are available on the student website. Assignment Breakdown Week One Individual Assignment: Significant Health Care Event Paper 10 Week Two Learning Team Assignment: The Evolution of Health Care Paper and Timeline 10 ...
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...Continuum of Care- Long-term Care Long-term care has and is continuing to become an important part of the continuum of care. Years ago Long-term care (LTC) was considered only to be for the elderly, but as time passes it is for anybody and everybody who needs it. Barton (2006) stated, “Regardless of the length of time (i.e., from weeks to years), long-term care is an array of services provided in a range of settings to individuals who have lost some capacity for independence due to injury, chronic illness, or condition” (p. 367). According to Barton (2006), it states that the services long-term care provides help the consumer with basic needs and shows the individuals how to do daily living activities, along with therapy and being able to manage their conditions. Today long-term care is serving consumers of all ages in home, community, and institutional settings (Barton, 2006). Long-term care has contributed to the continuum of care tremendously because it is offering an array of services for consumers in different places and not just focusing on one specific population. In the last few years long-term care has become more of a need for more than 12million people in the United States, and out of these 12 million people, five million of them are nearly disabled (Barton, 2006). Barton (2006) stated, “a significant proportion of people needing long-term care-nearly half –is younger than 65: 40 percent are working age adults and about 3 percent are children younger than age 18”...
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