Sunday, December 29, 2019
A Brief Note On Medicare And Medicaid Act Essay - 1564 Words
As with any job involving technology, and especially in the healthcare field, you can expect change. The economy, innovation, the government and competition among other healthcare facilities are all elements that will influence how a director does his or her specific job. Keeping in mind the end goal to do it effectively, you ll have to decide what areas will require your consideration as you gain experience in your field. Certain issues will turn out to be more essential than others. Here are a few patterns that you ought to know about: Medicare reimbursement With an ever aging population, changes in Medicare law will require a great amount of attention from administrators. Since Medicare and Medicaid are the most used insurance carriers for seniors and the debilitated, a great many individuals rely on it for their health services. This requires a large number of specialists, clinics and different offices to treat these patients and get paid by the government run Medicare and Medicaid services (Lee, 2016). The government has been delaying cuts in payment to physicians, however in the event that Medicare decides to change reimbursements these cuts could turn into a reality and could surpass 20 percent (Faigel, 2016). The effect on the healthcare field could be tremendous and top administrative staff should be ready to handle these big changes. Prescription Drug Costs The increasing expenses of physician prescribed drugs influence the patients who get them and theShow MoreRelatedApplication Of Public Policy Analysis4102 Words à |à 17 Pagesanalytical craft, but also the ability to present the policy in a standard format (see Dunn, Appendices 1ââ¬â4). This assignment will allow you to learn how to construct a policy document ââ¬â a policy brief ââ¬â and, in turn, present your analysis related to the policy matter under review and examination. The policy brief can be related to, or build upon, the policy focus that you identified and explored during Units 1ââ¬â7. You can choose any analytical tools that you have encountered throughout the course andRead MoreSubstance Use Disorders ( Sud )1020 Words à |à 5 Pagestreatable (Agley, 2016). Evidence Fortunately, several strategies aimed to prevent or treat SUDs are noted in the literature. For example, through integrated care, health care delivery settings can implement universal screening known as Screening, Brief, Intervention, and Referral to Treatment (SBIRT) (Ohio Department of Mental Health and Addiction Services [OhioMHAS], 2016; SAMSHA, n.d.). Other strategies include; integration of primary care and behavioral health models, expanded access to medication-assistedRead MoreThe Affordable Care Act5046 Words à |à 21 Pagesthis policy brief is to support Alabamaââ¬â¢s current decision to continue Medicaid Primary Care Parity, as first enacted by congress in 2010 to all states under section 1202 of the Affordable Care Act (ACA). However, as Alabama is facing budget cuts to its Medicaid services, supporting the ââ¬Å"Ensuring Access to Primary Care for Women and Children Actâ⬠will extend federally funded Medicaid primary care parity without harming the state bu dget and negate the consequences of limiting Medicaid enrollee accessRead MoreThe Patient Protection And Affordable Care Act Of 2010 Essay917 Words à |à 4 Pagesmeet these expectations, while also containing the rising costs of health care. The government has enacted new laws in attempts to provide incentives that base Medicare payments in part on quality. In fact, the Patient Protection and Affordable Care Act of 2010, requires the implementation of value-based purchasing (VBP), which bases Medicare reimbursement rates on the quality of care (Kennedy, Wetzel Wright, 2013). Hospitals may experience a decrease in revenue initially, however, it is theorizedRead MoreCurrent Policies Of The Affordable Care Act1969 Words à |à 8 PagesPortfolio: Current Policies; Future Impacts Although the Affordable Care Act (ACA) became law nearly five years ago, the rhetoric overt the law and its provisions continue in Congress and around every kitchen table in America. While no one disagrees the healthcare system prior to the passage of the ACA was flawed, healthcare reform under the ACA continues to evolve and is likely to continue evolving in the future. Despite this, it is the law, and the healthcare industry is doing its best to keepRead MorePatient Provider Relationships : Patients And Health Care Providers1248 Words à |à 5 Pagesconsidered disruptive and non-compliant in the past (Lee, 2015). In the 1960ââ¬â¢s, however the paradigm started to shift to a model that empowered patients (Lee, 2015). In recent years that shift has continued as the Patient Protection and Affordable Care Act of 2010 (ACA) has begun to tie reimbursement to providers with patient experience (Anhang-Price, et al., 2014). Consequently, establishing the patient as a partner in the h ealth care dynamic. Looking forward the implications of how this dynamicRead MoreMental Health Facility And The Emergency Room1512 Words à |à 7 Pageswould be provided under an inpatient stay. Patients are able to see their specialist that may have provided services while on the impatient wards. Mental health facilities have evolved over the last several hundred years. In 1965 the Mental Health Act was put in place. (A. Penden) It funded community mental health centers throughout the United States. (A. Penden) These outpatient mental health facilities are great places for those who suffer with certain mental illnesses that do not have to beRead MoreWhat Are Medical Practices Developed Managed Care Markets?2580 Words à |à 11 Pagesphysicians, reopens the door to churning, upcoding, excessive testing, and the well-known pathologies of unmanaged care. The groups of services commonly modified include obstetrics/gynecology (OB/GYN), pediatrics, and pathology.Across most payer types, Medicare payment policies on global surgical service definitions and the payment method for assistants-at-surgery were implemented by one-half of the adopters. It may have the effect of reducing access to specialty and tertiary care and pharmaceuticals. Read MoreGuidelines For Making Electronic Medical Records Easier For Patients3136 Words à |à 13 PagesUNIVERSITY OF ALABAMA AT BIRMINGHAM SCHOOL OF HEALTH PROFESSIONS POLICY BRIEF PROPOSAL TO MAKE ELECTRONIC MEDICAL RECORDS EASIER FOR PATIENTS AND OTHER PROVIDERS TO ACCESS MARY ZEIGLER PREPARED FOR: JUNE 2015 AHS 530: HEALTHCARE DELIVERY AND REIMBURSEMENT BRYAN K BRELAND SUMMER 2014 ââ¬Æ' GOAL STATEMENT The goal of this statement is to support Stage 3 Meaningful Use, which will allow patients to more readily access their health records, involve providers in more active exchangeRead MoreHow Technology Is The Future3613 Words à |à 15 Pagesgovââ¬â¢s section titled ââ¬Å"Medical Practice Efficiencies and Cost Savingsâ⬠, we see healthcare practices with EHR systems can expect: â⬠¢ Improved medical practice management through integrated scheduling systems that link appointments directly to progress notes, automate coding, and managed claims â⬠¢ Time savings with easier centralized chart management, condition-specific queries, and other shortcuts â⬠¢ Enhanced communication with other clinicians, labs, and health plans through: â⬠¢ Easy access to patient information
Saturday, December 21, 2019
The Background Of Mr. Bundy And A Short Synopsis Of His...
A.) Describe the background of Mr. Bundy and a short synopsis of his crimes Theodore Robert Cowell was born to Mother Eleanor Louise Cowell at Elizabeth Lund home for Unwed Mothers in Burlington, Vermont. Tedââ¬â¢s Mother was single at the time she conceived him, and during that time period it was immoral to be a single mother so her parents took care of Ted. He was under the impression that they were his parents and his Biological mother was his older sister, but in reality they were his grandparents. There was a rumor that Ted Bundy s Grandfather could be his biological father but that theory was never tested and Bundy s Father is still unknown. Later in his life his biological mother Eleanor Louise Cowell married Johnny Bundy who is Tedââ¬â¢sâ⬠¦show more contentâ⬠¦Ted couldnââ¬â¢t hold a job anywhere he went because of his social behavior problems. In 1967 Ted had his first serious relationship with ââ¬Å"Stephanie Brooksâ⬠aka Diana Marjorie Jean Edwards. About a year later she ended the relationship, graduated, and moved back home to California. Ted Bundy then fell into a deep depression and dropped out of college and went home. While he was home he uncovered the truth about his biological mother who he thought was his older sister. This is the turning point in his life. In 1968 he re-enrolled at the University of Washington to Major in Psychology. Bundy was attending school with Elizabeth Kloepfer; a divorced secretary with a child from a previous marriage. Ted graduated in 1972 from the University of Washington with a degree in psychology. Fall of 1973 he enrolled in law school at the University of Puget Sound; he did poorly and dropped out in the spring of 1974. Ted had relationships going with two women at this time and neither of them knew the other. He was dating Elizabeth but he was engaged to Stephanie Brooks whom he had gotten back together with while at UW. After Brooks broke off the engagement is when many young women started to disappear in the Pacific Northwest. Bundy murdered many women but his first known murder was in 1974 when he was 27 years old. Many of the women that he killed looked or identified with the first woman who broke up with him, ââ¬Å"Stephanie Brooksâ⬠,
Thursday, December 12, 2019
Charles Darwin Essay Natural Selection Example For Students
Charles Darwin Essay Natural Selection Darwin was born in Shrewsbury, Shropshire. He was the son of Robert WaringDarwin and his wife Susannah; and the grandson of the scientist Erasmus Darwin,and of the potter Josiah Wedgwood. His mother died when he was eight years old,and he was brought up by his sister. He was taught classics at Shrewsbury, thensent to Edinburgh to study medicine, which he hated, and a final attempt ateducating him was made by sending him to Christs College, Cambridge, to studytheology (1827). During that period he loved to collect plants, insects, andgeological specimens, guided by his cousin William Darwin Fox, an entomologist. His scientific inclinations were encouraged by his botany professor, JohnStevens Henslow, who was instrumental, depsite heavy paternal opposition, insecuring a place for Darwin as a naturalist on the surveying expedition of HMSBeagle to Patagonia (1831-6). Under Captain Robert Fitzroy, he visited Tenerife,the Cape Verde Is, Brazil, Montevideo, Tierra del Fuego, Buenos Aires,Valparaiso, Chile, the Galapagos, Tahiti, New Zealand, and Tasmania. In theKeeling Is he devised his theory of coral reefs. During this five-yearexpedition he obtained intimate knowledge of the fauna, flora, and geology ofmany lands, which equipped him for his later investigations. By 1846 he hadpublished several works on the geologcial and zoological descoveries of hisvoyage- works that placed him at once in the front rank of scientists. Hedeveloped a friendship with Sir Charles Lyell, became secretary of theGeological Society (1838-41), and in 1839 married his cousin Emma Wedgewood(1808-96). From 1842 he lived a t Down House, Downe, Kent, a country gentlemanamong his gardens, conservatories, pigeons, and fowls. The practical knowledgehe gained there, especially in variation and interbreeding, proved invaluable. Private means enabled him to devote himself to science, in spite of continuousill-health: it was not realized until after his death that he had suffered fromChagass diasease, which he had contracted from an insect bite while in SouthAmerica. At Down House he addressed himself to the great work of his life- theproblem of the origin of species. After five years of collecting the evidence,he began to speculate on the subject. In 1842 he drew up his observations insome short.
Thursday, December 5, 2019
Advanced Care Planning for Geriatrics Society - myassignmenthelp
Question: Discuss about theAdvanced Care Planning for Geriatrics Society. Answer: Introduction At first I would like to introduce myself Today I would like to have a small discussion regarding the advanced care planning while dealing with a patient having dementia. First I would like to define advanced care planning. It is nothing but taking decisions for your own health. The decisions solely depend upon you. This is about taking decisions about the type of care one wants to receive if he or she is unable to speak (Mullick, Martin Sallnow, 2013). We can take an example such as, if one is met with an accident, after which he or she is unable to speak, one can tell the health care providers or the caregivers regarding their wishes (Lovell Yates, 2014). Advanced care planning mainly includes: Obtaining information about the treatments that are life sustaining. Deciding what kind of a treatment one would opt for. Sharing the personal values with the loved ones. If one is unable to speak then completing the directives into writing and what type of interventions or treatments, one would like to choose. Decisions about the end of life care for the patients, who are terminally ill. Implications of the advanced care planning on health Advanced care planning can involve discussions regarding the end of life and provision of the early palliative care. Reaserches have suggested that Lack of end of life discussions and receipt of aggressive care at the time of end of life deteriorates the conditions of patients and do not help them to have a peaceful death (Bischoff et al., 2013). On the other hand the advanced care planning had been able to bring about better outcomes in the terminally ill patients, specially the patients suffering from diseases like cancer and neurodegenerative diseases (Houben et al., 2014). Communication about advanced care planning or end of life can be tough job for the family members or the loved ones but it should be kept in mind that, lack of understanding of the wishes of a person may result in devaluation of the person, loss in dignity of the person which can cause additional distress in the family members (Brinkman et al., 2014) Case study Today I would like to throw some light upon the case of Mr. Joseph. He as 85 years old and was suffering from acute dementia. He was facing with many troubles such as acute memory loss, cognitive impairment, inability to do even the simplest tasks. He supposedly had developed symptoms of kleptomaniac. All these reasons have led his withdrawal from the society. Currently his condition had deteriorated as he had stopped taking food and medications and he was under artificial life care support system. His daughter had reported, that the nurse that was taking care of Mr. Joseph had applied restraints on him and had tried to feed him forcibly, it was since then that Mr. Jospehs condition has deteriorated. Recently after consultation with the doctors Mr. Joseph and his daughter have wished for an end of the artificial life care support system. Discussion question Was the decision taken up by the doctors and Mr. Josephs daughter, right? It can be stated as a right decision as the decision would help Mr. Joseph to die peacefully. He thinks that he had already accomplished his goals in life and now he wants a peaceful death. It should be noted that such a decision would be useful in bringing about a dignified and peaceful death in the person. Conclusion Advanced care planning or end of life decisions can be painful for the patients and the family members and the doctors, but lack of perceptive of a persons desires can bring distress in the patients health. It can pose additional distress to the health care professionals. Hence advance care planning is important to reduce the distress and serve the dignity of the patient. References Bischoff, K. E., Sudore, R., Miao, Y., Boscardin, W. J., Smith, A. K. (2013). Advance care planning and the quality of end?of?life care in older adults.Journal of the American Geriatrics Society,61(2), 209-214. Brinkman-Stoppelenburg, A., Rietjens, J. A., van der Heide, A. (2014). The effects of advance care planning on end-of-life care: a systematic review.Palliative medicine,28(8), 1000-1025. Houben, C. H., Spruit, M. A., Groenen, M. T., Wouters, E. F., Janssen, D. J. (2014). Efficacy of advance care planning: a systematic review and meta-analysis.Journal of the American Medical Directors Association,15(7), 477-489. Lovell, A., Yates, P. (2014). Advance care planning in palliative care: a systematic literature review of the contextual factors influencing its uptake 20082012.Palliative medicine,28(8), 1026-1035. McMahan, R. D., Knight, S. J., Fried, T. R., Sudore, R. L. (2013). Advance care planning beyond advance directives: perspectives from patients and surrogates.Journal of pain and symptom management,46(3), 355-365. Mullick, A., Martin, J., Sallnow, L. (2013). Advance care planning.Bmj,347(7930), 28-32. Robinson, L., Dickinson, C., Bamford, C., Clark, A., Hughes, J., Exley, C. (2013). A qualitative study: professionals experiences of advance care planning in dementia and palliative care,a good idea in theory but.Palliative medicine,27(5), 401-408. van der Steen, J. T., van Soest-Poortvliet, M. C., Hallie-Heierman, M., Onwuteaka-Philipsen, B. D., Deliens, L., de Boer, M. E., ... de Vet, H. C. (2014). Factors associated with initiation of advance care planning in dementia: a systematic review.Journal of Alzheimer's Disease,40(3), 743-757.
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