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Patient Centered Medical Homes Term Paper

… Practices of this sort are equipped with an integrated health information technology system. In addition, are supported by an adequate payment arrangement that distinguishes the added value of patient-centered components (Bates, 2010).

In the model of patient centered medical home, the patient is put in the center of the care model where all of the needs and concerns are taken care of. The top priority is to satisfy the patients with quality care and safety. The treatment provided in PCMH are cost-efficient, in addition the physician payments reflects the PCMH's added value. In a PCMH, the patient works together with the family physician in order to ensure the wellness of a patient.

In 1967, the term medical home was made use of by the American…. [read more]

Holistic Nursing Care Plan Essay

… The hospice team assists in identification of strategies for coping. The hospice care team will instruct the patient to do the following: (1) Make an appointment with an attorney to prepare/update a durable power of attorney for financial decisions; (2) Update life insurance policies as needed; (3) Provide family and physician with copies of your advance directive; (3) Review health insurance so you know what is covered and what isn't; (4) Write down important information such as names of banks, where safe deposit keys are, names of attorneys, etc., and share it with someone trusted; (5) Talk with employer about disability and other benefits. (Wuerl, 2013, p.1)

Alternative Care Methods

Some of the alternative care methods that are used with terminally ill patients include energy…. [read more]

Majec Health Care Marketing Plan Business Plan

… MAJEC Health Care

Marketing Plan

The MAJECare device is worn by the patient and gathers information about their vital signs. When there is a change in their status, a signal is send first via Bluetooth to a nearby device (computer, tablet, smartphone) and communicated via the Internet to local medical authorities. The device therefore acts as a safeguard in case of heart attack, stroke or other catastrophic health event, allowing for more rapid emergency response. This security is valuable not just for those who are living independently, but even for those who are in assisted living situations as well. The safeguard is similar to the LifeAlert, except that instead of the patient pushing a button to signal emergency services, the signal is sent automatically when…. [read more]

Patient's History the Expanding Roles Essay

… What is important for the nurse taking the patient's history is to "…concentrate on symptoms and not on diagnosis," that way it can be certain the "no information is missed" (Craig, 44). In fact it is not the nurse's job to provide diagnosis. But when the patient says there are "palpitations," that gives the nurse the clue to proceed with specifics. Questions about the frequency of chest pains, about any trouble breathing the patient may have had, and questions about possible swelling and pain in the patient's lower legs are all relevant and should be addressed.

Regarding the palpitations, a question that has good value might be, "Was it sudden, or has it developed gradually?" Another might be, "How long does the sensation last… minutes,…. [read more]

Patient-Centered Medical Home Research Paper

… The NDP was a two-year pilot program initiated in 2006 by TransforMED, a division of AAFP. By the end of the study, the NDP model grew to be more similar to the AAFP model and the nationally accepted guidelines for the PCMH; Its current version is based on three pillars: patient-centered care, a whole person, orientation, and a continuous patient -- physician relationship.

After analysis, the NCQA approach emerged as the recommended model due to its specificity and comprehensiveness; some research suggests that the PCMH, and specifically the NCQA model, can achieve both increases in quality and reductions in cost (Ewing, 2013). The NCQA model for PCMHs is reflected in the evaluation's requirements. Each practice is graded on aspects of care delivery in six recognition…. [read more]

Healthcare Organizations Health Organizations Patient Essay

… For there to be service provision that has quality characteristics, then factors like implementation, monitoring, and planning, maintaining and even analysis of processes of care delivery have to be efficiently provided, as this will lead to effectiveness (Joint Commission Resources, 2006).

Patient Safety

In the process of attaining high levels of patient safety, there has to be prior identification of the potential risks surrounding the patient, and any actual risks thereafter. The causes of the risk have to be ascertained, and then safety measures could then be implemented. The safety of patients also includes the counter measures in case of health related emergencies experienced by patients.


For effective survey results, all sections of the tracer worksheet have to be noted and then analyzed. If…. [read more]

Public Health Evaluation Planned Parenthood Research Paper

… Planned Parenthood Federation of America (PPFA) was established in 1942. It was formerly a previous organization, the American Birth Control League, which was founded by Margaret Sanger in 1921 (Planned Parenthood, 2013). Sanger and her fellow founders of Planned Parenthood had to deal with tremendous controversy regarding their dispensing birth control. Sanger was even arrested for the activities of the clinic. This has clearly set the tone for the current organization today, which despite controversy, continues to help women with sexual health issues. It is now the American partner of the International Planned Parenthood Federation. The organization's headquarters are in Brooklyn, New York, but there are a total of 85 affiliate branches around the country (Richards, 2007). All over the country, it provides low cost…. [read more]

Employer Healthcare Benefit Plans Essay

… The process of the Medicaid expansion in its own entity will reduce the number of people who are uninsured down to 8 million again this estimate is relative to the status quo and its projection. Finally when we talk about the employer penalty, it is estimated to reduce down to 1.5 million in relation to the projection of the status quo (IDMC. 1987).

Premiums in the Non-group Market Also Decline

Since PPACA is based on phases, in this respect the non-group market is also expected to grow through major alterations. The major insurance

Market will change which includes guarantee issues, various community ratings and the premium rate banding system. This will however result in the younger and healthier people facing the highest premiums in the…. [read more]

President Obama's Health Care Plan Research Paper

… President Obama's health care plan basically follows the Democratic pattern which emphasizes on the remarkable and rapid increase of the number of people with health insurance through the significant spending of money upfront. This proposed health care reform plan will cost approximately $65 billion annually when fully adopted with the assumption that it will be paid from the system's savings. Given that America's health care system has long been considered as a disease care system, the health care reforms plan will ensure that patient chooses their doctors and receive health care without interference from the government. Additionally, the plan will enhance accountability of insurance companies and fortify employer-based health coverage.

According to the health care plan, nothing much will change for people who like their…. [read more]

Objective Term Paper

… " (Christensen, 2013, p. 1) However, as noted by Christensen not everyone purchasing insurance through the exchanges will be on the receiving end of a government subsidy. The result reported is that "people will be forced to see the doctors who agreed to the treat people for a low price rather than their favorite doctor or a specialist across town. The New York Times article freely quotes from consumer advocates who are outraged that these subsidized insurance plans will not be as generous in the choice of providers as those policies purchased in the private market." (Christensen, 2013, p. 1) Ritger states that the determination of whether the "quality of care in the new market is comparable to private offerings remains to be seen." (p.…. [read more]

Patient Centered Medical Homes (Pcmh) Essay

… Here the focus of the medical staff remains on the issue or disease that has brought the patient to the hospital. However, the notion of medical homes ensures that people receive health care by expert practitioners who are equivalently good as private doctors and their focus does not only remain on the disease or illness but they focus on the entire human body and follow up with the patients with checkups on regular basis. This allows the people to attain the facility of quality health care whilst paying small amounts of money for treatment s as compared to those charged by the private practitioners. Thus, the basic problem that is intended to be solved by the legislations and policies regarding medical homes is the inability…. [read more]

Patient Safety and Security Essay

… 7. Notify patients if their information has been accessed or used inappropriately.

8. Assure patients that the breach will be dealt with immediately.

9. Communicate any suggestions regarding these policies to superiors.

For administrative staff, the code of conduct is as follows:

1. Ensure that all computers and workstations are manned by at least one personnel member at all times.

2. Ensure that computers are switched off when your shift is completed.

3. Provide patients with accurate information regarding the security of their data.

4. Report any observed or suspected breach of information to superiors immediately.

5. Aid in any investigations that result from such reports.

6. Communicate any suggestions regarding these policies to superiors.

For temporary staff, the code of conduct is as follows:…. [read more]

Patient Falls Preventing Essay

… A form should be created from this information and added to the standard evaluation completed by the nursing staff. The patient's fall risk should then be indicated in a clear way. For instance, a specific color code on the patient's admission bracelet for those at a low or high risk for a fall. This ensures that all nurses will be immediately informed about that particular patient's condition and whether or not they pose a fall risk.

The third step is to set fall metric expectations for the nurses to uphold during their shift. The metrics should begin at 10% lower than the current fall rate and slowly reduce the amount to a pragmatic number of falls. Each nurse will be tracked during their shift and…. [read more]

Operational Plan and Correlating Budget Essay

… Budget plan

Budget plan

Year 1

Year 2

Year 3





Direct Cost




Medical/Clinical Payroll




Non-reusable Medical Equipment







Total Direct Cost




Gross Surplus




Gross Surplus %




Operating Expenses

Caretaking Expenses

Caretaking Payroll








Cleaning Supplies




Other Caretaking Expenses




Total Caretaking Expenses




Caretaking %




Administrative Expenses

Administrative Payroll




Other Expense Account








Property Taxes












Payroll Taxes




Grounds & Building Upkeep

$4,800…. [read more]

Nursing Care Plan Patient Assessment Essay

… The nursing care plan for asthma includes addressing daily activities of living in regards to breathing and communicating and involves the patient and her family understanding the use of oxygen and other breathing apparatuses including inhalers so that the patient can overcome asthma attacks and be reassured during these attacks to promote relaxation.


The RLT model employed is a successful model in the planning of nursing care in both of these conditions for the patient. All necessary elements of the nursing care plan have been addressed in these nursing care plans and each are appropriate for implementation for this patient. Family members have been consulted with and instructed as how they can best assist the patient and as well, other health care specialists have…. [read more]

Care: Issler Is a Patient Essay

… Third, patients are described by several characteristics that are linked and contribute to each other, which imply that they cannot be examined in isolation. Fourth, nurses are described on inter-related dimensions that develop the profile of the nurse. The final assumption is that the objective of nursing is to restore the patient to an optimal level of well-being as described by the patient.

The eight patient characteristics in AACN Model for Patient Care that describe the nursing practice include complexity, participation in care, vulnerability, predictability, resiliency, involvement in decision making, stability, and availability of resources. In contrast, the eight nurse competencies in the synergy model include clinical judgment, collaboration, caring practices, facilitation of learning, clinical inquiry, advocacy and moral agency, systems thinking, and response to…. [read more]

Obama Care Plan Health Term Paper

… According to Congressional Budget Office the plan will help reduce deficit by a startling $138 million over ten years (Health Care Reform, 2012). Although the statistics are subject to debate but the new plan ensures that costs are not distributed evenly but the plan actually helps in curbing the overspending crisis currently present in this particular industry. By cutting on the deficit our modern citizens can use money from bank at lower prices and bridging the deficit will help in improving the economic and employment status in the country.

Another extension of this argument is that Obama's plan helps curtail overpayment to insurers. In Bush's administration overpayment was of such nature that insurers were being subsidized for which the economy got nil benefits in return.…. [read more]

Hisory of Palliatve Care Palliative Ghost Writing

… Development of instrument that can be used in improvement of palliative care

There are legal standards that are being used in the United States to help sustain the lives of young children. Creation of machines to help in the program to sustain lives especially of those children suffering from long life diseases like cancer is the current project. This is an initiative taken by the pediatric palliative care department. The program will play a significant role in prolonging lives especially to those children with serious illness. Two instruments in the suggestion for use and reviews made to see the effectiveness. Parents and palliative care employees from various institutions gave opinions to act as a guideline on the effectiveness and progress. The instruments are essential in…. [read more]

Joint Commission Mandates for Patient Handoffs Business Plan

… Consequently, bedside handoffs can promote patient safety and also provide patients with a chance to discuss their status and ask questions of health care providers during bedside patient handoffs (Maxson et al., 2012). Moreover, conducting bedside patient handoffs has been shown to reduce readmission rates through improved coordination of care prior to discharge (Lattimer, 2009). In addition, as noted above, conducting bedside patient handoffs also improves patient satisfaction levels, which is yet another Joint Commission mandate.

There are significant patient privacy issues involved when evaluating and determining a patient's ability to understand health care information, but the need to identify health literacy levels in order to provide patient-centered supports generally outweighs these privacy considerations (Lattimer, 2009). In this regard, Lattimer (2009) stresses that, "The appropriate…. [read more]

Healthcare Reform "Simkins v. Moses Essay

… A patient in a critical health condition faces a critical health risks if not admitted into the hospital.

Issues Hospital and Physician confront when Discharging a Patient

Issue a physician and hospital may confront when discharging a patient is to fully understand whether the sickness will not return after a patient has been discharged. A hospital might also consider whether the medications prescribed for patients have side effects. To prevent this occurrence, a physician and hospital should advice a patient to visit the hospital regularly for a medical follow-up.

Conducting illegal or Unethical Practices

A physician has an obligation to report an unethical practice. Unethical practice that violates a state license provision should be reported to the state licensing board.

"It is appropriate to report…. [read more]

Workplace Demands Influences Patient Safety Essay

… This can specify minimum efficiency levels for healthcare specialists. likewise it can assist to form the companies where they work, and the devices (medicines and gadgets) they make use of expectations for to look after their clients (Lee, 2013). The standards and norms set by the healthcare experts affect the practice, training, as well as education for service providers. Therefore, societies need to become leaders in motivating and requiring renovations in patient safety, by such activities as setting their own efficiency criteria, assembling and interacting with members about safety, including focus on patient safety in training programs, and working together throughout disciplines. The activities of huge buyers of healthcare and healthcare insurance, along with activities by specific customers, likewise can influence the habits of healthcare…. [read more]

Elderly Care Discharging Case Study

… In the facility he will be in a position to access food at the appropriate time and all the food that he is required to take according to his condition. In the facility there is a surety that he will take all his medications as required since he will be under strict supervision.

There will also be regular checkups that are appropriate to ensure that he is in the path for recovery. There he will also be other patients in the facility that will keep him company and hence he will not feel isolated or bored. The environment will be relaxing and they can even be activities that they can take part in like indoor games. This will ensure a quick recovery for Mr. Trosack.(…. [read more]

Case Management Managed Care Research Paper

… Healthcare

The Impacts of Case Management and Managed Care on Health Care Cost Reduction

The United States has the priciest health care system in the world, with per capita health expenditures far above those of any other country. For a lot of years, U.S. health care expenditures have been rising faster than the overall rate of inflation in the economy. A few experts have disputed that high and rising costs are not such a grave problem. "Most observers disagree with this view, pointing to the negative impact of employee health care costs on employers, the government budgetary problems caused by rising health care expenditures, and an association between high health care costs and reduced access for individuals needing health services" (Bodenheimer, 2005).

Managing health care…. [read more]

End-Of-Life Health Care Imagine Essay

… Honoring the patient's wishes, withdrawing care, withholding care, or choosing long-term care facilities are all decisions with difficult ethical implications. Someone who is elderly or terminally ill can make these decisions easier for his or her loved ones by creating an advance directive, also known as a living will, that specifies what he or she wants.

To prevent conflicts between families and health care providers at the end of a person's life, families should discuss their issues and create an advance directive, also known as a living will. Once the advance directive is completed, the patient should discuss his or her wishes with the family and primary physician to let them know that the document exists and what it includes. Advance directives inform family members…. [read more]

Non-Compliance in Patients Research Paper

… Patient Noncompliance

Noncompliance in Patients

Advanced Practice Nursing represents a partnership between the patient and service provider. Many times the success of the treatment plan depends on the patient taking responsibility for compliance with certain prescribed actions. Examples of these actions include taking prescribed medication as directed, following a certain diet, or following an exercise regimen. If a patient does not follow the treatment plan, it can jeopardize the outcome of the treatment. Many physicians and other medical practitioners now view patient noncompliance as a breach of the relationship.

The practice of "firing" patients that do not follow recommended advice is becoming more common. This research will explore the practice of terminating patients for lack of compliance to prescribed medical treatments. It will explore the…. [read more]

Financing Structuring Health Care Essay

… For the patients this will translate into lower premiums and better coverage. The drawbacks of this kind of plan include: less choices for patients. This is because the health care provider and insurance carriers can have restrictions on certain kinds of doctors and treatments. In the event that someone is very ill, these kind of delays could make their underlying condition worse (leading to a reduction in the quality of care). ("Basic Types of Managed Care," 2009)

A PPO is providing patients with better choices and more services. For health care providers and insurance companies, this is assisting them to be able to streamline costs. As they can use their network of physicians to find someone that can provide the services patients require at an…. [read more]

Ebnhc Marketing Plan Marketing Plan

… EBNHC Marketing Plan

Overview of the Organization

The Eastern Boston Neighborhood Health Center (EBNHC) is a healthcare organization dedicated to provide the primary care to all people regardless of sex, language, age, place of origin or social circumstances. Eastern Boston Neighborhood Health Center was established in 1970 to address the critical need for the healthcare in the community. Since its formation, EBNHC has been a vital part of the community and the organization provides the high quality and easily accessible healthcare delivery for the community. Through the quality healthcare that the organization provides, Boston Neighborhood has become one of the largest healthcare deliver in the state. Over the past two decades, Boston Neighborhood receives over 300,000 patients yearly, and the organization delivers approximately 1,000 babies…. [read more]

Privatization of Healthcare Services Dissertation

… With this reality check and overall change in approach permissions were granted to individuals for setting up and running private hospitals with government regulations. This revived the private sector and many public institutions were privatized over night. Both types of institutions private and public still co-exist in China but number of private hospitals and clinics remain far greater. In most cities the private hospitals and clinics privatized at an incredible speed going from 40% of all institutions in 1998 to 56% private institutions in 2005, this rapid privatization led to establishment of un-registered private entities (Black Clinics). Earlier to 1980 there were four groups who were allowed to setup and run private practice; First group was individual practitioners with a license prior to the Cultural…. [read more]

United Healthcare Essay

… This has become obvious from an average job rate of 14% (Shi, 2007). Many groups, as well as the United Healthcare, are expressing their interests regarding the developing nursing predicament (Safavi, 2006). The IOM delivered a document in 1996 that documented the rank of determining the suitable nurse-patient ratios and delivery of skills for making sure that patients obtain health care that is quality. A lot of the stakeholders that are within the health care system, particularly Federal and State governments, nurse associations and accreditation organizations, are conscious of the lack of qualified nursing staff and connected difficulties and are vigorously looking for solutions (Safavi, 2006). Part of United Healthcare strategy is using the, Nurse Reinvestment Act, which Congress passed which has put into effect…. [read more]

Healthcare Health Care Law Ethics Essay

… As has been the case in many setups, where due to cost management and provision of services at lower rates a sharing a resources takes place, here too it seems that the "Center" has joined hand with the "Happy Family Health Plan" which in return has also been working and sharing its resources and vice versa with Tallahassee General Hospital.

The Tallahasse General Hospital is a Government owned and run hospital and is owned by the County. But the general concern of the hospital has been shown more towards the profits that they might be receiving from the few paying customers that they have, which they might lose to the Center in case collaboration is done between the two.

To avoid this collaboration an attack…. [read more]

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NOTE:  We can write a brand new paper on your exact topic!  More info.