The author will discuss the differences in Parts A, B, and D. Medicare Coverage Part A Medicare Part A is often called the hospital insurance because the coverage is primarily directed at hospital services. Part A covers inpatient care in a hospital, skilled nursing facility (SNF) and “Religious Nonmedical Health Care Institutions” ("Medicare Handbook," 2012, p. 27). In addition to this, Part A covers Home Health and Hospice care. This coverage includes all meals, a semi private room, medications administered during the inpatient stay and general nursing. The deductible that must be paid by the patient in 2013 is $1184.00.
Under this type of plan, a patient may see providers outside the plan, but the patient pays a higher portion of the fees: Preferred provider plan 12. Which of the following is mandatory for certain health professionals to practice in their field? Licensure 13. The National Practitioner Data Bank: Is accessible only to hospitals and health care plans 14. Licensure to practice medicine is done by: Each individual state 15.
Part A is the hospital insurance which helps pay for the in-patient care at a hospital or skilled nursing facility following a hospital stay, some in- home health care and hospice care. Part B is the medical insurance that helps pay for doctor visits and several other medical services and supplies that are not included by the hospital insurance. Part C also known as Medicare Advantage plan is like HMOs or PPOs and is offered by private companies approved by Medicare. The Medicare Advantage Plan provides all of Part A the hospital insurance, all of Part B medical insurance and may offer some extra coverage, such as vision, hearing, dental, and/or health and wellness programs as some include Medicare Part D, which is the prescription drug coverage. Part D is the prescription drug coverage that helps pay for doctor prescribed medications for treatment (Medicare, 2012).
Can an LPN do an admission assessment?” The notes/deficiencies identified by the auditor are as follows: “History and Physical not done within 24 hours of admission (>72 hours)”. Based on the results of this audit, the need for corrective action to resolve this issue is apparent. The Joint Commission standards state the following regarding admission assessment and nursing assessment: In standard PC.01.02.01 “The hospital assesses and reassesses its patients”, the provision for need of assessment as well as requirements for determination by the hospital of its scope for assessment and reassessment defined with written criteria. In standard PC 01.02.03 “The hospital assesses and reassesses its patients according to defined time limits”, provisions are made for time frames for completion and updating of assessments as well as history and physicals. (The patient receives a medical history and physical examination no more than 30 days prior to, or within 24 hours after, registration or inpatient admission, but prior to surgery or a procedure requiring anesthesia services.
Other factors include separation from family, anxiety, sense of isolation and stigma. Glynn et al (1997) investigated the effects on the rate of infection of certain known risk factors such as age, underlying disease, and length of hospital and the use of invasive procedures. He found that it was in the use of invasive devices, which increased the infection rate from one HAI per 100 patient’s episodes to 7.2, and goes on to state “this is important for nurses because they manage invasive devices, such as urinary catheters, intravascular cannulae, epidural cannulae, nasogastric tubes, and peg tubes, which often identify the early signs of infection” (McCullach, 1998). The (NMC 2002) states “nurses have a duty to safeguard the wellbeing of patients and have a due regard for the environment of care” Code of professional conduct. Nurses must be sure that they do not contribute to infection risks and must take care to prevent infection whenever possible.
Patients with all kinds of health history seek health care services from ER. Some of the common ER services seekers are patients with heart disease, stroke, broken bones, various viral and bacterial infections, and COPD. Most of the patients seeking health care from ER do not have family doctor. I think this is one reason that people need to wait long time in ER to get services that they need. Various procedure and diagnostic tests
Joint Commission Safety Goals in the Hospital Joint Commission Safety Goals in the Hospital The Joint Commission is an organization that audits, accredits, and certifies health care organizations in the United States. The main purpose of this commission is to ensure the safety of the patients in these facilities and improve health care delivered to the public. To fulfill its purpose, the Joint Commission issues safety goals for the prevention of medical errors in healthcare organizations. Two of the safety goals for hospitals are: identifying patients correctly, and using medications safely (“National Patient,” 2011). An Institute of Medicine report estimates that medical errors cost the nation 17 billion dollars in preventable medical errors each year (“A Guide,” 2011).
Medicare is a Federal Government program designed to cover people age 65 or older, people with certain disabilities and serious kidney failure. Within this program, there are four sub divisions also called “parts”. • Part A - cover hospital insurance such as hospital stays, nursing facilities, supplies, etc. • Part B – cover Supplementary Medical Insurance such as physician and nursing services, home – health services, outpatient visits. This part carries a deductible and a monthly premium.
I will explore elective admission that is the one that has been arranged in advance. It is not an emergency admission, a maternity admission or a transfer from a hospital bed in another health care provider . The period that the patient has to wait for admission depends on the demand on hospital resources and the facilities available to meet this demand in accordance to Health And Social Care Information Centre ( HSCIC 2012) . According to the NHS Information Centre, Hospital Episode Statistics for England, (HES 2011) during the period of August 2010 to July 2011, over 10 million people were admitted to hospital as elective admissions. These statistics represent individual people who have their own needs, but share the common need for their healthcare professional to provide expert care to them during their time in hospital.
• Overview of the different Medicare and Medicaid services Medicare covers the services such as lab tests, surgeries, and doctor visits (CMS.gov). Supplies such as wheelchairs and walkers that are considered medically necessary are also covered (CMS.gov). Other services covered are the following: Hospital Care Skilled Nursing Facility Care Nursing home care (as long as custodial care isn’t the only care needed) Hospice Home health services (CMS.gov) Medicare health plans cover: • Medicare Cost Plans • Demonstrations/Pilot Programs • Programs of All-inclusive Care for the Elderly (PACE) • Medication Therapy Management (CMS.gov) Medicare coverage is based on 3 main factors (CMS.gov): 1. Federal and state laws (CMS.gov). 2.