There are a lot of pros and cons of pay-for-performance in health care (see appendix for charts.) the chart will show what people think about pay-for-performance and the good they think it does for the health care system but it also shows the cons what people think is wrong with the pay-for-performance program. However, many are not satisfied by pay-for-performance including congress who are not on board with the Medicare reimbursement because the policy relies on the evidence-based medicine it is used to developed a “clinical practice guidelines and compensate health care providers according to their compliance with the best practices dictated by a
The Joint Commission (2012) defines risk management in healthcare as “the clinical and administrative acts undertaken to identify and evaluate the risk of injury to staff, patients and visitors and the risk to loss of the organization itself”. Studies have shown that the litigation against nursing homes is on the rise; thus making risk management very important in day to day care. Malpractice insurance premiums for nursing homes are also on the rise; this contributes to bankruptcy and forces many facilities to operate without malpractice coverage (Weinburg M.D & Levine, 2008). This threatens quality of care and access to healthcare for ill elderly people that need round the clock care. Effective risk management in a nursing home requires one to accurately
Currently, in the Obama administration, several acts have been passed to overhaul the healthcare system today. President Obama has also put healthcare reform as his top domestic priority. Both administrations, past and current, have attempted to enact several different policies in terms of healthcare reform; this essay seeks to examine the differences and similarities between the two while analyzing the social, economic, and political environments for the times the policies were discussed and/or implemented. Due to the increasing numbers of the population without healthcare, this problem continues to be an intense area of debate. According to author Michelle Andrews, healthcare remains a top domestic issue…but the candidates are focusing on major reform, and, when referring to healthcare reform, they generally focus on two primary areas: accessibility and affordability (Andrews, p.32).
N487 Module 1: Health Policy Decisions that have shaped U.S. Health Care Delivery & Nursing Practice Module Overview: In this first module we’ll begin with a review of how today’s U.S. health policy has evolved. We’ll learn about the public policy process and note how significantly public policy decisions are influenced by sociocultural, economic, legal and political factors. We’ll examine landmark policy decisions which created our current pluralistic health care financing system with multiple reimbursement programs on a continuum from exclusively individual financial responsibility to exclusively state-sponsored. And finally, we’ll review a sample of the health policies that authorize, define and regulate today’s nursing practice. Learning Objectives: After completion of the module, you should be able to… 1.
Socialized Medicine Socialized medicine has recently been a hot topic in today’s American Society. Many political leaders are pushing to have Americas health care system socialized. However many people feel that there are too many problems with it and do not want to separate from the American health care system. Both sides’ present good arguments as to why or why not America should convert to the socialized health care system. Created in 1970, socialized health plans provide free public healthcare.
Competency Differences between Associate Degree Nurses and Baccalaureate Degree Nurses Tracey Carpen Grand Canyon University Professional Dynamics NRS 430v Professor Pamela Williams November 20, 2011 Competency Differences Between Associate Degree Nurses and Baccalaureate Degree Nurses When there are government officials or people in various offices that want to make a change they are going to put information out to the public to back their agenda whether it’s right or wrong. There are too many factors that would need to be considered when comparing the differences in the skills of the associate-degree RN (ADN) and the bachelor-degree RN (BSN). To say patients lives are at risk because of the difference in degrees is too much for me to accept at this point. I have been an ADN for twenty three years. I had excellent nursing instructors.
However, going forward, especially in a time of reintroduced focus on cost control, effective treatment patterns and health care organization, the exposure of unethical practices is unavoidable, and the drug business will be obliged to follow harsher guidelines or face solemn consequences. One of the off label drug used in the field of gynecology is TAMOXIFEN. This drug is used in breast cancer treatment but few physicians are using them for female fertility as some preliminary researches have proven its beneficial action on ovaries to produce ova. Medical representatives visit the gynecologist and show them the positive literature but do not tell them that it’s not yet approved by drug administration for this purpose. Another example is MISOPROTOL.
However, there are many pros and cons to each side of the argument. Physician-assisted suicide is unethical based on the Hippocratic Oath, but is ethical based on the patient’s views – which sometimes outweigh the morals of a physician. Physician-assisted suicide first became an issue when our society decided that it was neither moral nor ethical for a physician to help end a terminally ill patient’s life. According to Katie Pickert, Dr. Jack Kevorkian brought lots of attention to the topic during the “epic assisted suicide battle of the 1990s” (1). People who argue with Kevorkian for physician-assisted suicide feel that by helping a patient end his or her life peacefully is helpful to family and friends.
Jerry was accused of a medical malpractice because of prescribing a refill without the authorization of a physician. There were many legal and ethical issues that affected the decision Jerry made in ordering the prescription refill, and the knowledge of right and wrong deterred Jerry from deciding to refill the prescription. There are several methods and types of values at hand that Jerry could have used to help him make an ethical decision. Determining the appropriate course to take when faced with a difficult ethical dilemma can be a challenge, but it is always important to engage in a carefully considered ethical decision-making. Everyday health care workers around the world are faced with tough decisions.
Japonica Grant English 1102 May 30, 2013 Dr. Mallory “Abortion has become one of the most controversial issues in American culture and politics today. This is due to people having their own beliefs and definitions of what an abortion really is. According to Medicine Plus, an abortion is a procedure to end a pregnancy. The procedure is done by a licensed health care professional. Since the U.S. Supreme court legalized abortions in 1973, competing groups have fought to either restrict or increase access to the procedure, leading to heated debates among religious organizations, political activists, state legislatures, and judges.” (Williams) There are times when a situation may occur where the child was not expectant, or a victim may have suffered through rape, which leads to pregnancy, or maybe the mother’s life is in danger.