There is an increasing number of managed care organizations’ that are now emphasizing the physicians’ responsibility to oversee and control the patients access to further outside or special care needs. The reason for this is because the managed care organizations feel that hospital care and/or specialty care is too costly, and that only those who absolutely need further care should be the ones who receive it. Some feel that this method of care improves quality by necessity. They just may be right, especially when considering the skyrocketing healthcare costs along with the severe lack of healthcare coverage that is evident in the United States. The term "managed care" is used to describe a variety of techniques intended to reduce the cost of providing health benefits and improve the quality of care (Wikipedia, 2008).
According to them, nurses however much trained and experienced lack skills to manage and deal with complex living with multi-system diseases. Additionally, they think that having the nurses to perform independent prescriptions would be costly. They state that they would send their patients for multiple laboratory tests than necessary, hence making the health care costs to
Key words utilized during the search include alarm, fatigue, alarm fatigue, nursing, interruptions, & distractions. Throughout the hospital environment, there are many different noises and sounds to be heard. Many of those sounds heard by nurses, as well as patients and their families are coming from different machines, monitors and even patients. As the quality and number of monitors and special equipment continue to increase, so do the number of patients that are connected to them. This in turn exposes not only patients, but also nurses to a significant amount of noise and alarms, ultimately leading to the clinical problem called alarm fatigue.
Arbitrarily creating metrics for number of patients seen on specific wards coupled with the amount of supplies utilized and time spent on administrative functions, then using those metrics to determine when personnel needed to be fired (as a parallel to what Nardelli did to measure store’s performance) would lead to changes in the way people treated patients. This is not conducive to a Health Care setting. Most businesses could handle that if they are factory driven, or create a specific product away from the customer. When dealing with people, however, there has to be some flexibility with controls. Nardelli’s style does not lend itself well to a customer service environment overall.
The Spirit Catches You and You Fall Down The barrier of communication that results from cultural collusion is one of the most commonly-seen obstructions in providing timely and appropriate medical care for the patients. The cost is doubtless immense not only to the health of the patients themselves but also to the professional ethics of the hospital staff involved if delay or mistreatment occurs due to cultural difference. Therefore, it becomes extremely important to understand the difference between cultures so as to ensure quality medical treatments to all patients and ,in some extreme cases, prevent treatable illnesses from becoming life-threatening ones. The book" The Spirit Catches You and You Fall down " vividly illustrates the difficulties, brought about by cross-cultural misunderstanding, in providing medical treatment to a child from Laos, Lia, who is diagnosed with epilepsy, who, unfortunately, belongs to a religion that asserts epileptic attacks are perceived as evidence of the epileptic's ability to enter and journey momentarily into the spirit realm------hence the title "The Spirit Catches You and You Fall Down". In chapter 3 of the book, it reveals that Lia began having epileptic seizures when she was about 3 months old.
Davis as he will be responsible for the entire premium cost for his coverage. When people are unable to afford private healthcare insurance and have chronic health issues, the burden of the cost of the care for those individuals falls on the healthcare facility, the state and federal governments. If a facility receives reimbursement from state Medicaid or from Medicare, that facility cannot refuse to provide healthcare services to a patient with an emergent health condition. Patients who do not have health insurance will often avoid seeing a primary care provider until their care condition has become serious enough to require emergency care. When patients only seek healthcare from an emergency provider their care is more expensive and may be disjointed because emergency providers do not have access to a patient’s complete medical chart.
Once again the shortage in nursing will be a problem that affects this area as well. Quality care is the highest priority to NYM. It is apparent that they do everything they can to make quality care #1. Again comes the issue with the nursing shortage. Having such a strain on nursing makes unhappy nurses and it will show in patient care.
According to Ulrich and Zimring there are 600 articles that explain that the healthcare design can influence patient outcomes are published. When a hospital has a stressful environment to the patient’s healing process with loud intercom systems and machinery, long hallways that echo, bland colors and cramped rooms, it contributes to the patients stress level. These things will hinder a patients healing ability. Promoting and allow the patient to experience their spirituality and assisting them if needed will promote healing by allowing them a feeling of control and familiarity as being at
The health care environment has to change practice and tactics to remain viable by using evidenced-based business practice models to remain relevant. The tool assists leadership to deliberate issues and effectively distributes resources to areas in demand to mitigate financial loss resulting in poor quality of care. Currently the United States health care system is enduring significant nursing shortages that will have severe health care consequences on the Baby-Boomer generation.
That one receptionist can change the whole mood of the patient, which continuing on into the visit with the physician. This can make it hard for the physician to treat the patient because the patient may feel closed off now or less receptive to advice from the physician. So I would find interdependence very important knowledge to have in any health care field. Sensitivity is something that is necessary to have when dealing with others. In the health care field one needs to be aware of others feelings