The growth of managed care and payment mechanisms employed by insurers and other payers in an attempt to control the rate of health care spending has also had a major impact on health care utilization. Efforts by employers to increase managed care enrollment, as well as major Medicare and Medicaid cost containment efforts such as the Prospective Payment System for hospitals and the Resource Based Relative Value Scale for physician payment, created incentives to shift sites where services are provided. Clinical documentation in the health record is critical to the patient, the physician, and the healthcare organization. Hospitals, in particular, have become more dependent on physician (provider) documentation in order to comply with the Centers for Medicare and Medicaid Services (CMS) regulations regarding quality and reimbursement. Place of service affects your reimbursement: Facility, non-facility designations make a difference In 2008, the Office of Inspector General (OIG) for the department of Health and Human Services intends to focus on Place of Service errors for services submitted by physicians.
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
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.
Introduction of Capstone Project Roxane Spinelli Chamberlain College of Nursing Capstone NR660 Dr. Mikel Hand March 6, 2014 Introduction of Capstone Project Nursing is considered to be a challenging profession, due to the nurses working long hours caring for patients that are extremely ill and dying. There have been discussions among the experts on how to reduce job-related burnout and job dissatisfaction, decrease nurse workloads and improve patient safety. They have continued, stating there should be more nurses working in hospitals per patient. This is measured as the nurse-to-patient ratio. This can be described as one nurse taking care of x-amount of patients.
Many barriers/problems in the continuum of health care can arise that may affect the entire healthcare experience and effect patient outcomes. One barrier/problem is communication between health care providers as well as nurses and other medical staff about patients. For many reasons, such as needing a specialist, a patient may see more than one physician as well as different nurses; when this occurs a patient’s medical record is transferred between all medical staff responsible for the care of the patient through a process known as a handoff. According to the Agency of Healthcare Research and Quality a handoff is defined as “The transfer of information (along with authority and responsibility) during transitions in care across the continuum;
Next will be the discussion regarding the responsibilities of administrators and how to address employee problems. Finally, the essay will end on possible resolutions to confidentiality problems to limit future issues. Affected Population While exploring the concept of patient confidentiality, there are many individuals who are affected all across the country, particularly anyone in the health care field. The most notable are patients but physicians and health care employees run a close second mainly because they are handling patient files. Patient confidentiality includes any information such as test results, treatments, diagnoses, and personal information like name, age, and SS#s.
Frontline Caregivers: An Analysis of Turnover and Retention Frontline Caregivers: An Analysis of Turnover and Retention Introduction The turnover of employees in an organization is an inevitable event. However, the rate at which it occurs is a very critical trend that management should monitor closely. In the case of healthcare providers, the stability of their frontline caregivers contributes tremendously to the success or failure of the organization. For some time now, the rate of attrition has been high amongst nurses and certified nurses’ assistants. The high cost of replacing qualified nurses and certified nursing assistants should be a wakeup call for healthcare organizations to implement effective retention strategies.
The really hard part for patients with MS is how they are able to continue their lives and being able to adjust their lives to their disease. Often they will need help from the people close to them to be able to understand and accept that they have to find a new way of continuing their lives to accommodate their Multiple Sclerosis. MS sufferers usually become dependent of the people close to them and this leads now and again to stress in their relationships. Sometimes it can result in the breakdown of a relationship with a life partner. Multiple Sclerosis results in a person and their families going through a lot of physical, psychological and emotional hardship, caretakers can often feel trapped by the task of looking after a person with
As there are many people and there can be a clash of personalities, causing friction within the group. Here is an example of Tuckman’s group theory; There is a hospital ward where there a group of new nurses have started work. In the beginning there were conflicts between the staff, while people are settling down in their roles on the ward. Once the conflicts have been resolved the ward can run more smoothly as people know their place and how the ward runs. Also the goal for the ward team have been discovered.
Contemporary Issues in Adult Nursing: Preoperative Fasting Trends in healthcare are continually evolving and changing, these fluctuations can often have massive implications for nursing practice. How we practice as nurses is often dictated by new policy and guidelines which are brought about by the evolving healthcare system. For an issue to be contemporary it has to be occurring in the present and in the sense of nursing it would seem that many issues could be deemed as contemporary due to the ever fluctuating nature of our healthcare service. For the purpose of this assignment I am going to address the issue of pre-operative fasting and the tradition of fasting patients from midnight until surgery the following day. Evidence suggests that this practice is outdated and unnecessary but still the practice occurs on many surgical wards.