At MGH the decline was 87.6% in 1988 to 78.4% in 1993 as well. Because of their high medical cost and lack of primary care physicians, 30% of the hospitals revenues were at risk, giving the opportunity to other hospitals to provide these services and create price competition based on Chapter 495. The reduction of gross patient service revenue at MGH and BWH were affected by the changes in government programs such as Medicare, Medicaid and the enactment of chapter 495. These programs along with many insurance companies adopted the Prospective Payment System (PPS) which began monitoring hospital charges and refusing payment for unnecessary services. The hospitals were receiving a standardized payment for each service
Care Delivery: Delegation Introduction The topic I have chosen to discuss in this essay is delegation, as from my experience this is one of the most complex nursing skills to develop, this claim is supported by literature (Weydt: 2010) Delegation is a suitable topic to discuss as it is a necessity for any nurse to be able to delegate effectively, especially in recent times in which nurses are stretched to their limits due to an increase in patient numbers and current government NHS cuts. The NHS is supposed to be protected from the public sector cuts, but new research shows that more than 50,000 jobs are disappearing from the NHS (Ramesh: 2011) Delegation has particular relevance to me as a third year student because knowing when, how and to whom you can delegate requires a complex understanding of the task in hand, the process of delegation, and the skills and existing workloads of the people available. It is especially important to achieve the right balance as a third year student, as delegating too much may result in a loss of control, while failing to delegate or not delegating enough can lead to duties not being completed. I will begin by discussing areas of delegation such as responsibility, accountability and authority. I will then move on to discuss aspects and principles of best practice.
There is currently a larger nurse-to-patient ratio than most nurses would like. Along with the stress and long hours associated with the career choice of nursing, nurse burnout is a very common complaint in today’s society. Nurses often complain of being short staffed and having too large of a patient load. Interest in this topic comes from wanting to pursue management at some point in my career and working on a floor in which a second shift nurse could have twelve patients. Not only will nurses feel better, but better patient outcomes occur when units are better staffed.
Raise funds The more volunteers you have within an organisation means that you have more people raising awareness which will the lead to an increase in the funds for the organisation. Also as you have more volunteers in the organisation it means that you will be encouraging others to volunteer. Raise funds The more volunteers you have within an organisation means that you have more people raising awareness which will the lead to an increase in the funds for the organisation. Also as you have more volunteers in the organisation it means that you will be encouraging others to volunteer. Provide time When someone volunteers it means that it provides extra time for people.
Access to Care Student’s name: Course: Institution: Date of Submission: ACCESS TO CARE Pros and Cons of Expanding HealthCare Increasing access to healthcare will mean that a large majority of people can access these services. There are about 45 million uninsured Americans and about 60 million become uninsured at some point in the year (Song & Smith, 2007). This suggests that these people cannot access proper healthcare. Expanding access will thus reduce this number thereby reducing the occurrence of preventable diseases (Nandi et al, 2009). It has also been established that people without insurance receive little care, get sick more often and thus die quicker (Gilfords et al, 2005).
As Baby Boomers grow old and the necessity for health care expands, the United States is expected to have a shortage of nurses. The shortage of nurses has been taking place since World War II, but the major impact to the health care systems have only started to show the past few years. According to Rosseter (2010), “Compounding the problem is the fact that nursing college and universities across the country are struggling to expand enrollment levels to meet the rising demand for nursing care” (p. 1). The reason for this is because there are not many educators to teach nursing. A future concern is the need of nurses is imagined to increase drastically over the next 25 years when the Baby Boomers arrive in their 60s.The common age for registered nurses (RN) is around 45 so the demand for nurses will continue to rise.
HRSA projects that, absent aggressive intervention, in the year 2020 the shortage will grow to more than 1 million RNs-representing a shortage of 36% (2). The “Baby boomers” are also aging and entering retirement. This has placed additional demand for the services of Nurses. Demands for Nurses is high and is expected to increase as more of the population gains access to healthcare reform. According to the American College of Nurses, “the nursing shortage is very real and very different from any experienced in the past and will grow more serious over the next 20 years” (3).
Everyone else may have to wait quite a while before being seen. In fact, the average wait for emergency treatment nationwide is about two hours. Demand for ED visits is on the rise and EDs are becoming overcrowded largely due to reduced inpatient capacity and impaired patient flow. The Institute of Medicine reports that American ED visits grew more than twice as fast as population between 1993 and 2003, and that 60% of hospitals operated at or over capacity in 2001. Several factors likely contribute to the rise in ED use, such as the increase in elderly and chronically ill Americans, overworked or lack of primary care
17, Issue 31). There is a direct correlation between poverty and rising health care costs that make it hard to afford the health care that is need for a family. This author wants to explore the affects this is having on our children, marriage and domestically. Review of literature Over the past 30 years researchers have demonstrated that the number of Americans without health insurance- mostly lower class has steadily risen. Economists estimate about 2 trillion will be spent on medical care in 2007.
The welfare programs had a drastic drop in recipients between 1996 and 2004 by 9 million cases, the “Welfare Revolution” (Cancian). During this time, millions had entered the labor market and began to learn how to benefit from federal aid programs (Cancian). In the 1990’s welfare gained much criticism because the recipients had felt that being on welfare was much more beneficial than being a part of the work force. Welfare income was exceeding the amount of income from the labor market and this was causing quite an issue. Women were choosing not to work in order to receive more welfare benefits long term (Cancian).