Healthcare Utilization and Finance Western Governors University KOT 1 Task 2 Abstract Nurses today require more than just knowledge about and of medicine. As care providers and medical professionals, nurses are required to be knowledgeable in other areas, such as case management regarding insurance issues. Having the knowledge about insurance coverage such as Medicare A, B, D/Medicaid may be required dependent upon the area a nurse works in such as a physical rehabilitation, sub-acute care, and home health care nursing. Many patients may not have understanding of what services post-hospitalization or aftercare are covered by government insurance subsidies, this is where nurses having this knowledge can be of great benefit in assisting the patient obtain as much from the services as is allotted dependent on the type of insurance the patient has. Throughout this essay is discussion about two patient scenarios examining; a case with insurance and a case without insurance.
There are however various health care services in the United States designed to ensure that quality healthcare be given based on the patients’ illness and financial background. Though there are many healthcare agencies, two of these delivery systems will be addressed. Walk-in clinics are usually located in retail stores or pharmacies, designed to provide medical care to individuals who have non-life threatening and uncomplicated ailments. Most of the time, no appointment is needed allowing patients to come on a first come first serve basis, but the waiting may be long. At the same time walk-in clinics can be cost effective and affordable.
Interdisciplinary and Intradisciplinary Teams Jodi Honaker Ohio University NRSE 4510-1025 Interdisciplinary and Intradisciplinary Teams Healthcare today consists of both interdisciplinary and intradisciplinary teams. Although these healthcare teams function very differently, they are equally focused on giving the best patient care possible. The most important person in any team is the patient. Meticulous and Concise communication between all team members are key to a successful outcome. "Good communicators listen objectively, avoid making value judgments, and include patients in health care decisions" (Burkhardt & Nathaniel, 2014, p. 221).
Characteristics of the U.S. Health Care Delivery System Mariann Wright MGMT/6590 Emeka Onuorah May 12, 2013 The health care system is made up of four components which include financing, insurance, delivery, and payment. All four of these parts make up the health care delivery system. The two components I find to be the most important is insurance and delivery. Insurance acts as the middle man between providers that finance, deliver, and receive health care (Shi & Singh, 2012). Health care delivery is the relationship between patients and providers (Shi & Singh, 2012).
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.
On this unit I provide care to in patients with basic medical conditions as well as those recovering from all types of general, plastic and bariatric surgery. Northwest is in the last phase of transition to a paperless system. The electronic medical records at Northwest hospital center are computerized. Unlimited access to these computerized records is granted to not only employees but medical health
This is not the case in the U.S. The U.S. health care is a kaleidoscope of financing, insurance, delivery, and payment mechanisms that remain unstandardized and loosely coordinated. These functional components – financing, insurance, delivery, and payment represents an amalgam of public (government) and private of people resources. Government-run programs finance and insure health care for select groups of people who meet each program’s prescribed criteria for eligibility. Government programs also engage in delivering certain health services directly to the recipients of care, such as veterans, military personnel, and the uninsured who may depend on city and county hospitals or limited services offered by public health clinics.
Types of communication In society today there is an array of different healthcare settings that are used by the general public on a day to day basis. It is common that some of the health care settings available today are not known by everybody. However whether commonly known or not the types of communication used in each of the settings is very similar in the way it caters to all service users. These types of communication are written, oral, computerised and special methods. These types of communication come in different ways, the most common forms of communication given in health care settings are as follows: Leaflets: this is written communication.
Amy Bauer 16 February 2011 SCI 115 Professor: Susan Kennedy Personalized Medicine Personalized medicine is a medical model emphasizing in general the customization of healthcare, that have decisions and practices that are being tailored to individual patients in whatever ways possible. Recently, this has mainly involved the systematic use of genetic or other information about an individual patient to select or optimize that patient's preventative; extension of traditional approaches to understanding and treating illness. Since the beginning of the study of medicine, physicians have employed evidence found through observation to make a diagnosis or to prescribe treatment. In the past, this was presumably tailored to each individual, but personalized medicine makes treatment more specific. Over the years of medical care have been focuses on standards of care based on studies.
Some disadvantages of manual record keeping include; only being able to be used by one person at a time, easier to misplace, more storage space is required for paperwork and errors or more likely to occur to do misprints and bad writing (Administrative Medical Assisting). These disadvantages could put a company behind in work as well as out of business. Although electronic medical record keeping has been proven a success, there are still come disadvantages to consider. The electronic methods need protection to prevent loss of data, they