| History Of Managed Health Care In The United States | Medical Insurance | Professor SpeedTuesday AM | Autumn Brooks | | | While I have only briefly been studying Medical Insurance, I have been made aware of many legislations and laws that have moved our Managed Health Care towards a more proactive future. Whereas the first Medical Insurance started in 1860 with the Franklin Health Assurance Company of Massachusetts; Managed Health Care was not put into action until 1973 with the Health Maintenance Organization Assistance Act. This set the foundation for offering primary care for our Nation by replacing fee-for-service plans with more affordable quality care, as well as allowing the consumer to control their own healthcare costs. (Green & Rowell) “The Health Maintenance Organization Act of 1973 (P.L. 93-222), signed by President Nixon on December 29, 1973, is the first major health legislation enacted by the 93d Congress.
They provide technical assistance such as: Quality improvement, data management, public health law, human resources management and policy development. The local health department work directly with the population by providing services such as: child immunization, family planning, WIC, sexually transmitted disease testing and treatment for tuberculosis but all depend on the geographic area which means that not every local health department offer all the listed services above. State health department are in charge of manage birth, death, diseases prevention and control, etc. In the other hands local health departments are providing direct services to the population. Florida State Health Department provide aid by identifying health risks in the community; maintaining a safe and healthful environment; detecting, investigating, and preventing the spread of disease; promoting healthy lifestyles; providing primary care for individuals with limited access to such care from the private sector; and ensuring that health care practitioners meet the requirements for providing adequate care; informing the public on health issues.
The recovery model was also chosen to highlight a model of rehabilitation which signifies the current times. What’s more, a statement in A Vision for Change (2006 pg: 106) which reads “With appropriate recovery-oriented programmes, many could reach a level of functioning sufficient to live and enjoy a more independent life in the community”, appeared to mirror what the writer believes to be the way forward for those people who have spent many years in hospitals across the country unnecessarily. Background and rationale The vision for change policy (MHC 2006) outlines plans for ward closures to aid in re placing clients in a community setting. This was following on from the previous publication of planning for the future, which did indeed decrease the number of long stay in patients significantly to the community (DOH, 1984). This move and the original plans did not however take fully into account the necessity for rehabilitation, especially for the elderly or people with an intellectual disability.
140). The mission and Vision of Riverside County Regional Medical Center is to provide superior quality health care and services to Riverside County residents with a special focus on individuals and populations in need. As part of our professional nursing role it is our responsibility to identify the needs of the CHF patients and to develop projects to meet those needs in order to maximize their access to health care. Providing free transportation services to those patients who are unable to get the their appointments is fulfilling that mission and vision. In return allowing these patients to be able to receive the health care they require to manage their disease and symptoms in order to decrease their exacerbations and
Florence Nightingale Fighting Cholera in Haiti What is the goal of nursing? Well, according to Florence Nightingale, one of the most revolutionary theorists in nursing history, it is “to put the patient in the best condition for nature to act upon him” (Nightingale, 1860). There are many new and advance technological procedures available in homes and health care environments to help treat patients, and for them to recover quickly. However, sometimes it is the simple health practices that are able to keep individuals at their best possible state. Florence Nightingale develops an understanding that the environment directly affects a patient’s wellbeing over 100 years ago; her observations are still relevant in today’s healthcare environments.
Reimbursement and Pay-for-performance Theresa Kilgo HCS/531 December 16, 2013 Dr. Rachael Kehoe Reimbursement and Pay-for-performance There are a lot of problems within the health care system that State, Federal, and Local governments are trying to correct the matter by moving away from the fee-for-services model and move to the pay-for-service model. One of the problems is cost and efficiency of health care, and one of the ways that they are trying to fix the problem is with pay-for-performance. That can be defined as an incentive that provide financial funds to health care providers to carry out improvements focused on achieving prime patient issues, this program is widespread and many states have adopted the program, and many have a report that they have seen an increase in quality of care. This program was created to improve the healthcare systems, however, many authors have different meanings and roles of pay-for-performance but all agree on the definition and function of the program, “the objective of pay-for-performance initiatives is to link reimbursement to quality and efficiency as an incentive to improve the quality of health care, as well as reduce system wide costs” (Shi & Singh, 2012, p. 237). There are a lot of pros and cons of pay-for-performance in health care (see appendix for charts.)
In order to improve the nation’s health and end the disproportion in health care to vulnerable populations, the social determinants of health must be addressed foremost in order to achieve an understanding of the issues that are affecting so many Americans and what must be done in the fight toward equality in the U.S. health care delivery system. All of the social factors are a part of a cycle, one affecting the other. Elements of each social factor influence the others in a specific way. These social factors mainly affect the underserved populations of racial and ethnic minorities, women and children, rural residents, the uninsured, homeless peoples, mental health patients, patients with chronic illness or disabilities, and HIV/AIDs patients. In the U.S., social factors are associated with lower overall health care usage and access (Shi & Singh, 2010).
Ohio Community and Public Health NUR/408 Ohio Community and Public Health As health care progresses, community and public health nursing has continued to evolve from providing basic needs to delivering advanced health care to: individual patients, families, and entire communities. By focusing on a single patient or a community nurses can practice health promotion for an entire population. This integration of such skills are very difficult and not only aid individuals and communities but are also relevant to the entire wellbeing of public health as a whole. Even though public health has been around since the establishment of the United States; most citizens do not realize how long community and public health nurses have been practicing
Patients are obligated to pay for the services they receive in health care facilities. Some patients pay these costs themselves, whereas others have medical insurance to cover expenses. During my friends’ illness, at times she could not handle filling out forms and the financial preparation for her care. An administrative staff member at the facility she received the most of her care from provided so much needed basic information with forms, insurance and options available that the medical billing process was handled with ease. She not only lifted a burden of the process but also provided her a perspective for figuring out what she needed to do to continue to get care.
The authors remind us that medical professionals are aware of the topics that lead to health disparities such as discrimination, racism, and residential segregation and in fact, medical professionals have contributed to these ideals throughout the history of the profession (Garcia and Sharif e27). Therefore, it is the responsibility of the professionals in the field to do what they can to confront racism, since, they also helped to promote such health disparities in the past (Garcia and Sharif e29). The authors also urge medical professionals to participate in different activities such as community outreach and research that will advocate for policies to improve the health of people in disadvantaged communities (Garcia and Sharif e29). The arguments presented by these authors express the impact that medical professionals could have on polices geared towards social change if they would play an active role in promoting public health. In contrast, they criticize medical professionals for their role in the past for promoting social change that was a detriment to disadvantaged groups, therefore, indicating that since medical professionals, in the past, influenced negative social changes, they