In this journal, I will be reflecting about how insurance companies, hospitals, and patients can use Cost-benefit analysis for sustaining a life. First and foremost, Insurance companies routinely use cost-benefit analysis in healthcare to set policies and decide whether to approve claims. Many companies have blanket policies on general treatments, to either approve or deny them. If the cost is unacceptably high and the benefit is marginal or low, the company may deny treatment. In the event of an appeal, it can perform a more rigorous analysis of the situation.
Finally I will discuss any weaknesses inherent in the healthcare accreditation process. I will use course provided material and personal research to make my case. Hospital Licensure, Certification and Accreditation Hospital accreditation is not the same as licensure or certification. Licensure is required to operate as a hospital and overseen by state government officials. Certification affords hospitals to participate in federally funded Medicare and Medicaid programs.
Life and Death Issues in Healthcare A Review of the Case Study HS101 Abstract There are many issues raised by life and death choices in healthcare. Advance directives are a set of directions you give about the healthcare you want if you ever lose the ability to make decisions for yourself. If you have a disease you can choose curative care which is directed at healing or curing the disease or palliative care which involves care that helps relieve the symptoms, but does not cure or treat then disease. When it becomes apparent that a patient is approaching the end of life, or that the patient no longer wants to prolong their life, a decision can be be made to withhold or withdraw treatment. Advance directive laws merely give doctors and others immunity if they follow it, the only reliable strategy is to discuss your values and wishes with your healthcare providers ahead of time to make sure they are clear about what you want.
3. Describe how U.S. health care is financed and the benefits and limitations of employer-sponsored health insurance, Medicare and Medicaid on delivery of health care services. 4. Locate and critically evaluate proposed and existing statutes, rules, and regulations which define the boundaries and nature of professional nursing practice. Guided Study: 1.
Healthcare: Plato’s View Versus Modern Western Society People in today’s society have an immense number of expectations in regards to their quality of life. Perhaps the most prevalent is the expectation to the healthcare they choose. On the surface, it seems pretty clear cut. After all, why shouldn’t the individual patient be allowed to make choices that directly, or even indirectly, effect their general health? The waters become murky, however, when one takes into account the amount of resources allocated to providing some services or procedures to certain patients.
In recent years patients started to look into other directions, since predictions for limiting expenses faded. Managed Care I believe can be bad for healthcare providers. With this said what exactly is Managed Care??? Managed Care is a system of health care that commands cost of services, manages the use of services, and measures the use of services, and measures the performance of health care suppliers. On an international foundation, the development of health care policy is aggressively being influenced by cost considerations.
Access to Insurance versus Access to Care: Health care, is the provision of medical services by physicians, hospitals, clinics, and other health providers. Access is also the ability to obtain these services. The payment methods for health care services may vary either with private funds or insurance. The insurance is a third party that completes the transaction by paying the provider for the services received by the insurer. Health insurance limits health care access and consumer’s financial well-being.
When mistakes appear, it is important for the authorized personal that made the original entry to make corrections to a patient’s medical record(s). (McWay, 2003, p.73) For a correction to be made in a paper medical record(s), the correct way is to draw a single line through the incorrect information and write “error” next to it, along with the date, time and initials of the authorized personal that made the original entry. Wherever appropriate in a patient’s medical record(s) there should be noted the reason(s) for such corrections made. (McWay, 2003, p.73) As far as corrections made to EMR’s, the same principles are implemented just as paper medical records. The change is the way of making a correction.
Leaving a medical facility against a physician’s advice puts a patient at risk for untreated or incompletely treated medical issues, increases the need for subsequent readmission or visits to emergency departments and increases the risk of mortality. DAMA presents a dilemma not only to the attending physician but to the nursing staff caring for the patient. Ethically and legally, patients do have the right to agree to or retract consent for medical treatment; however the nursing management of DAMA is much more complicated and multi-faceted than the patient’s right to consent or dissent to treatment. Problems occur with the understanding of the different types of self-discharge from emergency departments, as well as how best to document such encounters and ultimately, how to improve upon current nursing
Some ways health care changes have affected my role is the focus on patient and family centered care. Patients presenting for emergency treatment are most concerned with the patients needs. By requesting insurance information on arrival, families are often made to feel as though they will be mistreated if uninsured or if insured through government issued health coverage, as opposed to private health coverage.