In 1998, the states paid a little over seven dollars a day per inmate for healthcare (Kinsella, 2004). You can imagine that in the last thirteen years, this cost has continued to increase and will only get worse with the aging prison population, the occurrences of communicable disease and
The coordination of patients is also poor which can result in devastating delays in diagnosis and treatment of patients. The community also has very poorly organized programs for cancer prevention and community education. Education is a key factor in the health of the community and getting early diagnosis of treatable cancers. Orthopedics As seen in the trend with oncology the orthopedic needs of the community are expected to grow by 46% in the next five years, with inpatient spine and joint procedures increasing by 30% and outpatient spine and joint procedures increasing by 350%. All of these numbers show a huge increase in demand.
Approximately 550,000 individuals are determined to have heart failure every year. It's the main source of hospitalization in individuals more established than 65. Heart failure doesn't mean the heart has quit working. It implies the heart is less ready to pump blood through the heart and body, and weight in the heart goes up. Subsequently,
The facility offers 140 patient rooms and 120,000 square feet to offer patients a full spectrum of cardiac care. Patient volumes have increased however profitability has dropped dramatically. This is primarily because of decreased reimbursement from Medicare, Medicaid, and managed care organizations. The hospital will be receiving $2,300,000 from Medicare and other managed care organizations (MCOs) in three months however the hospital must solve the working capital shortfall because it does not have enough money to sustain itself for three month. This simulation will examine ways to bridge a working capital shortage, possible funding options for acquiring necessary medical equipment, and additional funding options for capital expansion.
This same study concluded that rescreening soldiers several months after their return from Iraq identified a large cohort missed on initial screening. The large clinical burden recently reported among veterans presenting to Veterans Affairs facilities seems to exist within months of returning home, highlighting the need to enhance military mental health care during this period. Increased relationship problems underscore shortcomings in services for family members as well. Reserve component soldiers who had returned to civilian status were referred at higher rates on the PDHRA, which could reflect their concerns about their ongoing health
The Role of Basin-Less Baths in Reducing Hospital Acquired Infections Patients come to the hospital for treatment, but hospital acquired infections occur in one in 25 patients a day (Centers for Disease Control, 2014). In 2011, “75,000 hospital patients with HAIs died during their hospitalizations” (Centers for Disease Control 2014). Despite the understanding of evidence based practice measures to prevent HAIs, most hospitals are inconsistent with prevention compliance (Krein, Kowalski, Hofer, and Saint, 2012). The treatment of HAIs cost billions of dollars (Centers for Disease Control, 2014). The Centers for Disease Control and Prevention is conducting laboratory research to promote understanding and treatment of HAIs in the nation’s
On average today Americans are prescribed 3.5 billion prescriptions annually. This number has been steadily increasing in recent years. Also today just about half of all Americans take one or more prescription drugs daily (About.com). These numbers are alarming and need to be changed to prevent America from becoming a society that is completely medicated, just like the society in A Brave New World. To prevent a “Prozac-Nation”, prescriptions for anti-depressants, and medicines that alter the mood of a person should be carefully regulated.
According to the U.S. House of Representatives, majority of nursing homes do not have enough staff to meet the levels recommended by federal officials; the levels recommended are 3.45 nursing hours per patient daily. Senior’s usually lose their primary care physician, who is most familiar with the patient’s medical history and conditions, when they enter a nursing home. As a result of entering a new living environment, elders are given a doctor who has minimal knowledge when it comes to their medical history, and unfortunately physicians in nursing homes have an overload of patients and are constantly in a rush. Under federal law, physicians in nursing facilities are only required to see the resident once every thirty days for the first ninety days after a new patient is admitted to the nursing home. After the
EMERGENCY NURSES ASSOCIATION POSITION STATEMENT CROWDING IN THE EMERGENCY DEPARTMENT STATEMENT OF PROBLEM Crowding in our nation’s emergency departments is of increasing concern to health care professionals and health care consumers alike. Although the issue of emergency department (ED) crowding in the United States has appeared in the emergency health care literature since the early 1990s, it has received greater coverage during the last few years, capturing the attention of many Americans and policymakers.1-4 ED crowding can be described as “a situation in which the identified need for emergency services outstrips available resources in the emergency department. This situation occurs in hospital emergency departments when there are more patients than staffed ED treatment beds and wait times exceed a reasonable period.”5 When crowding occurs, patients are often placed in hallways and other non- treatment areas to be monitored until ED treatment beds or staffed hospital inpatient beds become available.6 In addition, crowding may contribute to an inability to triage and treat patients in a timely manner as well as increased rates of patients leaving the emergency department without being seen.4,6 As a result of crowding, hospitals often implement ambulance diversion measures, which means ambulances that would otherwise bring patients to the facility’s emergency department are directed to nearby emergency departments instead.4 In many cases, ambulance diversion may be an ineffective response to crowding.5-9 For example, when one hospital goes on diversion, other area hospitals may begin diverting ambulances as well, potentially resulting in ED crowding throughout the community.8,9 In response to growing national concern over ED crowding, the U.S. General Accounting Office (GAO) conducted a study of hospital emergency departments in metropolitan
Another 9.7 million are non-citizens, but the Census Bureau does not distinguish in its estimate between documented and undocumented migrants. It has been estimated that nearly one fifth of the uninsured population is able to afford insurance, almost one quarter is eligible for public coverage, and the remaining 56% need financial assistance (8.9% of all Americans). An estimated 5 million of those without health insurance are considered "uninsurable" because of pre-existing conditions The costs of treating the uninsured must often be absorbed by providers as charity care, passed on to the insured via cost-shifting and higher health insurance premiums, or paid by taxpayers through higher taxes. Since people who lack health insurance are unable to obtain timely medical care, they have a 40 percent higher risk of death in any given year than those with health insurance, according to a study published in the American Journal of Public Health. The study estimated that in 2005 in the United States, there were 45,000 deaths associated with lack of health insurance.