Davis as he will be responsible for the entire premium cost for his coverage. When people are unable to afford private healthcare insurance and have chronic health issues, the burden of the cost of the care for those individuals falls on the healthcare facility, the state and federal governments. If a facility receives reimbursement from state Medicaid or from Medicare, that facility cannot refuse to provide healthcare services to a patient with an emergent health condition. Patients who do not have health insurance will often avoid seeing a primary care provider until their care condition has become serious enough to require emergency care. When patients only seek healthcare from an emergency provider their care is more expensive and may be disjointed because emergency providers do not have access to a patient’s complete medical chart.
As these programs are developed strategies and standards are addressed and barriers identified to ensure success of preventing falls. Falls are a serious concern among the elderly population, and a major concern within the health care community. Falls are the most adverse event reported in hospitals and are leading cause of death in patients 65 years or older. Nation-wide the average rate for a first fall range from 2.2 to 3.6 per 1000 patient days. Litigations related to hospital falls is growing in both frequency and severity; hospital administrators are in a quandary on how to reduce patient falls.
Nursing Documentation and Malpractice Law HCS/545 Health Law and Ethics May 31, 2010 Mary Nell Cummings Nursing Documentation and Malpractice Lawsuits Proper medical documentation can prevent liability issues and malpractice lawsuits. The focus on my paper will concentrate on nursing documentation and malpractice lawsuits. I presently work for a home health care agency. The entire staff throughout the company was recently informed of increased Medicare denials and possible lawsuits as results of inadequate documentations. A series of education training of documentation was implemented to help reduce episodes of Medicare payment denials and self-protection through adequate documentation.
Risk Management Assessment Summary NAME HCS 451 Date INstructor Risk Management Assessment Summary It is important for a healthcare organization to promote and develop secure and successful patient care practices; the conservation of financial resources and the upholding of safe working environments are crucial to its name. Hospitals today face a wide range of risk factors that can determine success or failure, including: * Competitive responses both from other hospitals and physician groups. * Changes in government rules and regulations. * Razor-thin profit margins. * Community relations as expressed through zoning and permitting resistance.
With values in service excellence, quality and safety, growth and profitability, and staff achievement, it’s important to remain knowledgeable of the national trends in healthcare as it may have a larger impact in how Trinity may deliver healthcare to the orthopedic, cardiovascular, and cancer centers. Another large trend seen in healthcare is the shift from fee-for-service model to a fee-for-value based system. In the current fee-for-service system reimburses providers for healthcare, where physicians and healthcare professionals have incentives to provide more for the patient in the form of tests ordered and procedures made. The fee-for-value system works on an equation of quality over cost over time, which provides patients with safe, appropriate, and effective care with enduring results at reasonable costs. (Binder, 2014).
“Never events” are also known as “serious reportable events” (SREs), an official term adopted and used by the National Quality Forum (NQF). The NQF defines SREs as events that should never have occurred to the patient when receiving care in a hospital. SREs are viewed as identifiable events that cause substantial harm to the patient and are almost always preventable. (Lembitz, 2010, pg. 30) Examples of “never events” include, but are not limited to the following: • Death due to administration of wrong medication • Wrong surgery procedures conducted on the wrong patient and/or wrong body part • Patient abduction • Handing an infant patient to the wrong person during discharge NQF has compiled a list of 28 “never events” that is used in many states across the nation.
Understanding Lupus (Systemic Lupus Erythematous) Takeia Foxx December 4th, 2012 EDU 100 Ms. O Lupus also called Systemic Lupus Erythematous, or SLE may not have a cure, but it’s a highly treatable condition. People who are affected by Lupus go through many complications on an everyday basis. Not only, do the patients feel pain and the family suffer as well. Lupus can be very detrimental to one’s health. Lupus medications can help lower long-term risk and keep symptoms under control.
The compiled data should be composed of specific measurements, input from employees as to suggestions for improvement and concerns as well as patient care results and input. The eminence and accessibility of the company’s resources must be evaluated first. Quality improvement (QI) measures the delivery of medical services and the outcomes like patient health status, mortality, and patient satisfaction (Hughes, 2012). Total Quality Management (TQM) is a model, which includes the organization’s management, staff working together as a team, outlines procedures, and policies, promotes methods of intellectual rational, and a modification to produce an atmosphere for excellence (Hughes, 2012). The construction of Continuous Quality Improvement (CQI) benefits the process of TQM; with the attitude that every chance an organization has should be an opening for improvement (Hughes,
CDC recommends that correctional institutes ask inmates questions about their risk factors for HCV infection during their medical evaluations. Inmates who report risk factors for HCV should be tested and those who test positive for HCV should receive further medical evaluation to determine if they have liver disease or the chronic infection. HCV is already the most common disease of its sort in the United States, a chronic, life-threatening, blood-borne infection. Hepatitis C can be treated, but many prisons do not always test for it. Among the reasons: Budgets are tight, and treatment is expensive.
Introduction. The title of this assignment; ‘The Importance of Infection Control for the Individual, Community and the Workplace’ in itself requires little or no explanation. If infections are not prevented and/or controlled they will spread and as a result the consequences are quite undesirable; people can get very sick indeed and in some cases they may even die. In our workplace, which is a healthcare environment, the importance of infection control is even greater and cannot be understated. We care for patients, be they elderly and weak, sick or both.