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. In this situation, duplicate testing is done and medications may be prescribed that are not safe for the patient. The use of the emergency room as a primary care provider and the disjointed care of patients in the emergency room are two of the many challenges that healthcare providers and governments face when a patient with chronic health problems loses their healthcare coverage. One step that may assist governments in providing safe and effective care for patients who do have chronic health issues but do not have health insurance is to provide a healthcare insurance program where the premium cost for the
Recently a new bill was passed (H.R. 3962), which took an important step forward to health care reform. The bill includes a public health insurance option it also prevents insurance companies from discriminating against people with preexisting sicknesses, and bans insurers for dropping people just because they get sick. The plan would cover 36 million uninsured Americans. One of the goals of socialized medicine is ensuring universal access to health care.
This means they can collect data from patients in an interview for the purpose of deriving a nurse diagnosis. A Registered Nurse is also allowed to teach, administer, supervise, delegate, and evaluate nurse practice within their field. The Registered Nurse Implement Strategies is to provide patient/client participation in health promotion, maintenance, and restoration. They are to provide nursing care without discrimination on diagnosis, age, sex, race, creed, or color. Registered Nurse is to also respect and safeguard the property of patient/client and employer.
Abstract Central lines also known as central venous catheters are an integrated role in today’s health care. They provide the means of delivering the necessary lifesaving fluids, nutrition, blood products, medications, and means for hemodialysis access. But for this convenience comes great risks of bloodstream infections that are caused by the colonization of microorganisms from the external surface on and around the devices providing a pathway while inserted or in use. These types’ central line or catheter related associated bloodstream infections are often preventable. Yet thousands of people die each year or escalates billions of debt to the health care system in the U.S. annually to fight them.
A third contributing factor is very interrelated to nursing education is that nursing education has shifted from hospital-based diploma programs to university and college programs. This shift created the need for hospitals to increase the percentage of paid nursing staff to keep up with the demand of related to the void of care provided by nursing students (Fox & Abrahamson, 2009). A fourth factor contributing to the current nursing shortage is the economic stress that nursing turnover creates in the healthcare setting. The nursing profession can be stressful mentally, physically, and emotionally creating an argument that nurses are not adequately compensated for their working environment. With other less stressful professional occupations available to a profession that is primarily female individuals are leaving the profession (Fox & Abrahamson, 2009).
According to the literature reviewed, there is a direct correlation between turnover of nurses and CNAs to the quality of patient care. Hunt (2009) gives a concise explanation of the correlation of staff shortage on patient care: Staff shortages caused by nursing turnover are associated with significant decreases in the general quality of patient care, increases in the length of patient stays within hospitals, and greater numbers of hospital-acquired patient illnesses and conditions that do not qualify for Medicare/Medicaid reimbursement (p.3) Another report published by the American Association of College of Nurses’ stated the same thing that there is a correlation between nurse to patient ratio and the quality of care given. As a result many organizations are left having to do major damage control externally, to prevent a bad reputation. Instead of external PR, organizations need to start taking a hard internal look at their staff management. Reasons for Staff
Several of those issues began in the 1990s when changes in the health care system were implemented. Due to conflicts in funding, hospital staffs were greatly reduced. When facilities required more nurses such as times when there was an unexpected increase in patient admission, instead of hiring additional staff, mandatory overtime was used (Keenan, 2003). At the height of their need, the amount of practicing nurses has declined. With baby boomers reaching retirement age they will need health care services which only increases the demand for nurses.
The healthy people would have to pay the burden of sick people. Patients may have to wait a long time for treatments. In conclusion, I have talked about the history of health care reform. I talked about the current legislature in Congress for health care reform. I have discussed the advantage of the consumer driven health plans.
EMTALA is an unfunded federal mandate. This mandate for universal access shifted the cost to the hospitals. Hospitals and physicians risk substantial legal and financial penalties for violations of the mandate, with consequences as extreme as revocation of a hospital’s Medicare provider agreement (Diaz-Vickery, Sauser, & Davis, 2013). According to the American College of Emergency Doctors (ACEP) under EMTALA the emergency department has the only mandate to provide healthcare. A 2009 ACEP survey on the financial crisis stated, 66 percent of emergency physicians polled have seen an increase of uninsured patients in their emergency departments during the current financial
Amber Henson ENC 1101-1 27 Nov. 2010 How the Healthcare Reform Will Effect Physical Therapy For many people today, the cost of health care for a serious injury is so expensive that people cannot afford to pay the costs from an average income, while health care in general has risen faster than overall inflation. In today’s society, many people obtain health benefits through the workplace. People over the age of sixty-five have government programs which help out with the coverage of medical expenses. Medicare and Medicaid are not being offered in many states to help pay for the cost of physical therapy since it is not a big demand unless it is a serious injury. The new health reform bill will affect physical therapy in many negative