Essays on Ambulatory Care

The chief operating officer (COF) plays a key role in the development and implementation of various organizational processes in a healthcare organization. The COF has a complex and challenging role while opening a new ambulatory care centre in the city for his/her organization. The COF would have an option to opt for professional autonomy, social contract, or free market perspective to design the entire workflow process and structure for the new centre (Patterson, et al. 2015). The practice of social contract has its many benefits and disadvantages. It provides a widespread assessment of the society the needs of the ...

Every state has its own licensing board that is responsible for developing its set of requirements which nursing students are required to abide by in order to be BSN graduates from their respective institutions. The establishment of these requirements is a means of ensuring nursing students are endowed with the ideal and recommended set of qualities and qualifications required to undertake their roles as Registered Nurses in the best way possible. As a Chamberlain College of Nursing student, I am bound by certain requirements established by the institution as discussed below, which I am required to fulfill in order ...

In the recent past, governments through the health department have been calling for the increase in outpatient services among health care facilities considering that payers have come up with incentives as a way of reducing hospitalization charges in addition to the length of stay. As a result, a new shift oriented towards payment for performance and accountability in health care provision has emerged in addition to health organizations concentrating on medicine for preventive health, educating of patients, and care changes. Today, the most affordable medical therapy is offered in ambulatory care setting, yet the outcomes of adverse drug events ...

The reasons behind persisting health disparities across socioeconomic class in America are not fully understood. A 1.2:4.0 mortality rate ratio exists among people in the lowest socioeconomic class and those in the highest socioeconomic class (Cohen, Farley, & Mason, 2003). The difference in mortality ratios indicates that socioeconomic status plays a significant role not only in mortality rates, but also in the quality of life across socioeconomic classes. In the year 2012, a report by the New York City (New York City Health Department, 2012))Health Department indicated that hospitalization rates in neighborhoods with high poverty levels more than tripled ...

Part 1

A: Imagine you are working as an aged care support worker for an individual who receives support in their home. You spend a lot of time at the house and have developed a great rapport with the whole family; they treat you like part of the family.

On one occasion, the family tries to give you a gift.

B: There are many other potential ethical issues that may arise from working closely with a family or an individual. Identity one (1) other potential ethical issue or dilemma that may arise. Complete the table:

C: Imagine that the family asks you to do some extra weekend cleaning or other support work for cash:

1. What is the potential conflict of interest?

The situation leads to personal and professional conflicts of interest.

2. What action should you take? (50-100 words) According ...

The CIHQ is one of the country’s newest agencies that offers accreditation services to acute care providers in meeting Medicare participation standards. The organization offers accreditation support to home health agencies, hospitals, long-term care facilities, and ambulatory care facilities. CIHQ receives its funding from CMS and membership fees. The resources available for those seeking accreditation includes surveys and support tools. These resources are helpful in ensuring that organizations maintain their services in an EBP and cost effective manner. Lastly, CIHQ defines quality improvement as the achievement of care quality, service, and treatment through cost-effective measures (Tavenner, 2013). The ...

The CEO of your health organization comes to your office and states that she is not happy with the efficiency of the new ambulatory care clinic; she does not believe that the new clinic is being effective.  Come up with three different measures for efficiency and three different measures of effectiveness that you feel are uniform and applicable to ambulatory care clinics.

Measures of Effectiveness

Mission According to the Rocket Model of team effectiveness, the first measure of effectiveness that can be a[applied within the context of the ambulatory clinics is an evaluation of the mission of the clinic`s team. ...

Abstract

This study analyzes the benefits and challenges of implementing an electronic medical system in both hospital and clinic environments. The overall research problem addressed in this study is determining how to effectively manage and communicate expectations associated with perceived benefits and challenges derived from a new install of an electronic medical record. The purpose of this study is to analyze perceptions associated with both the benefits and challenges derived from installing an electronic medical record system. This problem is relevant to many such as those who ...

A multi cultural and vivid personality, who is proficient in English and Korean, and has completed a full comprehensive 3-year training course in School of Pharmacy, I am applying to the Doctor of Pharmacy program. Internationally astute, with a great aptitude for details, and excellent time management, communication and interpersonal skills, I am especially gifted at problem solving and providing the first-class health care services and practice management. Growing up in a family of health care professionals in Korea, among which my grandfather was a pharmacist and other family members were nurses and a doctor, I spent my childhood in the surroundings of pharmacy. ...

(Tutor’s Name)

1. Improving patient wait time Patient wait time is one of the key determinants of ambulatory care efficiency as it is directly related to the speed of care delivery. When the ambulatory clinic is able to improve the patient wait time, the gap between time that patient reaches the clinic and time that care is delivered to him is minimized. Improving ‘nurse to patient ratio’ is a better strategy to reduce patient wait time and to enhance patient satisfaction. In addition, the organization can improve its patients wait time by promoting team work and by effective ...

Literature Review: Building Health Information Technology Workforce

Introduction Health information technology is an aspect of healthcare that involves the exchange of health data and information via an electronic platform or in an electronic environment. In its broadest form, health information technology encompasses the technology that is used for various operations management, administrative and even direct clinical functions in medical institutions. One of the most recognizable elements of health information technology is the electronic health records commonly abbreviated as EHR. An electronic health record refers to a record of a patient’s health information that includes medications, immunization, radiology reports, laboratory data, patient demographics, vital signs amongst others. ...

Challenges in Nursing

Nurses have faced different ethical, political, legal and economic challenges in their quest to offer better services to their clients. Most of the clients who in this case are the patients and have different health complications at times have put the nurses and the healthcare community into a dilemma. The manner of offering medication depends on the willingness of the patient and the family of the patient and the political and the legal issues behind the form of medication. Central Venous Line is a type of medication that can be used in balancing the fluid within a patient. Most patients have ...

The Joint Commission formulated National Patient Safety Goals regarding several issues facing the health care sector. The national health care goals encompassed a number of programs including, ambulatory health care, behavioral health care, hospitals, home care, office-based surgery, laboratory services, nursing care center and long-term care. The paper focuses on two goals related to health information. It describes what the commission requires and how it can achieve the set goals.

Ambulatory Care

The goal on the ambulatory care aims at improving patients’ safety. It addresses some of the health care problems and provides solutions. Ambulatory care is an individual health care treatment ...

Its history

The US Veterans Administration Healthcare System is the largest healthcare system in the world, which traces its roots back to the year 1636, the time when the Pequot Indians and the Pilgrims of Plymouth Colony were at a war (Al-Assaf, & Schmele, 1993). Then in 1776, the Continental Congress has provided pensions to the disabled soldiers. In the year 1811, first medical and domiciliary facility for the veterans was, however, authorized. The veteran assistance program was extended in the 19th century for including the benefits for veterans, dependents and widows. In 1917, Congress introduced new system of the veterans, and in ...

Medical Record Keeping

Abstract This academic investigation of the pros and cons of the electronic medical record keeping technology required in hospitals across the United States by 2014 as called for by the U.S. Health and Human Services Department provides documentation of more pros than negatives. The ability for nurses, physicians, and other healthcare clinicians collaborating through technology for better and faster documentation of patient status, for evaluation, and differentiation of therapies as needed proves this a valuable medical tool. The negatives include some of the technological systems need revamping for such inclusion as standardized nursing language in the software. Other negatives ...

- What are the clinical differences between seizures and epilepsy? Seizure is characterized by hyperexcitation of brain neurons which results into spontaneous sensory interruptions, motor activity, and at times loss of consciousness. Epilepsy on its part is a neurologic disorder characterized by recurrent seizures. - Being a lifelong neurological condition, does epilepsy requires palliative or comfort care? Epilepsy is not curable but can easily be managed. Being a lifelong condition, it requires comfort care that improves the quality of life. - What are the comorbid conditions associated with epilepsy? The majority of patients with epilepsy also suffer ...

Introduction

Advanced Practice Nurses are licensed and registered nurses with graduate level education who have various roles such as directing care for patients and communities, administration of health care institutes, policy formulation and implementation. APNs are specialized in various fields such as Clinical Nurse Specialist (CNS), Nurse Practitioners (NP), Family Nurse Practitioners (FNP), certified registered nurse anesthetist (CRNA), and certified nurse midwife (CNM). The roles of ANPs differ by the field of specialization but can largely be divided in to traditional nursing roles and enacted roles (White et al., 2008). In this essay, the roles of FNP, CRNA, and CNM ...

Care of the person with heart failure

Introduction A condition in the heart does not satisfy the needs of the body while pumping blood is heart failure. Doctors say that in some cases the heart does not fill with sufficient blood. To some patients with heart failure, heart is not able to pump blood to the rest of the body with enough force to run through the veins and arteries. Some people have both problems and when it comes to that point, they call for serious medication and attention. It is therefore necessary to mention that the term heart failure does not mean that the ...

Profiling of Clinical audits and practices are gaining momentum as a popular tool in its attempt to make a change in the behavior of physician for the improvement of quality of care, in each passing day. It is a pity that the increasing need for the information pertaining to quality of care is dodging the development of the standardized, valid and trustworthy approaches for using these tools. The studies related to performance measurement, as are being published in these date portray varying impact in the matter of improvement of clinical care, some of them are randomized at the same time controlled trials.

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ABSTRACT

According to literature, women on average use physician services much more often than men, both in regular appointments and in ambulance related care, leaving men at a serious lack of reporting of health problems. This report, meant for the Department of Health, details the reasons behind this kind of behavior, and gives possible solutions for increasing the rate at which men go to the doctor. The reasons for this development include sociological and psychological factors, such as the male need to seem self-reliant and to have a higher tolerance for pain. The fixed role hypothesis also says that, usually, women have ...