From the passage of the Patient Protection and Affordable Care Act in 2010 through the end of last year, merger and acquisition transactions involving acute-care hospitals increased 55% from 66 announced deals to 102 (Barlas, 2014). This movement is increasing for reasons that are evident. For providers, it is becoming a challenging environment to be a small medical practice. The system is going through a difficult switch to electronic medical records, which is expensive and requires specialized experience to avoid downsides. These challenges push physicians to pursue employment in large organizations rather than solo ownerships or partnerships in small
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According to the U.S. Department of Health and Human Services (HHS), the aging population is likely to impact the necessary size and composition of the health care workforce (Center for Health Workforce Studies, 2006). There are now 35 million people over the age of 65 in the United States. It is estimated that about 1.6 million older adults will be living in nursing homes with almost half of the residents being over the age 85 years old (Kovner, Brewer, Fairchild, Poornima, Kim, and Jadjukic, 2007). The purpose of this paper is to he identify of facility and number of residents being care for. What would be the role of the nurse practitioner in this facility and the regulatory issues as it supports this role?
Based upon the information provided, it has been determined that: the requested admission/day(s) is not/or are no longer medically necessary because: After review of the clinical information provided by North Shore University Hospital -Manhasset, the Medical Director has denied your admission to North Shore University Hospital - Manhasset. It was determined that the clinical information did not justify an inpatient stay. Acute inpatient hospitalization was not medically necessary. You are a 58 year old male, with a pre-authorized outpatient procedure on 09/02/2015 for a cardiac catheterization with an intervention, which was converted to an inpatient level of care. Based on the Interqual criteria (a decision based program to determine medical necessity) this procedure does not require an inpatient level of care, therefore, it does not meet criteria.
Gratefully, We live in a society where people love helping others and having fun with each other, but Emily Dumler was told two years ago, she was only going to live 6 more months. On August 8, 2013, Emily was a stay-at-home mom and while she was feeding her kids she started to feel unwell. Immediately, she knew something was not right, so she stopped by the Urgent Care Facility. Not long after, the lab results came back and they saw her blood was not clotting.
In fact, in a recent survey of health care leaders, 90% indicated they have intentions to pursue a population health strategy (Gamble & Sachs, 2015). While there is evidence that ACO’s are saving money, most of the cost savings are coming from physician run ACO’s (Steckler, Feldman, & Watts, 2015). In comparison, ACO’s run by integrated health systems are saving relatively little money (Williams, 2016). Even the Federal Trade Commission (FTC) is wary of the intentions of healthcare leaders who claim the pursuit of population health management as a goal of consolidation. The FTC’s skepticism of population health management was demonstrated when they blocked an acquisition of a 43-physician practice by St. Luke’s Health System in Boise, Idaho. Regulators stated that the acquisition was anticompetitive and would lead to higher prices (Galewltz,
In terms of where America stands on medicine today, despite having the most expensive health care system, it lacks quality and efficiency in all voluntary measures. According to an op-ed on The New York Times newspaper it states, "… this country lags well behind other advanced nations in delivering timely and effective care." Essentially, what this does is shift health care systems' center of focus [patient engagement] to acute care, where a patient receives active but short-term treatment for severe injuries or illnesses. With that being said, the only thing left with a chance of hope is the betterment of national doctors to make that change —— change for a better health system. Those that are interested in the well-being of others, including themselves, by following these simple steps it will open up a path to become a phenomenal doctor.
When providing care patients should be able to rely on their current care attendant to be attentive and focused, while this isn't always the case. Some patients are learning the ins and outs of outsmart their doctors to gain access to the drugs that they are addicted too. According to Urgentcarenews.com there was recently a post on the internet by drug addicted paient that had created a step-by-step guide on how to scam Urgent Cares doctors. This six step plan created by a patient who scammed his urgent care facility is proof that patients can easily be given the drugs they crave accidently by these care centers. This six step plan includes the following; step one the patient makes an appointment or goes to a care facility most likely a doctor
Well, I don’t know how traditional government would rule this case, but I know that modern government would agree with the judge's decision based on the fact that the child's is in need of urgent medical care. As for my own opinion, I think the final decision should base on the child herself if she wants to get treatment or not. However, at the age of 12 she is still too young to make her own decision at this point, although her parent cannot refuse treatment due to their religious reason and also because the child cannot decide for herself. I agree with the judge's decision because it’s just the right thing to do. We cannot sit and watch a child in pain of a medical condition when we can give her the proper treatment but refused because
As the name implies, healthcare-associated infections are usually contracted while obtaining health-related care. They occur in a variety of settings, including hospitals, ambulatory surgical centers, dialysis centers, outpatient care centers, long-term care facilities, and the general population (USDHHS ODPHP, 2016, June 3). Of the previous listed settings, the highest risk of contracting an HAI occurs in acute care hospitals (“HAI Data and Statistics,” 2016). Information from the article on “HAI Data and Statistics” (2016) report that there were over 721,000 cases of healthcare-associated infections in acute care hospitals, in the US, in 2011 (see Appendix A for HAI occurrence
What if a single initiative could increase reimbursement revenue, make passing audits easier, and improve patient care? One industry expert estimates two-thirds of hospitals already have this type of program, and are currently reaping the benefits (Rollins). With the implementation of our own clinical documentation (CDI) program, we can join them.
Last year The Urgent Care Department faced a 2.4 million budget deficit. One of the main sources of premium time was RN overtime. In able to improve budget status, RN ratio was decreased by 1 FTE. RN Triage was supported instead by an LVN III for the evening and weekend shifts. Since LVN III scope of practice shares some similarities with RN scope of practice, some of the duties that were delegated to LVN III included: data collection for patients in the triage schedule, start IV’s, IV Hydration, draw blood, perform clinical procedures (EKG’s, Breathing Treatments, vital signs monitoring etc..) and assist with emergency room transfers. This idea was welcomed by our nursing team ( RN’s and LVN’s). The RN’s felt supported and the LVN’s
The need for critical care providers is increasing, especially with an aging American population. Patients in acute care settings receive 18 to 23 million days of critical care yearly at an estimated cost of nearly 1% of the gross domestic product (Health Research Services Administration [HRSA], 2006). There will be a need of 4,300 MD intensivists by 2020, but only an estimate of over 2000 are expected to be available to practice in the United States (Krell, 2008). This disparity can be reduced with the use of advanced practice registered nurses (APRNs) that are specifically trained in this specialty. APRNs are in position to provide quality care, address health system issues, and reduce health care costs while improving access. Unfortunately,
The process of strategic planning is to develop a viable strategy that can expand clinical services and attract top residents, and fellows to the faculty. In creating such a plan Mt. Sinai’s department of ambulatory care expresses where it wants to be in the future with a plan of action. Once the general hospital and the department reach some sort of a consensus on its long-terms goals a plan of action can be developed and launch. Creating sustained viability is the basis of all-personal involved. The Ambulatory Care department has pushed for further educating doctors though means on requiring practicing physician to receive CME(continuing medical education)certificates. This will keep physicians up to date with the latest research and findings
Emergency services plays a major role in disaster management, patients are unlimited, uncontrolled environment, short term management, the type of patients that are seen and services are a wide range, no requirement for diagnosis to be seen for treatment, short term care, patient can stay up to 24 hours.
This burst of mergers symbolizes a significant time as the way healthcare delivered is changing and hospitals are struggling to survive in this competitive market. It is important to understand why there is a strong movement towards hospital consolidation and why we should be concerned from a patient and future health administrator standpoint. Health administrators who create these mergers feel that consolidations appear to be a positive trend that will