Case Study Of Direct Cost In Home Health

One of the major areas of strength of the AMA Code of Ethics is the principle that outlines that the physician must “regard responsibility to the patient as paramount” (American Medical Association, n.d., par. 9). This principle outlines that importance of putting the patient first in all care aspects when working with a patient. Along with this, other principles set forth in the AMA Code of Ethics, while involving other aspects of care, state that the rights of the patient shall be acknowledged and followed during patient care. It is very important that healthcare codes of ethics are clear in defining that the patient needs to be considered first and foremost.

Depending upon the size of the healthcare facility the direct and indirect cost may not always follow the same cost object between entities. They will likely vary greatly; contingent on the size and how the facility is owned and operated.

With dealing with patients the clinician needs to make sure the right information is given to the patient and that other options are available if need be. Along with this information the clinician needs to discuss the benefits, risk, and cost and be understanding to the patients’ needs of what they can or cannot afford along with any cultural problems that may hinder the patient to completing the care plan. In order to give the right information, there needs to be transparency and full disclosure by the patient. This is important because the patient’s medical history along with the family medical history, their concerns and preferences are all taking into account when given the appropriate care. The last principle is called continuous learning. This is very important because the clinician can give all the information to the patient that he wants and the patient themselves may agree to everything they said, but the question is did they understand it? With all affective communication, the patient needs to explain what was told to them what is it they agreed upon and explain how they will go about doing it. After the explanation is completed, then any updating or changes to the care plan or assessment can be implemented.

Review of the literature identifies the issue of fair pay for similar work has been an issue for some time. According to Grey (2013, par. 7) the pay parity for NP and PA became an issue when two insurance carriers dropped reimbursing rates for NP and PA by 50%. On March 1. 2013 NP and Physician Assistants (PA) who run private practices reported they were struggling to maintain their business because of the lower rates paid by insurers (Grey, 2013, par. 8). Mccarger (2017, p. 15) discusses how payment parity is strongly opposed by medicine, and is primarily historical in nature. Advanced practice nurses still need to justify their value in a historically hierarchical framework of health care where the physician is the chief authority

The purpose of this paper is to describe the integrated primary care clinical setting under the affordable healthcare act, and the role DNP nurses fulfill as providers of care. Also described will be the professional, regulatory, legal barriers that exist, what DNP APRN nurses need to do to be recognized as DNP nurses with the ability to provide safe, quality, healthcare that improves patient outcomes who deserve to practice autonomously. DNP nurses are prepared to advocate for the patient, create innovative changes in the healthcare delivery system, and provide a holistic approach to healthcare and should be allowed to practice fully to the extent of their education, certification and training.

DNP prepared nurses hold the implements to create amendments and revolutions within our society. Knowledge and education are authoritative and persuasive mechanisms; DNP prepared nurses possess both. DNP level nurses also hold practice skill and involvement, management abilities, and knowledge regarding research and evidence-based practice, which permits them to be prevailing promoters and advocates for healthcare.

The status of healthcare cost and inflation in the United States is thought to be an emerging crisis; however, healthcare cost inflation is an historical problem that has evolved over the last century with several recurring themes. Politicians have been using the healthcare financing situation as a stance for their political campaigns for many years. There are many opinions and theories on how the United States should finance health care. Nursing is one of the largest components of healthcare systems; however, the influence of nursing as a profession has not been as influential on the

The nursing community is fragmented and many in the community have a goal towards a compromise while some have a self-serving reason why they do not want this implemented. Many of the nay-sayers have brought valid reasons as to why they would not want to implement the DNP as mandatory but all of the points have been addressed and put to rest by the AACN and the overwhelming support from the nursing community.

The physician–patient relationship is the quintessential fiduciary relationship because of the vast disparity in knowledge about disease and treatment between the clinician and the typical lay patient. The consequence of this disparity is that the physician has a moral (and ultimately a legal) responsibility to utilize that manifestly superior knowledge exclusively for the benefit of the patient. (Rich, 2005, p. 393)

This autonomy allows APNs to focus on the overall outcomes of care provided rather than the task-based interventions of a traditional nursing model. Although there has been some improvement in the delivery of holistic with the move from team nursing to primary nursing, current clinical nursing practice remains

Aleshia, your statement “direct costs are costs that can be easily associated with the production of a particular good or service”. The main cost component for outpatient diabetics’ care in both public and private has been medication costs. This is compatible also with what happened to the cost component of diabetics care in 2000 in Iran. It is estimated that direct medical costs of diabetes are 2–3 times higher than nondiabetic people (Davari, Boroumand, Amini, & Aslani, 2016). These additional costs are mainly attributed to the fact that diabetics are at high risk for blindness (retinopathy), kidney failures (nephropathy), neuropathy, foot ulcer and amputations, and disorder in sexual function(Davari, Boroumand, Amini, & Aslani, 2016). Cost

Additional costs of being in the hospital, post-operative care, follow up visit, such as, child minding.

I think you have brought up an excellent point related to cost that they have the potential to be variable or fixed. I feel sometimes cost are not just spelled out for us and to foresee what is coming in the future can be harder than expected because of those type variable and or fixed cost. You have mentioned the hospital setting cost to which I feel to an extent as a large portion of the direct cost. The direct cost is a cost that can be traced back to an individual or product being made (Edmonds, Tsay & Olds, 2011). Have you ever thought to look at your insurance statement of what is known as an EOB (explanation of benefits)? This statement will have every single item that has been coded to your room while you were in the hospital. People

DNP graduates are able to become independent practitioners. Graduates of DNP program are nurse leaders in interdisciplinary health care teams and work to improve systems of care, patient outcomes, quality and safety, enhanced leadership skills to strengthen practice and health care delivery improved match of program requirements and credits and time. The DNP can independently nursing judgment based on theory, research, and specialized knowledge with the qualification received provision of an advanced educational credential for those who require advanced practice. By creating a higher baseline level of education, nurses have the skill set and knowledge base to be an asset to their healthcare organization and most importantly, for patients.

There are four basic ethical and bioethical principles that have a strong influence in the practice of medicine, predominantly medicine that deals with those who are dying. The first is beneficence, which directs the physician and health care worker to take positive actions, specifically by restoring health and relieving suffering (Bongard et al., 2008). Then there is nonmaleficence. Goldman and Schafer (2012) add that nonmaleficence is the idea that people should not be harmed or injured knowingly. The third ethical principle is autonomy,