Changes In Healthcare

Health care is continuously changing. In the past several years there has been a large shift in the focus in hospitals. The focus has changed from the staff to patients, patient satisfaction, and cutting costs in order to budget more tightly (Tarrant & Sabo, 2010). Because of this, along with the extreme increase in a number of patients seen and the acuity of the patients, nurses are being overworked. As a result, role conflict and ambiguity is becoming an issue. The purpose of this paper is to discuss role conflict and ambiguity, its significance, and its application to nursing.

Decrease in funding is another economic challenge in health care. The amount of finances coming from various sources not just the

The year 2017, you will notice a change moving on into place for the healthcare. If you

In chapter three of the Estes Healthcare policy, she explores the healthcare reforms now and in the future. Her analysis borrows from other studies that had been done to explore the implications of the healthcare reforms to all the stakeholders. The article explores the implications of the Patient Protection and Affordable Care Act, Medicaid and Children`s Health Insurance Program Provisions, and Community Living Assistance, Services and Support Act. The changes would have significant changes in the healthcare delivery systems. One of the implications of the changes would be decreased quality of healthcare.

One of the greatest changes in healthcare in the past ten years has been the rise of managed care, much to the displeasure of many patients and physicians alike. Managed care arose out of concern about spiraling healthcare costs and was designed to encourage physicians to give patients treatments that were cost-effective out of their own financial interests. "The consumer strategy was directed at imposing some barriers to use by levying various forms of co-insurance. The most common approaches used either deductibles (where the consumer paid the first portion of the bill a technique familiar in other types of insurance) or co-payments (where the consumer paid a portion of the bill and the insurance company the rest) or a combination of both' (Kane et al 1994). Managed care has given health insurance companies an increasingly significant voice in how treatment is administered and allocated. Managed care has proliferated in the past decade despite considerable criticism of the practice of 'nickel and diming' patients as well as the considerable bureaucratic red tape it is has generated. Also, research indicates that healthy, well-insured patients tend to over-consume care without meaningful co-pays but poorer, sicker patients can be deterred even by moderate co-payments and suffer negative health consequences (Kane et al 1994). However, managed care has not gone away and is a reality that all healthcare

In 2010, President Barrack Obama signed into law the health reform called the Patient Protection and Affordable Care Act (ACA). The purpose of the law is to expand access to coverage in terms of health insurance. Another thing this law does is prohibits insurers from denying or increasing premiums based any pre-existing conditions. This new health care reform requires most Americans and legal residents to have health coverage and/or receive subsidies to help them pay for coverage from their paychecks.

The major current issue that could influence change in healthcare is the presidential election. The impact could last for the next decade or more. The US Healthcare had massive changes in healthcare with almost every newly elected president. The changes in the proposals by both the leading candidates, Hillary Clinton and Donald Trump are distinct. With either of the candidates winning, ACA will undergo changes that could lead to the change of policies and regulations.

The overall health care industry has undergone fundamental change over the last decade. Most of the changes have occurred within the underlying business operation of the healthcare industry. Legislation in particular has had a profound impact on the health care industry. First, due to the Affordable Care Act of 2010, the nursing profession is undergoing a fundamental shift in regards to the patient experience. The U.S. health care system is now shifting the focus from acute and specialty care to that of primary care which requires a shift in business operations. Also, due primarily to that aging of the baby boomer generation, the need for primary car overall is shifting and will be needed heavily in the future. The last 10 years in particular has seen an increasing influx of retiring baby boomers that subsequently need care. A positive impact on the ACA legislation is that more individuals are now insured. As such, the need for primary care will also increase over subsequent years, particular within the minority population. This patient centric approach will require more care predicated on specific communities in a seamless manner. Furthermore, primary care physicians will be in high demand over the coming years.

The American current health care system is in the middle of big changes. With the emerging of new expensive and highly designed technologies, old and new professionals especially ones in managerial positions will need to understand the impetus for this change. Also, Patient Protection and Affordable Care Act (PPACA) is Emerging to the current health care system. ACA was approved with the goals of increasing the affordability and quality of health care insurance. It is also aiming to decrease the number of the uninsured citizens.

These past 10 weeks have been eye opening. In fact, I never realized how important economics, legislative changes and policies are within the world of healthcare. All three of these terms relate to on another in a unique way. In other words, they all work together to either help or destroy healthcare itself.

There are many problems in the World today. Some solvable and some impossible to solve- but as humans, we can only try our best to come up with resolutions to solve the problems. In the U.S, people recognize the problems with healthcare insurance, but most people are not concerned about changing it. They would rather maintain the current healthcare because people are scared that the change will make the situation worse. For years now, the U.S has been fighting the issues within the problem of healthcare insurance. Therefore the two main causes for preventing every citizen in the U.S from getting healthcare insurance is unemployment and high cost. Throughout the years in the U.S, there have been proposals to solve providing healthcare to citizens. One recent proposal that has occurred in present day is the Obamacare plan. The Obamacare plan is called the “Affordable Care Act”. This care act is more affordable and helpful to people. It is intended to make sure that everyone is taken care of no matter how old. Not everyone understands that with this plan everyone benefits, but some people still are against the plan because they feel that everyone should not get the same treatment because they are higher than others. The Obamacare is great, because it is supposed to help everyone out. People who don’t currently have healthcare insurance and people who have pre-existing conditions who have trouble getting insurance.

The most current report of healthcare spending is in the year 2015. During the year, spending increased by 5.8% to reach $3.2 trillion, or $9,990 per person. Reports blame the coverage expansion that began in 2014, a result of the Affordable Care Act. (https://www.cms.gov/research-data-and-systems/statistics-trends-and -reports/nationalhealthexpanddata/downloads/highlights.pdf.

It has been said that today’s healthcare structure has become fragmented and that there is something not quite right in the planning and delivery of health services. To quote Sweeney and Griffiths (2002) “research has little direct effect on health service policy, organizational change has little effect on service provision, rational priority setting frameworks remain elusive and health economists continue to develop technical solutions that have no impact at the grassroots level.” Even at the administrative level organizations are barely capable of coping from being continuously under siege – resulting in a penchant for process rather than actual outcome indicators. This leads organization managers to present “glossy corporate images that belie problems” of the organization. Part of the problem lies in the nature of healthcare organizations being different from other sectors that have instigated cultural changes. Stakeholders in healthcare organizations “have disparate schemes of values and beliefs” while “physicians’ independent perspective often differs from organizational perspectives” (Lloyd, 2008, p.1).

The year I was born brought a great change in medical history, and no it wasn’t simply because I was born. In 1986 the Emergency Medical Treatment and Active Labor Act was created. This is an act that the United States Congress passed as a part of the Consolidated Omnibus Budget Reconciliation Act (COBRA). It is stated that “It requires hospitals that accept payments from Medicare to provide emergency health care treatment to anyone needing it regardless of citizenship, legal status, or ability to pay. There are no reimbursement provisions. Participating hospitals may not transfer or discharge patients needing emergency treatment

I remember growing up when someone was diagnosed with cancer, HIV/AIDs as well as other critical diseases and illness, they were known to be a death sentence. We all know that the major changes that are taking place in world are technology, health care cost and coverage and research. This includes the healthcare sector. According to the text, “By far, the key driver of potential change in the health system is emerging technology and medical know-how” (Knickman, Jonas & Kovner, 2015, p. 335). With advance medical research through the use of technology, researchers continue to save numerous lives. I believe the Electronic health record and the patient engagement tools will continue to make a significant change in health care delivery. Individuals’ lifespan is expected to increase due to technology and research. With the advancement of medical research, prevention and interventions will prove to be a significant change and impact in the medical field. The text states, “Will patients be expected to pay for the prevention-oriented interventions themselves, rather than through insurance?” (Knickman, Jonas & Kovner, 2015, p. 335).