Direct Care Case Study

Mrs Gale is a 70 year old widow and retired unskilled worker. The patient lives alone and relies on her son to provide basic care, medication and meals. Mrs Gale has a history of weight fluctuation owing to lifestyle but is currently at risk of malnutrition due to Parkinson’s disease. Mrs Gale shows signs of early dementia and suffers from poor mobility and pain caused by arthritis. Mrs Gale also has mild depression triggered by loss and has become socially isolated. All names have been changed as per the Nursing and Midwifery Council confidentiality guidelines (2008).

External and internal influences are relevant in health care. These influences continue to affect the total operations of a health care facility. I will summarize the insights I have gained into the external influences of the new health care reform policy and quality initiatives. The recent health care reform legislation was passed in the house and senate this year. The senior vice president, that I have interviewed, states that health care reform is an “unknown” for organizations. In addition, I will research the quality improvement initiatives and how these external influences include implications for organizations and health care administrators.

Our healthcare system is in a state of constant change. Just as the industry was adapting to the demands of countless healthcare reforms, the fate of regulations like the Affordable Care Act (ACA) and others like it, dangle in the wind. As the country transitions to a newly appointed administration, there is an increasing level of uncertainty among industry leaders. Federal, state, and local mandates continue to drive the need to improve the quality, costs, and outcomes of care which add to an already overburdened and burnout system. These coupled with our highly secular society who is primarily focused on the treating and curing illness through advanced technology, medications, and procedures has resulted in a

Health care administrators play a critical role in demanding medical field. There are many challenges and benefits within the administrator role. A great health care administrator can transform the healthcare organization. Within this in mind, Dionne Epstein agreed to conduct in-person interview to discuss her insight regarding the healthcare industry. Ms. Epstein has a unique background experience in healthcare and administrative services for over ten years. She even worked at Charity Hospital during and post-Katrina here in New Orleans, Louisiana. Ms. Epstein was a perfect candidate to discuss about the healthcare industry because of her educational background and experience.

The reporting party (RP) stated her brother, resident Luis Gallegos DOB: 8/26/70 was transferred to the facility from a skilled nursing facility (Premier Care). According to the RP the resident was admitted to Premier Care on July 13, 2016. The RP stated prior to her brother's stay in Premier he was able to make his own decisions and therefore didn't require a POA or a conservator. Consequently, Premier transferred her brother without notifying his authorized representative, his sisters. When the RP and her sister attempted to visit the resident they were refused. A caregiver named Jessie informed the RP that she had no authority to remove the resident. The RP stated her sister Chelsea visited the resident was not allowed to visit in private.

They need to know the fundamental lawful and moral doctrines that will manipulate the hospital atmosphere; the lawful affiliation of the patient and the health organization (Niles, 2014). The demands of the health care administrator include “The basics concepts of law, both civil and criminal healthcare law, tort reform, employment-related legislation, safety in the workplace, the legal relationship between the provider and the patient” (Niles, 2014, p. 285). Accreditation and Legal process put much demand on the health care administrator because the health care administrator needs to understand the translate law; criminal and civil and what it means in the workplace (Niles, 2014). When making decisions the health care administrator needs to work in compliance with mandates or else any violation could result in a lawsuit or loss of accreditation (Niles, 2014). When it comes to the Joint

Throughout the years, health care leaders have tackled many challenges in the health care organization. Some of the challenges include knowing the difference between needs and wants, affordability, and sustainability, consequently these challenges can be confronted by evolving and transforming over to modern business models. For health organizations to be successful they must use planning, decision making, and training. Regardless of the changes, health care organizations must conserve excellent services. The purpose of this report is to recapitulate information shared throughout an interview between Dr. Kyle Grazier and Ronald G. Spaeth. The interview gave readers insight on Spaeth’s work, educational background, awards highlighted, and his philosophies or strategies for health care. This report will also enclose the biggest obstacles that Spaeth believes today’s health care administrator is facing in addition to the school of management theory he mostly used and why. In conclusion, I will state my opinions on Spaeth’s approaches and the lessons that individual’s can learn from the interview.

Correct Care Solutions, LLC. (CCS) is contracted to provide medical, dental and mental health services to the correctional population housed at the Mecklenburg County Sheriff’s Office (MCSO). The SOW agreement between MCSO and CCS is dated November 1, 2008. Per the agreement, a quality assurance plan requires an “outside” correctional health professional to conduct a peer review of inmate health care services with documentation of deficiencies and plans of corrective actions on an annual basis. The American Correctional Association (ACA) was contacted to conduct a compliance audit of the inmate health services operation for SOW agreement between MCSO and CCS.

There are a number of questions that have to be answered in the coming years vis-à-vis ethics and legal issues in health care

While discussions of integrated care are not new in the United States, the research literature has largely been about blending mental and chemical health into physical health systems. Using a critical hermeneutic application of interpretive phenomenology, this study aims to address that gap by interviewing adults with serious mental illness about their experience receiving physical health services within a community mental health center. Nine individuals, five clients and four providers, interviewed for this study were selected using the critical case criterion in partnership with the community mental health center. Interviews were digitally recorded and transcribed. Data analysis was conducted within-case followed by cross-case analysis technique.

Richard Lewis, Jr. LCSW, CCM, Allcare Health, arrived late to the meeting. He was wondering why there is not a home assessment learning objective listed. The group explained to Richard that the Industry Partners considered RCC CHW course as an entry level and then Industry Partners would “mold” the individual to fit into their specific organization. Most of the meeting members felt the continuing education would be important for professional development. Richard stated, “Leaving the polishing to the specific organization,” would be beneficial for everybody.

“CARE USA’s program expenses in 2013 totaled more than $514 million” ("CARE FAQs") after providing necessary supplies to globally provide for their cause. To obtain this quantity of funding and commodities, the organization is helped funded from governmental agencies, “…the European Union and the United Nations.” ("CARE FAQs.") However, the organization is additionally funded by proceeds that are donated to them yearly from “…thousands of individuals, U.S corporations, foundations, and other organizations...” ("CARE FAQs.") Ultimately, these great commodities help promote the potential the organization has into achieving their mission of providing permanent relief to suffering communities.

Dr. Robert Master, the founder of Commonwealth Care Alliance (CAA), had created the company with the vision to ‘bring high-quality and personalized care to people with complex medical and behavioral needs, resulting in improved health and better self-management of chronic illness, thereby reducing hospitalizations and institutionalizations.' Therefore, the main objective was to provide care outside the walls of hospitals and institutions to make it easier for the chronically ill and disabled to receive the attention they

With the expected growth in the allied health sector in the coming years due to increased patient care demands, healthcare organizations in the United State will need to take steps to maintain a high quality of care. These steps will include ways to ensure that well trained staff are hired, adequate new staff on the job training and orientation, continuous review of policies for improvements in safety, care, risk management and quality assurance. In addition to focusing on the integration of the incoming allied health personnel, healthcare organizations are expected to review how care is currently provided, and find new ways to provide care and meet the great increase in demand for care.

As a health care administrator there are many challenges that have to be faced. Health care administrators have to deal with a very demanding career with all things health care on a constant change. The changing of health care with new developments is what causes health care administrators to have such a tough job. They have to make sure that they stay up to date on the changes happening. The main two challenges that I think will be faced is communication to employees and staying up to date with trending health care issues.