Effect Of Innovation Within The Healthcare Industry

  (a) Cuts in Medicare. The elderly on Medicare will see their benefits changed dramatically. The biggest item being used to pay for the new program is more than $500 billion in cuts to the Medicare program at a time when 72 million baby boomers become eligible for it in the next decade. The second biggest move to pay for this is by raising and expanding the Medicare tax.

The “Lewis Blackman Story” told by Helen Haskell, a person who continues to advocate for change and improved quality of care. Lewis Blackman the son of Helen Haskell died at age fifteen after developing complications after surgery that included incorrect administration of a medication and a nursing team who failed to see the changes in patient’s condition and effectively and sufficiently respond to the change in a timely manner ultimately resulting in failure to rescue and the patient’s death. More specifically, the staff failed to recognize the signs of shock that this patient. Likewise, no rescue plan was in place. Lastly, failed protocols and failed leadership

My definition of health is the overall well-being of an individual including several factors. They include the present state of mind of an individual, the financial situation an individual may be in, the environment the individual may be exposed to, and the genetics of the person.

Professionals at this level continue in coursework and learn using airway devices and administering fluids and medications.

Smith, L. G., & Gallo, K. (2015). Building a Culture of Patient Safety Through Simulation: An Interprofessional Learning Model. New York: Springer Publishing

One model of health care innovation that has resulted in improved member outcomes and safety at Optum is Lean thinking, principles, and methods. Applying Lean thinking to improve case management call contacts transplantation program initiative has improved member safety and quality outcomes. For example, Optum’s transplant service program is creating a culture receptive to Lean thinking.

This time-cycled release phase allow for CO2 removal and keep the alveoli inflated at the “inspiratory pressure for most of the respiratory cycle”, allowing for “a higher mean airway pressure at lower peak airway pressures. APRV produces similar or improved oxygenation with lower peak airway pressures with no significant hemodynamic effects compared with alternative modes of ventilation in neonatal, pediatric, and adult populations.” (Kenny, et al., 2011) The Respiratory Care Journal (2012) stated that “the primary goals of this mode were to

In order to properly learn, the nurse must be able to manipulate the emergency equipment, that way he/she is comfortable putting together items such as an Ambu-bag, doing chest compressions, and drawing up life-saving medications. After the 12 weeks of hands on training are completed, the nurse will attend two different simulation labs, one in a delivery room and another in a bedside setting. These simulations consist of a computer operated “baby doll” that breathes, changes color, and has a heartbeat. A team consisting of two new RNs, a respiratory therapist and a doctor will progress through the steps necessary to revive the “infant” in each setting. The mock code will be recorded and played back for the team so they can debrief and discuss ways to do better for next time. This type of learning is a new way of using technology in the classroom setting to practice working under pressure so the nurse is ready when a real emergency occurs. Using an electronic baby doll in “real time” is advancing technology and allowing nurses to feel more comfortable in their own

PHigh is the airway pressure that the patient breaths spontaneously at. A good starting point is 25-35cmH2O, but if you know the MAP you can add a couple. So, if the MAP is 18 then start the PHigh at 20. Plow is the airway pressure when the release occurs. This can be set from 0-10 cmH20. Tlow is the time spent at Plow and is usually started at 0.6-1.0 seconds. Thigh is the time spent at PHigh and is initially set at 4-6 seconds.” As with any ventilation strategy in ARDS, the goal should be to ventilate the lung on the steep portion of the pressure-volume curve, where mean lung volume and pressures are adequate for oxygenation and ventilation, and the tidal volume lies between the lower and upper inflection points” ( Daoud, E. G., Farag, H. L., & Chatburn, R. L. 2012,

Concerning the formal process to remain ethical and legal, I was able to assist in the creation, and implementation of an acute care and ICU competency skills checklist to warrant PTs including myself working in the ICU, to be competent and skilled. These clinical proficiencies can be made possible by collaborating with nursing educators in providing instructions and training on various tubes and lines. Moreover, the respiratory therapy team leader also provides an in-service regarding the different oxygen delivery systems including the unique ventilator

The stakeholders are the individuals may be the learners, health care providers, and policy makers of the institution or the hospital for identification of the need, and development of curriculum for educational aspect to enhance the standard of care. Inter-professional team members are important in continuation of patient care in any health care settings to implement patient safety, thereby positive outcome is achieved. The evidence -based practices are demonstrated and practiced in sim lab and directed to care of real life events. The popularity of in-situ simlab training is the valid educational strategy needs periodical assessment and evaluation for further improvement. The education process in both situation whether in simlab or in the clinics - real life critical events are observed for implication of expectational competencies. The competencies of such procedure is programmed by the stakeholders time to time with some changes.

Healthcare delivery in the United States has morphed through substantial changes over the years with most changes occurring as a result of technological advances in medicine. Though technological advances directly affect health care delivery in America, other factors affect it as well. As reported by Ball (2012), two of the earliest and most important technological advances that affected the system of health care delivery in the United States were the invention of the x-ray and the discovery of germs. These two advances drastically altered the health care delivery system and illustrate the way in which other technological advances may have bearing on the system. Further, these technological advances have drastically altered the public opinion with regard to the health care delivery system in the United States. Unfortunately, the resulting public opinion of the current health care delivery system is not necessarily a positive position. According to Jonas and Kovner (2008), this is probably due to the fact that health care in the United States remains a mystery to most. Additionally, the public opinion of the health care delivery system will continue to be affected by advances in technology as it was by the identification of germs and the use of x-rays in medical diagnosis.

The United States healthcare industry is undergoing several trends to cope up with the ever-increasing demand and cost of health care industry. Managed care, lower reimbursement rate of Medicare and Medi-Cal and changing health care reform is creating financial challenges and increasing service area competition for various not for profit organization. Which has resulted in closure and consolidation of several not for profit health care organization. The author has elaborated various factors, in this case study that are responsible for developing crisis for a diverse nonprofit healthcare organization.

Two problems exist in this exercise. The first is ventilator-dependent patients being discharged to home with multiple complex care needs, without a critical pathway for that transition of care. The second problem is the lack of multidisciplinary interest in providing input to developing a critical pathway. Successful implementation of a critical pathway depends on the involvement and investment of all relevant staff to ensure proposed aims are achieved (Lacko, Jarrett, McCrone, & Thornicroft, 2010). Patient care is a multidisciplinary team approach. Therefore, the responsibility for the development of this pathway falls on all members involved in the care of ventilator-dependent patients. However, it seems that the problem has ended up in the lap of Nurse Witte, many times I have witnessed problems like this default to nursing. Nursing embraces patient advocacy

After taking the assessment test my four-letter type ESTJ, the result indicated I am 1% an Extravert person which perceive to focus involve organization of people, enforce the rules handed down from higher authority Sensing 6%, thinking 1% and1%Judging . My strength is order and continuity knowledge and training that I received throughout years increased due to my strongest skills with prioritizing, not procrastinating be organized, meeting deadlines and staying focus to accomplish my task providing good customer service.