Health Care Case Study

On Tuesday 06/27/2017, veteran Mr. Saenz walked very angrily in my office with his wife about 11:00 AM. I greeted them and offered to sit down; Mr. Saenz and Mrs. Saenz were very upset and asked me where they need to go as they have VA examination, they both said “nobody tells them anything; they have been sitting in waiting room”. They told me that the lady on the desk told them to come to me.

While there are many studies done on this aspect of patient care and guidelines have been developed to assist in the reduction of the rate of unplanned readmissions, there is still much to be done to reduce the occurrence, especially in bridging the gap between hospitals, the community, family and ultimately the patient. Support for this approach has been generated by The American Hospital Association (AHA) Committee on Research led by Chu, B., K., Brien, J., G (2012) in its framework for health reform,

Setting: Seniors living in the community in select independent facilities in Montgomery County, Maryland with Medicare with 2 or more emergency room visits within 6 months.

In early 2013, an employee of UnityPoint Health-Trinity Wellness departmnet developed a program titled HEART- Helping Everyone Access heaRt Treatment in an effort to combat the above average mortality rates from cardiovascular disease in Rock Island County in Illinois. Deaths from cardiovascular disease were 21% higher in this county compared to the national average at that point in time. After the Trinity employee developed the program, Trinity applied for funding from the AstraZeneca Healthcare Foundation (AZHF) to support the implementation of this program. In October of 2013, AZHF announced that they were awarding Trinity a one year grant for $187,270 to support the implementation of HEART. After Trinity received the grant, the

1. Managed care plans (PPO/HMO) have had different successes in medicine and dentistry. Explain those differences and why you think they have occurred.

Certainly, Accountable Care System(ACS) or accountable Care Organization (ACO), which is an entity that can implement organized process for improving quality and controlling the cost of care, and can also then be held accountable for these care results and the resultant costs associated with the outcomes. In this system, outpatient, rehab, long-term care, and even palliative care would be the responsibility of the ACS (Berkowitz 2017, page 37)

One such study designed a tool for discharge to assist providers in making sure that patients received all appropriate information regarding methods to care for themselves prior to being discharged to another level of care or to home. Hence, the AHRQ along with Boston University Medical Center, prepared the Reengineered Discharge (RED). As per the patients’ needs for safe and effective discharge the RED tool was designed to provide the provider with a clear and concise method to discharge all patients. The RED process is an evidence-based intervention that has been implemented in over 300 hospitals in the U.S. and found to decrease hospital readmissions by 30% (Joint Commission Resources, 2016). While the program has been noted to be significantly effective, the implementation to be done correctly and effectively may take from 6-12 months or longer (Agency for Healthcare and Administration, 2013). Although it appears an extensive period, the goal is designed to improve the care coordination that is offered to patients at any specific site. The RED tool provides organizations information on how to align with the AHRQ practices and to encourage communication amongst providers to better assess the best plan for patients and promote follow through for each level of care. One barrier that can affect the proper and successful

One in every four Canadians will be affected by lung disease over the age of 35 and the rate is predicted to increase (Gershon, 2013). These statistics demonstrate that every Ontarian, if not affected themselves, knows someone who is. North East Ontario (NEO) is a vast area and has a significant population with CRD (LELHIN,2014). Access to a northern PRP requires significant travel for patients (OLA, 2017;Crighton, Ragetlie, Luo, To, & Gershon, 2015). The geographical distance creates barriers to accessing PRPs.

A Midwestern hospital developed a Geriatric Transitional Care (GTC) program to help reduce readmission for the geriatric patients that they care for that had chronic health problems such as the congestive heart failure patients. The program had a telephone call system, reevaluation of the some patients by the nurse practitioner, for those who were considered most at risk for readmission (Deniger et al., 2015). The nurse practitioner would evaluate the patient, the patient’s medications, and assist with any educational needs. Although not all readmissions were prevented, this GTC did help to reduce the number of readmissions. Although this program was not exclusively for heart failure patients, the program did trigger some thoughts. The program did not discuss the importance of the educational aspects as clearly as needed. The GTC did however address the need of follow-up for the patient in order to reduce

On 7/20/15 worker visited WBMC, for the purpose of assessing Mr. Hubert Knoblock need for services. When worker arrived, Mr. Knoblock was lying in bed. He was appropriately dressed and did not present an odor. Mr. Knoblock is legally blind and reported he was attacked by his landlord, Ellis Nickolas. According to Mr. Knoblock Mr. Nickolas was upset because the grass had not been cut. Mr. Knoblock stated he told Mr. Nickolas he was unable to mow the grass so Mr. Nickolas mowed the grass. Then, Mr. Nickolas came back to Mr. Knoblock's home and demanded payment for mowing the grass. Mr. Knoblock told Mr. Nickolas he did not have any money. Mr. Nickolas stated, "I'm going to get my money one way or another." Mr. Nickolas then hit Mr. Knoblock across

At 1:30 pm, 9/3/17, dispatch received a 999 call regarding concerns about an individual male at the address of John Foster room 1.57, Liverpool. The caller identified himself as Mark, He rang because he was worried about his ex-partner, a male individual. He advised police handlers that due a recent break up with his ex-partner the male individual had been rather sad, Mark has attempted to contact his ex-partner but despite attempts Mark has had no contact with the male individual.

It has been a foreseeable goal of healthcare organizations to solve integration and interoperability problems across systems with disparate EMRs since the introduction of health information exchanges, with the emphasis on improving clinical outcomes and containing costs. The Vermont HIE did just that in 2015 when they successfully interfaced all 14 Vermont hospitals to their HIE through the initiatives of the Vermont Information Technology Leaders or VITL (Raths, 2016). VITL was able to accomplish this by developing a clinical data warehouse that allowed them to create data marts for Accountable Care Organizations or ACOs. Realizing head on that for ACOs to integrate processes and improve care coordination, VITL stressed the need for data

I chose to search for a health insurance plan that would serve well for myself, my spouse, and my child that would be considered a minor. I chose to look throughout the gold plans due to the possible income from both my spouse and I within the future. My listed income between my spouse and I would be around $110,000 10 years from now, considering where I know I am going in life as of right now. The two insurance plans that caught my eye were the AmeriHealth New Jersey: IHC Gold EPO Community Advantage $10/$20, that consisted of $950 monthly premium, a $2000 deductible, and a $8,500 out of pocket maximum; the AmeriHealth New Jersey: IHC Gold HMO

Health Care is always going to have laws and regulations to go by. However, not every employee in the health care field is going to abide by these rules and regulations. Therefor, courts have plenty of health care cases come into their court every year because of negligence. In some cases, the courts decide in the patient 's favor and others decide in the facilities or doctor 's favor. The judge and Jury members have to be given plenty of evidence and facts in order to provide both the defendant and plaintiff with a fair judgment. In most cases not everyone is happy with the decision of the outcome that the jury comes up with. To avoid horrific incidents, physicians must not be negligent with their patients.

The US health care delivery system lacks a national program to ensure a universal health insurance coverage in comparison with other industrialized countries. Although government has increased financial contribution to the health sector but the extension of coverage is not increased, rather it is used in advanced technology and to increase the volume of services. Limits on the Medicare and Medicaid reimbursement rates, increasing dependency on private sector insurance plans on different types of managed care, organizational constraints on health care service decisions, attention to medical devices and equipment are basically changing the practice health care service and service