Health, Mental, And Social Health Issues

One of the aims of the Patient Protection and Affordable Care Act (ACA) of 2010 is improved integration and coordination of services for primary patient care. The patient-centered medical home (PCMH) is one of the approaches by which improvements can be established. The patient-centered medical home model is particularly well-suited for people who have chronic illness. The design of the patient-centered medical home model departs substantively from traditional reimbursement policies, in that, the ACA provides for incentives and resources to enable care coordinators to be directly recognized and compensated for their care coordination work. Care coordinators are most often registered nurses who through their work that aligns with ACA engage in quality improvement work, cost-effectiveness measures, and patient advocacy. To bring the ACA model to a human scale, the authors present a case study of a care coordinator at a patient-centered medical home in rural Maine. The table provided below provides a basic textual analysis of the study as it is published in the professional nursing journal.

In my hometown state of Colorado, one of the piloting states who are implementing a new method of delivering and paying for Medicaid beneficiaries’ care to coordinate a broad range of health and social serves by shifting some of the financial risk for the costs and quality of care to providers. Colorado’s Accountable Care Collaborative Program is providing Medicaid beneficiaries care through an accountable care organization (ACO) delivery model. Medicaid contracts with one regional care collaborative organization (RCCO) that works with providers that are part of the Primary Care Medical Providers (PCMP). “Medicaid oversees that the regions get the medical management, admin support, while they seek to ensure care coordination to the Medicaid enrollees and integrate smoothly with the care in hospitals, with social services and specialist” (Ellis, Gifford, & Smith, 2014). Many of the ACA’s provisions affecting Medicaid eligibility and enrollment went into effect during 2014, most significantly the Medicaid expansion implemented as an option for states. All states were required to streamline Medicaid enrollment and renewal processes, transition to a uniform income eligibility standard and coordinate with the new marketplaces (Ellis, Gifford, & Smith, 2014). Colorado has also set out to integrate behavioral and clinical health care through incentives to providers. Colorado’s first annual report indicated progress and success for what the ACO set out to

Each of the assigned articles defends the need for effective care coordination to help reduce escalating health care costs. Nurses are an important member of the health care team and have gained recognition among other professionals as effective care coordinators. According to Popejoy (2015), the American Nurses Association has identified registered nurses as a critical link in improving outcomes for all patient populations in the continuum of care. Care coordination increases client satisfaction, improves population health, and reduces per capita health care cost (Popejoy, 2015). Since, care coordination is delivered in a wide variety of approaches and in different settings it is difficult to fully realize the cost savings and benefits afforded by this type of care (Marek, et al., 2014). I agree that nurses are essential and that care coordination helps the patients navigate the complex health care system.

Direct Care Providers work independently in clients home. Sheena has been able to carry out her job duties independently and thoroughly. Independently submits monthly billing and client Data Tracking Reports within the required timeframes. Consistently demonstrates adherence to client care standards.

One common administrative agency in health care is the Centers for Medicare and Medicaid Services (CMS). The leader of CMS is appointed by the President to serve as the agency’s head. CMS administers programs such as Medicare and Medicaid and creates the rules that must be followed to bill and subsequently collect Medicare and Medicaid money. Many of the patient care concerns brought forth by CMS are settled without any further action. However, health care providers can also bring a legal action against the agency. In the case of Cooper University Hospital v. Sebelius (2009), the health care provider disagreed with the limitation CMS had put on the number of low-income patients the disproportionate share hospital claimed on their cost report. The hospital involved in this case felt the number of charity care program patients should be included in the calculation. Ultimately the decision was that charity care program patient days should not be included in the calculation for the disproportionate share hospital and the case was decided in favor of CMS (Cooper v. Sebelius, 2009). This administrative law case shows the reach of the administrative agency into the inner workings of a

The maintenance and improvement of health is vital to every member of our society. Mental health, a person’s condition with regard to their psychological and emotional well-being, is one, if not the most important aspects to our health. Mental health has been viewed and treated in many different ways throughout history, but mostly has been misunderstood and feared worldwide. These individuals face discrimination, humiliation, and hate from many members of their community due to numerous misconceptions. The treatment and care for mentally disabled individuals have been inconsistent and underserved. As the United States moves forward with healthcare and public policies, mental health, should be a key focus due to its effects on the individual, health care providers, health care industry, families, and community collectively.

atisfaction (ANA, 2012). According to the ANA (2012), “Coordination of care is not a new concept to registered nurses. They understand that they are an essential component of the care coordination process to improve patients’ care outcomes, facilitate effective inter-professional collaboration, and decrease costs across patient populations and health care settings” (p. 1). As part of the Nurse of the Future Competencies, this ensures a successful outcome during the transition period from hospital to home (Massachusettes Department of Higher Education, 2010) because communication, professionalism, patient-centered care, and evidence-based practice are vital for the intervention to be successful. Part of the communication component is for nurses to educate patients thoroughly by assessing their health literacy capabilities upon discharge from the hospital. They should start

Initially, health policies are developed to address the specific to efficiently provide and receive service without any detrimental fabrications or alterations that lead to human related neglect concretely initiate health efforts to quickly prevent disease and further sickness, while not allowing services to be secretly held from the public that is in need, due to becoming poverty stricken or possibly trapped.

Congress was the creator of Medicaid and continues to wield influence by originating and passing legislation to amend the staute(“Home Health Care Management Practice” Aug, 2009). The Centers for Medicare and Medicaid Services or CMS purpose is to guarantee that recipents receive state of the art health care and to support the staes efforts to provide quality and safety. In the CMS si the Center for Medicaid and state operations. They help Medicaid provide safe, effective, efficient, patient-centered, timely and equitable care. The Medicaid Integrity Program is there to eradicate fraud and abuse of Medicaid. These groups along with a variety of other agencies and facilities are there to coordinate and provide care to people with Medicaid. John should be able to get help from one or more of these agencies to make sure he is taken care of properly. They are in place to help people on the program. It might take some time for new policies or offices to be put in place but at least there will be hope for people to get the proper care without having to go out of their way to get it.

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Since the passage of the Affordable Care Act in 2010, the role and responsibilities of the nurse practitioners at the Healthcare Clinic has broadened. The current clinical model now allows the nurse practitioner to evaluate and treat both chronic and acute conditions affecting the elderly and the disabled, a step up from the previous years’ clinical model. The added clinic scope of service resulted to an influx of many clients, a significant percentage are uninsured. The clinics are staffed with one medical assistant and one nurse practitioner, with an off-site collaborating physician available 7 days a

Treatment for mental health disorders have evolved over the last few decades. Researchers have developed new method and strategies that differ from those of the previous centuries. In the precatalytic days of psychiatric development, most individuals diagnosed with a mental illness were deemed untreatable (cite). Or forced to undergo unethical and gruesome techniques which cause very little relief of psychiatric symptoms. Although treatment has come a long way, professionals continue to discover new strategies to manage psychiatric symptoms daily.

Mental health illnesses are just as serious to address as any other disease, and with this Amid 'Crisis, ' Senate Bill Seeks Boost Access to Mental Health Care outlines the recent legislation that is being drafted in order to improve Mental Health Care services. Through The Mental Health Reform Act, various measures would be in place to address the growing Mental Health Care concern. The bill would, “update state funding, improve mental health practices, and increase access to mental health care” (Bowman & Lesniewski). Senator Lamar Alexander and Patty Murray, who are figureheads in the Senate Health Committee, proposed the bill, and thus are working to get it finalized before presentation (Bowman & Lesniewski).

The following report will introduce and then analyse the Victorian public health and wellbeing plan 2015-2019. Firstly, we will describe the primary concerns regarding the health and wellbeing of all Victorians. The Victorian public health and wellbeing plan identifies six main priority areas which include promoting healthier food and physical activity, reducing and ultimately eliminating tobacco use, a reduction in alcohol consumption and drug use, improvements in mental health, the reduction and prevention of domestic and family violence, and lastly the promotion of improved sexual and reproductive health. This report will analyse the priority area aimed at reducing harmful alcohol and drug use and then discuss two related

Approaching mental health as public health issue is a highly controversial matter, especially when the public is not educated or already have there own bias towards mental health. I feel that mental health is a public health issue and a major concern that should be addressed by local and state officials along with health care professionals and the community in general. Due to the limitations of mental health facilities and providers, most of these patients require hospitalization due to their illness, or end up in correctional facilities due to the behaviors related to there mental illness. Improving access to impatient and outpatient clinics is a concern for most patients who suffer from mental health issues. Most patients with mental health concerns are unable to keep up with job demands and tend to have no form of insurance, which leaves them with very limited resources for help or therapy. I have had the privilege of working with students within an inpatient facility for adults and children with mental health related disorders and one major concern for these patients was the stigma that came along with there condition.