Improving Effective Service Delivery Throughout The Country

The process of decentralization redefines structures, procedures and practices of governance to be closer to the citizenry and to make them more aware of the costs and benefits; it is not merely a movement of power from the central to the local government. It is the central government has to make some effort for the enactment of legislation.

Healthcare is a complex industry that is consistently changing to meet the demand of improving quality patient care. As a member of the healthcare team, we are obligated to provide safe patient-centered care. However, patient care within the facility this nurse is employed is not as effective as it should be. The organization currently utilizes three different charting systems, two electronic health information systems and a paper chart. Each with its own purpose of use. To make matters worse, not all healthcare providers have access to both electronic health information system. Depending on the individuals professional role within the organization, access would be limited to one or the other. Nurses are the only one

The budget proposal for the Department of Health and Human Services was presented by Director Richard Whitley and Acting Administrator from the Division of Health Care Financing and Policy, Marta Jensen. In the first part of the presentation, Whitley presented a basic outline of the functions of the Department of Health and Human Services (DHHS). In terms of the Upper Payment Limit Program (UPL), Chair Sprinkle wanted Whitley to confirm that DHHS was moving its contract services from non profits for financial reasons. Whitley confirmed this and elaborated more by bringing an example of the situation with the newborn screening program. Originally, Nevada paid the state of Oregon to operate that program, however over time that was transferred back to the state of Nevada. As a result,

Ms. Teresa Keller addressed the Oklahoma City Service Center move to the Will Rogers Building. We have eleven claims takers and two supervisors that have moved into the space on the northeast corner of the fourth floor, just north of the Adjudication unit. Brenda Orange is now supervising both Adjudication and the Service Center employees. The move went smoothly, and we are thrilled to have them here. This move saved the agency $90,000 a year.

In this class, I am expecting to learn how to improve health care quality using vision, strategy, process to improve it, and the tools the health care could use. Also, I am expecting to learn about healthcare cultures and improve safety for patients. The key take-a-ways I hope to learn in this class are what a healthcare management could do to improve quality of care for the patient, what need to be done to make sure patients are safe, such as reducing medical errors, preventing falls, and working in a safe environment. Those key take-a-ways are important to me because they are something health care systems need to work on. Also, they have been working on them, but they still big issues in health care setting. For example, medical errors

One of the major milestones that are constantly influencing health care delivery worldwide is the WASH system as well as disinfection and sterilization. While it is very important that all health care facilities adopt some sort of sanitation one of the most common systems adopted around the world is the WASH system. This system when followed ensures improved water, sanitation and hygiene.

Advances in technology have improved the way people live and communicate. One thing that has not changed much is the fact that patients are not being considered as an important tool to improve the health care system. In this video, Dave deBronkart, expressed how patients are unutilized and how doctors talk about patients as they are not humans or in third person. In addition, deBronkart also believes that patients should take control of their health and that the success of getting healthier should be in patient’s hands as well. Moreover, he was diagnosed with stage 4 kidney cancer, he began researching in WebMD about the disease and the prognosis, which for him, was poor. In addition, his doctor recommended him a website where people with similar

This case study focuses on the challenges faced when providing healthcare in Ashe County, a rural area located in North Carolina. The county has a history of economic difficulty and after the recession of 2008 and the departure of several manufacturing plants, the economic situation has continued to decline. This has led to a shift in demographics leaving Ashe County with a proportion of children and elderly that is higher than the national average. These two groups are the least likely to be able to fund their health care expenses. This consideration, coupled with the low economic prospects for working aged adults has led Ashe County to become very dependent on charity care and government subsidies for healthcare. As the reimbursements from Medicare/Medicaid are very low, physicians and other providers who have practiced in that area, have not been able to reach financial prosperity causing a shortage of healthcare professionals.

A recent study, by Baur, Fehr, Mayer, Pawlu & Schaudel (2011) concluded that the growing demand in health sector, resulted in rapid change in patients’ expectations. As a result, meeting patients’ expectations, while maintaining standards and quality of healthcare service has been the crucial part in health sector. However, maintaining the service standards does not only refer to increasing the number of health professionals. Providing optimal care service to the patient, also contributes hugely in improving quality and standards of health service. Taking this thing in consideration, in 1994, continuing medical education (CME) programme was launched and it gradually broadened to cover professional education. Hence, in 2000, CME programme

As we all know the Philippines is very diverse, and diversity is beautiful and brilliant. Because it means we have a lot of things to offer and we have a lot of things to share. Federalism will strengthen ties and will promote creativity and competitiveness on local governments. This will constitute a big challenge to the citizens and will encourage them to actively participate in their local government’s activities and events. In short, socio-political stability and participation will be greater among

According to Seda (2009), the organization of government accounts in Indone-sia was originally rooted in the Dutch budgetary system in the colonialial era, called Indische Comptabiliteitswet (ICW) and instituted in 1867. After gaining independence, Indonesian politics began ‘the old order era’ marked by the rule of its first president, Soekarno. During this time, the new state adapted the Dutch budget system, which was highly centralized and consisted of two sim-plified groups - income and expenditure, without a system of checks and bal-ances by level or part of government. The expenditures side included routine expenditure and capital expenditure and the central government held complete authority to allocate the budget and formulate a development program. The law Number 5 Year 1974 regulated the basic principles of local government, however, the state system in practice was still centralized in all manners (Smoke & Lewis, 1996). The second president, Soeharto, also ran the government in a centralistic, authoritarian style, therefore the budgetary system remained both formulated and decided upon by the central government. This only changed in the aftermath of the financial crisis in 1999.

Papua New Guinea has undergone numerous government reforms with the aim of improving effective service delivery throughout the country. Since its independence in 1975 the country has achieved a lot in terms of development especially in the urban areas but not much has been achieved in the rural areas. Recently, the government has come up with the District Development Authority as a development in bringing funding closer to the people in the districts. The District Development Authority has decentralised administrative and financial powers to the district. However, there are districts that are yet to meet the minimum standards to be fully functional as a district administration. There are ongoing issues faced in the districts that needs to be made aware of the consequences that will be faced as being part of the decentralisation process.

The government is not working with the aim that was actually defined. The government is not functional proper. As stated by different journalists will be fizzled will legislate the not for the genuine Furthermore genuine implying for administration. There need aid not only health, pension, training Also nourishment that administration recognized that these are recently requirement from claiming people Also they need aid here done legislating forms on only give acceptable these things. These legislating forms ought to define the legislating standards concerning illustration for every spiritually Furthermore attitude from claiming organizations in the nation individuals. The effectiveness impacts of a one task rely on upon its associations

Regional Government of South Sulawesi province after the reform era are required to be more transparent to the various activities of governance created by the government and has the support of the community by creating all the tools and rules of the system and mechanism of action of the government must be transparent, informed to the community and society easy access to all information relating to good governance in accordance duties and functions of each government agency. Transparency in principle is the principle of the creation of mutual confidence between the government and the public through the provision of information that ensures the ease in obtaining accurate information and adequate. Through this transparency, government and communities together to provide information where the information is a necessity for governments and communities to mutually participate in running good governance.

Fadliya and McLeod (2010) showed how local governments had passed laws only to raise revenue (such as taxes and user charges) instead of pursuing social justice targets in Indonesia. Finally, Nasution (2016) explained that the decision-making process was more difficult in the era of regional autonomy because the interest of conflicting parties and districts must be accommodated.