Kidney Disease In Australia

This paper will explain the components of the Home Health Care delivery system of continuum. The reader will be able to understand some of the services provided by the home health care system and how they fit into the continuum of care. It will give details on how the entity does or does not contribute to the overall management of healthcare resources.

primary and secondary health care facility providing an array of patient care services in the areas

The building of the new facility is not expected to affect revenue, direct cost and patient volume. The Dialysis Center will provide the same services for its patients, but with different location of the facility. There is no reason for the personnel of the facility to be penalized financially, since the decision for the relocation of the building was taken due to recent growth in volume of the Outpatient Clinic.

Ms. Conlon applies the nursing process to systems or processes at the unit/team/work group level to improve care. Deirdre has been the primary nurse for 6 hemodialysis patients. She has involved patients and families in monthly interdisciplinary meetings to promote self-efficacy and quality of life. With the help of the interdisciplinary team Deirdre has worked collaboratively to address and reinforce nutritional needs, social/family issues, barriers to care, and safety concerns. All of her primary care patients have maintained a goal of 100% for dialysis adequacy (benchmark is 85%) and a vascular access rate of 100% and dictated by KDOQI standards.

Patients who use peritoneal dialysis change their own cleansing solutions at home, usually about six times per day. This procedure can be done manually when active or automatically by machine when sleeping. However, the patient’s overall condition, as well as the positioning of the catheter, must be monitored regularly by nurses and technicians at the Dialysis Center (Gapenski, pg. 27-28). The Outpatient Clinic currently takes up 80 percent of the space it shares with the Dialysis Center. The recent growth in volume has created a need of 25 percent more space for the Clinic. Its large size compared to the Dialysis Center and its patients frequent use of other departments in the hospital are justifications as to why it was decided to move the Dialysis Center to another building. Big Bend Medical Center currently doesn’t have adequate space to house the Dialysis Center, so it was also decided to build a new 20,000-square-foot building. This expansion and move were went to benefit both departments and help increase patient volume. The goal of increased patient volume is expected, but the directors and other department heads did not agree with the new allocation of indirect costs. In the past, facilities costs were aggregated, so all departments were charged cost based on the average embedded cost regardless of actual age of the space occupied. Since many department heads considered this

A number of companies have entered the field of providing dialysis, where they compete with non-profit providers. This brings us to one of the most important strengths of RAI as a company: Its clients have rated it very highly as being able to blend the efficiency that they have come to expect of a company operating in a competitive market with the individual care and compassion of a non-profit health provider.

Under the current indirect cost allocation scheme (Exhibit 1) the Dialysis Center’s Revenues and Direct Costs are as follows: total revenue is $2,700,000, direct expenses are $2,100,000, the contribution margin is $600,000, and their percent of revenues is 22.2%. Their indirect costs are as follows: facilities cost is $300,000, general overhead is $270,000, and total overhead is $570,000. This leaves the Dialysis Center with $30,000 in net profit and 1.1% in percent of revenues. Additionally, square footage is allocated at $15.00 per square foot on an aggregated basis. Lastly, their general overhead costs are set at 10% of their total revenues.

The organization provides the usual array of inpatient services expected in a moderate-sized community hospital. A local nursing home and retirement community is for sale, and the organization is considering the purchase of that agency. There is a regional hospital that is trying to establish a statewide hospital network. There is a local county health department that provides some clinic services, primarily for the uninsured.

AKF respectfully requests a $25,000 grant from the Titmus Foundation to support its Patient Financial Assistance program to support low-income dialysis patients living in Virginia and North Carolina. The Patient Financial Assistance program provides three types of funding to patients either directly or through their dialysis centers:

DaVita is a kidney care company that services people by supplying dialysis treatments to patients that have serious “chronic kidney failure and people that are going through end stage renal disease”. “DaVita’s website states that “as of December 31, 2013, DaVita operated and also provided administrative services at 2,074 of its outpatient dialysis centers located in the United States, they served nearly 168,000 patients in that aspect as well as provided services at 73 outpatient dialysis centers that are located in 10 separate countries.” (DaVita Health Care Partners). Retrieved April 18, 2014 from http://davitahealthcarepartners.com/.

Ms. Durand evaluates the hemodialysis units’ care delivery model on a quarterly basis, using the Care Delivery System measurement tool. She involves staff in this evaluation process to promote shared governance. The model supports all staff in providing safe, quality, responsible care to our Veterans. Each staff member continues to articulate the model which is constantly developing as it responds to both internal and external issues. The units’ care delivery model ensures a trusting relationship between the staff and the Veterans. The success of this model has been measured by our overall quality indicators exceeding the medical center benchmarks and our patient satisfaction survey for the last few years. We have promoted the need for the Veterans to become active partners in their own care.

Dialysis is always a first choice amongst many patients because they have someone who can tend to their care during treatment. On the other hand, the patient can voluntarily choose to not progress with any treatment options. There are four different types of dialysis options that a patient can choose depending on their circumstances, which are Peritoneal Dialysis, In Center Hemodialysis, Home Hemo Dialysis and Nocturnal dialysis. The most common option for dialysis is In-Center Hemodialysis because the patient can schedule three four-hour treatments per week at a kidney dialysis center (Davita.com). The dialysis center is fully staffed with nurses, patient care technicians, dieticians and social workers that will provide professional health care to the patient. The In- Center Hemodialysis option includes the equipment to give treatment to the patients, medications that are administered by nurses and patient care technicians that connect the patient to the machine, take their vital signs, and care for them upon their stay at the

One of the main renal failures is known as chronic kidney disorder (CKD). This disease is non-reversible and has no cure. CKD have this stages that definite the progression of a the kidneys. “CKD stages range from 1 to 5: the higher the number of stages, the greater the progression of the disease. CKD is a progressive condition that develops over an extended period before being detected”. In most cases when the symptoms is noticeable, the patient have already experience a large percentage of the kidney tissue that’s been destroyed. “Doctor uses a measurement called the glomerular filtration rate (GFR) to determine how the efficiency

All levels of quality patient care in the dialysis facilities of Fresenius Kidney Care is directed. The facility processes are in place to meet or exceed main quality goals such as mineral metabolism, vascular access, and anemia that is also required by the Medicare Conditions for Coverage of dialysis. Improve the facility performance reflect in the quality of care and selected outcomes that delivered through the dedication and hard work of the staff to further goal achievement.

People affected with chronic kidney disease undergo myriad of physical and psychosocial complications due to the chronicity and burden of disease itself. Stringent haemodialysis, drug, diet and fluid regimens put them further in a jeopardizing situation where they find life itself is meaningless. The ever growing physical symptoms and financial struggle to maintain life add to their