Managing Complex Health Care

Chapter 2 focuses on problems in health care such as access, cost, quality, and what some believe to lead to health issues. “The World Health Organization defined health as “a state of complete physical, mental, and social well-being” (p27). Many argue that “the study of social problems is, essentially, the study of health problems, as each social problem affects the physical, mental, and social well-being of humans and the social groups of which they are a part” (p27).

Another health care provider service that is important to individuals is acute care. Acute care provides of secondary health care where a patient receives active but short-term treatment for a severe injury or episode of illness, an urgent medical condition, or during recovery from surgery (https://en.wikipedia.org/wiki/Acute_care). Acute care services are generally delivered by teams of health care professionals from a range of medical and surgical specialties. Acute care may require a stay in a hospital emergency department, ambulatory surgery center, urgent care center or other short-term stay facility, along with the assistance of diagnostic services, surgery, or follow-up outpatient care in the community. Hospital-based acute inpatient care typically has the goal of discharging patients as soon as they are deemed healthy and stable. Acute care settings include but are not limited to: emergency department, intensive care, coronary care, cardiology, neonatal intensive care, and many general areas where the patient could become acutely unwell and require stabilization and transfer to another higher dependency unit for further treatment (https://en.wikipedia.org/wiki/Acute_care). An individual can be treated whether they ability to afford treatment or not due to a federal law known as the Emergency

Everyone should have the opportunity to achieve a healthy life and have comprehensive health care services available to them. To achieve this healthy life, people need to have access to the health care system and to a health care provider with whom they can develop a trusting relationship. However, existing barriers to attaining health care services often lead to disparities which in turn lead to differences in life expectancy, health status and a higher prevalence of certain chronic diseases (HealthyPeople.gov, 2012).

Lees (2012) defines complex care as those who have multiple care and health needs, whom require complex interventions and often need a diverse range of services to aid their wellbeing. Lees (2012) separates complex patients into two groups who are deemed more likely to be a ‘complex patient’. Firstly, frail elderly patients who often have several care needs which are associated with multiple health related problems. Secondly, patients who are terminally ill with palliative care needs or patients nearing the end of life who tend to have complex needs. Nonetheless, taking into account the Vector Model, Safford et al (2007) argue that it is not just multiple and long term health issues which make a patient complex. It involves, biological, socioeconomic,

Access to care has become a buzz word in the modern healthcare theater. The prevailing thought is that our healthcare system will experience a significant amount strain as an increasing number of individuals seek care with increased number of individuals being covered by third party payers under the affordable care act. Access to care has become a catch-all term used to describe the inability for an individual or population to seek needed healthcare services. Access to care can be divided into 4 major problems within a healthcare setting to include, physical accessibility, affordability, acceptability, and supply and demand. While the current state of our healthcare delivery system in regards to the changes implemented by the affordable care act has attempted to address affordability and acceptability. The affordable care act may have strained the infrastructure of our system in regards to the supply and demand aspects as well as physical accessibility challenges to many populations.

The whole world has issues with healthcare and how to provide care for all their citizens. The United States is currently in the process of making changes to its healthcare system. There are currently multiple types of health insurance in the United States. Today, I will address the health care insurance I have, its products, source of my insurance, my out-of-pocket expenses, the level of coverage I receive with my plan, the major limitations to my coverage, and the process of receiving needed care, needed care in my plan including exams, how to get to a specialist if needed and the process for non-emergency care.

The purpose of this essay is to discuss the care given to a stroke patient with complex care needs in a community setting. A critical analysis of the nurse’s role in care delivery will be explored. This essay will focus on three key aspects of care, which are mobility, nutrition, and cognitive impairment and a rationale for the chosen needs will be given. The author will evaluate and analyse the chosen nursing care approach utilised and its effectiveness in facilitating the care given. A discussion of the psychological, physiological, and social factors influencing the patients’ needs will follow. Furthermore, the author will identify and explore on health promotion needs relating to the patient. Issues related to Inter-professional working

Effective healthcare is dependent on understanding vulnerable individuals and populations with respect to biases and prejudices of healthcare providers. According to de Chesnay (2008), “Vulnerability is a general concept meaning susceptibility, and its specific connotation in terms of healthcare is at risk for health problems” (p. 3). Anyone can be vulnerable at different times in his or her life under specific circumstances. According to de Chesnay (2008), “Vulnerable populations are those at risk for poor physical, psychological, or social health.

Many organizations, including the Commonwealth Fund, have recognized what constitutes individuals as having both adequate access, and outcomes, of health care. The presence of consistency

Even although, the cost of the health care system and the care it offers my not allow the national debt to decline to a level that will or would enhance the economy forward the cost of running a system that is backed by the government is too costly, and it will not help the deficit. , the legal responsibility of the organization is that every patron should have the same treatment for the same ailment. There are no predetermined dispositions; everyone is eligible as a government-backed facility. The funds are to assure those who have no insurance are covered. The accountable care

Different members of the multi-disciplinary team work in partnership to be able to provide a higher effective quality of care due to the different levels of expertise each members brings to the health and social care service provision. This expertise means service providers have different skills, and knowledge which are available to offer a safe, effective high quality care for example a service provider might know what service would be the best to provide support and guidance for an individual suffering Alzheimer’s disease. Within health and social care the growing of complex needs results in partnership working between the multi-disciplinary team as they each have their own specialist areas which would ensure further essential information is provided on the growing disease and need for more services. “More people are experiencing ‘complex health needs’ where they will have more than one health problem. This ensures healthcare professionals can manage these needs effectively and progressively through multi-disciplinary action.

Refer to the Health Care Management Problem Assessment Scoring Guide to ensure that you meet the grading criteria for this assessment.

Most patients who come into hospitals have either one or more illnesses that need caring and treating. These are the people who have complex health care needs. The Department of health (DH) (2015) defines complex health care needs as physical or mental health impairment that has a potential or affects an individual to conduct their daily activities. This assignment will critically analyse the care given to a patient with complex health care needs. The aspects to be focused on are pain and breathlessness due to swollen neck. The approach to the patient care will be analysed and the effectiveness of the care pathway to deliver care to the patient will be critically analysed. The roles of the Multidisciplinary team (MDT) involved in the care will

Kaiser is able to respond to the challenges set forth because they continue to evaluate what changes need to be made and how to make them successfully. The strategic plan allows for an overview of where the facility is currently standing. This allows for any changes that are made internally or externally to be evaluated at the time of the change instead of after the change has been made and it is too late. The strategic plan helps to have a faster response time because there is already plan in place so it is easier to see where the changes are made and how to correct them without the facility suffering.

There are many issues that are causing changings in the healthcare system. Population aging, rapidly increasing costs of healthcare and the growing burden of chronic disease are challenges to health systems worldwide. To meet these challenges will require new approaches to healthcare delivery and comprehensive population health management. Many states are not prepared to tackle this issue yet. The US has the most expensive healthcare system in the world with health status indicators that are only average in comparison