Pulse Home Health Care, Inc.

There is a shortage of all health care professions throughout the United States. One shortage in particular that society should be very concerned about is the shortage of Registered Nurses. Registered Nurses make up the single largest healthcare profession in the United States. A registered nurse is a vital healthcare professional that has earned a two or four year degree and has the upper-most responsibility in providing direct patient care and staff management in a hospital or other treatment facilities (Registered Nurse (RN) Degree and Career Overview., 2009). This shortage issue is imperative because RN's affect everyone sometime in their lifetime. Nurses serve groups, families and individuals to foster

The Bureau of Labor Statistics predicts a 22 percent overall growth rate in the number of registered nursing jobs. This growth will be driven by an increasing emphasis on preventive care; technological advances in patient care that allow a greater number of health problems to be treated; and an increasing older population, creating a larger pool of illnesses needing treatment. Among specific industries in the realm of health care, job growth is predicted to be highest at physician’s offices, followed by home health care services, nursing care facilities, employment services and hospitals. The job growth at hospitals is forecast to be in outpatient services such as day surgery, oncology and emergency. Nurse practitioners, who supply a lower-cost option for primary care, will be in high demand, especially in medically

Patient-Centered Medical Homes (PCMH) are growing in popularity as the right thing to do improve patient care. PCMH are growing in popularity, as there is early evidence of their effectiveness (Egge, M. 2012). The PCMH concept has been widely promoted as a way to enhance primary care and deliver better care to patients with chronic conditions. This model of care has stimulated the attention of payers, Medicaid policy makers, physicians, and patient advocates, as it has the potential to address several of the limitations of the current healthcare system (Wang, J. et al 2014). Currently, primary care in the United States is focused on acute and episodic illness, it inadvertently limits comprehensive, coordinated, preventive and chronic care (Bleser, W. et al 2014). The PCMH address these limitations through organizing patient care, emphasizing team work, and coordinating data tracking (Bleser, W. et al 2014). A PCMH and HMO have some similarities but are markedly different.

As the demand for home visits from nurses increases its necessities a need to prevent avoidable hospitalizations, it is critical to attract and prepare more nurses for roles in home care. The residency program would have input from the California Association for Health Services Home and the Infusion Nurse Society.

As a home healthcare nurse, I enjoy working in the community. I also enjoy helping patients

To add to the complexity of nursing there are so many different fields in which you can work such as staff nurse, charge nurse, OR nurse, administrative nurse, school nurse, etc…Kristine is currently in the field of home care working as a bedside nurse. She decided to get into bedside nursing in the home health care field for a number of reasons including one-to-one patient care, the chance to create a flexible schedule that is conducive to the demands of raising a family, stress reduction, the autonomy of home care, and the ability to bless entire families as opposed to just one patient. Kristine pointed out how she enjoys being able to attend to the problem of caregiver role- strain in the family in addition to caring for the patient,

One of the suggestions is for licensed practical nurses and registered nurses to incorporate health care education and counseling, using evidenced based clinical guidelines, to patients with chronic conditions through continued care offered via home visits and telephone follow-up calls (Institute of Medicine, 2010). It is also recommended to utilize APRNs as primary care providers in both outpatient and inpatient settings as this decreases the provider to patio ratio thus potentially enhancing the quality of care, and it allows the APRNs to practice to their fullest abilities (Institute of Medicine, 2010). APRNs participating as primary care providers widen the opportunity for health promotion, disease prevention, and limiting disabilities via early diagnosis and treatment. Transformation to a health care system driven by primary care practice as suggested by the IOM report will create a more qualified, accessible, and value driven health care system (Tri-Council for Nursing, 2010).

Competition in the home health field is intense, particularly in rural areas, where the need for services is in more demand. Because services are expensive to provide, it is critical for agencies to generate a volume of visits sufficient to cover fixed expenses plus make a small profit. Competition is primarily between another company Care One, Inc., a multicounty operation that has been established in the area for well over 10 years. AHHS surpassed them in total number of visits after its second year of operation and has been progressively growing. Many of the physicians in the area, however, continue to use Care One, and Care One receives more referrals from the local hospitals than AHHS. Currently AHHS has 32 employees, including 15 registered nurses, 8 nursing aides, 1 physical therapist, I speech language therapist, and 7 administrative staff.

Premier Healthcare’s Ohio Health Care Association (OHCA) meeting overview is a quarterly meeting held in the conference room of the corporate headquarters in Blue Ash, Ohio. The agenda for the meeting is to update the organization on the focus and Immediate Jeopardy issues identified by the OHCA for Ohio’s third quarter of 2015. The presenter is Lori W. the corporate compliance officer. Participants and attendees include the president, vice president of operations, vice president of nursing operations, finance director, administrators, and the clinical reimbursement specialists. The topics on the agenda were identified as Immediate Jeopardy citations in twelve Ohio facilities. The goal of the meeting is to review these

This educational needs assessment will cover Heart of Lancaster Regional Medical Center. Heart of Lancaster is a full service, 139 bed community hospital located on a scenic campus in Lititz, PA. The hospital staff pride ourselves on providing the highest quality care in all service areas. Our intense focus on customer service and patient safety has created a unique healing environment. In addition to our personalized care, we offer state-of-the-art technology and a medical staff consisting of the finest physicians in the area. All of the patient rooms are private and we provide free, convenient parking in a safe neighborhood. We have also achieved top scores from the Joint Commission and the Pennsylvania Department of Health and are accredited Chest Pain Center. Heart of Lancaster Regional Medical Center is partially owned by physicians. Needs Assessment The nursing services provided at Heart of Lancaster include a number of clinical services in areas such as bariatric care, cardiology, robotic surgery, the day hospital, pediatrics and a number of other areas. As mentioned above, the hospital is a full service institution that is well awarded and provides a lot of services. However, even in great institutions, things can be improved for the approximately 200 nurses employed on staff. From the research that this author has doen, the geatest gap in our hospital's educational needs (and possibly the most expensive is the lack of knowledge of HIPAA (Health

The role that nurse practitioner (NP) plays within the increasing complex health care system is a constant changing role with the Consensus Model and the introduction of the Affordable Care Act in 2010. The scope of the nurse practitioner (NP) includes the care of the young, the old, the sick and the well. The educational needs of a nurse practitioner vary greatly from that of a Registered Nurse (RN), in the amount of education as well as the focus of the education. NPs provide coordinated primary care with the use of comprehensive health histories and physical examinations, diagnosing and treating acute and chronic illnesses, the management of medications and therapies, ordering and interpreting tests results, and educating and

The mission of Hawaii Health Systems Corporation is to provide accessible, comprehensive healthcare services that are quality-driven, customer-focused, and cost-effective. The vision of the organization is to be the provider of choice for the communities it serves, the employer of choice for its staff, and the system of choice for its physicians (www.hhsc.org, 2014). The organization works with the physician base along with other service providers to plan and implement business ventures that will enhance the services offered to its patients. Employees and community leaders are included in the decision making processes to ensure adequate representation. Each facility has its own separate mission and vision statement that integrates into the overarching statement of Hawaii Health Systems Corporation.

Let your mind be at ease, with safe and professional nursing care in your home by Registered Practical Nurse. Some streamline duties: Palliative Care, Respite Care, Diabetic Care, Mental illness Care, Post-Op Care, Wound Care, Alzheimer's & Dementia Care, Preparation of Nutritional Meals and Light housekeeping and laundry

Proceeding admission to home health care, the nurse establishes services including nursing care, physical and occupational therapy, home health aide, social work, and other medical assistances. The goals of home health care services are to help individuals to improve their function and live with greater independence, to promote the client’s optimal level of comfort, and to assist the patient to remain at home, avoiding hospitalization or admission to long-term care institutions.

Pacific Medical Supply Company was a prominent supplier in the southern California region. They used to supply medical instruments and all other itineraries using a distribution channel consisting of sales commission based Sales force. Jim Shine, the owner of Pacific Medical, started off his career with a background of a salesman at a beach application store. His first venture into the medical supplies business commenced in a garage and slowly climbed up to be a fully fledged business covering Southern California meaning