Questions On The Healthcare System

In the case of Providian Trust, the organization attempts to outsource the implementation of a major software system aimed at updating its internal business processes and outdated information system to be more cost efficient and provide more timely services to its customers. However, there are certain activities and processes that are needed to ensure that the procurement process is effective and the appropriate goods and/or services are acquired. For example, a needs analysis or feasibility study will need to be conducted prior to sending out the request for proposal (RFP). Specifically, for IT projects, such as the software development for Providian, this will pay off despite the chosen vendor as well as help avoid falling in love with a pretty interface and not what’s under the hood. In addition, the focus will be on solving business problems and seeing and understanding vendor capabilities and tool demos in relation to the project goals and objectives for the future. Additionally, there are some key criteria that should be followed to help ensure the success of a vendor selection and the procurement planning

I would do my homework, and research the most popular EHR systems for the type of practice I was looking to implement it in.  By asking other professionals what they liked and disliked most about the EHR software they were using, I could narrow the field down considerably.  Once I had settled on the vendors whose products I was most interested in looking into purchasing, I would send each one an RFP (Request For Proposal) outlining my practice type, in addition to our available budget for the product and our practice needs and priorities.  It is recommended that these only be sent to vendors that are seriously being considered to supply their product because RFP’s require a good deal of effort to respond to.  They do allow the EHR customer to contrast and compare product features as they relate to their specific practice needs.

Once the Authorization for the Use and Disclosure of Protected Health Information is complete, the medical record assistant will retrieve the request from a system called, Fax Finder. It is an electronically fax, that is placed on a computer desk top, and retrieves the request forms daily. The request forms are sent from physician offices, patients, and legal matters. After retrieving the request for example, a doctor’s office is requesting records that state the patient is cleared to return to work, after successfully completing a heart stint, the medical record assistant, will then access, Greenway (electronic medical record), and input the patients first and last name, and date of birth. Once the office note is located that states the patient can return to work as normal, it is then electronically faxed to the doctor’s office that was requesting the

Since Smith’s Information Services Company is in the business of processing and analyzing consumer data, the minimum number of vendors to solicit for outsourcing the data center would be three, with a maximum of ten. This would provide not only a fair solicitation process, but also would ensure the company receives the best value for the services provided by the selected vendor. While the goal of the outsourcing is to reduce the company’s soaring overhead costs, simply selecting any cloud computing company based on cost alone would be foolish. Ensuring there are multiple vendors solicited for this service would ensure the company’s costs are reduced while still maximizing profits. Given that personnel costs account for the majority of a company’s overhead costs, followed closely by utilities costs, any vendor solicited should cost less than Smith’s Information Services is currently spending on its employees and utilities. Limiting the number of vendors solicited to ten or less would also ensure a quick evaluation period without the chance of getting mired in minute details between the

Ensure that the vendor that you select has an in-depth knowledge of credentialing, contracting and provider enrollment as these are three completely different processes. Your vendor should have a deep understanding of state-specific payers and the best ways to maximize the processing of your applications and they should have established relationships with payers so they know who to call when follow-up is needed and you should expect a qualified credentialing vendor to follow up with payers weekly.

The United States Health Care System has undergone some drastic changes over the past few years. It is almost unrecognizable when we try to compare and contrast the growth and evolution; with physicians with no formal standard requirements such as licensing or even training to now being one of the hardest programs to enter. From private house being used as hospital settings with no type of formal reimbursement or insurance; to having hospitals now so luxurious, that they can be mistaking as five star hotels. Where we where around the Great Depression and the outburst of growth in the industry change the mission of Health Care System from patient oriented to business or profit oriented. Throughout all these transformation, one thing remains unchanged; what one entity is truly in control of the Health Care System?

Primary care is the backbone of many industrialized nations, but is the US one of them? Unfortunately, the answer is no. The US lags behind such developed nations in its accessibility of primary care by a huge difference. The United States healthcare system fails to ensure the timely preventative and primary care for its residents. The current estimates indicate that there is merely one physician for every 2,500 patients. Not only Medicare beneficiaries, but also privately insured adults struggle in accessing the right primary care physician at the right time. Moreover, maldistribution of physicians only exacerbates the problem, especially for those residing in health professional shortage areas (HPSA).15 Approximately, sixty-five million Americans live in designated primary care shortage areas.13 Such underserved population faces higher disease and death rates and health disparities that then result in higher rates of hospitalizations and emergency department visits—in other words, expensive medical bills.21 More governmental control on the geographic location of primary care physicians can be a first-step to fixing the shortage problem.

Preventative care is the key to improving the plight of millions of Americans with regards to their standard of care. This is not to say that a large scale health care reform is not necessary, it is. However, whether the United States moves to a single-payer system or completely to a fee-for-service path, preventative care is still crucial. By keeping people out of hospitals and emergency rooms, health care professionals could lower the nosocomial infection rate which balances between 3% and 12.5%, even in developed countries (Health care-associated infections, n.d.). Another example of a preventative measure would be to lower the rate of obesity. This would effectively reduce the source

The world as we know it has changed drastically in the past three decades, we are slowly but surely morphing into a worldwide community dependent upon computer technology. More specifically we rely on the Internet heavily for everything in our day to day lives. The benefits of expediency and the convenience afforded to those who utilize information systems their business dynamics is undeniable.

“Today, many if not most obstetricians do not attend births: they perform fetal extractions through the vagina or through an abdominal cut.” Faith Gibson (p.37)

The United States health care system is the most expensive in the world. It spends

The United States health care system may be unique in being a true melting pot of cultures, ethnicities, and races. Health care and maintenance of one’s health is a necessity of life, regardless of ethnic, social, or cultural background. The cultural landscape of America is a constantly changing as evidenced by some projections stating by the year 2045 that non-Hispanic Caucasians will represent less than 50% of the U.S. population for the first time (Alba, 2015). However, this estimate may actually be inaccurate due to the numerous American families that already incorporate multiple racial, cultural, and ethnic backgrounds. Nurse anesthetists that provide anesthesia for surgery are exposed to a myriad of cultures and all the differences that come with them. These many differences may affect how an anesthetist interacts with their patients, may cause a simple procedure to become a more challenging one, or it may also affect an anesthetist own beliefs and how that approach a case.

The United States health care system is problematic. On average the U.S. has 440,000 deaths a year from care in hospitals due to accidents and hospital acquired infections; harming patients and the pocket books of families and insurance companies with unnecessary cost and procedures (Allen). With the Affordable Care Act (ACA) the government is hoping to decrease these unnecessary cost; cutting down on medication administration, providing more preventive care, and merging many different healthcare members’ jobs into one position in order to cut cost on staff. There has been great strives with the new reform of health care, but there has also been downfalls and uncertainty. Preventive care has come to the forefront; this will help save patients and money for all those in the market for healthcare, so everyone. While preventive care is great, it is leaving many health care members are questioning what is next for them. The ACA is moving into the general public, but with immunizations already being taken over by drug stores, people are worried about the stability of job opportunities outside the hospital. As a nursing student myself I have concern of what the job market will be when I graduate; because when I started it was in high demand and now many student are struggling to find jobs. Therefore, I have concerns with the ACA and that some provisions will need to be reevaluated.

There are more than 43 million people right now in the U.S. that live below the poverty line (Poverty Talk, 2016). There are 43 million Americans who struggle to make ends meet, provide for their families, and receive adequate health care. Those under the poverty line have a difficult time maintaining specific needs; I am especially interested in the effect that socioeconomic status has on the health of an individual, particularly those in a lower socioeconomic status. Socioeconomic status focuses on either an individual or a group within a hierarchical social structure; it focuses on a combination of variables including occupation, education, income, wealth, and place of residence (Dictionary, 2005). The variables I will mainly be focusing on are income and wealth. While most working Americans have their healthcare paid for by employers, what about the 4.9% of unemployed Americans? The American health care system works on two different plans, Medicaid and Medicare, these plans were designed with the elderly, disabled, poor, and young in mind; I will be focusing specifically on factors of health for those with little to no income. Access to healthcare is another important factor that has a direct relationship to overall health of an individual. Research has shown that those with a lower socioeconomic status have a lower overall physical and mental health. The argument can be made that health is directly impacted by socioeconomic status with income being the biggest

Out of the nineteen candidates running for president, Ben Carson, Hillary Clinton, Bernie Sanders, and Donald Trump were chosen for the analysis of their plans for the United States health care system. The United States health care system has been in need of adjustment for years, with prices being paid over double per capita compared to other countries. While they have some similar views on current issues, there are drastic differences in the candidates’ ideas for change.