The Problem Of The Hospital Emergency

The main key issues in case #5 is that the MMG system had not achieved its overall financial performance goals; therefore they experienced a big loss secondly the transition of new leadership became an issue. The difficulties of implementing the MBS business model in the Hospitals and Clinics division also became a very important issue. Having to come up with a strategy to improve the financial side and being able to focus on customers and relationships was not an easy task for them. Hospitals had a different approach of helping customers in

When focusing on the Centers for Medicare and Medicaid Systems strategies for improvement with unnecessary emergency room visits, a major key area is accessibility to health care at the appropriate health care setting. For many years, there has been the perception that the emergency department is the only place for someone who is uninsured or underinsured can go to receive the needed and appropriate health care, and in some situations that may be the case. (Rhodes et al, 2013, p.394) Due to the decreases in reimbursements for the publicly funded, more and more physicians are opting out to treating these patients, thus leading to an increase in emergency department utilization. According to a study conducted by Rhodes, Bisgaier, Lawson, Soglen, Krug, and Haitsma, this is becoming a greater concern for the

The lack of health insurance reached began to become a serious issue in the mid-1990’s reaching a crisis level in the 2000’s. Individuals without insurance turned to emergency rooms across the country to obtain care routine care, turning emergency departments into primary care facilities. In many instances, people who presented at emergency rooms for treatment could not be turned away due to various health and safety regulations; therefore, patients were seen without the ability to pay often leaving the hospitals with millions of dollars in uncollectable debt, subsequently leading to the insolvency of hundreds of hospitals across the United States.

S (situation): Hi, my name Kelsey and I am a nurse in the emergency department. I am calling about Shannon O’Reilly’s most recent laboratory results.

After the Affordable Care Act (ACA) was enacted in 2010, much of the uninsured population in the United States were finally given the access to health insurance (Shi & Singh, 2015). Prior to the passing of the Act, those who did not have insurance still managed to seek medical attention, whether paying for medical care out of their own pockets or seeking the assistance of government programs. As reported by the U.S. Census Bureau, in 2013, 13.4% of the population in the U.S. were uninsured during the entire year (Smith & Medalia, 2014). Still, a great number of uninsured who sought medical care were unable to pay for those services, this is referred as uncompensated care. In 2013 the cost incurred from

EMTALA is the Emergency Medical Treatment and Labor Act that was developed in 1985 as part of the Title IX of the Consolidated Omnibus Budget Reconciliation Act that went into effect in the year 1986 (Sara Rosenbaum, 2012). EMTALA was developed after an article was published in 1986 that documented how Cook County Hospital in Chicago was receiving patients that were “dumped” there that were unemployed, minorities, and lacked health insurance (Singer, 2014). This problem also occurred in 1983 in Dallas where over 200 patients were transferred between hospitals that were not stable (Singer, 2014). EMTALA is under the direction of the Department of Health and Human Services and was developed to address the needs of Americans

Emergency room over utilization is one of the leading causes of today’s ever increasing healthcare costs. The majority of the patients seen in emergency rooms across the nation are Medicaid recipients, for non-emergent reasons. The federal government initiated Medicaid Managed Care programs to offer better healthcare delivery, adequately compensate providers and reduce healthcare costs. Has Medicaid Managed Care addressed the issues and solved the problem? The answer is ‘Yes’ and ‘No’.

Health care cost has been constantly rising and a problem in this country for years. Millions go without much needed medical care every year due to the lack of health care. For many the emergency room is their first contact with medical care. The Patient Protection Affordable Care Act (PPACA) intends to significantly decrease the number of uninsured in American. The PPACA, is said to be most comprehensive insurance reform since 1965, (the year in which Medicare and Medicaid were implemented) was signed into law on March 23, 2010 by President Obama. PPACA will renovate the entire United States’ insurance market. PPACA requires most citizens to either purchase health care coverage privately or through their employer, or face a penalty.

434. Paradoxically, the Emergency Medical Treatment and Labor Act (EMTALA) requires Medicare funded hospitals provide appropriate medical treatment for individuals seeking emergency care independent of citizenship, legal status or ability to pay (Rhodes & Smith, 2016). Emergency care is costly and does not address the root cause of disease, furthermore, preventative screenings or health care is not covered under the law (Groppe, 2017). Hospitals must shift cost of providing care to the uninsured emergency care to insured individuals. Researchers in Michigan found with expanded health insurance decreased emergency room visits by 50%. Conversely, in Tennessee and Missouri had an increase in ER costs after cutting Medicaid services in 2015 (Groppe, 2017). The evidence presented suggests providing affordable health insurance for residents of the United States which is independent of citizenship could save money by reducing the need and utilization of emergency care. My follow up question is: Can law makers shift their thinking to provide residents of the country with health insurance in order to save

Every patients main concern when going to a hospital is to get a surgery to fix a problem that they have, or to receive prescriptions for illnesses and diseases. But a factor most probably are not worried about when they go to a hospital is how they are being treated. Doctors already have a difficult task to perform, but overcrowding the hospitals will cause them to be busy and possibly conduct their job with out the amount of care that is required. Giving out prescriptions in a hospital could also be effected. Patients vital medicine could be mixed up with someone else’s and cause even more harm.

The most influential governments and human rights agencies in the 21stcentury are now focusing their efforts on human health and security. In many presidential campaigns todays reducing the mortality rate of children, the youth and the old due to diseases is among the main manifesto of the contestants. This shows how life are being valued by our government through bills like the Obama medical bill. As a result of the advancement in technology and the computerization of many operations, hospitals are not an exception in this movement. Today, we have full automated and computerized hospitals where manual operations and other complicated operations are being done by the help

Because of the EMTALA, therefore, much more than emergency room care is provided regardless of ability to pay” (Menzel, 2011, p. 84).

As America became increasingly urbanized in the mid 1800s, hospitals, first built by city governments to treat the poor, began treating the not-so-poor. Doctors, with increased authority and power, stopped traveling to their sickest patients and began treating them all under one roof. Unlike hospitals in Europe where patients were treated in large wards, American patients who could pay were treated in smaller, often private rooms.

Emergency room overcrowding is a major issue throughout not just the United States but in many countries. There have been many strategies on how to combat this issue as patient satisfaction is often being a major variable on hospitals being reimbursed, which interventions are most helpful? One intervention that is gaining more and more popularity is advertising wait times. Through a PICO search with key words of “ED triage” and “patient satisfaction” or “wait times” provided some great original research over the past five years that has been peer reviewed in the Journal of Canadian Association of Emergency Physicians. While multiple research papers came up, the methodology and potential of taking this particular study further was of great interest.

Hospitals were originally a place people went to die, but due to the devastating loss of life the Black Death sparked an interest in medicine (Jimenez). Medicine during that time was originally weak and ineffective. The Black Death caused people to doubt the Church, “God”, and the next life; people sought accomplishment and knowledge instead (Jimenez). This development caused people to invent new things. The plague killed most of the literate monks and priests; people seeking a new way to copy information developed the printing press (Jimenez). The printing press was an important development which has helped develop society today. People’s dissatisfaction with the Church and the new found freedom sparked the Reformation