Medicaid

Long-Term Care Long term care is a growing service within the health care system in the United States. Long term care is a complex system that helps individuals that can no longer perform normal daily activities. These individuals are comprised of the elderly, the disabled, and the cognitive impaired. There are a variety of long term care services and settings that are structured to fit the individualized needs for a patient. Long term care is defined as a variety of services that are individualized

Regulatory Agencies HCS437 June 2, 2014 Regulatory Agencies Several regulatory agencies are responsible for licensing long-term care facilities to ensure compliance of laws and regulations. Regulatory agencies also receive and investigate complaints that are related to the facility and the services in which the facility provides (Walsh, 2014). All long-term care facilities are expected to abide by these regulations in an effort to ensure long-term care patients proper care, ethical treatment

A true, or ideal, continuum of care should (1) enhance quality and client satisfaction through appropriateness, ease of access, shared information, and ongoing continuity of care; (2) increase provider efficiency; and (3) achieve cost-effectiveness by maximizing the use of resources (Evashwick, 2005, p.5). An ideal continuum of care should follow the three principles of total quality that are mentioned in the textbook, Applying Quality Management in Healthcare. Those being: customer focus, continuous

most new jobs. The BLS also offers resources such as frequently asked questions, a glossary, a teacher’s guide, and occupational outlooks. Centers for Medicare and Medicaid Services. Retrieved from http://www.cms.gov/ The Centers for Medicare and Medicaid Services (CMS) website offer a variety of information on Medicare, Medicaid, and Chip. For information concerning Medicare this site offers you an abundance of information such as eligibility and enrollment, health plans, prescription drug coverage

classified as non-emergent in nature. Nonetheless, the Emergency Departments of healthcare organizations who are participant’s in Medicare and Medicaid, must balance the allocation and utilization of their resources to accommodate both these acute and non-acute patients within the guidelines that have been set forth by the Center for Medicare and Medicaid Services or CMS. In addition to this requirement, other regulations such as the Emergency Medical Treatment and Active Labor Act (EMTALA) stipulate

nurse manager in creating a culture for quality care as well as the nurse for meeting organizational and patient expectations. Organizations like The Joint Commission (JC), Agency for Healthcare Research and Quality (AHRQ), Centers for Medicare and Medicaid Services (CMS), and The American Nurses Association (ANA) have been critical in establishing standards for quality. This paper will also report on the most recent hospital statistics and steps taken to improve HCAHP scores and reduce readmission

Implications According to a study conducted in 2011 by the government, approximately 80% of urinary tract infections associated with indwelling catheters, increase the hospital length of stay by one to three days, and according to the Centers for Medicare & Medicaid Services (CMS), have an annual cost of

approximately $5700.00 dollars split over just first one hundred days. Medicare pays at one hundred percent the first 20 days. Then with Medicaid, the general rule of thumb is all personal holdings such as savings, properties and retirement funds must be expended prior to applying for the program. The one exception to this rule is owning a property the parent can apply for Medicaid with the understanding that their home will be sold and the proceeds of the sale going to the state. Additional cost are offset

accrediting bodies and government agencies that have the same interest in improving the quality of hospitals. The Hospital Quality Alliance (HQA) program that is overseen by and public and private entities, that include the Centers for Medicare and Medicaid Services (CMS) as well as the Joint Commission, is dominating this effort in the hospital district, generating reports quarterly on the delivery of effective services for mutual conditions. Even though the Hospital Quality Alliance has made this

Agency Analysis: I engaged in providing service to older adults at “The Place at Pooler”. This is a self-owned, assisted living facility, which offers long-term stays and short– term rehabilitation care. They have three different locations, The Place at Deans Bridge, The Place at Martinez, and The Place at Pooler. The facility I went to in Pooler has a hundred twenty–two beds. They have private rooms as well as semi-private rooms available. The facility has shower rooms located on each the patient’s