Health Issues Essays (Examples)
Study Document
Fraud And Abuse In Healthcare
Fraud and abuse present significant problems for the health sector, leading to both financial losses and reduced quality of care. The outcomes of fraud and abuse are similar; but fraud and abuse … of care. The outcomes of fraud and abuse are similar; but fraud and abuse are legally differentiated based on motive. According to Magellan health (2019), fraud is committed with clear intent, whereas abuse “involves actions that are inconsistent with sound fiscal, business or accepted behavioral health practices,” (p. 1). Determining intent to differentiate between fraud and abuse can be challenging, which is why health leaders need to treat all forms of waste and deception with equal severity.
health fraud is alarmingly common, with major cases resulting in FBI investigations. Just yesterday, ten retired NFL players have been charged in a case … cases resulting in FBI investigations. Just yesterday, ten retired NFL players have been charged in……
References
References
FBI (2019). Healthcare fraud news. Retrieved from https://www.fbi.gov/investigate/white-collar-crime/health-care-fraud/health-care-fraud-news
“Fraud and Abuse: What’s the Difference?” (2007). The Rheumatologist. 1 Nov, 2007. Retrieved from https://www.the-rheumatologist.org/article/fraud-and-abuse-whats-the-difference/
Magellan Healthcare (2019). Fraud, waste, and abuse. Retrieved from https://www.magellanprovider.com/education/fraud-waste-and-abuse/fraud-waste-abuse-faqs.aspx
Study Document
US Healthcare Reimbursement And Insurance Issues
health Insurance and Reimbursement
Medical Insurance Products and Services
health and medical insurance represent an insurance coverage form that disburses operation and clinical treatment expenditure incurred by those insured. Such insurance may either … organizations to their employees for attracting quality recruits (IMedPub, 2020). It constitutes one means by which individuals in different nations pay for their health needs. When individuals hailing from poor backgrounds without any financial risk protection get sick or injured, they encounter the following difficulty: they may … from poor backgrounds without any financial risk protection get sick or injured, they encounter the following difficulty: they may either make use of health services, further impoverishing themselves by financing these services, or may forego treatment, stay sick/injured, and risk not being able to function properly or … Regardless of the differences in funding and corporate structures in different nations, high-income nations currently witness an almost undisputed dedication……
References
References
Araujo, M. (2020). Health and medical insurance differences: HMO, PPO, POS, EPO. Retrieved from https://www.thebalance.com/health-and-medical-insurance-2645378
Bertram, M. Y., Lauer, J. A., De Joncheere, K. D., Edejer, T., Hutubessy, R., Kieny, M. P., & Hill, S. R. (2016). Cost-effectiveness thresholds: pros and cons. Bull World Health Organ, 94, 925–930. http://dx.doi.org/10.2471/BLT.15.164418926
Dey, P., & Bach, P. B. (2019). The 6 functions of health insurance. The JAMA Forum, 321(13), 1242-1243. DOI:10.1001/jama.2019.2320
Ho, A. (2015). Health insurance. Encyclopedia of Global Bioethics. Retrieved from https://www.researchgate.net/publication/298022702_Health_Insurance
IMedPub. (2020). Health insurance. Retrieved from https://www.imedpub.com/scholarly/health-insurance-journals-articles-ppts-list.php
Maruthappu, M., Hasan, A., & Zeltner, T. (2016). Enablers and barriers in implementing integrated care. Health System & Reform, 1(4), 250-256. https://doi.org/10.1080/23288604.2015.1077301
Sekhri, N. (2000). Managed care: The US experience. Bulletin of the World Health Organization, 78(6), 830-844. Retrieved from https://www.who.int/bulletin/archives/78(6)830.pdf
Strata Decision Technology. (2020). Healthcare and hospital capital budget. Retrieved from https://www.stratadecision.com/healthcare-and-hospital-capital-budget/
Study Document
How Healthcare Policy Impacts Advanced Practice Nursing
How health Policy Impacts APN
Explanation of how health policy can impact the advanced practice nurse profession
The role of APN is to provide primary, specialty, and acute care through assessment, diagnosis, … nurse profession
The role of APN is to provide primary, specialty, and acute care through assessment, diagnosis, and treatment of those who seek health services. health policies are meant to improve health services, and thus, they affect the APN profession. However, the specific effect of any policy depends on the specific policy (Taft & Nanna, … one of the policies that affected the APN profession was the Affordable Care Act (ACA). This act, at its core, was to provide health to the marginalized, to those with chronic sicknesses, and at the same time, more health from the hospital in favor of outpatient.
Because of the nature of the ACA, the APN profession was impacted through the increment……
References
References
Choi, P. P. (2015). Patient advocacy: the role of the nurse. Nursing Standard (2014+), 29(41), 52.
Flemming, P. L. (2017). Building a Climate of Change with a link through Transformational Leadership and Corporate Culture: A Management key to a Global Environment. International Journal of Business and Social Research, 7(1), 44-55.
Gerber, L. (2018). Understanding the nurse\\\\\\\\\\\\'s role as a patient advocate. Nursing2019, 48(4), 55-58.
Lathrop, B., & Hodnicki, D. R. (2014). The Affordable Care Act: Primary care and the doctor of nursing practice nurse. Online Journal of Issues in Nursing, 19(2).
Metz, S., Piro, J. S., Nitowski, H., & Cosentino, P. (2019). Transformational Leadership: Perceptions of Building-Level Leaders. Journal of School Leadership, 29(5), 389-408.
Taft, S. H., & Nanna, K. M. (2008). What are the sources of health policy that influence nursing practice?. Policy, Politics, & Nursing Practice, 9(4), 274-287.
Study Document
The Cleveland Clinic Health
Cleveland Clinic Case Study
Introduction
The Cleveland Clinic is a large health care provider based in Cleveland, but with some expansion under its belt already. The Clinic has in recent years been an innovator in … of the differentiated strategy is an approach that places a premium on service and product excellence, and doing things differently than competitors. In health care, where there is a vast body of literature and practice that informs the best approaches to each type of ailment, disease or … may end up being less flexible, and lack the required skillsets to move between departments, That in turn can create quality of care issues down the road when people need to be moved around, and it can increase turnover intention for employees who are stuck behind other … by their nature.
A second element of the differentiated strategy is the focus on IT innovation. Information technology……
Study Document
Indigenous Health Of Australians Closing The Gap Prime Ministers
1. Introduction
Early 2008, representatives from indigenous health organizations, the Aboriginal and Torres Strait Islander Social Justice Commissioner, and the commonwealth government of Australia, signed an agreement that was meant to … that was meant to ensure that all the relevant stakeholders cooperate to ensure indigenous and non-indigenous Australians have equality in life expectancy and health status by 2030 (Human Rights and Equal Opportunity Commission 2008).
For quite a long time, it has been known that indigenous people in … Opportunity Commission 2008).
For quite a long time, it has been known that indigenous people in Australia have a disadvantage in terms of health. Many organizations and activists have over the years been trying to bridge the gap in health status between them and non-indigenous Australians and the signing of the agreement was a huge milestone that served two purposes. It raised public … served two purposes. It raised public……
References
Bibliography
AIHW. (2011, May 5). Life expectancy and mortality of Aboriginal and Torres Strait Islander people. Retrieved from Australian Institute of Health and Welfare: https://www.aihw.gov.au/reports/indigenous-australians/life-expectancy-and-mortality-of-aboriginal-and-to/contents/summary
AIHW. (2019, July 17). Deaths in Australia. Retrieved from Australian Institute of Health and Welfare: https://www.aihw.gov.au/reports/life-expectancy-death/deaths/contents/life-expectancy
Altman, J. C., Biddle, N., & Hunter, B. H. (2009). Prospects for ‘Closing the Gap’ in Cocioeconomic Outcomes for Indigenous Australians? Australian Economic History Review, 49(3), 225-251.
Biddle, N. (2019, February 14). Four lessons from 11 years of Closing the Gap reports. Retrieved from The Conversation: https://theconversation.com/four-lessons-from-11-years-of-closing-the-gap-reports-111816
Biddle, N., & Taylor, J. (2012). Demographic Consequences of the ‘Closing the Gap’ Indigenous Policy in Australia. Popul Res Policy Rev, 31, 571–585.
COAG. (n.d.). National Indigenous Reform Agreement. Council of Australian Governments.
Crikey. (2012, September 25). Black government expenditure — it’s a white thing. Retrieved from Crikey: https://www.crikey.com.au/2012/09/25/black-government-expenditure-its-a-white-thing/
Department of Prime Miniter and the Cabinet. (2008). Closing the Gap-Prime Minister\\\\\\'s report 2018. Australian Government.
Study Document
Physical Disabilities And Other Health Impairments Special Gifts
…
Q2. Define the three categories of physical disabilities described in the chapter (neuromotor impairments, orthopedic and musculoskeletal disorders, and other conditions that affect health or physical ability) and provide one example of each. Define each condition.
The three categories of physical disability discussed in the chapter are;
… is occurring repeatedly over some time and progressive is when it increases in severity over time. Example: Muscular Dystrophy.
Other: This classifies other health related impairments causing physical disability or special gifts or talents.
Q3. Define cerebral palsy and discuss the range of effects that this condition … about themselves, and factors that may result in greater acceptance of people with physical disabilities.
People with disabilities face a lot of social issues like being left out of activities and people their age not wanting to interact with them. They are denied educational rights, job and ……
References
References
Bureau, P. R. (2001, September 1st). Emerging Trends in Disability. Population Reference Bureau. Retrieved from https://www.prb.org/emergingtrendsindisability/
Forrest, S. (2011, June 02). Learning about disabilities fosters social acceptance, study finds. Illinois News Bureau. Retrieved from https://news.illinois.edu/view/6367/205310
Frank, A. (2016, July 16). Vocational Rehabilitation: Supporting Ill or Disabled Individuals in (to) Work: A UK Perspective. US National Library for Medicene. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/ PMC5041047/" target="_blank" REL="NOFOLLOW">
Study Document
Quality And Sustainability In Health Care
… nursing science (Twigg, Pugh, Gelder, & Myers, 2016). In part 2, analysis and application of safety programs were explored and Kenneth E. Waldenberg health Care facility was used as a model in the analysis. The findings of the paper was that leadership plays a key role in … model in the analysis. The findings of the paper was that leadership plays a key role in sustaining quality improvement programs in any health care organization (Stetler, Ritchie, Rycroft-Malone, & Charns, 2014). In this third part of the quality and sustainability paper, a change theory that will … quality and sustainability paper, a change theory that will support the implementation of a quality and safety program will be discussed.
Change Theory
health facilitates are required to implement new process or technologies that improve patient safety and quality of care (Hughes, 2007). There exists a formula … technologies that improve patient safety……
References
References
Alenius-Smeds, L., Tishelman, C., Lindqvist, R. Runesdotter, S. & McHugh, M.D. (2016). RN assessments of excellent quality of care and patient safety are associated with significantly lower odds of 30-day inpatient mortality: A national cross-sectional study of acute-care hospitals. International Journal of Nursing Studies. Retrieved from http://dx.doi.org/10.1016/j.ijnurstu.2016 (06)005
Brasait?, I., Kaunonen, M., Martink?nas, A., Mockien?, V., & Suominen, T. (2016). Health care professionals’ skills regarding patient safety. Medicina, 52(4), 250-256. doi:10.1016/j.medici.2016.05.004
Campbell, R. J. (2008). Change Management in Health Care. The Health Care Manager, 27(1), 23-39. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/18510142
Hughes, R.G. (2007). "3 Barriers to quality improvement and quality improvement research." Institute of Medicine (IOM). Advancing quality improvement research: Challenges and opportunities: Workshop summary. doi:10.17226/11884.x
Lennox, L., Maher, L., & Reed, J. (2018). Navigating the sustainability landscape: a systematic review of sustainability approaches in healthcare. Implementation science: IS, 13(1), 27. doi:10.1186/s13012-017-0707-4
Stetler C.B., Ritchie J.A., Rycroft-Malone J. & Charns M.P. (2014) Leadership for evidence-based practice: strategic and functional behaviors for institutionalizing EBP. Worldviews on Evidence Based Nursing 11(4), 219–226.
Twigg, D. E., Pugh, J. D., Gelder, L., & Myers, H. (2016). Foundations of a nursing-sensitive outcome indicator suite for monitoring public patient safety in Western Australia. Collegian, 23(2), 167-181. doi:10.1016/j.colegn.2015.03.007
Study Document
Ethics And Health Information
Managing Medical Records and the Implementation of Tools and Safeguards Required within HIS
Introduction
Few practices are more important in managing health information systems than managing medical records, safeguarding patients’ medical history, and ensuring that all end users of medical information technology are approved and … be used to accommodate security needs for the HIS, the information tools and safeguards required to protect it, the security needed for electronic health records, an applicable code of ethics, and proposals for training staff.
HIS Programming Language and Relational Databases to Accommodate the Task
As Prince … with a language that can help minimize the risk of human error is preferable.
As for databases, the most common database used in health care is the relational database (Campbell, 2004). These are the most commonly used because they allow for the tracking of patient care, such … Needed for the HIS
Reeder, Ion and Consolvo……
References
References
Campbell, R. J. (2004). Database Design: What HIM Professionals Need to Know.
Perspectives in Health Information Management 2004, 1:6 (August 4, 2004). Retrieved from http://library.ahima.org/xpedio/groups/public/documents/ahima/bok1_024637.hcsp?dDocName=bok1_024637
Crossler, R. E., & Posey, C. (2017). Robbing Peter to Pay Paul: Surrendering Privacy for Security's Sake in an Identity Ecosystem. Journal of The Association for Information Systems, 18(7), 487-515.
Donovan, F. (2018). Judge Gives Final OK to $115M Anthem Data Breach Settlement. Retrieved from https://healthitsecurity.com/news/judge-gives-final-ok-to-115m-anthem-data-breach-settlement
HealthIT.gov. (2018). Health Information Privacy, Security, and Your EHR. Retrieved from https://www.healthit.gov/providers-professionals/ehr-privacy-security
The IMIA Code of Ethics for Health Information Professionals. (n.d.). Retrieved from http://www.imia medinfo.org/new2/pubdocs/Ethics_Eng.pdf
Jackson, R. (2018). Pulling strings. Retrieved from https://iaonline.theiia.org/2018/Pages/Pulling-Strings.aspx
Prince, B. (2013). Programming Languages Susceptible to Specific Security Flaws: Report. Eweek, 12. Retrieved from https://www.eweek.com/security/programming-languages-susceptible-to-specific-security-flaws-report
Study Document
Optimizing Health Information Systems
Optimizing Merged health Information Systems
Although the merger of two comparably sized companies competing in the same industry is a relatively commonplace business strategy, the process … information systems involved that must also be merged successfully. The purpose of this paper is to explicate the responsibilities involved in implementing a health information system (HIS) that meets current health Information Technology for Economic and Clinical health (HITECH) Act and the health Insurance Portability and Accountability Act (HIPAA) Security and Privacy regulatory requirements. To this end, a discussion and analysis of health information systems, a description concerning how a system will affect patient care and documentation and an explanation concerning how using a system to … a system by incorporating two professional organization standards are followed by a summary of the research and important findings about the challenges and issues involved are presented in the paper’s conclusion..
A. Discussion and analysis of……
References
References
Abouzhar, C. & Boerma, T. (2009, August). Health information systems: The foundations of public health. Bulletin of the World Health Organization, 83(8), 578-583.
Cresswell, K. & Aziz, S. (2013, May). Organizational issues in the implementation and adoption of health information technology innovations: An interpretative review. International Journal of Medical Informatics, 87(5), 73-86.
Drazen, E. L. (2006, February). Maximizing the benefits of health care information systems. Journal of Medical Systems, 10(1), 51-56.
Kruse, C. S. & Smith, D. (2017, July). Security techniques for the electronic health records. Journal of Medical Systems, 41(8), 127.
Kumar, V. (2011). Impact of health information systems on organizational health communication and behavior. The Internet Journal of Allied Health Sciences and Practice, 9(2), 37-44.
McGrail, K. M. & Black, C. (2009, August). Access to data in health information systems. Bulletin of the World Health Organization, 83(8), 563-569.
Murphy, M. L. (2019, March). Mastering accounting for business combinations: Mergers and acquisitions present challenges that finance can overcome by staying involved with the deal and preparing in advance of the closing. Journal of Accountancy, 227(3), 24-27.
NAHQ code of ethics for healthcare quality. (2019). National Association for Healthcare Quality. Retrieved from https://nahq.org/about/code-of-ethics .
Study Document
Lifelong Learning Plan For A Healthcare Administrator
… near the Army post at Fort Campbell, Kentucky and am currently a federal employee—but my goal is, upon completing my Master Degree in health Care Administration, to work in the Army Substance Abuse program. This is my goal because in my childhood I saw my mother struggle … need to take to achieve this goal are to complete my Master Degree program and then move on to obtaining my PHD in health Care Administration. This will help me to focus on the current and developing issues in both general management and health care administration. It will also help me to form good habits of staying up to date on current literature and evidence based practice … of staying up to date on current literature and evidence based practice in the field of management and administration as well as in health advances in treating substance abuse clients and their providing……
References
References
Freeman, E. (2001). Substance Abuse Intervention, Prevention, Rehabilitation, and Systems Change: Helping Individuals, Families, and Groups to Empower Themselves. Columbia University Press.
Maxwell, J. (1998). The 21 Irrefutable Laws of Leadership. Nashville, TN: Thomas Nelson Publishers.
Northouse, P. G. (2016). Leadership: Theory and practice (7th ed.). Thousand Oaks: CA: Sage Publications.
Stogdill, R. M. (1948). Personal factors associated with leadership: A survey of the literature. Journal of Psychology, 25, 35–71.
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