Health Care Paradox

His role as an oncologist has profoundly influenced the manner in which I plan to practice medicine in the future: with respect, compassion, and empathy for my patients. It was my observation of his interactions with cancer surviving patients that first inspired me to pursue medicine. These interactions inspired me not only to embark on a profession where I could serve others, but also make a difference in the lives of others. I believe I can make the biggest impact in the lives of my future patients by combining my passion for the clinic and science as a physician-scientist. Though I am early in my medical journey, and am willing to keep an open mind, it is only natural that I yearn to pursue a profession related to oncology.

Medication reconciliation is a safe process that can benefit patients by providing accurate, up to date listing of current medications the patient is taking. Patients deserve high quality patient care that supports accurate medication list, eradicating potential medication errors, and providing superior safe patient care. Which then directs me to my clinical question, does accurate medication reconciliation (intervention) influence patient safety (outcome) in patent’s who have adverse drug events (problem) over a one year within ambulatory clinic settings (time)? My PICOT supportive research question has been further evaluated from the journal article, “Ambulatory Medication Reconciliation: Using a Collaborative Approach to Process Improvement at an Academic Medical Center” written by Keogh et al. (2016).

In particular, their Medicaid program has been well known as the textbook describes North Carolina as a leader in improving Medicaid quality and costs. Furthermore, their plan seems to do a great job of implementing current health care issues. For example, the plan insures that the CCE’s are providing fair and equal access, using the same financial vendor to reimburse medical providers, integrating mental health, and ensures access to primary and preventative services. Furthermore, physicians have been working towards an evidence-based medicine, as well as developing case management procedures for high-risk patients. Overall, it seems as though they are doing fairly well as they are not only working

The use of information technology and communication technologies (ICT) in healthcare, often referred to as ‘eHealth’, has now become an essential part of modern nursing practice and is considered by all four countries in the U.K. as an approach to improving healthcare (BAIN 2012). Evidence suggests this has led to improved patient safety and healthcare experiences and better work life experiences for healthcare professionals (The Royal College of Nursing (RCN) 2011). The World Health Organisation (2016) defines eHealth as the application of ICT in healthcare to, for example, care for patients, aid research, track disease progression and monitor public health. eHealth, through using ICT systems in healthcare, also concerns the promotion, empowerment and facilitation of health and wellbeing with individuals and families in their communities (RCN 2017). While many terms relating to eHealth and the use of digital technologies exist (BAIN 2012), telehealth will be adopted for this paper.

Morehouse School of Medicine is an appealing option for pursuing my medical education. When reading Morehouse’s mission statement, improving the health and well-being of individuals and communities grasped my attention. My clinical experiences revolve around communities that are underserved, and sharing the same mission as Morehouse is key to becoming the physician I aspire to be. One of the things that stood out to me about Morehouse is the student run Good Samaritan Health Center. I am very interested about being involved with God Samaritan, because it is akin to the Siloam Family Health Center that I volunteer at, and it is an embodiment of Morehouse’s mission.

From the Kaiser Permanente career website, I was delighted to learn about the RN I position at Kaiser Permanente Oakland Medical Center in the Medical Telemetry Department. Kaiser Permanente is a leader in our nation’s healthcare system and has the standard for promoting wellness and disease prevention in our communities. As a result, I am excited about the possibility of being part an organization that so deeply shares the same passion as I of providing holistic and compassionate health care. After obtaining my first degree in Biological Sciences from the University of California, Irvine and assisting nurses and CNAs as a Clinical Care Extender, I became inspired to pursue a career in nursing. I obtained my RN license July 2015 and graduated

Thanks again for your thorough, insightful discussion. References Brown, S. J. (2014). Evidence-based nursing: The research practice connection. Burlington, MA: Jones and Bartlett.

The term Evidenced-based practice (EBP) is one of the most talked about concepts in healthcare. Nursing scholars, worldwide, have sought to provide healthcare workers with the evidence from research to be transform this into clinical care. To ease this transference of data into practice, scholars have developed EBP models. These models direct the researcher with the process from hypothesis to implementation of the data. The perplexity of EBP is that the data can come from research, clinical experience, patients, or local context and environment (Rycroft-Malone, et al., 2012).

It has exposed me to how things such as race, social class, income, access to resources, environment, and many other things has an outstanding impact on the quality and quantity of health care they receive. Through this program I hope to learn the fundamentals of community based research, how to advocate for health policy, a most importantly how to educate communities on health. I believe that is the most rewarding thing I can get out of this program. Having the ability, the power, to change someone’s life, by just giving him or her basic health care knowledge is so empowering. Knowing that I changed that life, that because of me hopefully their health will better instead of worsen.

Web. 03 Mar. 2016. I want to use this source because it has a medical stand point to my argument. It comes from a good reliable source that is commonly known for their research and accurate statistics to help prove my side of the argument.

This is where one type of plan will explain what is to be expected for users. Explaining the benefits is practically as important as the application itself: for determining the value of the health care may be "service dependent" ("Medicaid", 2015). Another important term that should be well known is clean claims. Clean claims identify the health professional, health facility, home health care provider or durable medical equipment provider that has given service to verify affiliation status. In short, it identifies a lot of the medical information to make it more transparent.

Evidence based practice is using the most recent research to asses the patient and provide them with the best outcome. “The NMC’s (2015a) Code: Professional Standards of Practice and Behaviour for Nurses and Midwives states that it is the responsibility of each nurse and midwife to maintain their knowledge and skills and to practice using the best available evidence.” The purpose of this paper is to mention challenges that nurses face when trying to implement EB, blah blah blah. What it is what it isn’t why it makes a difference and why its crucial. The top challenge faced by healthcare institutions today is providing evidence based, cost effective, quality care that will improve practice and improve patient outcomes. Evidence based practice

Hospitals situated in areas that have a lower competitive market are more prominent to raise their cost to private insurance when face short revenue from Medicaid and Medicare (Shi, L.,& Singh, D. (2012). Contrariwise, in a more competitive market hospitals will focus on cutting cost rather than increasing prices. Undercurrent government policy the gap between actual cost and reimbursement is debated as a method of payment from a cautious consumer point of view. Meaning that it is paying practitioners and hospitals only for the costs strictly and directly attributable to serving government beneficiaries, (J A Meyer and W R Johnson (2013)). Therefore, the government will not negotiate any prices with businesses.

From the lessons learned from the patients-centered medical home (PCMH), the NCQA was motivated to develop an accreditation process for ACOs. The NCQA tried to accommodate the lessons that they learned from the PCMH programs so as to develop a very excellent program that recognizes that provisions of the high-quality primary care are the foundation of good health. NCQA also recognizes that although the evaluation of the result is very imperative, it is also critical to assess the ACOs using evidenced based criteria. Through these measures, the organizations can learn more about what is needed and what they need to do so that they can be compliant. They can also learn the key elements required for successful transformation of the ACO.