Cost could potentially be the biggest factor of the iron triangle and perhaps the side of the model that leaves administrators most puzzled. With new technology being released quarterly, drug prices soaring, a new aging population that can't be supported by the current workforce, Medicare cutting reimbursement payments and leaning towards insolvency, and the price per service continues to rise it seems as if cutting costs down may seem impossible. Not only have hospitals and clinics began looking for more cost-efficient ways to provide care or, unfortunately which programs to cut, the political arena has been evaluating this as well. Since Obamacare has not lived up to its true potential and glory an alternative method must be identified before the nation's model of healthcare implodes from high costs.
To make sure the care and treatment can continue to be given safely no matter which staff are on duty, 24 hours a day, seven days a week
Without a doubt attending North Carolina Governor 's School West has had the greatest impact on my thinking. I was privileged to join a few hundred of the brightest minds of my age in Winston-Salem, North Carolina for a six week experience away from outside influence. This immersion was especially life altering because of how open-minded everyone was to new perspectives. This truly created an environment of learning and expression in addition to being a major liberation from my everyday life as I had to be truly independent while on Salem College’s campus. I attended as a choral ensemble student, but was able to experience so much more in addition to choir. The goal of Governor 's School is to equip the brightest young minds in North
Being a nurse is one of the hardest jobs, including one of the lowest paying for the workload nurses take on. Nurses go through years of schooling, and many nurses often end up disliking their chosen profession. There seems to always be a shortage of nurses so many nurses are more than often overworked and underpaid. Having another individual’s health hang in your balance can cause mental and physical exhaustion which can eventually lead to nurse burnout. Many nurses that work in high-stress environments and not having the proper training or enough assistance can lead to serious mistakes in patient care. In order for patients to receive the right care, they must have willing and compassionate care by nurses and doctors to treat and heal them.
Northern Carolina and Southern Carolina were very different. In Northern Carolina their main crop was tobacco instead of rice and many of the early settlers came from Virginia. The sounds were not deep enough to permit seaports, so the northern settlers kept their ties to Virginia in order to have a port from which they could ship tobacco. In Southern Carolina their main crop was rice and Indians were the first slaves the southern settlers had, and later African Americans took their place. Three counties that were in the Southern Carolina is Berkeley County, Colleton County, and Craven County. Northern and Southern Carolina had many different things about them like crops and settlers.
Physicians and Hospitals go hand in hand when it comes to the medical care of patients, and it is this relationship that allows the patients to receive the care they need and deserve. It is also this relationship that we as health care administrators need to understand. In order to fully understand this relationship we need to define the concept of the integrated physician model. We also need to explain the importance of clinical integration in the strategic planning process, and the dynamics of and controversies surrounding accountable care organizations and alternative approaches to the current health system. I will also explain the advantages and disadvantages for hospitals and physician’s models. All of these things are important for health care administrators to understand about the relationship between a physician and the facility they work at.
In July of 1933, the North Carolina State Legislature formed the EBNC. The EBNC is The Eugenics Board of North Carolina. The board was formed to repeal a 1929 law that had been put in place to provide sterilization for persons that were feeble minded and mentally defective in North Carolinian penal institutes. The EBNC was put in place when the act was ruled unconstitutional by the Supreme Court because it permanently affects the lives of inmates in a system similar to bartering. There was the perception of fairness to inmates who are being coerced into contraceptive intake or “sterilization”.
while taking into consideration a patient's beliefs and wishes regarding all aspects of their health. The
In North Carolina from the first attempts of colonization in the 1580’s to the corruption of the government officials leading up to the Revolutionary war one thing, and that was effective leadership. Because of ineffective leadership, the colonists starved and died out in some instances, they were cheated out of money, were made too dependent on the Indians, led to the dehumanization of slaves, many uprisings, and many more issues. These were some of the many problems that led to the break away from England in order to start their own government. There were numerous people that led to this break away and led to the development of North Carolina and those main people were the Native Americans, African Americans/ slaves, and the groups that
Prior to South Carolina v. Gathers (1989) 490 U.S. 805, Booth v. Maryland (1987) 482 U.S. 496, and Payne v. Tennessee (1991) 501 U.S. 808, victims did not have a voice in criminal cases other than reporting a crime, and testifying at trial. Unlike the offender, victims were relegated to sit in abeyance until the trial was over. In Linda R.S. v. Richard D. (1973), the U.S. Supreme Court ruled that a crime victim couldn’t coerce a criminal prosecution because "a private citizen lacks a judicially cognizable interest in the prosecution or non-prosecution of another" (Donahoe, 1999). This case supported the fact that victims had little to no legal rights within a court of law. The U.S. Constitution recognizes rights for someone who commits a
The affordable care act presented the United States with the most extensive overhaul since the passage of Medicare and Medicaid in the 1960’s. The act was a response to staggering statistics on the price of healthcare and the resulting uninsured rate within the United States. The affordable care act uses Individual Mandate and Health Insurance Exchanges to combat major factors causing high insurance cost and low insured rates.
Health care disparities are unfortunate and being culturally competent is an essential step toward eliminating these inequalities. In this discussion, I will review what disparities are associated with the Appalachian culture and how they affect health status, employment, and education. I will also identify two nursing interventions that could be taken to help decrease the affect that health disparities have on the Appalachians and review what the biggest challenge would be when implementing the interventions.
Accountable Care Organizations (ACOs) are comprised of doctors, practitioners, and hospitals, to give healthcare services to patients. The goal of coordinated care is provide high quality of care through an integrated service model while avoiding unnecessary duplication of services and preventing medical errors. The ACO is evaluated through a quality metrics to assess care provided to patients in a cost efficient manner.
Before we implemented our opioid addiction and rehabilitation service, it was important for us to examine what obstacles we might face and need to overcome as well as what we might be able use in our favor to help with our service. We performed a SWOT analysis to help identify the external opportunities and threats that were present as well as our internal strengths and weaknesses so that we might more efficiently jumpstart our service.
Being formed in 1948, the Universal Declaration of Human Rights helps recognize “the inherent dignity” and the “equal and unalienable rights of all members of the human family”. Based on this very concept of the person, and the fundamental dignity and equality of all human beings, that the notion of patient rights was developed.