Omnibus Budget Reconciliation Act Of 1987: A Case Study
The Omnibus Budget Reconciliation Act of 1987, provide the basic framework for reporting and reimbursement for geriatric oral care in long term facilities since most of the elderly are covered under Medicaid and Medicare. Despite these framework, these facilities encounter barriers to effective provide oral care to their resident. Nurses payroll account for a significate portion of the budget of these facilities, hence nurses spend time in completing section K of the MDs records which relates to oral care. Since these records provided by nurses are not effectively enforce and oral care marks are not taken into the overall evaluation of these facilities, most nurses are dishonest about the type of oral care provided to their residents by providing
Omnibus Budget Reconciliation Act Case Study
131 Words | 1 PagesIn 1991, the United States government initiated the Nursing Home Reform Act, also known as the Omnibus Budget Reconciliation Act (OBRA) of 1987 that outlined “a set of national minimum set of standards of care and rights for people living in certified nursing facilities” (ncmust.com). OBRA requires all nursing home residents have a complete health evaluation upon admission to a long-term care facility, and to be re-evaluated quarterly or after any major changes in health or functional status. This evaluation process is called the Resident Assessment Instrument (RAI) which is composed of three components; Minimum Data Set (MDS), Care Area Assessment Process and RAI Utilization Guidelines. Together, the components of RAI provide information
1991 Defense Appropriation Act Case Study
781 Words | 4 PagesOn March 18, 1981, the entire island was listed on the National Register for Historical Places and designated the Kaho`olawe Archaeological District. At the request of then representative/senate candidate Patricia Saiki, President Bush, two weeks before the 90s election, told the Secretary of Defense to immediately cease the use of Kaho 'olawe as a weapons range. During the same period of time, Senator Akaka, was competeing with Mrs. Saiki for the senate seat, introduced legislation to create a Kaho 'olawe conveyance commission. This proposal became part of the 1991 Defense Appropriations Act [PL 101-511, Sec. 8118]. Section 8118 established the Kaho`olawe Island Conveyance Commission to recommend terms and conditions for the conveyance of
Taxpayer Case Study
604 Words | 3 PagesDear Mr. Gaylord Bigmoney: Thank you for contacting me to review your investments and for advice on whether or not to purchase additional state and municipal bonds. Mr. Rich Broker has given you a couple recommendations about your investment portfolio. First, Mr. Broker has recommended that you take the cash presently invested in the Certificates of Deposits and purchase more state and municipal bonds. Second, Mr. Broker has recommended that you borrow an additional $800,000 on one of the unencumbered apartment houses, which would require you to give a Deed of Trust for security on the loan, and use the loan proceeds to purchase more state and municipal bonds. When Mr. Broker gave you these recommendations the rates were as follows: present
Analysis Of The Mckinney Vento Act Of 1987
178 Words | 1 PagesThe topic of interest that will be presented in this paper will be that of Homelessness. Homelessness is a worldwide issue that affects the lives of many people. Although it is mostly found to be present in Third World countries, many citizens across the United States face it and are suffering from it as well. From families to veterans and even children Homelessness can happen to anyone as a result of many different events/for many different reasons. Through this topic we will be able to examine the McKinney Vento Act of 1987 and how it affects Homelessness in the U.S..
Legislative Branch Research Paper
223 Words | 1 PagesLegislative Branch is the most interesting branch! The Legislative Branch includes, House of Representatives and the Senate. Which forms the United States Congress. Senate is up for reelection every two years. The House of Representatives is made up of 435 elected members.
Bill AB 1321 Case Study
1938 Words | 8 PagesAs a resident of California, I can attest that California needs to pass House Bill AB 1321, better known as the Nutrition Incentive Matching Grant Program. Bill 1321 will improve the overall public health in the state of California. This bill would allow low-income residents of California to access and affordable and nutritious fresh produce. Outlined in Bill 1321 is a healthy food incentive program that serves California’s low-income populations who receive Supplemental Food Assistance Program (SNAP) benefits. Bill 1321 strives to secure access to affordable and healthy food options for California’s most vulnerable populations.
Veterans Affairs Nurse: A Case Study
516 Words | 3 PagesVA nurses assess, provides nursing diagnoses, plans, implements, and evaluates (ADPIE) care based on maturational focused components. Undertakes accountability for the management of care concentrated on the patient’s process through the range of care, patient and family education, patient self-management, and accompanying circumstances that influence the patient’s satisfaction. The VA nurse considers all attributes of the individual, including age and stages of life, presence of health, race and culture, values, and prior experiences. Administers medications and procedures per policies and procedures. The VA nurse effects patient care outcomes by collaborating with members of the interdisciplinary team.
Dental Nursing Unit 302 Answers
1526 Words | 7 PagesQ2) Explain the consequences of unprofessional behaviour on… • The professional status of a dental nurse • The public • The
Nursing Home Reform Law
327 Words | 2 PagesIn the past, nursing homes have notoriously been known for not delivering the best quality care. There have been cases of patients being burned by heating pads, strapped to their beds with restraints, or given medication to quiet them down, with more extreme cases including patients so sedated, that they almost seemed lifeless. In 1987, the Nursing Home Reform Law was passed to change the quality of care being given to nursing home residents such as monitored clinical care, unexpected inspections, and having a registered nurse on duty 24 hours a day. While its creation had many positive effects, there was still an issue with the quality of care being given as stakeholders and investors in nursing home chains have begun to cut expenses by limiting
Employee Income Security Act Of 1974: A Case Study
464 Words | 2 PagesThere are several reasons why people stay or move on from their employers. However, two main factors that seem prevalent in individuals leaving their jobs is dissatisfaction with their salary or overall benefits (Price, Kiekbusch, & Theis, 2007). People need to feel of sense of financial security. As employers try to retain the best talent, they must ensure they are offering meaningful plans to the employee. As with any program provided, there are pros and cons to both the employee and the company.
Congressional Law Case Study
1009 Words | 5 Pages1) How do “the strain on institutional capacity and… the volume of rules affect implementation” of congressional laws? Congressional laws are intentionally crafted with a certain amount of ambiguity. Legislation intentionally lacks regulatory statutes as a means of allowing civil servants with the appropriate expertise to refine the rules required to achieve the broad goals outlined by a certain bill or legislative agenda. Essentially, the “operational details” of a policy initiative are delegated to the appropriate agency, guided by an outline of a program or initiative authorized by congressional legislation. As expected, an agency’s institutional capacity to develop and implement new rules/regulation varies based on several factors, including,
Ethical Issues In Nursing: Nurse-Patient Ratios
1026 Words | 5 PagesEthical Issues in Nursing: Nurse-Patient Ratios Megan Harvey, Katie McKelvery, Erica Robbins & Cassandra Tingley St. Johns River State College March 2018 Ethical Issues in Nursing: Nurse-Patient Ratios Every day nurses are faced with ethical dilemmas. Challenges in these situations are becoming more and more complex due to increasing workload and sicker patients. When a nursing unit is understaffed not only are nurses more likely to become burnt out, but their patients are far less likely to receive the quality of care they deserve. The problem is that the Federal regulations require hospitals who participate in Medicare to “have ‘adequate’ numbers of licensed nurses (RN, LPN, CNA) to provide care to all patients as needed,” but the regulations
The Importance Of Scope Of Practice
1140 Words | 5 PagesNurses are critical for promoting health in the society. The profession is highly flexible, since they specialize in diverse operations in the medical field. Registered nurses, for instance, are responsible for the administration of medicine and inoculations to patients (American Nurses ' Association, 2000). Additionally, these professionals observe, record, and enlighten doctors of any changes in a patient’s health. Nurses interpret and evaluate diagnostic examinations to determine an individual’s condition, as well as making the necessary adjustments in patient treatment plans on their health progress.
Essay: The Importance Of Providing Oral Care
989 Words | 4 PagesDuring this survey a framework was designed called RE-AIM which stands for Reach, Effectiveness, Adoption, Implementation, and Maintenance, the program was designed to teach healthcare providers the proper way to manage, maintain, and improve oral hygiene care in long term care, veterans. The program implemented that the long-term care, veterans would receive oral care two times a day daily. Once this program was implemented it was found that not only were staff not properly trained in providing good oral hygiene they did not have access to the proper materials to provide oral care. DOHP composed key components that were to be mandated. 1) Clear expectations for direct care staff regarding oral care.
Jean Watson's Theory Of Human Caring
431 Words | 2 PagesThis review indicates that education on mandatory reporting and abuse needs to be required because many nurses have a limited knowledge on the topic. To reduce these barriers to reporting of suspicious cases of abuse and/or neglect, education should be mandatory for all future and current nurses. Many schools discuss content regarding abuse and neglect however it is not standardized for all schools and it does not discuss what to do when you suspect abuse or neglect. Limited information is known about the effect of mandatory reporting. It is necessary to continue research on this topic to determine the benefits of requiring education on mandatory reporting and the outcomes associated with it.
More about Omnibus Budget Reconciliation Act Of 1987: A Case Study
Omnibus Budget Reconciliation Act Case Study
131 Words | 1 Pages1991 Defense Appropriation Act Case Study
781 Words | 4 PagesTaxpayer Case Study
604 Words | 3 PagesAnalysis Of The Mckinney Vento Act Of 1987
178 Words | 1 PagesLegislative Branch Research Paper
223 Words | 1 PagesBill AB 1321 Case Study
1938 Words | 8 PagesVeterans Affairs Nurse: A Case Study
516 Words | 3 PagesDental Nursing Unit 302 Answers
1526 Words | 7 PagesNursing Home Reform Law
327 Words | 2 PagesEmployee Income Security Act Of 1974: A Case Study
464 Words | 2 PagesCongressional Law Case Study
1009 Words | 5 PagesEthical Issues In Nursing: Nurse-Patient Ratios
1026 Words | 5 PagesThe Importance Of Scope Of Practice
1140 Words | 5 PagesEssay: The Importance Of Providing Oral Care
989 Words | 4 PagesJean Watson's Theory Of Human Caring
431 Words | 2 Pages