The paper on triple aim for Accountable Care Organizations (ACOs’) provides great insight into how we can contribute to solving the opioid crisis as curbing the opioid crisis will contribute to lowering cost, improving quality and improve population health overall. Given that by their nature and function seeks to coordinate and improve multiple teams and levels of healthcare providers and professionals insurers and patients which can be very complex. The paper used a very effective High Reliability Organization (aircraft industry) to analyze how; key processes through which organizations achieve reliability; leadership and organizational practices that enable it and the role that professionals can play when charged with enacting it.
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I, like some of the companies referred to in the paper always lumped both together. It is many times useful to break things down clearly into congruent units so it is more feasible to understand the issue and proffer relevant workable solutions. Meanwhile, as mentioned in the paper, such hairsplitting difference is not a usually a concern for an organization looking to make a change or improvement. While I think this understanding would be good to help in hospitals or clinics to deal with the opioid crisis. I believe that even if the hospital leadership are able to understand the climate and culture theory, it would be very difficult for them to translate to nurses, physicians and other professionals who already have a professional and organizational culture they are used to. Consequently, the implementation of creating or improving the climate or culture separately to aid stemming the crisis would be difficult. Although, I believe if it is introduced as trying to create a better organizational climate for the hospital or clinic in general with special focus on opioid addicted patients and organizational culture is treated as a component of the climate it may be easier to deploy and get good response. This is because as discussed/suggested in many of our readings people tend to hold on to culture so resisting change. But I believe people generally want a better climate to work in whatever the culture. So using tact in the way I explained above may be more practical than the separation of the two concepts that was useful for research
My dedication to this statement has been reinforced both through my academic courses and my practical experiences in healthcare. In my final year of my undergraduate education, I took an anthropology course titled “Living Medicine”. This course exposed me to diverse healthcare systems globally, highlighting the pivotal role of cultural attitudes and practices on patient outcomes. In this study, we viewed a TedTalk given by Dr. Atul Gawande, a surgeon and a writer. Gawande describes how the healthcare system in the United States was shaped based on a culture that values independence, self-sufficiency, and
In health care today, there are many different cultures found in our patient population. Patients often have difficulty conforming to medical regimens due to their cultural beliefs and practices. Completing a comprehensive cultural assessment is the key to understanding the specific components of their culture to facilitate effective and efficient nursing care. In this paper I will describe the key components of a comprehensive cultural assessment. Two of the components will be discussed in relation to the Afghan culture and how that impacts providing culturally diverse care.
Over decades there has been many different case studies on drug addiction. Drugs like opioids have the same high and side effects as a poppy plant. Opioids is a pain reliever and they cost a lot more than drugs. Opioids is like hydrocodone, oxycodone, morphine and codeine. The president thinks the drug addiction and alcohol abuse is an epidemic because there
Opioids are substances that act on opioid receptors to produce morphine-like effects. Medically they are primarily used for pain relief, including anesthesia. Opioids are also frequently used non-medically for their euphoric effects or to prevent withdrawal symptoms. Examples of opioids are morphine, heroin, oxycodone, and methadone. Opioid overdose is an acute and serious condition due to excessive opioids use.
Opioid pain medications are some of the most commonly abused prescription drugs. Between 1991 and 2010, opioid prescriptions rose from about 75.5 million to 209.5 million. Americans account for 4.6% of the world’s population but consume approximately 80% of the world’s opioid supply. According to the Centers for Disease Control and Prevention (CDC), more than 12 million people used prescription painkillers for nonmedical reasons in 2010. Opioid abuse has led to increases in emergency-department visits, hospitalizations, and admissions to substance-abuse treatment centers at a time when our healthcare system is already strained.
Opioids are a prescription medication involving various forms of drugs, it can benefit patients as little as a few minutes, however, it can be extremely dangerous to patients without self-control. Morphine, heroin, oxycodone, and fentanyl are used for many different medical uses until companies started to combine these four ingredients into one small simple pill. The pill reduces chronic pain from a body in a matter of minutes taking a minimum dosage. The company that produces Opioids have discovered that for the most part opioids are healthier and safer than any other medications. Like other medications, opioids can also have its side effects too such as; sedation restlessness, respiratory depression, nausea, vomiting, constipation and much more.
The opioid crisis in the United States has been a problem since the late 1970’s. The use of cocaine started increasing by the early 80’s. In this time, many considered cocaine to be the drug for the famous. At one point, it was called “the champagne of drugs,” which made people feel like they were living like the rich and the high-line people. All celebrities and famous athletes would take cocaine, therefore, all their fans followed in their footsteps.
Big Pharma Name: Institution: Over the past years, various issues have faced the United States of America in the health sector in general. Some of these challenges include difficulties in healthcare insurance policies, increasing cancer cases, elevated levels of misuse of prescription drugs, rise in the consumption of illicit drugs, inter alia. These issues have led to escalation of health issues to the American citizens, and in turn, affecting the economic status as well. This research will focus on the subject matter misuse, abuse, and addiction of opioid prescription drugs.
Within the last 22 years, from 1991 to 2013, the prescriptions written by doctors for opioids have increased from 76 million to 207 million. Opioids are a drug class that were developed originally, to treat severe pain for people who are dying of cancer or other severe illnesses. This began when pharmaceutical companies assured the medical community that people would not become addicted to opioid pain relievers. As a result doctors began to prescribe opioids more frequently. There are different kinds of opioids.
I. Importance: As American deaths from drug overdoses continue to rise in the United States, the nation is faced with a public health crisis so profound that in October 2017, President Trump declared the opioid epidemic to be a national public health emergency (Merica). President Trump’s declaration came after numerous studies indicating the danger opioid addiction posed; for example, a 2016 study entitled “Increases in Drug and Opioid-Involved Overdose Deaths—United States, 2010-2015” claimed that drug overdose deaths “nearly tripled during 1999-2014,” reaching a startling high 52,404 deaths in 2015 (Rudd, et al). These statistics are more than just disturbing revelations regarding the opioid crisis; they are evidence of a serious problem that is rapidly affecting the lives of more and more Americans every year. Death by overdose is not the only public policy concern, however, as millions of Americans are also addicted to prescription opioids.
However, hospitals have changed the approach to pain management but still haven 't made a change. More hospitals still provide opioids to patients with the dependence on the drug. Overall, the opioid addiction represents a serious issue in American society. The best solution in decreasing the number of overdoses is the low dosages of opioids provided by hospitals and doctors.
Quality and measurement theories that abandon the highest levels of appropriateness, will accomplish the healthcare industry evaluates the accountability costs and impacts. Having an understanding of the scrutiny of service, responsibilities, customer satisfaction, effective service and performance, and outcome assessments are all requirements of accountability, which are part of the continuum for accountability (Ledlow & Coppola,
Opioid addiction is becoming a widespread problem not only in Michigan especially in the Detroit area, but all over the United States. The different papers that could be address are how the misuse of opioids can affect professional careers such as police officers or doctors, how it is affecting families, why there has been an increase in the misuse of
Essentially, these social and economic challenges seem to rile the effects of this addiction. The failed economy, high poverty rates, poor living and working conditions can lead to depression and feelings of pain. “... economic hardship, social isolation, and hopelessness [are] reasons for drug use” (Dasgupta 184). With social problems rising the demand for opioids has spiked. This drug crisis is a societal reaction and obvious manifestation of an economic recession.
Introduction: Any organization recognizes the significance of leadership and its crucial role in achieving their goals and success. In healthcare organizations, the complexity of the system and the difference in defining its success goals are reshaping the practice of leadership and its standards. According to House et al. (2002, p.5) a leader is able to influence, motivate, and enable others to contribute to the success of the organization or task. Healthcare and business settings are different in terms of goals and system contexts.