Unit 2 Health And Social Care Case Study

The uneven distribution of health care workers in the surrounding communities will be addressed by providing incentives to the workers in wealthier districts who are willing to be relocated to work in the poor areas. The need for more attention to behavioral health in the community can be attended to by establishing mandatory screenings at primary care visits which will test for various mental health issues. The problem of bed shortages for patients in the hospitals can be solved by partnering up with other outpatient facilities to take on patients who are required to stay for more than one day in the hospital. We will also try to recover from the exclusion of the SHR health care plan for state employees in Arizona, in 2008, by lowering the costs of SHR’s plan in relation to the other two competing

Practice fusion could be good for the medical offices and hospitals. Practice fusion allows the medical practice to do so much with patient care. One item I find good is to input patient photo with the name. This would decrease patient error but the downfall would be if patients are willing to have their photo attached to the medical record. On the other hand, long term facilities like nursing homes and assisted living communities would not benefit from it.

But overall they provide: private hospitals, private dentists, private pharmacists, nursing homes, private medicines etc. The medical centre would meet the needs by making sure that the client’s parent/guardian has a selection of numbers, of all these private services if they did consider moving from the NHS to the private sector. Most private medical centres wouldn’t set up in Sandwell as is isn’t a wealthy area, but would prefer to set up in more prosperous area like Edgbaston. Private hospitals meet needs by letting clients move up waiting lists. They do operations and outpatients appointments, but you will obviously need to pay.

Doctors report that they now spend more time explaining to patients why an expensive new drug is no better than the one they already take, or that the patient isn 't suffering from a nebulous condition like fibromyalgia, just the normal aches and pains of aging.” This pressures physicians to prescribe when patients come in requesting a particular newer (not necessarily better), more expensive medication by name. 70% of physicians complied with requests when a patient requests a medication by name (Freundlich). Rather than advertising a new drug, education on the condition itself would be more effective. If the government would regulate and limit DTC drug advertising, it would reduce healthcare spending. Three bills have been proposed to solve this: Families for ED Advertising Decency Act (bans ads for prescription sexual aids like Viagra from prime-time television due to children possibly seeing it), prohibiting

Similarities and differences FFS, you can go to see any physician you want, whenever you feel it is necessary. Under managed care there is a strong financial incentive to see only those physicians who are affiliated with the plan. With FFS, you might not have to wait long to get a non-emergency appointment, but you 'll probably spend some time in the waiting room. Under managed care, according to a Consumer Reports survey, members of HMOs have to wait a little longer to get a non-emergency appointment, but their wait is shorter once they 're at the doctor 's

A Medicare managed care plan is a type of government-subsidized health care that allows patients to get health care coverage for the bills that traditional Medicare does not cover. This is done through a private Medicare-approved insurance company. Medicare managed plans “fill the gaps” in traditional Medicare. Patients are offered reduced overall healthcare costs. However, in exchange, patients can receive care from only a specific network of hospitals, doctors, etc… Each plan includes everything that Medicare covers with lower copays and more benefits.

Medicare Part A and B are provided by the federal government. Many times your social security will automatically enroll you in Part A (hospital coverage), but you will have to enroll in Part B (medical coverage) with a premium monthly rate. There are several parts to the program. Medicare does not cover everything and things such as prescription drugs are going to be out of pocket costs. By adding private insurance to your Medicare, it can help with the out of

Normally, taxpayers pay a particular figure for their regular health insurance premiums. Nonetheless, despite the fact that they still pay taxes, they are charged numerous bills to cater for their health needs (Davies, 2000). Moreover, the insurance companies take advantage of the situation to demand more premiums to cover the unforeseen patient problems adequately. However, there ought to be policies that prevent the exploitation of the patients by the insurance companies. In addition, the taxpayers should have they tax cover for particular parts of the medical bills as they contribute to the maintenance of health facilities.

Some who are very sick are normally sent to the main clinic where they can see a doctor for thorough assessment and examination, if need be they can be referred to the hospital for diagnostic investigations or else they are treated locally. 4.5 USEFULNESS OF CONCEPT TO THE WORLD Owing to advancement in health technology, the cost of care is on the high side leading to increasing numbers of health insurance systems, because most people cannot afford the cost of new high-technology services. While being called "health" insurance, it is actually "illness 'insurance, which pays some or all of the costs of medical care in case of illness and is available from several sources. In developed countries like USA, the Medicare systems provides medical care for patients who are over 65 years of age, younger people with disabilities or injuries are also eligible for Medicare coverage. In USA, people who are under age 65, and do not have health insurance because of their financial status probably they are too poor to afford it, are eligible for medical coverage through

Some doctors are not fulfilling their own roles nowadays, they are not treating patients if they found the conditions are complicated and take long time of following up, they will rather referring to specialists than treating it themselves, this will increase the burden on the specialists service. Therefore, the role of primary doctors should be gatekeeping instead of adding burden to other health service system Apart from the above-mentioned, primary care doctors can direct patients to the best place for their treatment. If primary care doctors decide patients should be referred to specialists, they should also take into account

You also need to verify eligibility and benefits before providing services. Many insurance companies require pre-authorizations and referrals for certain medical specialties or services. Collect Co-Pays This seems like a minor step, but it can save you a lot in the long run. By collecting the co-pay up front, you will save yourself the cost of printing statements, adding postage to an envelope, and expending man hours for a 10-dollar co-pay. Prompt Medical Notation To ensure the billing process goes forward in a timely fashion, all medical notations should be entered at the time of the patient appointment.

These questions on the topic of how often Lovenox injections are required to be therapeutic versus how often heparin needs to be injected and the resulting patient satisfaction during the hospital stay. With the emphasis on patient satisfaction and the government guidelines for preventable hospital acquired problems, finding a solution to DVT prevention is important for nursing. One study by Arnold et al. (2010) directly compared the two drugs in question for this project and provided credible information to the development of an evidenced-based answer to the problem (Arnold et al., 2010). A second systematic review by Akl et al.

First as CEO of Middlefield hospital I would recommend changing their employee’s health plans because with the hospital losing so make money they can’t afford to be paying so much for their health insurance. So by changing to a plan where the employees have a slightly higher

“When HMO Plans were first introduced, members paid a fixed, prepaid monthly premium in exchange for health care from a contracted network of providers. The contracted network of providers includes hospitals, clinics and health care providers that have signed a contract with the HMO. In this sense, HMOs are the most restrictive form of managed care plans because they restrict the procedures, providers and benefits by requiring that the members use these providers and no others. HMOs were intended to take health care in a new direction. They were designed by the government to do away with individual health insurance plans and to make affordable health insurance available to everyone.

This would result in more queries for clinicians which adds up to the time medical coders and clinicians will be unable to prepare ICD-9 claims. Ironically, this comes at a time when practices are being encouraged to make their business practices increasingly efficient and save cash to get through periods of delayed reimbursements after October 1. However, there is a solution of hiring more coders as employees or freelancers to cover the deficit. But this comes at the cost of more planning and budgeting for staffing. Hence, medical practices are advised to do a cost-benefit analysis to determine if hiring more personnel will indeed prove helpful, or it is better to accept longer reimbursement cycles.