Managed Care Case Study
There is a great controversy occurring regarding what happened inside the hospital after Katrina as well as what is acceptable behavior of doctors during any emergency. Major questions were left after the storm. Why did so many people
Liability Issues Primarily, Caring Memorial Hospital will be held liable in this malpractice case under the premise of respondeat superior. “Under respondeat superior an employer is liable for the negligent act or omission of any employee acting within the course and scope of his employment” (Thornton, 2010, para. 2). The risk manager Susan Post, JD and the quality assurance director Amy Green were both aware of the potential for increased risk on the Oncology unit. They had been making observations several months prior to incident that related to deficiencies in staffing and safety standards. Per, ASCO and ONS (2012) new staff are required to demonstrate competency and receive comprehensive chemotherapy education.
Helen and Haldez, Thanks for remembering the tragic event happened in Las Vegas on Previous Sunday. The victims were spread throughout major acute hospitals in the city for medical treatment and management. The disaster was really heartbroken incident and well managed in the hospitals with extended involvement and cooperation of each citizen of Las Vegas. I am working in the University Medical Center, Las Vegas where the so called #1 Trauma center, emergency room, operating room and the rest of the units along with employees of the hospital participated wholeheartedly in taking care of casualties. The periodical practice of disaster plan in the city by joined effort of healthcare professionals, firefighters, police department and volunteer
Once the natural disaster occurs, immediate response needs to follow. This period is often chaotic due to the publics, fears, sustained injuries, and apparent damages are seen. During this stage, the community nurse can provide medical attention to the injured victims as well as emotional support. Public
Managed Care plans are also known as prepaid health care plans. Managed healthcare plans strive to deliver high-quality healthcare, while controlling cost. Services and fees are negotiated with healthcare providers and facilities to provide access to otherwise expensive healthcare services to patients. Services under listed within the Managed Care plan monitored continuously to ensure that all services are provided in the most cost effective manner. An HMO or Health Maintenance Organization is an example of a Managed Care Plan.
Patient Protection and Affordable Care Act, or ‘Obamacare’ was the expansion of Medicaid program across the states. Charles Barrilleaux and Carlisle Rainey look at why state government have opted out of the Medicaid expansion. They find that Obama’s 2012 vote share and the governor’s partisanship better explains the disapproval to Medicaid expansion, rather than measures of need, such as life expectancy or the number of people that are uninsured. Charles Barrilleaux and Carlisle Rainey find that a Republican governor is a higher percentage point more likely to oppose the expansion than Democratic governors. Whereas, the results show that the percentage uninsured in the state to have a small positive effect on the probability of opposition.
Introduction This informational interview was conducted with Dr. Pamela Aaltonen, a Homeland Security instructor at Purdue University, and active member at the Tippecanoe Board of Health. Her role here is to frame issues in the concept of Homeland security and emergency management. Dr. Aaltonen holds a key role in Homeland Security, as many disasters contain human health issues, such as mass causalities, pandemic outbreaks, and sanitary issues following natural disasters. Dr. Aaltonen’s flavor of Homeland Security differs from the work that I normally see, but as displayed during the interview, Homeland Security is a multi-disciplinary field that requires cooperation across all fields.
You are a new physician setting up your practice in a new town. You are researching the different MCOs offered in your area and are considering becoming a physician for one of these networks. You have also invited the sales representatives of several healthy plans to speak with you about the benefits of choosing their plans. Based on the above scenario, answer the following questions: • What effects would join an MCO have your clinic regarding staffing, patient volume, and financial stability?
The Effects of Regulations on Managed Care and IDS Managed Care is a health care delivery system organized to manage cost. The legal and business imperatives of managed care pervade our national healthcare system, the regulation of managed care depends on who contributes to the plan and who bears the risk for paying for the insured services. More than 170 million Americans receive health care coverage or benefits through some type of "managed care" setting.1 By 2007 about 20 percent of these services are directly provided by a health maintenance organization (HMO), while the majority are served through other managed arrangements, 60 percent in Preferred Provider Organizations (PPO) and 13 percent in Point of Service (POS) plans. Beginning
Some of these roles may include advocacy, collaboration with other professionals regarding the creating of crisis response plans, providing education related to mental health and resilience, holding leadership roles on multi-disciplinary crisis response teams, serving as media liaisons, assessing the needs of those affected by disasters, providing crisis intervention and support, and assisting with death notifications. Furthermore, CMHCs may fulfill the following roles and responsibilities when assisting those in
The focus on health reform is constantly changing due to societal needs – in terms of general health, political context and financial hardships. Over the past decades, there have been various health reform efforts, each one improving access to health care. As reported by Hoffman (2009), most efforts have failed either because of “the plan’s complexity, ideological differences, weakened Presidency or decentralization of Congressional Power.” The reasons for failure demonstrate the political weight carried on by reform itself.
Assignment B6: Marketing Phase 1. BRAND NAME OF THE NEW MEDICINE The name of our new drug is Nervarin® (salizumab). Package design:
In the last 25 years, natural disasters have affected about 217 million people every year, and about 300 million people in places around the world experience daily violence and political strife. The immediate and longer-term effects of these disruptions on large populations constitute humanitarian crises. In recent decades, public health interventions in the humanitarian response have made gains in the equity and quality of emergency assistance. With these crisis on the rise, emergency management is more important than ever. A natural disaster or an outbreak of war or violence can turn lives upside down in an instant, killing or driving millions of people from their homes and devastating communities.
These include; staffing numbers types and distribution, health workforce and health worker performance. An analysis of this situation is important in order to put in place solutions that are specific to the local context. Other factors like finance, policy, available infrastructure, prevalent disease conditions and security need to be considered. SPECIFIC SOLUTIONS A. EXTEND EMERGENCY RELIEF PROGRAMS INTO THE POST-CONFLICT PERIOD In this strategy, organizations that provided relief during the conflict period help to ameliorate the shortage in healthcare personnel.
I conclude that a lot of family members or should I say almost every one of us really don 't know what to do when this kind of disaster came to us. Although we really don 't know when would earthquake strikes, we need to at least be prepared for the things that can help us to save more lives. Just like the students in MCL, most of them don 't know anything about the plans for their safety, and according to them there 's no evacuation plan in the campus. Only the officials, committee and some of the students in the campus knows about it. And a lot of students are not aware of their earthquake drills on their campus; they said that only those people who are interested to participate will do.
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