End-of-life care becomes an issue at some point for elderly clients. Even with the emergence of palliative care programs and hospice programs, most elderly people do not die in their own home as is their preference. What are the reasons for this trend? Discuss what you can do as a nurse to support your clients regarding end-of-life care in accordance with their wishes. Support your response with evidence-based literature.
Discussion 1 Questions –
Instructions: Please answer using your own words in a minimum of 400, maximum 500 words PER QUESTION SINGLE spaced. Referenced with two (2) peer-reviewed journal articles or qualified text publish within the past five years and follow APA Manual 7th editions scholarly writing guidelines. When writing replies, please provide your experiences, new ideas, add probing questions and new literature on the topic to enhance the learning opportunity.
Questions:
1.1. Major trends affecting the future of healthcare administration
After you read over the slide presentation posted for this weeks about some of the macro trends affecting the US healthcare system, think about how those trends may be affecting the future of the healthcare profession. For example, what do you think about these following future possibilities?
These questions are intended to get our thinking started.
What else do you see in the future of our profession as healthcare managers and administrators?
1.2. Empathy
A deep desire to help is common to those who enter healthcare. Yet, that compassion can be dampened by the demands of the workday.
By now, you should have viewed the Cleveland Clinic Empathy Video. What are your thoughts?
1.3. What will the job market look like in 5 or 10 years?
Lecture: While the US healthcare system represents around $3 trillion in annual spending and is the largest single sector of the overall economy, it also sits inside larger “macro trends” that help define the landscape of jobs.
For example, such factors as globalization, the frantic pace of innovative handheld and genomic technology (like the iPhone 6 and mapping the human genome project), 78 million Americans all hitting old age (and higher healthcare utilization) at the same time, and radically changing values and beliefs are all working together to create a larger “context” for new jobs in the healthcare system.
So what difference do all these big changes mean to us? The answer is both obvious and complicated. I will answer the obvious part and leave the complicated part to you to discuss.
The obvious answer is that these big changes are changing the way we live our lives. Just think that it wasn’t that long ago that classes on the internet like ours didn’t exist. And now, we just sort of assume, without even thinking about it, that such classes are perfectly normal.
So the obvious part is that such factors as globalization, technology, the aging of our society, and changing cultural values are all working together to change pretty well everything that used to be – into something else.
The hard part – and the part you need to think about – is what do all the changes really mean to the careers of healthcare professionals?
If we think that healthcare professionals will continue to do exactly what they are doing now over the next ten years then we are not paying attention to how much the work world has already changed from the way it worked ten years ago.
How will smart phones create new jobs in healthcare?
Will genomic research eliminate certain diseases by modifying DNA? What issues are raised by DNA manipulation?
How will the massive chronic care needs of the elderly create new career opportunities?
How will healthcare systems evolve to best leverage a global market for their services?
What new jobs may be created to best meet new consumer demands for more patient-focused care? Less institutionalization of the elderly? And better access to culturally appropriate care givers?
Answer Question:
So what do you think? What’s the job market likely to look like for you in ten or so years?
1.4 Introduction to Healthcare Financial Management
Read Hirsch, J.A., Harvey, H.B., Barr, R. M., Donovan, W. D., Duszak, R., Nicola, G. N., … & Manchikanti, L. (2016). Once you have read the article, discuss the Medicare Sustainable Growth Rate. “The SGR target is calculated on the basis of projected changes in 4 factors:
1) fees for physicians’ services,
2) the number of Medicare beneficiaries,
3) US gross domestic product, and
4) service expenditures based on changing law or regulations (Hirsch, et al. 2016).”
How have these 4 factors been tied to fiscal performance? Find some additional sources and support your position through an original post in a few paragraphs. Once you have completed your post, review the link of at least two of your peers.
1.5. Health Insurance, Managed Care and Reimbursement Methodologies
Cost accounting is one of the most challenging areas in accounting to understand. “A cost accounting system is a system for recording, analyzing and allocating cost to the individual services provided to patients (e.g., medications, procedures, tests, room and board) (Becker’s Hospital Review, 2014). The healthcare industry has been working toward the goal of correlating cost with quality. Read Porter, M. E., & Lee, T. H. (2016). From volume to value in health care: the work begins. Jama, 316(10), 1047-1048. Discuss how healthcare providers and patients can benefit when cost is correlated with quality of the healthcare services provided. Post an original discussion of a few paragraphs and support your statements with research.
Financial reporting is critical to the success of any organization because this is how managers and other stakeholders evaluate the sustainability and profitability of an organization. The healthcare industry accounts for nearly 20% of the US GDP as of 2018 (BEA, 2019). While there is guidance for financial reporting to the respective government agencies, there is no consistency in the development of financial reports among private healthcare organizations. Discuss the importance of consistent financial reports across all healthcare organizations. Support your statements with research and post your discussion in a few paragraphs
HCAD 640 Financial Management of Health Care Organizations Read More »
An organization: Kent Hospital – A community teaching hospital that was established in 1946. The hospital is in Warwick Rhode Island and has over 2,300 employees on board.
Topic: Performance Management
The problem: Currently, the hospital has been in the spotlight due to an increase in medical error cases, which is attributed to poor skills in managing patients. Therefore, this has negatively affected the hospital’s profit margin and reputation. Furthermore, the hospital has been experiencing a higher level of patients’ dissatisfaction. Some of the employees have not been performing as per expected standards.
HRD solution I recommend: Kent Hospital should introduce effective performance strategies to reduce medical errors, increase patients’ satisfaction, improve the quality of health services provided, and boost its competitiveness.
Professor’s feedback: You may need to narrow it down to a single area such as medical errors or patient satisfaction. Remember, you only have a maximum of 4,500 words so you don’t want to burn a bunch of those up talking about your action’s impact on multiple results.
Identify a company or organization of your choice with a true and current HRD development opportunity. Prepare a comprehensive human resource development program on that opportunity.
The suggested outline for this paper is as follows:
Title Page
Introduction
Overview of the subject company
Assessment of the HRD opportunity
Design of the HRD plan
Implementation strategy
Delivery
Method of evaluation
Grading will stress structure, content, analysis, and style.
The paper must be at least 3,000 words in length, but not exceed 4,500 words not counting tables, figures, and any (optional) Appendices; it must correctly cite and use at least 10 ACADEMIC references, NOT counting the textbook. Please do not use SHRM or other commercially available sources for this assignment. ALL cited sources must appear both within the body of the text (in text citations) and in the References list. NOTE: for an “A” grade, the paper must use articles from peer reviewed journals or “scholarly” books.
Please read the professor’s feedback carefully.
APA lasted style.
Research Paper (4,000 – 4,500 words) No more than 4,500 words Read More »
Research the range of contemporary issues teenagers face today. In a 500-750-word paper, choose one issue (besides teen pregnancy) and discuss its effect on adolescent behavior and overall well-being. Include the following in your submission:
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You have been hired as a management consultant by a large company to examine the company’s business decisions regarding employee protections. The applicable laws are federal anti-discrimination laws, federal health and safety laws, and employer firing practices related to the employment-at-will (EAW) doctrine.
In response to the three questions below, write a 4–6 page paper in which you do the following:
Analyze, identify, and explain recent legislation, within the last 10 years, that helps to protect employees from discrimination in the workplace. Provide at least two federal legislative protections (Be sure the legislation is just that – passed law).
Provide some insight when the federal legislation conflicts with the state. (ie. what is the Supremacy Clause?)
Explain the EAW doctrine and all exceptions to the doctrine. (hint: There are more than three).Then, look at the scenarios below and determine whether the decision to fire the employee is a smart one. Identify why or why not, and determine all the possible exceptions per the EAW doctrine that are, might be, or could be applicable if the employee sues for wrongful termination.
SCENARIOS FOR QUESTION 2 BELOW:
Brenda, a manager, started a blog on the company website for employee grievances. She noticed that a worker was protesting that no Asian American employees had gotten a raise in two years at the company. The worker also criticized how much the CEO made and how the CEO was “out of touch.” Brenda reprimanded the worker. The next day, the worker talked to fellow co-workers about forming a union. Brenda subsequently fired the worker.
Jason, a department supervisor, requests approval to fire his secretary, Alice. Alice, a devout Christian, has been putting Right-to-Life flyers in the employee break room. Alice is also taking time out to pray each day during the busiest time of the morning. Brian, the head of the accounting department, refused to sign Lori’s leave request for jury duty. Lori is a tax attorney in his department. Brian wants to fire Lori for being absent without permission during their busiest time—tax season.
Peter has worked for the company for one year. He has a rare form of liver disease and works with chemicals that make his condition worse. Peter does not want to stop working, but his boss is not happy with his performance and wants to let him go.
Determine the federal law, requirements and procedures, (from an employer perspective who is hiring employees) regarding undocumented workers and whether they are eligible for state workers’ compensation in your home state. Advocate for or against this practice and substantiate your response with research to support your position.
3 sources for this paper, textbook should be one of them. Follow SWS for citing sources in the paper and on the
The textbook used is : It’s Legal, Ethical, And Global Environment 11th Edition
The instructions are n the above information. See you back in a few days to see if you need anything. remember no plagiarizing. The school uses Safe Assign.
