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NSG 4064 Piehl K
Patient Care Impact on Budget
Kimberly Piehl
April 21, 2015
South University

Patient Care Impact on Budget As healthcare evolved many years ago, so did the rising costs of providing it and this is how a need for insurance coverage arose in order to offset some of the expenses. Nurses today have greater accountability for an organization’s financial success. The hospital I work for is an acute inpatient rehabilitation facility. One issue that affects the position I work in is that of the large number of patients that do not have healthcare insurance but need to be admitted to our hospital. Many times, the patients that come to us are young people in catastrophic accidents who end up with spinal cord injuries or traumatic brain injuries and have no health insurance. These patients must be treated so turning them away is not an option. In my job, I have to write up the clinical information about a patient, assess the patient and speak to their families to assess their condition and their appropriateness for admission. This information, in addition to having a viable discharge home plan and the verbalization of readiness for rehab, is presented to a team of senior executives who make a determination on whether or not to accept a patient who has no insurance.
Journal of Neuroscience A new model for predicting recovery after spinal cord injury is based on motor scores at admission and early diagnostic imaging studies and may allow clinicians to predict functional outcomes and guide decision-making for therapy and caregiving needs. This model combines acute functional measures and evidence of injury on MRI to help guide treatment decisions, classification for clinical trials and patient counseling (Liebert, 2012). This is an interesting model that can be utilized to predict potential recovery which can help an organization determine the feasibility of taking in a patient on charity (Liebert, 2012).
Missouri Foundation for Health Charity



References: Chazin, S. et al. (2010). The Future of U.S. Charity Care Programs: Implications of Health Reform. Retrieved from: www://thefutureofuschairitycareprograms:implications-of-health-reform. Liebert, Mary Ann (2012, August 8) New Model for Predicting Recovery After Spinal Cord Injury, Journal of Neurotrauma (29)11 Retrieved from http://www.lieberpub.com/global/pressurerelease-new-model-for-predicting-recovery-after-spinal-cord-injury/.10971. Missouri Foundation for Health (2005) Hospital Charity Care in the United States Retrieved from website www.mffh.org/mm/files/HospitalCharityCare.IssueBrief.pdf.

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