Standard of care and Medical practice Jose Konde HLT-305 January 25‚ 2015 Everyday Health care professionals are entrusted with people’s health care and‚ therefore‚ their lives. The nation does not give this responsibility softly; it comes with the reasonable conditions that Heath care providers‚ who are the ones that the patients trust‚ obey by rigid professional‚ ethical and legal standards. The word scope of practice is known as the rules‚ the regulations‚ and the boundaries within which
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related to the managed care organizations (Barnes et al.‚2014) Taking in to consideration the Health Maintenance Organizations (HMOs)‚ and in performance improvement programs such as pay-for-performance (P4P) and patient-centered medical homes (PCMHs). HMOs are the strongest form of managed care‚ in that they require patients to stay within the provider network and they incentivize providers to reduce unnecessary care through reimbursements and other mechanisms. Care is typically managed through the
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Team C Project NURS 6030 Section 5 The Practice of Population-Based Care August 16‚ 2009 Plan for Collaboration Healthcare is a profession in which nurses strive to advocate‚ guide‚ and protect those placed in our care. In this spirit‚ Team C will work together to investigate a healthcare problem to strengthen our collaborative abilities. The team’s systematic approach described below includes team identification‚ team vision‚ communication process‚ determination of roles‚ conflict resolution
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EVENT/IMPACT ON HEALTH CARE ORGANIZATIONS: MANAGED CARE Significant Historical Event/Impact on Health Care Organizations: Managed Care Erich Hayman Monday‚ May 19‚ 2008 University of Phoenix HCS/530‚ Health Care Organizations Professor David A. Olsen‚ MHA Significant Historical Event/Impact on Health Care Organizations “By 1995‚ managed care plans had become the dominant form of health insurance and enrolled 73 percent of all Americans who were covered by employer-based health benefits
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Network Development in the Managed Care Organization To guarantee that its members receive appropriate‚ high level quality care in a cost-effective manner‚ each managed care organization (MCO) tailors its networks according to the characteristics of the providers‚ consumers‚ and competitors in a specific market. Other considerations for creating the network are the managed care organization’s own goals for quality‚ accessibility‚ cost savings‚ and member satisfaction. Strategic planning for networks
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Suggest the key financial drivers that most likely will cause health care organizations to merge. Provide support for your rationale. Cost is the driver that will most likely cause healthcare organizations to merge. Most healthcare organizations have issues with spending. Most industries today are faced with a variety of obstacles in achieving or remaining profitable. The healthcare industry is no exception. Profitability is enough of a challenge under normal circumstances‚ but especially so during
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The Next Steps for Accountable Care Organizations‚ Bundled Payments‚ and Health Reform The University of Texas at Dallas The American Health Care System HGMT 6320 The Next Steps for Accountable Care Organizations‚ Bundled Payments‚ and Health Reform With the enactment of the Patient Protection and Affordable Care Act (PPACA) in March 2010‚ health care reform has become the law. The legislation will extend health care coverage to more citizens‚ stabilize health insurance markets‚ enhance
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Date: April 20‚ 2012 Assignment: Downtown Health Care Clinic Perpetual Mercy Hospital Perpetual Mercy is a successful‚ nonprofit hospital located in the southern periphery of a major western city. It is extremely financially stable‚ debt free and holds the highest occupancy rate in amongst all hospitals located in its metro location. Perpetual Mercy has become extremely dependent on older‚ inner city occupants that are covered by Medicaid. More business is becoming minor‚ short stayed visits
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a risk of managed care to the payer is that physicians are paid a fixed amount for services on a monthly basis regardless of how much service is used. This risk is with hopes that physician will utilize the minimal amount of service ultimately decreasing health care costs. Physicians who participate in managed care plans also experience potential risk. In managed care plans‚ physicians can jeopardize relationships with patients (Chan Hong Kit‚ Abul Rasid‚ & Md Husin‚ 2016). Managed care has impacted
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Collaborative Practice in Health Care Collaborative practice in health care occurs when a member of the health care team consults with another member to provide patient care. Collaboration most often occurs between doctors and nurses. "Collaboration is defined as a relationship of interdependence; the ability to work together involves trust and respect not only of each other but of the work and perspectives each contributes to the care of the patient" (Phipps and Schaag‚ 1995‚ p. 19). Effective
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