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Home Health Care, 2006.
A review of quality assessment and performance improvement of home health care policies.
2,250 words (approx. 9.0 pages), 7 sources, £ 63.95
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Abstract
This paper discusses how home health care has been a controversial health care delivery system for many decades, changing dramatically throughout the years in accordance with nursing policy, federal and state guidelines and is usually driven by certification and accreditation by the Medicare system. This paper highlights the role of quality assessment and performance improvement measures in home health care through direct review of current literature and through mock interviews with a home health care professional and home health care agency.
From the Paper
"According to the Center for Medicare and Medicaid Services, 2.4 million individuals receive private home health care services from one of the 8,100 Medicare-certified agencies authorized to provide home health care in the United States ("Home health," 2006). Home health care agencies provide both health and personal care for patients in their own home, with the goal of helping patients to improve their self-care capabilities and health status ("Home health," 2003). In November 2001, Secretary Tommy Thompson of the US Department of Health and Human Services announced the Quality Initiative, which was rolled out in two phases in 2003 through the nation ("Home health," 2003). The initiative was part of the Bush administration's Medicare related assurance of quality health care for all people ("Home health," 2003; "HHS launches," 2003)."
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Advanced Practice RNs in the Home Health Care Arena, 2004.
This paper discusses that there is an urgent need for APRN services in the home health care environment and suggests ways of meeting this need.
3,890 words (approx. 15.6 pages), 10 sources, APA, £ 75.95
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Abstract
This paper explains that there is an urgent need for quality home care that exceeds the minimum expectations of patients and their families. The author points out that there is a dearth of data relating to the specific training, planning, and placing advanced practice nursing talent in home health care situations. The paper suggests that the medical staff train the advanced practice nurses in home care, and they, in turn, will teach families how to give good care to their loved ones.
Table of Contents
Introduction
Identification of the Phenomenon.
Review of Literature
Relevant Literature Appropriate for The Qualitative Study Planned
Integrating Advanced Practices Nurses into Home Care Environments
Effects of a Relationship-Enhancing Program of Care on Outcomes
Validity and Community-Health Nursing Sensitivity of Six Outcomes for Community Health Nursing with Older Clients
Review: Prenatal Home Visitation by Nurses through Infancy
Effect of Prenatal and Infancy Home Visitation
Home Health Care: Improving Quality, Tightening Standards
A Case Study in Care: APRN Home Nursing Service
A Practical Guide to Caring for Caregivers
From the Paper
"After all, NPs have a ?proven efficacy in health promotion, early identification and prevention of complications,? as well as patient compliance and education ? so, it is a logical argument to bring advanced practice nurses into the home care environment, and in order to plan for the future, more specifically targeted nursing teaching programs are proposed as a solid strategy for integrating primary care by NPs into the home care genre. The growth of home care services was tremendous between 1988 and 1995, as the number of Medicare home health visits jumped from 37 million to 252 million. Money spend through Medicare home health care visits also leaped during that period ? from $2.1 billion to about $16 billion, which is the fastest-growing budget item in Medicare."
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Home Health Care Services, 2007.
This paper presents a marketing audit approach for the home health care industry.
1,225 words (approx. 4.9 pages), 3 sources, APA, £ 29.95
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Abstract
This marketing audit was undertaken in an effort to determine how referrals from physicians, skilled nursing facilities and hospitals play a critical role in the profitability of a home health agency. In order to reach viable and accurate conclusions about the topic, statistics and relevant research on the topic are studied and recommendations are presented in an easy to understand format. The paper discusses how the research conducted in combination with a SWOT and marketing analysis will enable the Home Health Care Partners company to develop a targeted marketing plan for execution.
Table of Contents:
Executive Summary
Overview of the Home Health Care Industry
Methodology
Final Marketing Plan
Time Frame for the Study
Limitations of the Study
Conclusions
Recommendations
From the Paper
"To say the least, there is a great deal of potential within the Home Health Care industry; by the year 2020, there will be approximately 100 million Americans over the age of 50 who will be potential patients of local community home health care providers. Of this 50+-population base, 39% will be elderly, 27% will be wound care patients, 18% will be incontinent and 12% will be urological patients. There is also every indication that these people will seek home care- American patients today are directed to leave the hospital, and nursing homes "quicker and sicker" due to managed care. Many of these patients are sent home to recuperate with the support of a home health care provider (Evan, 2005). Another key consideration in the potential of this industry is the fact that many more people are living well past the age of 100, and the great majority of these people will be potential home health patients (Brown, 1998)."
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Home Health Care Delivery, 2004.
This paper discusses the improvement of home health care delivery through the implementation of quality assessment/ performance improvement (QA/PI) programs
1,150 words (approx. 4.6 pages), 5 sources, APA, £ 28.95
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Abstract
This paper explains that the improvement of health care programs in the medical industry has spread to home health care delivery in which the physician makes home visits. The author defines quality assessment as the development of data sources and analysis of information generated from patients, which reviews their perception and expectation of quality. The paper concludes with an interview of a physician working in a home care agency who believes that, ever since the implementation of the QA/PI policies, his organization has started to pay close attention to quality performance issues, such as physicians' abilities to meet patient expectations and demands.
From the Paper
"There are gatekeepers to the implementation of QA/PI programs. These include the Division Home Health QM Program, Directors Committee, Continuing Care Leaders and Quality Service Leaders, Service Area and Local Agency. These controllers are responsible for the planning of the QA/PI activities into the current systems of organizations that are responsible for home health care delivery. They also are responsible for identifying changing indicators from the consumer perspectives and conducting audit of the agency involved in QA/PI to regular and accredit credible organizations who have maintain their standards according to the AHRQ. Similarly, they are involved in setting criteria for divisional directors of home care quality improvement programs."
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Home Health Care and Hospice, 2002.
This paper examines the topic of the management of chronic pain in home health care and hospice care.
2,442 words (approx. 9.8 pages), 12 sources, MLA, £ 53.95
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Abstract
There has been a massive shift in thinking about chronic pain and pain management, from seeing pain as a secondary characteristic to the disease, to seeing pain as a primary problem. The writer explores the issue and the surrounding controversy. The paper looks at the ways in which financial cutbacks in home health care and hospice have led to fewer employees and a stronger reliance on pain medication.
From the Paper
"In an article in the Columbian (Oregon leads quiet revolution, 1999), a graphic example of one of the ongoing problems in the management of chronic pain was illustrated in the story of a man who hurt his back in 1988. Although in chronic pain, his doctors hesitated to provide him with narcotics for long-term pain relief because of the fear of drug addiction. Despite the fact that things are changing, pain management in home health care and hospice has often been shaped more by politics than by scientific knowledge about the effects of pain and its management. Both doctors and patients still exhibit resistance to appropriate pain management, fearing addiction, acting from ignorance, or feeling that patients should simply be more stoic. In the following pages, the intention is to explore this issue in more detail."
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Home Health Care, 1989.
Examines theory & practice of home care for long-term patients. Discusses types of services, health care teamwork, confidentiality, patient rights & abuse, access to services and costs.
1,800 words (approx. 7.2 pages), 21 sources, £ 45.95
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From the Paper
"The health care services delivery environment is a dynamic one in the late.1980s. Increasing costs, evolving societal values, advances in treatment therapies, changing demographics, and other factors are affecting both the how and the where of the delivery of health care services (Mentkowski, & Doherty, 1984). The introduction of technological innovations into health care is not only enhancing the quality of the services delivered, it is making possible the effective treatment and care of patients in home and community environments who would have previously required institutionalization (Thomas, 1988).
The restructuring of the health care delivery environment adds new dimensions to the ethical issues involved in the (...)"
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Home Health Care For Elderly, 1989.
Examines alternative to institutional care, focusing on long-term care for chronically ill patients. Discusses health needs & costs, population affected, laws and government involvement.
2,700 words (approx. 10.8 pages), 19 sources, £ 68.95
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From the Paper
"This research examines the concept of home health care (HHC) services delivery for the elderly. HHC is examined as an alternative to institutional delivery of health care services. The focus in this examination is on the delivery of long.term care (LTC) to chronically ill individuals.
HEALTH CARE NEEDS AND COSTS OF THE ELDERLY
The average life span in the United States increased from an expected 70 years in 1960 to 79 years in the late 1980s. The expected life span for women is greater than that for men. Additionally, the expected life span applied to individuals born in the year for which the statistic is determined..not for those individuals already in their elderly years. A similar life expectancy increase, however, developed with respect to all age (...)"
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Health and Safety for Nurses in Home Health Care, 2008.
A discussion of health and safety issues for nurses who work with home health care agencies.
1,710 words (approx. 6.8 pages), 4 sources, APA, £ 39.95
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Abstract
This paper takes a look at the situation of nurses in home health care, who regularly work in isolation without the benefit of peers or essential supports, unlike nurses in hospitals, which have the benefit of safety and security measures provided by the institution. The paper points out that home health care nurses are predominately female and are subject to high physical and psychosocial demands. Furthermore, many of these nurses work in isolated rural settings, making them more prone to physical assault, sexual assault and various forms of workplace violence, as well as personal injury related to heavy lifting. The paper argues that the most important point about health and safety issues is that they impact of the care the client receives. To conclude, the paper maintains that the goal for all home health care agencies must be to ensure the safety of both staff and patients, and this may be achieved through employee awareness and in agency commitment to the staff.
From the Paper
"Home health care is a rapidly expanding industry because of such factors as an aging population and decreased hospital stays. With that expansion have come increasing incidents of violence in the workplace. Surveys of nurse reveal that problems related to safety in the home care field have escalated. These problems range form verbal and physical abuse, along with threatening animals to visible weapons and illegal drugs (Sylvester & Reisener, 2002). In addition, nurses in home care very often work in areas where the crime rate is above the national average. All of these issues and concerns create a potential impact on patient care and patient outcomes (Fazzone & Barloon, 2000). When nurses are in continual fear over their safety, this situation is certain to affect the quality of care."
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Managed Health Care Systems, 2004.
Presents a new model of model of managed health care in the U.S. using a systems approach.
7,200 words (approx. 28.8 pages), 14 sources, APA, £ 114.95
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Abstract
Health care in the United States has a long history; from the traveling physician who provided services in private homes and charity organizations, to government programs such as Medicare and Medicaid that proceeded hospital construction, and the relatively recent trend of managed health care. Along the way, innovation and competition facilitated new health care technologies and services that offered numerous approaches to prevention, treatment, and management of diseases. In a bold new health care policy, integration and collaboration between the public and private sectors of health care is not only an option, but a necessity in providing the most efficient and sound health care services and options. This paper examines health care in the U.S. from a historical and current perspective and concludes by introducing a new model of managed health care utilizing a systems approach.
Table of Contents
Introduction
Historical Examination of Health Care
Public Sector Health Care in the USA
Private Sector Health Care in the USA
Types of Managed Care Organizations
HMO Models
The Merging of Public and Private Health Care Models
A New Universal Managed Health Care Model
Conclusions
References
Appendices
From the Paper
"The managed health care industry did slow the growth in health care spending. Moreover, by extending coverage to services provided in an outpatient setting, it reversed the artificial preference for in-patient care that was created by indemnity insurance benefit designs. By focusing on clinical variability in physician practices, the shift to managed care forced the elimination of some unnecessary care. It also provided a stabilizing force to professional fees and institutional charges."
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Health Care, 2006.
A debate on the quality of care in private and public health care centers.
675 words (approx. 2.7 pages), 3 sources, £ 18.95
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Abstract
This paper discusses the differences in quality care provided in a nursing home setting versus that found in private home health care. Some issues covered highlight the Institute of Medicine's report of negative findings in 1986 and recommendations for improvement that still failed. It also cites the dramatic increase in the level of home health care services provided from 1985-1995 in the US and in Canada and how that translated into a higher level of quality of care for the individual.
From the Paper
"There is a myriad of health care delivery systems available to individuals who require continuous care. Some of them are more traditional some are alternative and include Adult Day Care Centers. With the rapidly increasing aged population, along with medical advances providing for longer lives, health care for the elderly is a major topic of debate. Unfortunately many times this debate centers on cost and/or simple practicality. Other times the debate revolves around the dynamics and quality of the health care delivered. This paper is a high level presentation designed to comparing and contrasting home health care services with a skilled services nursing home. According to Hicks, Rantz, Petroski and Mukamel (2004), the two most significant issues facing nursing homes (skilled facilities) are quality of care and the decline in the rates and levels of Medicaid reimbursement received. Staffing issues and other issues at skilled nursing facilities, some ..."
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Health Care Fraud, 2002.
An essay on how health care fraud affects nursing homes.
900 words (approx. 3.6 pages), 3 sources, £ 25.95
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Abstract
This paper discusses the impact of the Health Care Fraud and Abuse Program on nursing home care in America.
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Health Care in Canada, 2005.
This paper looks at the subject of health care in Canada and discusses related problems and some possible solutions.
1,575 words (approx. 6.3 pages), 3 sources, £ 44.95
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Abstract
This paper explores the problems currently bedeviling the Canadian health care system. Principally, this paper suggests that the current system is not particularly well-organized, has grown far too expensive, discourages physicians and nurses from staying at home, and is not well-organized. In the final analysis, the writer shows that the system will not get better until a hybrid system embracing both private and public health care is introduced.
From the Paper
"As Canadians, we like to think that public health care is one of the things that distinguishes us - in a positive sense - from Americans. Sadly, however, the Canadian health care system has experienced great difficulties in recent years. This paper explores some of those problems - among them the enormous cost associated with maintaining the current system, as well as the startling lack of qualified medical personnel in Canada - and suggests that, while the problems are not insurmountable, they do demand that tough decisions be made now and in the future - and that these decisions be resolutely implemented regardless of the political fall-out that may attend their application."
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Tenet Health Care Corporation, 2002.
This paper is a marketing analysis of the Tenet Health Care Corporation.
5,195 words (approx. 20.8 pages), 5 sources, MLA, £ 92.95
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Abstract
This paper explains that the health services industry, representing one of the largest sectors of the US economy, is broadly divided into four categories: professional services (including physicians, dentists and other health professionals), hospital services, nursing home services and insurance services. The paper states that the Tenet Health Care Corporation represents one of the largest hospital chains in the U.S.. Its subsidiaries own or operate 115 acute care hospitals in 16 states, as well as one in Europe. The author recommendations that the Tenet Healthcare Corporation strengthen efforts to establish and market the company?s presence within communities and resolves its many legal difficulties.
Table of Contents
The Hospital Environment
Economic Trends and Conditions
Cultural and Social Values and Trends
Political and Legal Issues
Summary of Environmental Opportunities and Threats
The Hospital Industry
Classification and Definition of Industry
Analysis of Existing Competitors
Analysis of Potential New Entrants
Analysis of Substitute Products
Analysis of Buyers/Suppliers
Summary of Industry Opportunities and Threats
Tenet Healthcare Marketing Strategy
Objectives and Constraints
Analysis of Sales, Profits, and Market Share
Analysis of Marketing Mix
Summary of Marketing Strategy?s Strengths and Weaknesses
Marketing Strategy Recommendations
Potential Future Issues/Problems
From the Paper
"Potential buyers include other health services companies and networks interested in mergers and acquisitions. When reviewing Tenet?s own history, evidence of the role that potential buyers can play is evident. Tenet had its beginnings in National Medical Enterprises founded by attorneys in 1969. After being sued in 1992 by several insurance companies for fraudulent psychiatric claims and later investigated by the Federal government, the company changed its name in 1994 to Tenet Health Care, coinciding with new purchases throughout the South in 1995 and 1996. In 1999, merger discussions began with embattled market leader Columbia/HCA. While Tenet has continued to purchase other hospitals, the company began feeling the effects of the Balanced Budget Act of 1997, which mandated more scrutiny of Medicare expenditures to healthcare providers. In response, the company began divesting some of its hospitals; it also shed its practice management business and reorganized its corporate structure. Tenet has continually rebounded and the company has been acquiring hospitals in 2001 and 2002. Also, in 2002, Federal authorities announced that Tenet was being investigated for its Medicare billing practices, and for performing unnecessary surgeries."
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Australian Health Care, 2002.
A look at the issues of care of the elderly and remote medical care in current Australian health care.
1,650 words (approx. 6.6 pages), 8 sources, £ 44.95
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Abstract
This paper is an examination of the current state of health care in Australia as it pertains to it's two primary issues: aged care and remote medical care. It looks at the extent of the issue of the aged care problem and nursing homes. It also examines the issue of training and implementing remote care to outlying areas.
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