Altimier, L.B., Sanders, J.M., (2000, April).
Can you make a merger pay off? Nursing Management, 31(4)8. This article discusses the merger of three hospitals and prenatal departments with the results of this complex transition. This huge project comprised of five nurse led areas proved to be cost-effective. By maintaining a single administrative structure, they eliminated bureaucracy and cut costs with staffing changes. No doubt time will test the success of this story. There are many given numbers for a grand total cost savings given as the merger’s big reward. However, there are no numbers revealing patient satisfaction or quality indicators to measure possible outcome changes on care delivery. Hospitals have a challenging task ahead in balancing supply and demand. Creativity will be illustrated many ways in the future as a constant pulse is Espo, D., (2000, May 15).
Progress toward HMO legislation fitful. Dayton Daily This article deals with the ongoing discussion and negotiation of politicians addressing HMO legislation that extends new rights to all Americans with insurance. Compromise on the legislation has been termed as fitful. This is due partly to the election year gulf between Democrats and Republicans and partly to the internal differences among lawmakers of the same party. Several weeks ago they were close to an accord on an appeals process for patients who believe they are wrongly denied care, but there is no deal At the heart of this matter is the American health care consumer. These citizens at risk are paying taxes with the expectations that these men and women are therewith their best interests at heart. These pending bills impact lives.
For this paper I chose to compare and contrast two countries; that of the United States health care system and Canada’s health care system. The United States is considered to have the most expensive health care system. This system dates all the way back to World War II. In health care, Canada and the United States is different in many ways compared to how they use to be at one time. There are ...
Lives that are on-hold pending care. Have they forgotten how much time can impact lives? Healthy differences can sometimes create the best outcome. As time continues, this does not. Pilot study to monitor quality of cancer care. (2000, May 17).
Dayton Daily This article addresses a foundation grant of one million dollars for a project, which will involve six hundred patients.
Doctors at the annual scientific meeting of the American Society for Clinical Oncology are examining the possibility of setting up a nationwide system to monitor the quality of cancer care. The goal is to assure that cancer patients get the best of care. This comes in response to a report last year from the Institute of Thank you! Hope like a flower is watered to grow for good of all. One can only be encouraged when groups of health care workers unite with a common interest to improve the quality of life for these needy patients and families. Perez, F.J., (2000, May 16).
Balanced Budget Act hurting hospitals, patients. This article is written by the president and chief executive officer of an Ohio hospital.
He addresses the financial challenges of hospitals to survive and to continue to provide the care that patients deserve. A major culprit he names is the Balanced Budget Act passed in 1997. Ohio hospitals have been projected to lose $4.4 billion in Medicare payments through 2004. Often Medicare may comprise 50 percent or more of a given This act greatly influences the resources available for hospitals to utilize in their attempts to deliver high quality care with the resources available. Transfers of patients moving across the continuum in a smooth, timely manner in attempts for the right place at the right time have been greatly complicated by this act. Hospitals and long term care facilities struggle to find the right answer to this act that places many patients in the wrong Vigan, S., Hofer, T.P., ET. ol.
The quality of health care remains an ongoing concern for consumers, payers, and policy makers. There are a number of national initiatives to measure quality and drive improvements in care. One initiative that has received significant attention is an effort by a group of purchasers known as the Leapfrog Group. (Sultz and Young) Founded in 2000, the Leapfrog coalition includes more than 65 ...
Cost-utility analysis of screening intervals for diabetic retinopathy in patients with type 2 diabetes mellitus. JAMA, 283 (7), 889. This article discusses the conclusions of the National Health and Nutrition Examination Survey. Michigan researchers challenge eye screening guidelines and claim that annual eye exams are not necessary for everyone with type 2 diabetes. Instead, the frequency of eye exams should be tailored to individual circumstances. This would be just one example of a cost-savings act that makes sense and does not negatively impact the patient.
Hopefully, after the review and application of so many clinical pathways, care maps, and other standards have been exhausted, the pendulum will