This document summarizes the key requirements and components of a Physician Assistant program. It notes that PA programs require a bachelor's degree and healthcare experience. The typical program is 26 months and includes coursework in various medical subjects totaling over 800 hours. Clinical rotations are required in areas like internal medicine, pediatrics, psychiatry, and surgery. To become certified, one must complete an accredited PA program and pass the Physician Assistant National Certifying Examination.
1 of 77
Download to read offline
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
More Related Content
Essay On AAPA
1. Essay On AAPA
AAPA also strive to create progressive work environments for physician assistants. Developing and
pursuing legal strategies to expand and protect the PA scope of practice thus achieving a more
autonomous work environment. Also developing plans and solution to remove any workplace–
imposed barriers to PA practice thus creating a positive working environment for PAs across the
country.
Last but not least, AAPA's goal is to foster AAPA organizational effectiveness and sustainability.
Working to increase member participation, volunteer opportunities, advocacy, and employer
initiatives along with financial sustainability of the organization. Thus harmonizing with the vision
of the AAPA, "PAs transforming health through patient–centered, ... Show more content on
Helpwriting.net ...
Henry K Silver. MD, professor, and vice–chairman of the Department of Pediatrics at the University
of Colorado Health Sciences Center (UCHSC), established the first Physician Assistant program
curriculum specializing on pediatrics/child specialist when there was an increased demand for
pediatric health care providers. It was important to develop a program that will complement the
skills and training of their pediatrician colleagues as well as develop a fast–paced program. Thus he
developed a 36–month program curriculum focusing on providing high quality, comprehensive
primary care to infants, children, and adolescents. In 1969, the legislature passed the Child Health
Associate Act, which allowed non–physicians to practice medicine and provide the framework for
the certification of an allied health care professional (Glicken et al). This law played an important
role in further development of PA profession in the following years.
In 1968, the American Academy of Physician Assistants currently known as the American Academy
of Physician Assistants (AAPA) was incorporated in North Carolina and William D Stanhope, PA–C
was appointed as the first president. In 1971, the Comprehensive Health Manpower Training Act of
1971 (Public Law 92– 157) was established where the congress granted $4 million dollars for the
establishment of the new PA educational programs in 1972 under the Health Manpower Educational
Initiative Awards. It was also during the same time
... Get more on HelpWriting.net ...
3. Pay for Performance Paper
The need to improve both the quality and the safety of health care in the United States is well
documented. Traditional strategies to stimulate improvement include regulation, measurement of
performance and subsequent feedback, and marketplace competition. Despite limited evidence,
public reporting of hospital quality data and pay for performance have emerged as two of the most
widely advocated strategies for accelerating quality improvement (Lindenauer, 2007). Quality health
care is very important to both physicians and patients because in essence everyone wants to be in
good health in order to live a long quality life. The United States has a lot of work to do on
providing its citizens with quality health care and one such innovation, ... Show more content on
Helpwriting.net ...
These payment structures have led to concerns about undersupply of needed services" (Virtual
Mentor, 2006). The quality of health care is directly affected by the system costs. The cost of health
care has always been a major concern in the United States. With managed care systems and pay for
performance approaches cost does directly affect the quality. The major questions that surround this
issue is are physicians being paid fairly for their services, and are the services deserving of the costs
associated with it. These questions may not be fully answered to the preference of those involved
with health care. The cost of health care will always be a debatable question but in essence there
needs to be some type of commission that can fairly determine cost of health care services so that all
parties involved are compensated fairly. A physician takes an oath to provide quality care to their
patients no matter the cost but the physician also deserves to be compensated fairly for the services
they do provide. According to the AMA, "fair and ethical PFP programs are committed to improved
patient care as their most important mission. Evidence–based quality of care measures, created by
physicians across appropriate specialties, is the measures used in the programs" (AMA 2005).
Principals of the
... Get more on HelpWriting.net ...
5. Hcs 235 Health Care Utilization Paper
Health Care Utilization HCS235
Health Care Utilization
HCS 235
October 30, 2012
Health Care Utilization
The Affordable Care Act was signed into law March 23, 2010 by President Barack Obama; however,
the constitutionality of the law remained in question. In a controversial 5–to–4 ruling, The U.S.
Supreme Court upheld the law on June 28, 2012. The ACA is thought by some as the United States
health care rescue, and as its downfall by others.
It is estimated that the ACA will provide new services to 64 million Americans, providing health
care coverage to 32 million previously uninsured. In addition to providing new health insurance
coverage, the ACA implemented several components that can expand access to health care. One
policy ... Show more content on Helpwriting.net ...
The aim of the ACA is to provide affordable health care to all Americans, but it still leaves some
issues unaddressed that will impact the access to health care. Covino (n.d.), "Though the intentions
of the legislation are good, the Affordable Care Act does little to improve the actual health care
delivery system" (para.1, page 2). According to the American Medical Association, we are facing an
increasing Physician shortage. As of 2010 we faced a shortfall of 13,700 physicians, the estimate is
that number will increase to 62,900 by 2015, 91,500 by 2020, and 130,600 by 2025 (Krupa, n.d.),
with primary care taking the largest impact. Health Care coverage will be of no benefit if there are
no doctors to treat the patients. An example of this occurred in 2002 when Thailand's' "30 Bhat
Scheme" added (CNN n.d.) "14 million people to the country's health care system, resulting in long
waits and subpar service" (Your health is covered, but who is going to treat you?) Several factors
contribute to the physician shortage. Many physicians are reaching the age of retirement, the
Association of American Medical Colleges estimates nearly 15 million physicians will be eligible
for Medicare in the coming years (CNN n.d.). The increasing cost of malpractice insurance also
deters many from pursuing a career in medicine, and is forcing some doctors to retire. Also
contributing to the physician shortage is a lack of spots in residency programs. "In 2011, more than
7,000 were left
... Get more on HelpWriting.net ...
7. The Physician Assistants Code Of Ethics
Physician Assistant's who may also go by the name PA, practice medicine under the supervision of a
physician or a surgeon. PA's must be formally trained and can examine patients, review medical
histories, diagnose illnesses and injuries, order and interpret diagnostic tests such as x–rays and
blood tests, prescribe medication, document patient progress, and treat a range of ailments (Bureau
of Labor Statistics, U.S. Department of Labor, 2014). The physician assistants code of ethics is
divided into four categories; Patient independence, goodwill, fair treatment and nonmaleficence
(Anderson, J. (2015)). The code of ethics promotes dignity, integrity, honesty and accountability.
There are very structured requirements in place in order for someone to become a physician's
assistant. The individual must have graduated from a physicians assistant program which is
accredited by the Commission on Accreditation of Allied Health Programs and pass the Physician
Assistant National Certifying Exam (PANCE). The individual is required is to pass the NCCPA,
which stands for
National Commission on Certification of Physician Assistants, and pay the associated fees and turn
in the appropriate applications. These applications can be located at:
http://flboardofmedicine.gov/licensing/physician–assistant–licensure/. As of July 1, 2012, rigid
statues have been set in place which gives the department the right to refuse licensure to anyone
who has been involved in a felony, have been
... Get more on HelpWriting.net ...
9. Physician Assistant Assignments
A day in the life of a modern day female physician assistant depends greatly on the personal
preference of said woman. One of the best things about taking physician assisting into consideration
is the multiple jobs that one could choose from depending on what they want to specialize in. But no
matter what job one chooses to specialize in, the activities, working conditions, and physical
demands are all fairly similar. Physician assistants provide basic care in all areas of medicine
including primary care, family medicine, and emergency medicine. "Physician assistants provide
health care services under the supervision of doctors" (Idaho Career Information System). Some
occupational tasks include; examining patients, diagnosing patients and ... Show more content on
Helpwriting.net ...
To become licensed, applicants must: be fingerprinted and pass a criminal background check, have
at least a Bachelor's degree, complete a nationally accredited physician assistant program (possible
Master's degree), pass a national certification exam (PANCE), and be supervised by a person
licensed to practice medicine in any given area. Once a PA is officially licensed and certified, they
can begin earning and logging their needed CME (Continuing Medical Education) credits. CME's
are earned every two years by attending
... Get more on HelpWriting.net ...
11. Summary: Nurse Practitioner
he Board of Nursing in Alabama requires a Nurse Practitioner to hold an active Alabama registered
nurse (RN) license. Additionally, the Board requires the practitioner to meet all the requirements of
graduation of a program of study beyond the minimal educational preparation of a RN. The
candidate should also attain clinical experience beyond that required of a RN. These requirements
prepare the nurse practitioner to perform the duties of this title. The additional education and clinical
experience must be completed in an organization that is recognized by the Board of Nursing.
Nurse Practitioners in Alabama must attain a master's or higher degree in advanced practice nursing.
This degree must be must be earned from an accredited program ... Show more content on
Helpwriting.net ...
This degree must be must be earned from an accredited program that the Board recognizes. The
nurse practitioner must be certified as a registered nurse practitioner (CRNP) by the Alabama Board
of Nursing.
Nurse Practitioners are registered nurses (RNs). In addition, they hold an advanced degree (masters
or doctorate) that is earned in a chosen field of nursing practice. Examples include women's health
(WHNP), family practice (FNP), or adult practice (ANP) (study.com, 2015). The NP's scope of
practice may vary from state to state. Typically, the scope includes patient counseling, addressing
acute and/or chronic medical issues, drug prescribing, and diagnostic testing and lab orders, along
with the interpretation of the results of this testing (study.com, 2015).
PAs require a state license. They must also pass the national exam (Practicing Clinicians Exchange,
2015). Every state requires the candidate to pass the Physician Assistant National Certifying Exam.
Additionally, the PA is required to follow the rules and regulations required by the state where they
practice (Practicing Clinicians Exchange,
... Get more on HelpWriting.net ...
13. Summary: A Career As A Physician Assistant
Do you know what a Physician Assistant (PAs) is or does? According to the dictionary, a Physician
assistant is "A person trained and licensed to provide basic medical services, usually under the
supervision of a physician". Even though Physicians Assistants don't have a big role in the medical
field like doctors or Physicians, they help millions of people with their medical issues. The career of
a Physician Assistant has a lot of job duties that they need to accomplish every day, but they vary
depending on the area of expertise they choose. Some of the main duties of a PAs are to examine
patients, interpret the diagnostic test, and to educate and counsel their patients. Other job duties they
perform include to prescribe medicine, access ... Show more content on Helpwriting.net ...
According to the District of Columbia, all the jurisdictions require Physician assistants to pass the
Physician Assistant National Certifying Examination, that is administered the National Commission
on Certification of Physician's Assistants (NCCPA). The admission into an accredited PAs program
requires a multi–step application process and it could include personal responses or even letters of
recommendation. There are some of the PAs programs that require PAs to take the Medical College
Admission Test (MCAT). Most admissions prerequisite states the a PAs must complete 2 years of
college, but most of the PAs program only requires a Bachelor's Degree. Prerequisites courses
basically require 6 semester hours in biology, 8 hours in chemistry, 4 hours of anatomy and also
physiology with all the laboratory components. Moreover, a PAs must take 6 hours of English
followed by 3 hours in composition and 6 hours of psychology or sociology. Some courses that are
highly recommended are statistics, physics, and organic chemistry. When a student completes their
PAs educational program and passing the national certification exam, will be able to become a
Certified Physician Assistant. In order to remain as a certified, a PAs must complete 100 hours of
Continuing Medical Education (EMC) every two years and pass the recertification exam every six
... Get more on HelpWriting.net ...
15. Physician Assistant Duties
Physician assistants play a pivotal role in the healthcare industry. This profession emerged in the
1960's as a response to the shortage of doctors entering the workforce (Hamilton, 2016). Physician
assistants can do many things with the training that they receive during their schooling such as
providing diagnostic evaluations, therapeutic remediation, surgical assistance, and pharmaceutical
prescription ("Physician Assistant Career Information and Job Description"). Depending on their
work experience, specialty, and the state that they practice in they may have different
responsibilities. Some duties of a P.A. are to: order and interpret tests, take patients medical history,
counsel patients on preventive care, conduct physical examinations, diagnose and treat illnesses,
write prescriptions, and assist in surgeries.
P.A.s' easily continue to satisfy the shortage of doctors today because they can easily move between
specialties since their training is more generalized and shorter in length than that of an MD. The
average length of a Physician Assistant program can be anywhere between 1 to 3 years. According
to PhysicianAssistantEDU.org (2017), most programs "require applicants to already possess a
bachelor degree" because it is a graduate level program and also require ... Show more content on
Helpwriting.net ...
degree program mainly consists of the following subjects: pharmacology, behavioral sciences, basic
sciences, clinical medicine, and clinical rotations. Credit hours are divided as follows, according to
physicianassistantedu.org: 75 hours of pharmacology, 175 hours of behavioral sciences, over 400
hours in basic sciences, 580 hours of clinical medicine, and at least 2,000 hours of clinical rotations.
Clinical rotations for a physician assistant include family medicine, psychiatry, emergency
medicine, and pediatrics to name a few. A physician assistant must be licensed by the state in which
they practice, as well as, by the National Commission on Certification of Physician Assistants
... Get more on HelpWriting.net ...
17. Health-Related Violence Personal Statement
My career as physician based on this course I understand that physicians and other medical
professionals encounter victims of violence and abuse every day even in present day. Violence in
public is a growing epidemic and is leading in worldwide health problem and can be very expensive,
it was estimated by the CDC that medical related violence in the US has surpassed $70 billion
dollars a year (violence Prevention timeline). Health care advocates, reports, surveillance systems
and programs have developed in response to violence and its impact on public health. Abuse comes
in many forms of physical, mental, and sexual abuse, all have impacts that affect the victims and
have a negative effect on the victim and on society. Health organizations began in 1979 the Surgeon
General had written a report on the 15–priority area's that affect the health of the nation (Violence ...
Show more content on Helpwriting.net ...
The CDC and requested fund to fund these programs (NRC/IOM) this would increase the number of
workers and staff members to get involved in violence prevention research. Evidence showed that an
increase of violence in public health had concerned medical professionals (violence Prevention
timeline). In 1985 The Surgeon Generals Workshop on Violence and Public this marked the first
time that violence influenced public health and medical professionals were encouraged to action
against it (violence Prevention timeline). In continuation of in prevention in the 90'S medical
professionals, and organizations had developed new ways to impact and prevent violence by
developing division such as National Center for Injury Prevention and control. The goal of these
organizations to bring education to community's adults and youths in
... Get more on HelpWriting.net ...
19. Physician Assistant Personal Statement
The Physician Assistant Programs is the field I am interested in obtaining my Master's Degree. The
requirements are a bachelor's degree and four years experience in healthcare. The program length is
a 26 months minim, which includes 75 hours of pharmacology, 175 hours in behavioral sciences and
nearly 580 hours of clinical medicine. The subject includes anatomy, pathology, pharmacology,
biochemistry, clinical, laboratory science and microbiology and clinical rotation in the following
areas; Internal Medicine Primary Care I, Primary Care II, Pediatrics, Women's Health, Emergency
Medicine Psychiatry/Mental Health, Surgery, Elective and Medical Surgical Selective.
Certified Physician Assistant you must complete a Physician Assistant Studies Program ... Show
more content on Helpwriting.net ...
I appear to grow as my knowledge increase, which was evident by teamwork performance, even
with my reluctance to work with teams. I notice an improvement in performing my responsibilities
at work and personal life because I was able to incorporate what learned into my everyday life. In
addition, the assignment increases my understanding about groups and their interaction. One of our
assignments was to review a successful person who was able to lead a team successfully.
Researching the leader, gather information, determine if the information was accurate, obtaining the
required data and combing the group's information was helpful. Next, as a group, we decide how to
present the information in front of the class. This assignment strengthens my research skills,
communication, problem–solving decision–making and the ability to take criticism. My
improvement in these area has allowed me to be effective in further my education, as a union
delegate, as a client advocate and an effective leader in my
... Get more on HelpWriting.net ...
21. The Healing Of Americ A Global Quest For Better, Cheaper,...
In The Healing of America: A Global Quest for Better, Cheaper, and Fairer Health Care (2009), the
author of the book, T.R. Reid travels to industrialized democracies to discuss the different methods
of health care delivery system used in these developed countries and compare them to the health
care system of the United States. According to T.R. Reid (2009), "the thesis of this book is that we
can find cost–effective ways to cover every American by borrowing ideas from foreign models of
health care" (Reid, 2009, p. 11). This thesis illustrates that the American health care system can
manage health care costs effectively and provide care to all by using some of the successful health
care delivery models of foreign nations. The purpose of this book analysis is to discuss the four
different health care models presented in this book and provide my prioritization or ranking of these
models. This analysis also aims to investigate a case known as the Nikki White case described in
this book and discuss the lessons learned from it. Furthermore, this analysis is going to provide my
remarks on the, "An Apple a Day" comment relative to the Public Health Model. Lastly, in this book
analysis, I will share my conclusion on the basic premise of the book along with my take away
messages that I will remember into my future as a Public Health professional. The Healing of
America: A Global Quest for Better, Cheaper, and Fairer Health Care (2009) by T.R. Reid describes
four different
... Get more on HelpWriting.net ...
23. The Health Care System Within The United States
Although the health care system within the United States has operated on a fee–for–service system
in which a provider benefits by being paid per treatment or procedure given to a patient, the Patient
Protection and Affordable Care Act has influenced us to look into alternative forms of provider
reimbursement. One form of reimbursement that has recently been highlighted as a potential means
to lower health care expenditures are bundled payments, which are also known as episode–based
payment. Bundled payments are being touted as a means to reduce national health expenditures,
increase coordination of care, and improve quality of care; however like any other form of provider
reimbursement there are advantages as well as disadvantages that need to be analyzed.
A bundled payment provides a physician with a set amount of money upfront in order to efficiently
treat a patient's condition; the amount of money is determined on the basis of a specific condition. A
bundled payment provides an estimated reimbursement for all in–patient and outpatient services
needed for an episode of care. For instance if a patient fractures their hip and needs hip replacement
surgery, a bundled payment will provide reimbursement for all hospital services, surgical implants,
all costs of physician services provided and will cover costs related to the episode within ninety days
after being discharged from the hospital. The majority of bundled payment programs offered are for
episodes of care such as
... Get more on HelpWriting.net ...
25. Becoming A Physician Assistant
Health is a major issue in any city or country. Health is considered the most important thing when it
comes to taking care of your body. Without the correct studies of how to take care and realize what
is wrong with your health, you won't know the exact problem of what is going on. This is where the
professionals come in, in other words healthcare providers. A healthcare provider is defined as a
provider of medical and health related services. We contact healthcare providers for diagnosis,
treatments, screening, consultations, and preventions of any harm to our health; this is also why they
are important to us. The range between healthcare providers widens from dentistry all the way to
physical injuries. I personally want to be a health care provider but not do any gross stuff like
switching out hearts and ... Show more content on Helpwriting.net ...
Physician assistants review patients' medical histories, conduct physical exams to check patients'
health, order and interpret diagnostic tests such as x rays or blood tests, make diagnoses concerning
a patient's injury or illness, give treatment such as setting broken bones and immunizing patients,
educate and counsel patients and their families, record a patient's progress, research the latest
treatments to ensure the quality of patient care and etc on the daily basis. A physician assistant
works under an official physician or a surgeon. They work in a wide range of medicine, This means
there isn't a specific type of population that they work with besides doing whatever an official
physician or surgeon ask them to do. You must obtain a master degree in an accredited program as
well as pass the Physician Assistant National Certifying Exam to become a PA. I chose to research
about physician assistants because I never knew anything about PA's or what it would take to be
... Get more on HelpWriting.net ...
27. National Healthcare Reform in Us-Impact on Hospitals
Running head: NATIONAL HEALTH CARE REFORM IN US, ITS IMPACT 1 ON HOSPITALS
National Health Care Reform in US, Its Impact on Hospitals Heidi A. Horner New England College
NATIONAL HEALTH CARE REFORM IN US, ITS IMPACT ON HOSPITALS 2 Abstract The
national debate over health care reform in the US has been going on for decades. Although the
debate continues, the landscape of health care in the US is certainly about to change as the Patient
Protection and Affordable Care Act (H.R. 3590) was enacted on March 23, 2010. Many politicians,
economists, health care providers and average citizens have weighed in on the topic with opinions as
diverse as the country. The question is, will this reform be the cure for our ... Show more content on
Helpwriting.net ...
When we add the fact that the new health care bill will cost $940 billion over 10 years, we are
talking about an epic cost to deliver medical care to US citizens. Unlike FDR's New Deal, which
was a response to a severe financial and economic calamity, the Great Society initiatives came just
as the United States' post–war prosperity was starting to fade, but before the coming decline was
being felt by the middle and upper classes. President Kennedy proposed a tax cut lowering the top
marginal rate by 20 percent, from 91 percent to 71 percent, which was enacted in February 1964 by
Lyndon Johnson. GNP rose 10 percent in the first year of the tax cut and economic growth averaged
a rate of 4.5 percent from 1961 to 1968. Disposable personal income rose 15 percent in 1966 alone.
Federal revenues increased dramatically from $94 billion in 1961 to $150 billion in 1967. As the
Baby Boom generation aged, two and a half times more Americans entered the labor force between
1965 and 1980 than between 1950 and 1965. As a result, the war on poverty seemed to work.
NATIONAL HEALTH CARE REFORM IN US, ITS IMPACT ON HOSPITALS 5 As we fast
forward to the early '70s, we see signs of large scale gains in funding and program scope for many
of the Great Society's initiatives. Funding for these programs grew rapidly in terms of nominal
spending, but the seeds of failure were set through a long series of
... Get more on HelpWriting.net ...
29. Universal Health Insurance In The United States
Around the world, many industrial countries have enacted a comprehensive health insurance
program. The United States, however, has lagged behind these countries. The United States has one
of the most fragmented systems today. In 1965, one of the largest health care initiatives in U.S.
history was launched. The United States enacted the Medicare program which provided federally
organized health insurance for Americans aged 65 older or disabled. To achieve this victory there
were many stumbling blocks over the years. Politics, social, institutional and cultural forces all
influenced the development and passage of Medicare. In Europe during the 1880s, the concept of
universal healthcare started but the United States didn't take hold of the idea ... Show more content
on Helpwriting.net ...
Supporters believed that a program should be integrated into Social Security. Congress tried and
failed with the Kerr–Mills program that targeted the elderly poor and ran by the states. Only five
states actually participated. After the Kerr–Mills failure and Kennedy winning the presidential
election, Kennedy called for the enactment of measures to provide insurance for the elderly. After
Kennedy's assassination, Medicare legislation truly began to advance. For the first time, there was
support of insurance on the national state. President Johnson focused on the Medicare plan that
would be a compulsory hospital insurance program. The AMA and Republicans didn't approve the
Democrats' Medicare proposals and countered with an "eldercare" plan that was voluntary and
covered physician services. Therefore, the three–layer cake was devised on the Democratic proposal
for comprehensive health insurance ("Part A"), the revised Republican program of government
subsidized voluntary physician insurance ("Part B"), and Medicaid as an expansion of the Kerr–
Mills but was no longer restricted to only the elderly
... Get more on HelpWriting.net ...
31. What Is The Role Of Health Care In Canada
Healthcare in United States and Canada
Judith Amang
South University
The Affordable Care Act (ACA), passed in 2010, "shared responsibility" between the government,
employers, and individuals to make sure that all Americans have access to affordable and good–
quality health insurance. Nevertheless, health coverage is divided, with several private and public
sources, as well as wide gaps in insured rates across the U.S. population. Medicare and Medicaid
Services , a federal program for adults 65 and older and some people with disabilities, works in
collaboration with the state government to provide Medicaid and the Children's Health Insurance
Program (CHIP), an accumulation of federal–state programs for some low–income people. ... Show
more content on Helpwriting.net ...
Census Bureau, 2015). The ACA is expected to reduce the number of uninsured by 24 million by
2018.
The coverage of the ACA: ambulatory patient services, emergency services, hospitalization,
maternity and newborn care, mental health services, substance use disorder treatment, prescription
drugs, rehabilitative services, devices, laboratory services, preventive and wellness services, chronic
disease management, and pediatric services, as well as dental and vision care (Congressional Budget
Office, 2015).
Medicare provides coverage for hospitalization, physician services, and, through a voluntary
supplementary program, prescription drugs. The program also has abolished cost–sharing for a
number of preventive services. Medicare offers a choice between "traditional" Medicare, which is
open–network and pays a fee–for a basis service, and Medicare Advantage, under which the federal
government pays a private insurer for a network–based plan. Medicaid, on the other hand, provides
more extensive long–term care coverage. In addition, Medicaid covers a wide variety of services,
including hospitalization and physician services, with certain optional benefits vary by state.
Canada has a national health insurance program NHI (a government run health insurance system
covering the whole population for a well–defined medical benefits package). Health insurance
coverage is universal. General taxes, finance NHI through a single payer
... Get more on HelpWriting.net ...
33. Universal Healthcare And The United States Essay
Universal Healthcare in The United States "There are three basic goals for a National Health Care
System; 1) keeping people healthy, 2) treating the sick and 30 protecting families against financial
ruin from medical bills", (Physicians for a National Health Program, 2016). No truer statement
could there possibly be written or proclaimed as there is a crisis in healthcare costs across the United
States. United States, one of the most developed western country, yet we suffer from – higher infant
mortality rates, have shorter life spans and are affected by more chronic disease and or illness – than
our contemporaries all while spending the most for insurance per capita and less annual doctor visits
with less physicians, (OECD Health Data 2015). There is a question to be answered, "why", why are
we trailing our contemporaries and more important than that is, is our National Health Care system
really working for us? The year 2010 was the beginning of change in the United States where we
transitioned from primarily private insurance and welfare to a universal healthcare model, under
President Obama with the signing into Law of the Affordable Health Care Act March of 2010. The
purpose of the Affordable health care act is to ensure that all Americans have access to affordable
healthcare, however in 2016 we are still questioning we've been successful based on funding,
government sponsored healthcare programs, effects on the current HCO, elderly, military and
accessibility.
... Get more on HelpWriting.net ...
35. Rural Health Care For Rural Healthcare
HELP WANTED: RURAL HEALTH CARE 1 Help Wanted: Rural Health Care Jamaica Agno &
Dana Nino Waipahu High School February 24, 2015 HELP WANTED: RURAL HEALTH CARE
2 Table of Contents Abstract...........................................................................................................3
Misfortune in Rural Health Care..............................................................................4 Physician
Shortages...................................................................................4 Increasing Professional and
Technological Resources..........................................5 Geographic
Barriers...................................................................................5 Culture
Obstruction...................................................................................6 Gateway to Rural
Healthcare.................................................................................7 Technological Refinement–
Telemedicine.........................................................7 Solution to Location
..................................................................................8 Growth of Physicians in Rural
Areas........................................................................9 The Future Practitioners of Rural America
........................................................9 Programs for Future Health
Professionals.........................................................10
... Get more on HelpWriting.net ...
37. Essay on A Career as a Physician Assisstant
Physician Assistants are also known as a PA's; they practice medicine under the direction of
physicians and surgeons. They formally trained to examine patients, diagnose injures and illness,
and provide treatment. Physician Assistants also evaluate and treat patients under the supervision of
doctors and surgeons. A Physician Assistants is a graduate of an accredited Physician Assistant
educational program who is nationally certified and state– licensed to practice medicine with the
supervision of a physician. Core tasks of a Physician Assistant are they take medical histories and
examine patients. They Interpret lab test and make diagnoses, Treat minor injuries with stitches,
splints, casts, and prescribes certain medications, The ... Show more content on Helpwriting.net ...
The average length of a Physician Assistant program is 27 months. The majority of a Physician
Assistant programs have the following requirements Chemistry, Physiology, Anatomy,
Microbiology, and Biology. Practicing Physician Assistant participate in lifelong learning. In order
to maintain national certification, a Physician Assistant must complete 100 hours of continuing
medical education every two days. There are currently 181 accredited Physician Assistant programs
in the United States. The vast majority award master's degrees. Some skills you need to be a
Physician Assistant are you need to be energetic, patient and compassionate and should enjoy
working with people of all ages and backgrounds. They should be emotionally mature so that they
can empathize with patients. The ethicis of a Physicican Assistant are you have to be committed to
provideing complete medcal care, assuming as their primary responsibility th health, safety, welfare
and the dignity of all humans. Theyshould also shall deliver needed health care serivices to health
consumers without regard to their sex, ge, race, creed, socio– economic and political status. The
Physician Assistant should also should take responsibility for being familiar with and adhering to all
federal and state laws applicable to the practice of their profession.
A Physician Assistant earning s is in New York outlook for employment is in 2010 there were 9,850
job openings. A Physician
... Get more on HelpWriting.net ...
39. A New Medical Dram Marcus Welby Essay
In 1969 the American Broadcasting Company (ABC) aired a new medical drama called Marcus
Welby, M.D. The title character was a Primary Care Physician (PCP) who made house calls, had a
kind bedside manner, and was on a first name basis with most of his patients. The drama highlighted
the meaning of caring for the whole person, not just a specific part of the body. Unfortunately those
days are gone, just when we need them the most. It is projected that the demand for PCP's will
rapidly increase due to an aging population and health care reform, leaving a shortage of over
20,000 physicians by the year 2020 ("Projecting the Supply," 2013).
A healthy primary care base is critical to the running of an effective health care system. People who
have access to PCP's are more likely to receive preventive and timely care for medical conditions.
Having a PCP is also associated with fewer emergency department visits and fewer hospital
admissions (Abrams, Nuzum, Mika, & Lawlor, 2011). Developed countries have made primary care
the foundation of their healthcare system. The U.S. followed this model until 1949, and since that
time PCP's have been steadily declining (Shi & Singh, 2015). A study by West and Dupras in 2012
showed that only 21.5 percent of third year internal medicine residents intended to continue on and
make general internal medicine their career (Shi & Singh, 2015). Today, most medical school
graduates are entering specialties such as anesthesia, cardiology and
... Get more on HelpWriting.net ...
41. The Single Payer Reimbursement System
What is a Single Payer Reimbursement System?
Single payer reimbursement is a health care financing system that "includes both the collection of
money for health care and reimbursement of providers for health care costs." In such a system, the
government or a quasi public agency is the entity that bears full responsibility of collecting funds
and reimbursing appropriate parties, but the provision of care remains in private hands. Through
taxpayer funds, the government collects money from individuals and businesses, and then
reimburses providers who delivered health care services to those individuals enrolled in the public
health insurance program. (http://www.pnhp.org/facts/what–is–single–payer).
Current Healthcare Financing System in the United States
The United States currently employs a multipayer system. The payers in this system include the
government and private insurance companies., thus the collection of money for health care is a joint
responsibility of both parties. Private insurance companies collect premiums and other payments
from enrolled individuals and businesses. The government collects taxes from individuals and
businesses. Regarding reimbursement, the private insurance industry reimburses providers for health
care services delivered to privately insured individuals, while the government reimburses providers
for health care services delivered to publicly insured individuals (e.g. people enrolled in Medicare,
Medicaid, S–CHIP, or the VA).
A Comparison of
... Get more on HelpWriting.net ...
43. The United States Of American ( U.s )
The United States of American (U.S) is a well developed country located in North America. The U.S
is a country that puts in about 17.1% of its GDP into the health care sector, but still seem to be
getting a poor outcome compared to its counterparts(Squires & Anderson, 2015). Although their
health care spending seemed to have slowed over the years, they still spend a lot more than most
high income & well developed nations around the world (Squires & Anderson, 2015). In the U.S,
patient's visits to physician and admission to hospitals have been low, but they present a high level
of technology use such as MRI machines, etc(Squires & Anderson, 2015). Furthermore, there tend
to be low levels of equity and high levels of workforce shortage in ... Show more content on
Helpwriting.net ...
Rice et al., also indicated that the Medicare(which is for individuals 65 and older, disabled, renal
failure) covers for Hospital and physician services, Optional: (prescription drugs, vision, hearing,
dental), the Medicaid(which is for pregnant women, disabled individuals, children, parents of
dependent children, & senior citizens, who are in the poverty line, but varies by state) covers for
hospital, physician, long–term care, dental, vision, prescription drugs(Varies by state). Other public
sources which is for mostly veterans (VA) and active duty military and their families (TriCare),
covers for Hospital, physician services, prescription drugs, vision, hearing, dental. And Private
insurance covers for Hospital, physician services, prescription drugs, vision, hearing, dental(Rice et
al., 2013).
As of 2011, most of the U.S health care spending went to "hospital care at 32%, physician and
clinical services at 20%, nursing home and home health care at 8%, Dental services at 4%, Other
professional and personal health–care services at 3%, Government public health activities at 3%,
Net cost of health insurance at 6%, Other medical products at 3%, Government administration at
1%, and Investment at 6%"; all these are the services that the U.S health care expenditure funds
(Rice et al., 2013). Hospital care, Physician and clinical services, Nursing care facilities &
continuing care retirement communities, and Drug
... Get more on HelpWriting.net ...
45. Brazil and United States Healthcare
A Comparative Analysis of Health Care Professionals in Brazil to Those in the United States
Abstract The topic of health care has become the most pressing and ongoing debates for not only the
United States but also many other nations around the world. Many countries have implemented a
universal health coverage for years with effective results. While the United States steps into a
immature national health care program, the government can observe Brazil's health care system to
learn valuable lessons. The type of health care system a country chooses has a major effect on the
country's health care professionals. While comparing the health care professionals of the United
States and Brazil, many similarities can be seen; ... Show more content on Helpwriting.net ...
The common problem in Brazil for health care professionals seems to be a lack of distribution of
doctors into the more rural areas of the country. On average in Brazil, there are only 2 hospital beds
per 1,000 people. In the northern regions of Brazil, where more rural areas are found, the amount of
hospitals per resident is lower than the average. Much like in the United States, doctors are very
reluctant to the thought of beginning a practice in a small rural town. Reasons being that small rural
towns are usually less populated and on average bring in less household income. In Brazil, the idea
of practicing medicine in these depressed areas is even less glamorous because of the government
involvement in health care. In these areas, practices receive less attention including lack of supplies
and infrastructure. Physicians located within wealthier and more populous areas have slightly better
access to equipment and infrastructure, but the conditions differ only slightly. Doctors are extremely
rushed with a constant overflow of patients and consistently working in hot rooms with little air
circulation. This is problem does not only exist in the public clinics of general physicians. Specialist
physicians have a persistent flood of patients who do not need a specialist's care, but seek the
specialist because there is no general physician available. Another challenge that
... Get more on HelpWriting.net ...
47. Why I Become A Naturopathic Physician
I want to become a Naturopathic Physician because I wish to help people choose how to be healthy.
Growing up, I dealt with several health problems, one of which I was able to manage with
ibuprofen, but I desired a solution instead of a temporary fix. As a result, I sought the help of my
conventional physician. Instead of working to discover the root of the problem, she simply
prescribed a stronger pain reliever. I then turned to a Naturopathic Physician, because many of my
friends were suggesting that I look into that profession. Thankfully, my Naturopathic Physician and
I discovered that daily supplements would control my major health problem, and we found solutions
to my more trivial problems. The experience taught me that when ... Show more content on
Helpwriting.net ...
From a young age, I wanted to be a conventional physician, but as I grew older, I became more
disillusioned with our current medical system. As I became more disillusioned, I was more drawn to
the naturopathic field and the opportunities it presented to treat problems naturally. In addition, I felt
that the naturopathic field offered more personalized care to the patient as they struggled with their
different health problems. The way that conventional medicine practices tries to treat as many
patients as possible in the shortest amount of time. The field seems not to respect the patient as a
person, and I feel like every person should experience a favorable level of respect when interacting
with medical professionals. In addition, I feel that patients should know that their doctor cares for
them and their health, and that is difficult to convey in a 15–minute appointment, especially when
compared with a 45–minute appointment. As a Naturopathic Physician, I feel that I will be able to
provide my patients with the care that they deserve.
The Doctor of Naturopathic Medicine Program at National vigorously prepares students for life as
Naturopathic Physician in the alternative medicine field. One unique way that National prepares
students is through its integrated classrooms. This integration of students from different programs in
the same course allows the students to interact and make connections with other students. Creating
connections is
... Get more on HelpWriting.net ...
49. Responsibility For The Oversight, Engagement, Integration,...
OVERVIEW OF POSITION: Responsible for the oversight, engagement, integration, and
management of all risk adjustment and comprehensive health assessment strategies and programs
for HealthCare Partners. Serves an essential leadership role in guiding the clinical policies,
practices, and programs of HealthCare Partners with final clinical accountability for the quality and
appropriateness of clinical documentation and data integrity. Functions in a critical leadership role in
transforming and aligning geographic market practices and the organization's overall vision of a
value–based, clinically integrated system that is committed to care delivery that is patient–centered,
efficient, timely, effective, equitable and safe. ESSENTIAL ... Show more content on
Helpwriting.net ...
□ Be the voice regarding importance of comprehensive health assessment, accurate clinical
documentation and closing the quality gaps to improve patient experience and care. □ In partnership
with physician leaders identify best practices and lift and scale practices in order to improve patient
outcomes, strengthen performance while driving consistent process/tools across markets, both for
employed and affiliated physician group models. □ Serve as national leadership champion for the
integration of enterprise comprehensive health assessment programs and risk adjustment strategy.
Lead design and implementation of projects designed to facilitate high quality patient care and
complete and accurate clinical documentation. □ Collaborate with Physician Leaders and
HealthCare Partners' Executives; interact directly with Senior Leaders of various affiliated Medical
Groups within the HealthCare Partners network. □ Provide leadership, administrative and
management support, strategic planning and overall direction to the National Risk Adjustment and
Comprehensive Health Assessment Program. Leverage and improve existing models and design new
systems to identify gaps that would improve metrics and clinical documentation. □ Promote quality
of care using and developing clinical analysis of performance as it relates to risk adjustment and
quality data. Influence present model processes and design/implement new programs to improve
clinical
... Get more on HelpWriting.net ...
51. Health Care Reform in Politics Essay
Health Care Reform in Politics
Due to the upcoming presidential election, the two major political parties, and their candidates, have
been focusing on the primary problems that the nation will face. Chief among those problems is the
future of Medicare, the national health–insurance plan. Medicare was enacted in 1965, under the
administration of Lyndon B. Johnson, in order to provide health insurance for retired citizens and
the disabled (Ryan). The Medicare program covers most people aged 65 or older, as well as
handicapped people who enroll in the program, and consists of two health plans: a hospital
insurance plan (part A) and a medical insurance plan (part B) (Marmor 22). Before Medicare, many
Americans didn't have health ... Show more content on Helpwriting.net ...
As a result of these problems, the program could cease to exist unless a solution is found. One of the
problems of Medicare itself is that it doesn't cover the costs of prescription drugs for its members;
this has led to one of the major reasons that the program is in danger. A great deal of personal
healthcare relies on the use of drugs, and since the program doesn't cover these costs, the individual
must bear them. According to the AARP, in 1999 out–of–pocket costs for prescription drugs were
estimated to be $450 per person each year (AARP). Obviously, members have joined the program to
defray their medical costs, but these figures indicate that they still have large costs to pay. The other
problem faced by the Medicare program is that it is also suffering from a lack of funds. According to
Governor George W. Bush, the financial health of Medicare is in serious jeopardy and might face
deficit as soon as 2010 (Bush). As a result of these major problems, one might wonder why the plan
isn't scrapped for another program; well according to polls done by the Public Agenda, an Internet
public policy site, American citizens are strongly in favor of Medicare, and would rather see the
problems ironed out (Public Agenda). Therefore it is necessary to come up with a solution, so that
the Medicare program remains intact. The most favorable solution for these problems is for the
national government to
... Get more on HelpWriting.net ...
53. Public And Private Financial Incentives
Summary: Public and private financial incentives are aligned as never before to encourage
physicians to adopt electronic health records. To aid in the transition, the government has also put
billions into training health information technology workers and establishing regional extension
centers to provide technical and other advice. Even so, progress is slow and obstacles remain. Chief
among those obstacles may be the investment of time required to transition to an electronic system.
By Brian Schilling In 2009 as part of the Health Information Technology for Economic and Clinical
Health (HITECH) Act, the federal government set aside $27 billion for an incentive program that
encourages hospitals and providers to adopt electronic health ... Show more content on
Helpwriting.net ...
The Rewards of EHR Adoption For physicians willing to adopt EHRs, the financial incentives
offered by the federal government are substantial. The average physician with at least 30 percent of
his or her patients covered by Medicare is eligible for up to $44,000 in total incentives. A physician
with at least 30 percent of his or her patients covered by Medicaid is eligible for even more, up to
$63,750. To earn any of that money though, physicians must do more than simply purchase an EHR
system; they are required to show that they have achieved "meaningful use" of that system in terms
of improving quality. At a minimum, that will mean having systems capable of e–prescribing,
reporting quality data, and exchanging data among providers. As of May 19th, 320 health care
providers (including 283 physicians and 37 hospitals) have received a total of $75 million in
Medicare incentive payments for demonstrating meaningful use of electronic health records. The
relatively slow start was perhaps to be expected–to qualify for this first round of incentives,
practices were required to not only meet certain EHR requirements, but also sign up for the
payments within the first two weeks they were available. Many practices simply weren 't that far in
the process. More telling for the future of HIT may be the number of physicians and hospitals that
have registered
... Get more on HelpWriting.net ...
55. Australia's Healthcare System
Global health system comparison between Australia and England
The World Health organisation (WHO) defines a healthcare system as a system "whose primary
purpose is to promote, restore and/or maintain health" through quality services and financial support
(WHO 2000). Healthcare system are dependent on many factors and can vary from country to
country.
Australia's healthcare system integrates a two–tiered model where governance, coordination and
regulation are a combined effort of all levels of government and the organisation and delivery of
healthcare services are divided amongst both public and private sectors (AIHW 2016). Australia
provides universal care where the residents have access to care without having to worry about the
cost (WHO ... Show more content on Helpwriting.net ...
It is said to be the leading cause of illness and death globally with an estimated 14 million new cases
reported in 2012 with concerns about this number increasing in the next two decades (WHO 2017).
It is the second common cause of death with a reported number of 8.8 million deaths in 2015 that is
nearly 1 in 6 deaths due to cancer (WHO 2017). Cancer also has a significant impact on the
economy as in 2010 alone $1.6 trillion dollars was estimated to be the total cost of cancer (WHO
2017).
It is important that these mortality rates due to cancer are decreased in the near future to improve
Australian as well as the global health. One way is by providing population–based cancer screening
(AIHW 2017). These services reduce morbidity and mortality rates by early detection and treatment
of precancerous abnormalities (AIHW
... Get more on HelpWriting.net ...
57. Fueled By The National Momentum For Social Reform During
Fueled by the national momentum for social reform during the post–World War II era, the United
Kingdom restructured their health care system in 1946 to a socialized form where the federal
government both regulates and administers universal health care to its residents through the National
Health Service program. General income taxes fund the entirety of this health care program and the
single–payer nature of this system has eliminated the need for insurance companies since the federal
government directly finances every British resident's medical bills at the time of their treatment. The
National Health Service provides health care coverage for all 64.6 million residents of Great Britain
which removes the financial burden of individuals ... Show more content on Helpwriting.net ...
As the name implies, the National Health Service provides health care services to only permanent
residents and any international visitors, including British born citizens, must pay a package rate for
health care treatment that the government predetermines. The Washington Post's assessment of
Great Britain's health care system reveals that this package rate that foreign visitors must pay for
basic medical procedures is significantly inexpensive when compared with other industrialized
countries. According to the gov.uk website, this National Health Service even provides immediate
coverage to new immigrants by making them pay a surcharge as part of their immigration
application to enter into the system. Since a majority of health care treatments in Britain are fully
covered by the National Health Service, T.R. Reid in the PBS documentary, "Sick Around the
World", explains that no British residents fall into bankruptcy due to an inability to pay medical
bills. The nhs.uk website further highlights the wide scope of health care coverage that the National
Health Service provides by explaining how patients receive inpatient and outpatient hospital care,
physician services, preventive treatments, diagnostic screenings, pediatric care, emergency care,
nursing facilities, long–term care, and end–of–life care without any out–of–pocket payments.
Despite being one of the top five of the
... Get more on HelpWriting.net ...
59. Shortage Of Physicians
Maldistribution of Physicians
Rural Area Physician Shortages
The shortage of physicians is a well–known, documented and accepted fact of American health care.
According to the Health Resources and Services Administration, 6,100 areas with less than one
primary care physician for every 3, 500 people estimate that the medical workforce need over 8,000
additional physicians to address the shortage. The recruitment and retention of rural health care
physicians is a challenge that Health Administrators are faced with. The challenge of delivering
access to health care in Rural area overall is a challenge. Patients in rural areas tend to be poorer,
sicker, older and the majority of them probably cannot afford health insurance. Lower
reimbursement ... Show more content on Helpwriting.net ...
This is not an easy job if you are not the person that God has given the talents and gift to serve in
these types of areas. Proverbs 3:6 reads, "In all thy ways acknowledge him, and he shall direct thy
paths." (King James Version) Rural area physicians should be people of integrity and uncertainty
and be individuals that are willing to face many challenges. A person who enjoy small towns and
seek to serve and invest in small communities can be successful in rural medical practices. As a
Health Administrator working in a rural areas the top three challenges to closely focus on would be
financing and payment structure, development of policies, and uncompensated care. The overall
goal of the Health Administrator in rural areas is to develop ways to improve the quality of care and
the financial and operational performance for the rural area
... Get more on HelpWriting.net ...
61. Physician Assistants
The Contributions of Physician Assistants in Primary Care Methods
Health Profession Assignment
To understand the role of health profession, it is essential to acknowledge the importance and value
of primary care. The beneficial impact of primary care on population health can further be explained
as greater access to health services, better quality of care, additional contributions towards
prevention strategies, prior action taken on health issues, and lastly the role of primary care in
reducing unreliable and inefficient support towards cure (Dover, Christian 10). Primary care
professionals serve as the first contact providers of healthcare (AAPA, 2). They face first contact to
the role of healthcare system. In other words, they often are the ones to see depression and anxiety,
early signs of cancer and disease, and other health concerns (Dover, Christian 10). They accomplish
their goal of patients receiving the right care, in the right form, from the ... Show more content on
Helpwriting.net ...
At the practice level, physician assistants have taken over many duties once handled by doctors.
Physician assistants working in family medicine receive about half the salary of doctors, and those
working in areas of specialties receive about one–third as much as doctors in the same specialty
(Cunningham). Physician assistants are included in health care delivery system in many different
settings and specialties. They represent10 percent of the primary care labor force and 9 percent of
physicians in community health centers (AHRQ Stats No.3). Furthermore, most physician assistants
work in a variety of specialties, including oncology, dermatology, gastroenterology, orthopedics, and
behavioral health (Doven, Christian 2). Many physician assistants have worked in several specialties
of healthcare and medicine over their careers, a representation of their adaptability (Doven,
Christian
... Get more on HelpWriting.net ...
63. Parents And Children Should Not Have Vaccinations
Some critics believe parents and children should not have vaccinations. There's still a debate going
on because the medical community does not agree. Healthcare professionals believes everyone
should be vaccinated and it is very important. They believe vaccinations protect you when traveling,
prevent childhood illnesses, it's painless, and you take it once and you are protected for life (Pros
and Cons, 2015). These diseases from other countries can be brought back into the United States and
cause an outbreak of diseases. Other people believe vaccinations are 90%–95% effective, but there
is still 5% that can still come in contact with the disease (Pros and Cons, 2015). They think it doesn't
capture the illness and immunity lasts longer if created by natural circumstances (Pros and Cons,
2015). Some schools require certain vaccinations to be taken before starting to school. Fourteen
studies have been conducted by Amanda Peet, a vaccine manufacturer, and she believes there is no
association between autism and vaccines. No real studies have ever been done but medical
professions believe this is fake (Peet, n.d). Whether or not a parent cannot pay for vaccinations is no
problem. The Center for Disease Control (CDC) distributes vaccines to state health departments and
other local agencies. These agencies distribute them to private–physicians' offices, at no charge to
those receiving vaccines (Vaccines for Children, 2014). The Childhood Immunization Support
Program (CISP) has
... Get more on HelpWriting.net ...
65. Healthcare Quality And Affordable Care Act ( Ppaca )
United States has no dearth of highly qualified, well–trained doctors and still the US healthcare
quality fails to meet the established industry benchmarks. Institute of Medicine's (IOM's) 2001
Report, "Crossing the Quality Chasm", clearly states that the American healthcare delivery system is
in need of a pivotal change. (Committee on Quality of Healthcare in America (Institute of
Medicine), 2001). The exasperation level is continuously rising amongst both, the patients and the
providers, and yet the problem of delivering and receiving high quality care remains unaffected. In
order to address this problem of healthcare quality improvement and affordability, the Patient
Protection and Affordable Care Act (PPACA or Obamacare) was signed in ... Show more content on
Helpwriting.net ...
b) Large variation exist in the per capita healthcare expenditure across the United States which can
be attributed to difference in healthcare services provided due to absence of evidence based
treatment. c) Overuse and misuse of healthcare services are proving to be costly, pervasive and
causing harm to the patients.
Stakeholder Analysis
The triple aim of PPACA to promote accessible, high quality and cost efficient care involves large
number of reforms that influence all the segments associated with healthcare industry. These
reforms are affecting various stakeholders such as hospitals, physicians, and patients to varying
degrees and therefore policymakers need to consider independent stakeholder priorities along with
the impact on society and cost involved in order to achieve this triple aim. The Affordable Care Act
introduces payment reforms for individual physicians and for larger, organized health care systems,
ranging from bundled payments to payment adjustments for hospital–acquired conditions. Empirical
evidence shows that payment structures such as these can improve care delivery, costs, and quality
(A Report from Senator Sheldon Whitehouse for the U.S. Senate Committee on Health, Education,
Labor &
... Get more on HelpWriting.net ...
67. The Healthcare Reimbursements Should Be Linked At The...
Executive Summary
The idea that the healthcare reimbursements should be linked to the quality outcomes and
performance measures is central to the Patient Protection and Affordable Care Act. The legislation
provides various reforms that either provide incentives to healthcare providers for better quality
services and outcomes or reduce their payments if certain quality standards are unmet. This paper
talks about the different reforms under PPACA, aimed at introducing payment variations based on
quality of care such as, Hospital Value Based Purchasing (VBP) program, improvements to different
quality reporting programs, payment adjustments for hospital acquired conditions (HAC), reduction
of hospital readmission rates (HRRP), testing for ... Show more content on Helpwriting.net ...
Introduction
United States has no dearth of highly qualified, well–trained doctors and still the US healthcare
quality fails to meet the established industry benchmarks. Institute of Medicine's (IOM's) 2001
Report, "Crossing the Quality Chasm", clearly states that the American healthcare delivery system is
in need of a pivotal change. (Committee on Quality of Healthcare in America (Institute of
Medicine), 2001). The exasperation level is continuously rising amongst both, the patients and the
providers, and yet the problem of delivering and receiving high quality care remains unaffected. In
order to address this problem of healthcare quality improvement and affordability, the Patient
Protection and Affordable Care Act (PPACA or Obamacare) was signed in the year 2010. The main
aim behind PPACA is to improve healthcare quality and accessibility, at the same time keeping it
cost efficient. To facilitate its goal PPACA is trying to achieve the cost effectiveness through
reducing the Medicare price growth and regulating the quantity of care by encouraging evidence
based practices. This new legislation supports the healthcare system in which the goals of both
provider and the patients are better aligned with value as opposed to the quantity of services. Overall
the reform under PPACA seeks to establish a direct link between the payments made to the
healthcare
... Get more on HelpWriting.net ...
69. Medicare: The United States' First Medical Social...
Merriam–Webster dictionary defines social insurance as, "protection of the individual against
economic hazards (as unemployment, old age, or disability) in which the government participates or
enforces the participation of employers and affected individuals" (1). The United States government
operates several national social insurance programs. Medicare is the United States' first medical
social insurance program. This program was designed to provide health insurance to the elderly and
protect them from financial hardship due to illness. A thorough investigation of this program reveals
the overall history, financial cost, and the total effect that it has had on the healthcare system. The
idea of a national healthcare plan was first introduced in 1945 by President Harry Truman. Although
President Truman was unsuccessful in creating a government administered healthcare program, he
was successful in bringing attention to the issue of healthcare in the United States. In 1965 the
United States' Congress passed a bill approving the Medicare program. This program was designed
to allow the country to provide elderly citizens access to affordable medical care. This bill was
signed into law a few days later by the 36th president, Lyndon B. Johnson. After signing this bill
President Johnson stated, "We marvel not simply at the passage of this bill, but that it took so many
years to pass it."(Forty Years of Medicare 1). Finally, twenty years after President Truman first
proposed a
... Get more on HelpWriting.net ...
71. Health Insurance Failure
In 1915 a failed attempt was made for a national health insurance program. Another attempt was
made in 1935 with a single line authorizing a study of health insurance in the Social Security bill. In
1945, President Harry Truman endorsed universal health insurance. To be followed by a 1951, plan
for Old Age and Survivors Insurance was introduced. Then in 1965, Medicare was passed under
then President Lyndon Johnson (Oberlander, 2015). The model bill drafted by Progressives in 1915
for national health insurance, contained limited coverage for the working class and those who made
less than $1200 a year, which included dependents. Included were hospitals, maternity benefits,
nurses, physicians and death benefits for funerals of $50. Employers, ... Show more content on
Helpwriting.net ...
The line which was removed would have authorized the study of health insurance (Oberlander,
2015)(Palmer, 1999). President Harry Truman in 1945 supported a national health insurance, in
which; opponents labeled it "social medicine" in their crusade against Communism. Truman's plan
was to be a single plan which would include all classes of society. It failure was due partially to the
stigmatism of anti–communism and as before the special interest groups (Oberlander, 2015)(Palmer,
1999). President Lyndon Johnson, by restricting eligibility to the elderly, limiting hospital care and
connecting it to Social Security, Medicare became a viable plan. Moving the concentration of the
debate to the aged community a grass roots support of seniors pushed the agenda into the national
spotlight. An "eldercare plan was introduced by the AMA of a voluntary insurance was broader
benefits. The government countered expanding it proposal to include physician service, which intern
became Medicare and Medicaid. Political concessions were made with doctors, and hospitals. The
Part A comprehensive health insurance and Part B voluntary physician insurance. President Johnson
finally signed it into law in 1965 as part of the "Great Society Legislation" (Oberlander, 2015)
(Palmer,
... Get more on HelpWriting.net ...
73. Healthcare Reform : Socialized Medicine?
Besides the general purpose of providing healthcare to all, the idea of government healthcare is that
there is a single–payer as opposed to multiple insurance companies as well as government payers.
All citizens are considered insured and only charged based on each individual's "ability to pay"
(MacDonald, 2013). This insurance would be paid for by the single–payer, the government, though
the taxation of its citizens. Examples of this type of system can be seen in countries such as Canada
and Sweden, as well as our own Department of Veterans Affairs ' VA health system. The idea of a
nation–wide single–payer system has remained fairly popular in the United States due to the
popularity and acceptance of the government's Medicare program. In MacDonald's article,
"Healthcare reform: Socialized medicine?", he quotes Deborah Chollet, a senior fellow at
Mathematica Policy Research in Washington, D.C.: "No matter where you move in the country, you
keep your Medicare," she says. "It allows you to go to any doctor or hospital you choose, and it 's
not wildly expensive given the relatively expensive population it serves." (2013) Opinions such as
these are what is fueling the desire of U.S. citizens to evolve our multi–payer system into a universal
single–payer system. This would eliminate competing private insurance plans and exclusion of
patients from coverage due to their existing health status (Kemble, 2012). Overall, a single–payer
system appears to be a more equal, streamline
... Get more on HelpWriting.net ...
75. Physician Assistants Or Pas Generally Practice Medicine...
Physician assistants or PAs generally practice medicine under a physician or surgeon's direction.
PAs are trained to do physical examinations, provide some treatment, and diagnose illnesses and
injuries. They can also order x–rays and other laboratory tests, prescribe medications to patients, and
treat small injuries which could include casting, suturing, and splinting. Many physician assistants
work in primary care areas like pediatrics, internal medicine, and family medicine. Some even
specialize in general surgery, orthopedics, geriatrics, and emergency medicine. PAs are an important
part of the health care system and they have come a long way over time. The first program for
physician assistants was created in 1965 at Duke University (History of the Profession, 2014). This
educational program was created due to a misdistribution of physicians and to address the issues of
health care delivery at the time. Dr. Eugene Stead, who was the chairman of the Department of
Medicine at Duke University, established the two–year program while working on a new curriculum
for undergraduates that were studying medical education. The two–year program was designed to
train physician assistants on how to provide proper medical care to the less fortunate, underserved
populations under direct physician supervision. The first physician assistants were mainly composed
of military corpsmen and medics. They had previous knowledge and experiences from working in
the military so it was easier
... Get more on HelpWriting.net ...
77. Kaiser Permanente is the Leading Health Care Organization
Success Of Kaiser Permanente Health Care Model And The Group Health Cooperative Model Of
Health Care Compared To Other Initiatives In Health Care "Kaiser Permanente is America's leading
integrated health care organization. Founded in 1945, it is a nonprofit, group–practice health
maintenance organization (HMO) with headquarters in Oakland, California. Kaiser Permanente
serves the health care needs of members in 9 states and the District of Columbia." Today, it
encompasses Kaiser Foundation Health Plan, Inc., Kaiser Foundation Hospitals, and the Permanente
Medical Groups, as well as affiliation with Group Health Cooperative based in Seattle, Washington.
Kaiser Permanente aspires to be the world leader in improving health through high–quality,
affordable, integrated health care. We will be distinguished by our strong social purpose, physician
responsibility for clinical care, and an enduring partnership between our Health Plan and our
medical groups. Kaiser Permanente provides coverage programs for thousands of uninsured children
and adults who are ineligible for existing state or private programs due to family income or
immigration status. The organization also partners with community–based clinics to provide
expertise, clinical guidelines, and other support for these safety–net providers. Through its research
centers across the country, "Kaiser Permanente conducts more research, over 1,000 studies annually,
than any other non–academic institution in the U.S." The
... Get more on HelpWriting.net ...