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Embed code for: Key area In Health Care Administration-787-1
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Key Areas in Health Care Administration
I. Health Care Strategy - Policies
A. How government determines a medical problem warrants financial assistance?”
I. Existing Issues
a.) Unlike the Hamilton family whose daughter received Medicare for kidney dialysis, the neighbor’s daughter cannot receive financial assistant for their daughter’s juvenile-onset diabetes mellitus.
b.) The neighbor’s daughter is blind and nephrotic because of her diabetes mellitus and family is unable to pay mounting medical bills.
According to medicare.org, an individual must meet one of the criteria to qualify.
An individual and spouse must have earned six (6) credits within the last three years as a result of working and paying Social security taxes
An individual and spouse are eligible or are getting Social Security or Railroad Retirement Board benefits…And…
3.) Your child circumstances must include one of the following:
a.) The child receives or needs kidney dialysis because of kidney failure.
b.) The child received a kidney transplant.
III. Alternative Solutions
a.) Since the neighbors and daughter do not qualify for Medicare because of the above-mentioned stipulations, potentially Medicaid can assist with mounting medical bills.
b.) Medicaid’s Children’s Health Insurance Program (CHIP) is also resourceful.
States must cover children under six (6) with family incomes below 133% of Federal Poverty Level (FPL).
States must also cover children six (6) to 18 with family incomes below 100% FPL provided the state is part of the Medicaid Expansion Program.
IV. Plan of Action
Immediately apply for the joint federal-state insurance program, Medicaid, intended for assisting persons incapable of healthcare.
Immediately, apply for CHIP, which possibly can help with daughter’s medical finances.
B. Rural Community Healthcare Practice
I. Existing Issues
a.) The only healthcare center in the rural community is understaffed or constructed with only one family practitioner, and one medical assistant.
b.) The family practitioner is 64 years old and is working 70 diligent hours per week and sometimes weekends and medical assistant is complaining about not having enough time to spend with her family.
c.) Family practitioner is threatening to retire if hours are not reduced.
As stated by the Rural Health Clinic Act (RHCA) [42 CFR 491.8], under section Staffing and Staff Responsibilities, - an adequate staffing should be employed to avail medical assistance necessary for a rural health center (http://narhc.org/resources/rhc-rules-and-guidelines/#staffing).
Not only does section of the 42 CFR 405.2401(b)(10) – Staffing Availability – stress a physician, nurse practitioner, certified nurse-midwife or physician assistant must be on duty during hours of operations; but, also a nurse practitioner, certified nurse-midwife or physician assistant must be on hand approximately 50% of the RHC work hours when a physician is in attendance (
III. Alternative Solutions
Hire a physician assistant or nurse practitioner to help reduce workload.
If possible, rearrange the Rural Health Clinic (RHC) operation hours of services.
IV. Plan of Action
Brainstorm the idea of additional assistants and review RHCA to identify areas of
noncompliance; make immediate corrections.
Create a physician assistant (PA) position; advertise and hire a PA as soon as possible based on the cash flow of the RHC.
II. Health Care Organization and Structure
Electronic Health Record
Electronic Health Record (EHR) is sometimes called an electronic medical record (EMR). It was originally passed into law as The Health Information Technology for Economic and Clinical Health Act (HITECH) under the American Recovery and Reinvestment Act of 2009. HITECH set up challenging incentives to gravitate hospitals, healthcare facilities and physicians to effectively use it (Carol Pohligh, 2013). As much as $2 million Medicare incentive payments could have been received over 10 years phased through 2016-2017 per Pohligh.
a.) Paper medical records are being used in spite of HIPPA and HITECH encouragement to use HER system, which will easily help to access client information; help clients receive faster service, improve collaboration among doctors; expand the eminence and efficacy of care, and more.
b.) Presently encountering back logs of client’s medical reports and physician in- house reports…Reoccurrence of paper issues because of refusal to change.
a.) Medical management team is afraid to yield to the use of EHR methods because of: lack of complete EHR knowledge, previous experience, and adaptability, etc.
b.) Stereotypical beliefs and fear – breached security of medical information.
c.) The Doctor appears not to integrate subordinates concerns and does not appear to have exemplary interpersonal relations skills with subordinates.
d.) The Doctor emerges as possessing weak competence in managing change.
Doctor review information or confer with Health Human Resources (HHS) to learn as much as possible about EHR and with open-mindedness, brainstorm/discuss/survey issues with employees.
Relinquish old managerial style and attitudes; encircle change with all levels of employees’ support and clients, incorporating feed back in order to efficiently acquire planned goals within a reduced allotted time.
Utilize the availability of tools, training, incentive programs, education to clients, and outline the profitability of the change.
The doctor should follow the Steps in a Systematic – Rational Problem Solving Process (5 steps), which includes:
Immediately diagnose the existing problems by collecting data, and interviewing or surveying all levels of employees inclusive of brainstorming.
Explore alternative solutions by brainstorming 3 to 5 solutions.
Evaluate all alternatives relative to time, cost, manpower, and resources.
Making the decision to implement EHR system.
Implementing the decision and review the required dates if available for mandatory installation and HIPPA (Health Insurance Portability and Accountability Act of 1996), HIPPA SECURITY RULE (HSR) [electronic health records] and HITECH of 2009 (Steiner, John, 2014, ps.285, 454, 474).
Physician Assistant Is Spending Too Much Time With Clients
a.) PA is under a “microscope” – must log time in and out for clients seen during 3- week period because of excessive time spent with clients.
b.) The Joint Commission (TJC), which accredits hospitals perceives PAs as medical professionals who save physicians time and help increase money (
c.) Is the PA’s profitability in jeopardy because the satellite is not properly staff and she is spending too many hours with clients?
II. Causationed nurse-midwife or physician assistant must be on hand approximately 50% of the RHC work hours when a physician is in attendance (
Electronic Health Record (EHR) is sometimes called an electronic medical record (EMR). It was originally passed into law as The Health Information Technology for Economic and Clinical Health Act (HITECH) under the American Recovery and Reinvestment Act of 2009. HITECH set up challenging incentives to gravitate hospitals, healthcare facilities and physicians to effectively use it (Carol Pohligh, 2013). As much as $2 million Medicare incentive payments could have been re