An overview of the program/service What is the history of the program? Why it was created? • When it was created? Who provided the impetus (motivation) for its creation? According to the website, the Peg Taylor Center was the vision of Innovative Health Care Services (IHCS) headed by volunteer by the name of Peg Taylor who wanted people with cognitive or physical needs to stay in their homes rather than be institutionalized. As of today it serves 60 individuals on a daily basis and has provided over a million and a half hours of care (Peg Taylor, 2014). The center is a Non-Profit Adult Day care Health Program that was opened in 1986(Peg Taylor, 2014). It is open Monday through Friday, the program hours are from 8:30 a.m. to 3:30 p.m., and they are closed on holidays (Peg Taylor, 2014). The centers focus is on a population that has distinct health needs. The target populations are adults living in Butte, Tehama, and Glenn counties (Peg Taylor, 2014). The center has a board made up of different individuals including an Executive Director, president, vice president, secretary, chief financial officer, Elder Law Attorney, Social Worker, Hospice volunteer, and several board members and the professional staff that works in the facility daily (Peg Taylor, 2014). • What is the profile of the targeted client of the program? What is the nature of the program? The Peg Taylor Center (2014) provides services to a population of adult men and women with special needs between the ages of 18 with their oldest at 108, the Peg Taylor Center offers alternative to institutional or skilled nursing facilities by allowing clients to stay in their homes longer while providing relief to caregivers and family member (Peg Taylor, 2014). In the last 24 y... ... middle of paper ... ...er. In addition, funding is a big issue Peg Taylor Center still relies on grants, state and federal money, and fund raising as many of the community-based programs throughout the US (Gorn, 2014). The primary fundors are from the Centers for Medicare and Medicaid Services (CMS) budget request for 2015 funding was submitted to Congress on March 10, 2014. According to the web cite of CMS (2014) all funding is regulated by the Social Security Administration Titles. According to CMS (2014) their total descressionary and mandatory operating budget for all social well being programs for 2014 is $6,378,915,000 (CMS, 2014; HHS, 2014). CMS, (2014) denotes how these funds are spent in program management,admistration fees and tradtional programs for Medicare, Medicaid, and the Chilren;s Health Insurance Program (CHIP) also under the Affordable Care Act (CMS, 2014; HHS, 2014).
Springfield General Hospital (SGH) is committed to high quality healthcare for patients, and providing tools to support physicians, nurses and pharmacists. SGH leadership approved the computerized physician order entry (CPOE) system as a solution to reduce prescription errors, and the results of the CPOE project are disappointing. The data show increased prescribing errors after implementing the CPOE; resulting in increased costs for adverse drug events, rather than the planned cost reduction (Spector, 2013). This change management plan provides the SGH board of directors and executive management team pragmatic steps to increase quality for patients by assessing the root issue of hospital
The Greenhill Community Center was a multi-service center in Coastal City. Its main purpose was to provide human service programs for various factors throughout life with an intergenerational setting. Some of these included day care, elder programs, music classes, and afterschool programs. It was founded in 1982 and was set up in an old schoolhouse. In short, this community center could use some help.
With the passage of the Affordable Care Act (ACA), the Centers for Medicare and Medicaid Services (CMS) has initiated reimbursement based off of patient satisfaction scores (Murphy, 2014). In fact, “CMS plans to base 30% of hospitals ' scores under the value-based purchasing initiative on patient responses to the Hospital Consumer Assessment of Healthcare Providers and Systems survey, or HCAHPS, which measures patient satisfaction” (Daly, 2011, p. 30). Consequently, a hospital’s HCAHPS score could influence 1% of a Medicare’s hospital reimbursement, which could cost between $500,000 and $850,000, depending on the organization (Murphy, 2014).
General Practices Affiliates is considering an offer from Titus Lake Hospital to join under a provider leasing model. Under a provider leasing model, Titus Lake Hospital is purchasing General Practices Affiliates’ services. The practice will retain control of personnel, management, and practice policies. Titus Lake Hospital submitted financial reports to assure transparency during the lease agreement process. The following analysis will discuss whether Titus Lake hospital is a viable financial partner for General Practice Affiliates, possible implications of the lease, and recommendations.
Sinclair hospital is a part of six hospital network which have other medical offices and as well as clinics. The hospital is an acute medical facility with 305 beds, per year it attends to 6300 inpatient, 17000 emergency patients, 8500 outpatient and 13600 clinics visit. Inpatient visit is where patients stay and sleeps in the hospital as they receive treatment. Other terms used in the hospital includes inventory visit this occurs when a patient comes to the hospital and receives an outpatient surgery e.g. appendectomy and goes home after a short recovery period.25000 case of diagnostic
Robertson Johnson University Hospital (RWJUH), which is the flagship of Robert Wood Johnson Health System, is a large non-profit hospital with 965-beds located in New Brunswick and Somerville in Central New Jersey (Robertwood Johnson University Hospital, n.d). It has been ranked among the best hospital in the nation, as well as, with several specialties, and the best place to work by other publications (Robertwood Johnson University Hospital, n.d). Their mission of improving health and well-being to its patients stands out in the communities it serves (Robertwood Johnson University Hospital, n.d).
For decades, one of the many externalities that the government is trying to solve is the rising costs of healthcare. "Rising healthcare costs have hurt American competitiveness, forced too many families into bankruptcy to get their families the care they need, and driven up our nation's long-term deficit" ("Deficit-Reducing Healthcare Reform," 2014). The United States national government plays a major role in organizing, overseeing, financing, and more so than ever delivering health care (Jaffe, 2009). Though the government does not provide healthcare directly, it serves as a financing agent for publicly funded healthcare programs through the taxation of citizens. The total share of the national publicly funded health spending by various governments amounts to 4 percent of the nation's gross domestic product, GDP (Jaffe, 2009). By 2019, government spending on Medicare and Medicaid is expected to rise to 6 percent and 12 percent by 2050 (Jaffe, 2009). The percentages, documented from the Health Policy Brief (2009) by Jaffe, are from Medicare and Medicaid alone. The rapid rates are not due to increase of enrollment but growth in per capita costs for providing healthcare, especially via Medicare.
Unknown. “US Department of Health and Human Services: Administration for children’s & families. www.acf.hhs.gov/programs/ofa/ 2009
Educational Funding: One of the ACA's primary mechanisms for increasing the amount of providers, particularly in areas wherever need is high, is through extra funds to the National Health Service Corps (NHSC). This 40-year-old program, administered by the Health Resources and Services Administration (HRSA), offers providers monetary, skilled, and academic resources in exchange for operating in historically underserved areas of the country.
It is a system which helps private lawsuit ascending for various kind of business disagreements.
Maclay Healthcare center has given many older adults the opportunity to prosper from many personal needs with the help of skilled nurses that are on-site all day, every day. There is a population of about 130 residents, some reside for a short-term and others are accommodated for long-term dwelling. There are a variety of needs met ranging from medication management, assistance with daily living, social activities, nutrition, field trips, wound care, and counseling. The environment felt very friendly nevertheless there was also a sense of frustration with defiant residents.
Funding for mental health care comes from various sources. States typically derive the larger amount of their funds from Medicaid and state general funds that are administered by state mental health authorities. In 2007, 46% of funding was through Medicaid, and 40% of funding was through state general funds (Honberg et al. 2). Overall, states consistently assemble their budget from state general funds, federal Medicaid, federal block grants, and private grants (Honberg et al. 3).
The Henry J. Kaiser Family Foundation (2011). Health care spending in the United States and
DCH contracts with private insurers, referred to as Care Management Organizations (CMOs), to administer healthcare for these and other state employee groups. The DCH establishes and monitors specific criteria for quality of care, access and provider quality delivered by the CMO’s to Georgia’s participants. The current three CMO’s supporting the Georgia Medicaid and PeachCare Kids market are Wellcare, Anthem (Amerigroup) and Centene Corporation; with the potential for others to enter the market as the state negotiates future contracts. These three insurers cover six regions within the state, with a minimum of two insurers in each region and all three CMOs covering the greatest concentration of population in the Atlanta market. In 2015, the DCH supported 1.966 million participants in Medicaid and PeachCare Kids, with a cost to the state of $9 billion (XXXXX Website –gvt
Barton, P.L. (2010). Understanding the U.S. health services system. (4th ed). Chicago, IL: Health Administration Press.