End-Stage Renal Disease occurs when a person’s kidneys have little or no residual function. In order to remain alive, the individual with End-Stage Renal Disease (ESRD) must either receive a life-sustaining course of dialysis to clean the toxins from the blood, a function the kidneys usually perform, or he or she must receive a kidney transplant.
Dialysis is distinctive in the history of healthcare in the United States. When dialysis first began in the 1960s, the therapy had to be rationed. Although the machines that cleaned the blood were miraculous at the time, the machines that were available to do so were in limited supply and the process was extremely expensive. As a result, life and death committees, composed of regular citizens, had to be formed and the therapy rationed. Then in the 1970s, in a dramatic testimony before Congress, a patient underwent a dialysis treatment on the floor of the Senate. After the testimony, Congress created a special entitlement to pay for it, and dialysis became our country's first experiment in universal healthcare.
The ESRD Amendments to the Social Security Act of 1972 contained language for the establishment of a structure of “End-Stage Renal Disease Network Councils” to assist the entity now known as the Centers for Medicare & Medicaid Services (CMS) in the monitoring of the quality of care given to the ESRD patients by providers of dialysis services and transplantation (2008 Annual Report, 2009).
I work for one of these “End-Stage Renal Disease Network Councils,” ESRD Network #15. We are a federally mandated, nonprofit Colorado corporation that contracts with the Centers for Medicare & Medicaid Services (CMS), to facilitate the improvement in the quality of care for those with E...
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...have two separate Data Managers in two offices, we should consolidate the management to Network #15 in order to save costs. She agreed, and as part of my portfolio project, I will be outlining the organizational redesign that we are currently undergoing. We have little control over the amount of money or the contract that we have with CMS, but we can control how use our internal resources. Because the environment in which we operate is so highly unstable, this is how we can exert the little control that we do have. I will be traveling to California next week to meet with my counterpart and strategize ways we can make our resources go even further.
Works Cited
2008 Annual Report (2009). Intermountain End Stage Renal Disease Network, Inc. Denver, CO.
Jones, G. R. (2010). Organizational Theory, Design, and Change. 6th Ed. Upper Saddle River, NJ: Prentice Hall
Ms. Bardsley functions as a hemodialysis liaison and leader in clinical practice with the following roles: charge nurse, preceptor, and mentor for her colleagues. She is the resource person for the Hct-Line monitoring tool. The tool is used to monitor patient’s fluid removal during treatment to avoid hypotensive episodes associated with decreased perfusion to the heart. She routinely monitors the patient outcomes which to date has resulted in 0 admissions. She recently updated the policy to make it more user friendly for the staff and to maintain staff competency.
Four Frame Organizational Analysis Grid – Care of the Mental Health Patient in the Emergency Department
Long-term care (LTC) covers a wide range of clinical and social services for those who need assistance due to functional limitations. These limitations usually result from complications associated with age related chronic conditions, from disabilities related to birth defects, brain damage, or mental retardation in children; or from major illnesses or injuries suffered by adults (Shi L. & Singh D.A., 2011). LTC encompasses a variety of services including traditional clinical services, social services and housing. Unlike acute care, long-term care is much more complicated and has objectives that are much harder to measure. Acute care mainly focuses on returning patients to their previous functional level and is primarily provided by specialty providers. However, LTC mainly focuses on preventing the physical and mental deterioration of an individual and promoting social adjustments to suit the different stages of decline. In addition the providers of LTC are more diverse than those in acute care and is offered in both formal and informal settings, which include: hospitals, physicians, home care, adult day care, nursing home care, assisted living and even informal caregivers such as friends and family members. Long-term care services have been dominated by community based services, which include informal care (86%, about 10 to 11 million) and formal institutional care delivered in nursing facilities (14%, 1.6 million) (McCall, 2001). Of more than the 10 million Americans estimated to require LTC services, 58% are elderly and 42% are under the age of 65 (Shi L. & Singh D.A., 2011). The users of LTC are either frail elderly or disabled and because of the specific care needs of this population, the care varies based on an indiv...
The healthcare industry, as a whole, has made great strides towards improving access to he...
“We never stand still; we are never satisfied. Individually, and as teams, we constantly look at what we do, and ask, “How can we do this better?” Then, we use a systematic approach to take action.” (About DaVita Kidney Care)
The key stakeholders involved in this plan are the patients, the community and the employees of the organization. The patients are the main focu...
Traditional hemodialysis (HD) is provided to the patient at an outpatient clinic that is often referred to as a chronic unit. Patients must come to the chronic unit to be hooked up to the dialysis machine which circulates their blood through a dialyzer thereby removing toxins and excess fluid. This dialyzer is a clear plastic tube which contains thousands of micro fibers that allow the blood to flow through while enabling diffusion to remove the unwanted components of the blood. The majority of dialysis patients use this as their primary method of treatment; however, some patients find the treatment to be harsh and uncomfortable. These patients often look for alternate treatments such as peritoneal dialysis.
Assessing the environment is the second part of step four in the strategic planning process. The organizational internal assessment is important in identifying the strengths and weaknesses of Brendel Elementary School. By providing an organizational assessment, the planning team can clarify the aspects that help in accomplish the mission and fulfill the mandates in the organization. This part of step four enriches the management information system (MIS) with more qualitative data in order to make MIS more effective. Moreover, the organizational assessment clarifies the organization’s competencies, distinctive competencies, and core competencies. (Bryson 2011, 166)
Gibson, J.L., Ivancevich, J.M., Donnelly, J.H., & Konopaske, R. (2009). Organizations: Behaviors, structure, processes (13th ed.) New York, NY: McGraw-Hill Companies, Inc.
The effective collaboration between the members of the renal health care team resulted in successfully reducing John’s hypertension, hyperkalaemia and overloading in the short term.
These clinical staff will make house calls to United Healthcare clients secured by Medicare who face perpetual, and conceivably costly, conditions, for example, diabetes or congestive heart failure (Triad Business Journal, 2013). It 's a speculation United Healthcare trusts enhances tolerant health through more financially savvy, higher-quality care, and thus, helps the organization 's main concern (Triad Business Journal, 2013). It is expected that the House Calls system will be looking after 75,000 Medicare patients before the current years over (Triad Business Journal, 2013). United Healthcare right now covers around 250,000 seniors in the state with its Medicare Advantage items. Moreover with the strategic plan to hire more nurses and healthcare providers, such as in home visits offer the opportunity to assess the patient’s medication regimens, offer routine physical evaluations and react to any healthcare demands (Triad Business Journal, 2013). United Healthcare plans and suppliers envision such normal, preventive care will take off emergency room office visits or healthcare facility stays for more genuine, and costly, problems in the future (Triad Business Journal,
Jones, G. R. (2010). Organizational theory, design, and change. 6th Ed. Upper Saddle River, NJ: Prentice Hall
Hatch, M. J., & Cunliffe, A. L. (2006). Organization Theory: Modern, Symbolic, and Postmodern Perspectives. New York: Oxford University Press.
Cummings, T. G. & Worley, C. G. (2001). Organizational development and change (7th ed.). Ohio, USA: South-Western College Publishing.
Norman Brinker has become known as an entrepreneur, pioneer, visionary and mentor in the restaurant industry. He has been involved in the industry for over 40 years. In the 1950’s Norman Brinker started his career in restaurants as partner in the Jack-in-the-Box restaurant chain. Here Brinker found a new love for the restaurant business.