Abstract The paper defines ambulatory surgery centers (ASCs) as medical facilities specializing in elective same-day or outpatient surgical procedures. The paper discusses the licensing requirements set by state regulation for ASCs and their possibility of being accredited by Medicare. The paper attributes the widespread use of ASCs to their safety, licensure and certification, service, efficiencies to minimize wait times, staff specialization, increased focus on patients and cost savings. The paper then looks at the challenges faced by ASCs.
Outline:
Analysis of the Health Service Setting
Challenges & Opportunities
From the Paper "Ambulatory surgery centers (ASCs) can be defined as medical facilities specializing in elective same-day or outpatient surgical procedures. These facilities do not offer emergency care but only elective care. The word ambulatory is derived from the Latin verb ambulare, meaning "to walk," and so the patients treated in these surgical centers do not need to be admitted to a hospital and are well able to go home after the procedure. Ambulatory surgical centers are sometimes called surgicenters. By 2003, there were some 3,700 ambulatory surgical centers in the United States, a major increase over the 275 in 1980 and the 1,450 in 1990."
Abstract The paper examines the study, "Missed and Delayed Diagnoses In The Ambulatory Setting: A Study of Closed Malpractice Claims", which examines the role of physician error in situations when patients were harmed through diagnosis issues. The paper relates that the study relied on a weak form of multivariate analysis to draw its conclusions and examine the data which was all secondary in nature. The paper points out, however, that the results are enlightening regarding the strategies that can be devised to prevent misdiagnoses and delayed diagnoses.
From the Paper "This study did not use higher level statistical analysis since it was relying primarily on secondary data sources that had, for the most part, already been compiled. Yet, it did apply a weak form of multivariate statistics wherein different variables were attributed different values and measured against the whole (Ware & Brewer, 1998, p.14). Among some of the variables measured or assigned values were errors that resulted in actual harm to the patient, errors were linked to serious harm to the patient, and errors, of one type or another that actually resulted in patient death (Ghandi, 2006, p.2)."
Abstract The paper discusses complex threat considerations that a threat assessment plan may have to address and attempts to show how by identifying each potential threat systematically, the plan can account for all conceivable contingencies. The paper looks at threat assessment planning for controversial high profile public figures, for protectees with ambulatory difficulties as well as for protectees with delicate medical conditions who require perpetual care. The paper also deals with the ethical responsibilities needed by a protective agent.
Outline:
Introduction
Controversial Public Figures
Ambulatory Difficulties
Medical Considerations
Ethical Considerations
From the Paper "Personal protection encompasses many different considerations and threat assessments that are completely unrelated to the physical condition, personal reputation and character of the protectee, as well as very specific (possibly unique) threats particular to the individual. Idiosyncratic issues may include the physical condition and ambulatory abilities of the protectee, medical conditions, political affiliation, and public reputation. Likewise, personal protection plans may also have to take into account the ability or willingness of protectees to follow directions and cooperate with protection agents."
Abstract This paper shows that administrative programs are planned and developed for the health care services industry based on a number of deciding factors. It discusses how, when looking at health care services and planning administrative programs, the following are taken into consideration: Composition and social organization of society at large; Utilization by the population of health care services including acute care treatment facilities and chronic illness vs. long term care; Government involvement in public health and funding; Politics. The paper shows that all of these factors play a key role in determining how our health care services are structured. The paper examines how the America health care system presently serves a large and diverse population through an assorted number of programs including private/group care facilities, ambulatory services, hospitals and long term care facilities. Each of these programs in turn is administered in different ways. The paper also looks at overall trends in health care services in the United States today.
From the Paper "One important idea to consider when discussing the administration of health care services is the perceived need by the public for such services. The concept that the availability of health care services creates a demand for health care and need is important to consider. New technological advances have perhaps implanted in the minds of physicians and patients the need to treat disease that may have otherwise been ignored. One important factor to consider in planning health program administration is evaluation of utilization of health care services. The function of health planners is to identify areas of greatest need or highest potential demand in communities for health care delivery organizations. Patient care plans can only be decided upon once social, psychological and physiological factors are accounted for. Many models exist that explain the public's access to health care services and resulting trends in usage of such facilities and programs."
Abstract This paper analyzes the impact and benefits of using computers within the healthcare system. It particularly discusses the ways that computer systems that are now available can improve healthcare in the areas of patient care, reducing medical errors, increasing safety and cost reductions. The paper particularly mentions the system COSTAR (computer stored ambulatory record) and its possible applications.
From the Paper "In conclusion, there are a lot of areas where computers can help improve healthcare. Many new and existing computer systems are available that have the capacity to improve on patient care, medical errors, safety, and cost reductions. It is important to remember, however, that no system is perfect and there is still a chance for errors to occur. Before a system is considered for implementation, it should be tested out and even observed at other facilities where it is in place. A thorough evaluation of the costs and benefits is crucial before making the final decision of selecting a computer system. Computer systems have clearly been advancing and getting better. These systems fill a great need in healthcare, and their continued advancement gives many people hope and encouragement about what they can accomplish in the future."
Abstract This paper describes the famous stained glass windows of Chartres Cathedral in France. The paper describes the cathedral's gothic style, the set of windows in the west facade, the rose windows that can be found in different parts of the cathedral, and the Blue Virgin Window in the ambulatory area. The paper also describes the guilded windows in the cathedral, noting that, more than with most cathedrals, Chartres Cathedral's windows area often marked to show the donor, and this is true of the so-called guild windows, or windows donated by the trade guilds.
From the Paper "The South Rose is seen with five lancet windows and dates from the 1230s. The Rose Window itself shows the Glorification of Christ, with Christ blessing surrounded by Four Evangelists and angels, then the elders of the Apocalypse, then the arms of donors to the cathedral. The left lancet shows Evangelist Luke over Prophet Jeremiah. The second lancet shows Evangelist Matthew over Prophet Isaiah. The central lancet shows the Virgin and Child."
Abstract The paper provides an analysis and discussion concerning the position that the National Association of Public Hospitals and Health Systems (NAPHHS) has taken on the policy issue/problem of uninsured healthcare consumers in the United States. The paper examines the rationale the group has given for its position and discusses why the group should and should not take this position. The paper concludes that while there are serious problems facing the NAPHHS today, the United States can ill afford to ignore the healthcare needs of millions of Americans. In addition, the paper asserts that healthcare delayed simply means higher costs later on and a diminishment of the ability of workers to continue their employment in the future.
Outline:
The Issue/Problem
The Group's Position
The Rationale the Group has Given for its Position, the Evidence or Other Support for its Position, What Accounts for the Group's Approach to the Issue
An Evaluation of the Group's Position. Why the Group Should Take on this Position, Why the Group Should Not Take This Position
From the Paper "Today, the National Association of Public Hospitals and Health Systems (NAPHSS) provides more than $6 billion in unreimbursed healthcare services to healthcare consumers in the United States and operates a number of emergency rooms and ambulatory care facilities that represent the only access to healthcare for many people. Together with the Department of Veterans Affairs, the NAPHSS is also responsible for training many of the healthcare practitioners that go on to make substantive contributions to the nation's healthcare system. Clearly, the NAPHSS represents an important component of the nation's healthcare system, but the manner in which these hospitals are funded and the amounts they receive make the problem of continuing to provide care for millions of uninsured Americans especially challenging."
Tags: welfare, coverage, Medicaid, emergency, rooms, ambulatory, care
