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Canadian Home Care Industry, 2002.
An analysis of the Canadian home care industry.
25,306 words (approx. 101.2 pages), 47 sources, MLA, $ 249.95
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Abstract
The paper delves into the various aspects of home care industry in Canada. It deals with the present and expected status of the home care industry and its ultimate effect on the community as a whole. It investigates various administrative factors and provides a deep insight into its provincial/territorial/governmental entities. It looks at how the private/public sectors? participation in the home care industry in Canada is evaluated in terms its cost-effectiveness. The labor force, payment options, home care programs, values of Canadians are all studied in order to have a prospective view of the home care industries. It also assesses various programs, which contribute to the development of these sectors in terms of proportional changes.
Outline
Abstract
Executive Summary
Introduction
Home Care Services: Description
Home Care Services in Canada: Its Success Over the Years
Obstacles and Difficulties Facing the Home Care Industry-
Measures to be Adopted to Solve the Obstacles
SWOT Analysis
Home Care Industry and Analysis of Porters Forces
Conclusion
From the Paper
"With regard to the payment structure of the home care program, it shows discrepancy to a great extent. As far as studies have unveiled, no proper record has been maintained for the workforce in home care. Shifting of the location of health services from hospitals to home has indeed taken the world by storm. This change will remain successful permanently if the policy considerations and restructuring of plans are done in a systematic manner. The government and other legislations should take steps to appreciate them by providing various incentives, reduction in taxes etc. Moreover, these people should be assured of job. The legislations should include these caregivers in any form of discussion taken regarding the various policies. The establishment of a nationalized home care model is essential. There should be no friction existing in the home care sectors so that the action of the patients shifting between different levels of care is reduced to a great extent. "
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Change in Canadian Home Care, 2006.
This paper explores change and conserving at the organizational level and change and persistence at the individual level.
1,350 words (approx. 5.4 pages), 3 sources, $ 53.95
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Abstract
The paper discusses how change can take place on several levels at once and exhibit the same characteristics at each level. The type of change that this paper addresses involves change and conserving at the organizational level and change and persistence at the individual level. The change is related to the new focus on home care in Canada. Furthermore, the paper explains that while persistence and conserving normally are regarded as hindrances to growth (Bolman & Deal, 2003; Pilkington, 2000), it is not certain that such is the case for this situation. The paper points out that this is also a situation where re-framing is needed at all levels to demonstrate that a successful outcome is possible when such a change is carefully planned and resources and support are made available.
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The U.S. Health Care Insurance Industry, 2007.
This paper examines the U.S. health care insurance industry at the national and regional levels.
3,905 words (approx. 15.6 pages), 14 sources, APA, $ 106.95
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Abstract
This paper explains that the U.S. health insurance industry is a faltering system as witnessed by poor performance, difficulty accessing physicians and rising premiums that cut into after-tax income. The author compares two health plans in Texas: Aetna Life Insurance Company's PPO 500 plan, which is judged better for a younger workforce that is predominantly unmarried and without children, and Blue Cross and Blue Shield of Texas' PPO Select Saver Plan IV Blue Cross plan, which is deemed a better arrangement for an older, "graying" workforce. The paper evaluates the Health Insurance Portability and Accountability Act (HIPAA), which is generally seen as a watershed event for health insurance reform.
Table of Contents:
Introduction
The U.S. Health Care Industry over the Last 10 Years
The U.S. v. Canadian Approach to Health Care
Development of Managed Medicare Insurance Products in Texas
A Comparison of Two Health Plans in Texas
A Plan for Managed Care Organization Seeking Accreditation from JCAHO or NCQA
The Health Insurance Portability and Accountability Act (HIPAA)
A Plan for Comprehensive Improvement of a Managed Care Organization's Processes
Conclusions
From the Paper
"In fairness, the U.S. model has its advantages. For one thing, wealthier individuals/employees who wish to "cut through" the bureaucratic red-tape of socialized medicine in Canada can go to the United States and have their needs promptly addressed in a way not possible in Canada. Moreover, from a strictly business perspective, the fact that American HMOs are prepared to exclude various clientele in order to serve the "bottom line" and are likewise prepared to similarly slash services can be just the excuse private American corporations need in order to exclude various members of their workforce."
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Advanced Practice RNs in the Home Health Care Arena, 2004.
This paper discusses that there is an urgent need for APRN services in the home health care environment and suggests ways of meeting this need.
3,890 words (approx. 15.6 pages), 10 sources, APA, $ 106.95
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Abstract
This paper explains that there is an urgent need for quality home care that exceeds the minimum expectations of patients and their families. The author points out that there is a dearth of data relating to the specific training, planning, and placing advanced practice nursing talent in home health care situations. The paper suggests that the medical staff train the advanced practice nurses in home care, and they, in turn, will teach families how to give good care to their loved ones.
Table of Contents
Introduction
Identification of the Phenomenon.
Review of Literature
Relevant Literature Appropriate for The Qualitative Study Planned
Integrating Advanced Practices Nurses into Home Care Environments
Effects of a Relationship-Enhancing Program of Care on Outcomes
Validity and Community-Health Nursing Sensitivity of Six Outcomes for Community Health Nursing with Older Clients
Review: Prenatal Home Visitation by Nurses through Infancy
Effect of Prenatal and Infancy Home Visitation
Home Health Care: Improving Quality, Tightening Standards
A Case Study in Care: APRN Home Nursing Service
A Practical Guide to Caring for Caregivers
From the Paper
"After all, NPs have a ?proven efficacy in health promotion, early identification and prevention of complications,? as well as patient compliance and education ? so, it is a logical argument to bring advanced practice nurses into the home care environment, and in order to plan for the future, more specifically targeted nursing teaching programs are proposed as a solid strategy for integrating primary care by NPs into the home care genre. The growth of home care services was tremendous between 1988 and 1995, as the number of Medicare home health visits jumped from 37 million to 252 million. Money spend through Medicare home health care visits also leaped during that period ? from $2.1 billion to about $16 billion, which is the fastest-growing budget item in Medicare."
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Home Health Care, 2006.
A review of quality assessment and performance improvement of home health care policies.
2,250 words (approx. 9.0 pages), 7 sources, $ 89.95
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Abstract
This paper discusses how home health care has been a controversial health care delivery system for many decades, changing dramatically throughout the years in accordance with nursing policy, federal and state guidelines and is usually driven by certification and accreditation by the Medicare system. This paper highlights the role of quality assessment and performance improvement measures in home health care through direct review of current literature and through mock interviews with a home health care professional and home health care agency.
From the Paper
"According to the Center for Medicare and Medicaid Services, 2.4 million individuals receive private home health care services from one of the 8,100 Medicare-certified agencies authorized to provide home health care in the United States ("Home health," 2006). Home health care agencies provide both health and personal care for patients in their own home, with the goal of helping patients to improve their self-care capabilities and health status ("Home health," 2003). In November 2001, Secretary Tommy Thompson of the US Department of Health and Human Services announced the Quality Initiative, which was rolled out in two phases in 2003 through the nation ("Home health," 2003). The initiative was part of the Bush administration's Medicare related assurance of quality health care for all people ("Home health," 2003; "HHS launches," 2003)."
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Health and Safety for Nurses in Home Health Care, 2008.
A discussion of health and safety issues for nurses who work with home health care agencies.
1,710 words (approx. 6.8 pages), 4 sources, APA, $ 55.95
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Abstract
This paper takes a look at the situation of nurses in home health care, who regularly work in isolation without the benefit of peers or essential supports, unlike nurses in hospitals, which have the benefit of safety and security measures provided by the institution. The paper points out that home health care nurses are predominately female and are subject to high physical and psychosocial demands. Furthermore, many of these nurses work in isolated rural settings, making them more prone to physical assault, sexual assault and various forms of workplace violence, as well as personal injury related to heavy lifting. The paper argues that the most important point about health and safety issues is that they impact of the care the client receives. To conclude, the paper maintains that the goal for all home health care agencies must be to ensure the safety of both staff and patients, and this may be achieved through employee awareness and in agency commitment to the staff.
From the Paper
"Home health care is a rapidly expanding industry because of such factors as an aging population and decreased hospital stays. With that expansion have come increasing incidents of violence in the workplace. Surveys of nurse reveal that problems related to safety in the home care field have escalated. These problems range form verbal and physical abuse, along with threatening animals to visible weapons and illegal drugs (Sylvester & Reisener, 2002). In addition, nurses in home care very often work in areas where the crime rate is above the national average. All of these issues and concerns create a potential impact on patient care and patient outcomes (Fazzone & Barloon, 2000). When nurses are in continual fear over their safety, this situation is certain to affect the quality of care."
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Home Health Care Delivery, 2004.
This paper discusses the improvement of home health care delivery through the implementation of quality assessment/ performance improvement (QA/PI) programs
1,150 words (approx. 4.6 pages), 5 sources, APA, $ 39.95
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Abstract
This paper explains that the improvement of health care programs in the medical industry has spread to home health care delivery in which the physician makes home visits. The author defines quality assessment as the development of data sources and analysis of information generated from patients, which reviews their perception and expectation of quality. The paper concludes with an interview of a physician working in a home care agency who believes that, ever since the implementation of the QA/PI policies, his organization has started to pay close attention to quality performance issues, such as physicians' abilities to meet patient expectations and demands.
From the Paper
"There are gatekeepers to the implementation of QA/PI programs. These include the Division Home Health QM Program, Directors Committee, Continuing Care Leaders and Quality Service Leaders, Service Area and Local Agency. These controllers are responsible for the planning of the QA/PI activities into the current systems of organizations that are responsible for home health care delivery. They also are responsible for identifying changing indicators from the consumer perspectives and conducting audit of the agency involved in QA/PI to regular and accredit credible organizations who have maintain their standards according to the AHRQ. Similarly, they are involved in setting criteria for divisional directors of home care quality improvement programs."
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Home Health Care Services, 2007.
This paper presents a marketing audit approach for the home health care industry.
1,225 words (approx. 4.9 pages), 3 sources, APA, $ 41.95
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Abstract
This marketing audit was undertaken in an effort to determine how referrals from physicians, skilled nursing facilities and hospitals play a critical role in the profitability of a home health agency. In order to reach viable and accurate conclusions about the topic, statistics and relevant research on the topic are studied and recommendations are presented in an easy to understand format. The paper discusses how the research conducted in combination with a SWOT and marketing analysis will enable the Home Health Care Partners company to develop a targeted marketing plan for execution.
Table of Contents:
Executive Summary
Overview of the Home Health Care Industry
Methodology
Final Marketing Plan
Time Frame for the Study
Limitations of the Study
Conclusions
Recommendations
From the Paper
"To say the least, there is a great deal of potential within the Home Health Care industry; by the year 2020, there will be approximately 100 million Americans over the age of 50 who will be potential patients of local community home health care providers. Of this 50+-population base, 39% will be elderly, 27% will be wound care patients, 18% will be incontinent and 12% will be urological patients. There is also every indication that these people will seek home care- American patients today are directed to leave the hospital, and nursing homes "quicker and sicker" due to managed care. Many of these patients are sent home to recuperate with the support of a home health care provider (Evan, 2005). Another key consideration in the potential of this industry is the fact that many more people are living well past the age of 100, and the great majority of these people will be potential home health patients (Brown, 1998)."
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Home Care, 2002.
The availability, financing and effectiveness of home health care as a nursing home alternative.
650 words (approx. 2.6 pages), 3 sources, $ 26.95
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Abstract
This paper discusses the home care as an alternative to nursing homes. The paper analyzes various angles while putting an opinion across.
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Home Health Care and Hospice, 2002.
This paper examines the topic of the management of chronic pain in home health care and hospice care.
2,442 words (approx. 9.8 pages), 12 sources, MLA, $ 74.95
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Abstract
There has been a massive shift in thinking about chronic pain and pain management, from seeing pain as a secondary characteristic to the disease, to seeing pain as a primary problem. The writer explores the issue and the surrounding controversy. The paper looks at the ways in which financial cutbacks in home health care and hospice have led to fewer employees and a stronger reliance on pain medication.
From the Paper
"In an article in the Columbian (Oregon leads quiet revolution, 1999), a graphic example of one of the ongoing problems in the management of chronic pain was illustrated in the story of a man who hurt his back in 1988. Although in chronic pain, his doctors hesitated to provide him with narcotics for long-term pain relief because of the fear of drug addiction. Despite the fact that things are changing, pain management in home health care and hospice has often been shaped more by politics than by scientific knowledge about the effects of pain and its management. Both doctors and patients still exhibit resistance to appropriate pain management, fearing addiction, acting from ignorance, or feeling that patients should simply be more stoic. In the following pages, the intention is to explore this issue in more detail."
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Home Health Care, 1989.
Examines theory & practice of home care for long-term patients. Discusses types of services, health care teamwork, confidentiality, patient rights & abuse, access to services and costs.
1,800 words (approx. 7.2 pages), 21 sources, $ 63.95
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From the Paper
"The health care services delivery environment is a dynamic one in the late.1980s. Increasing costs, evolving societal values, advances in treatment therapies, changing demographics, and other factors are affecting both the how and the where of the delivery of health care services (Mentkowski, & Doherty, 1984). The introduction of technological innovations into health care is not only enhancing the quality of the services delivered, it is making possible the effective treatment and care of patients in home and community environments who would have previously required institutionalization (Thomas, 1988).
The restructuring of the health care delivery environment adds new dimensions to the ethical issues involved in the (...)"
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Home Care and Community Health Nursing, 1999.
Examines role of the nurse practitioner in home service delivery and intervention, funding, patient issues, team care, planning and case management.
1,800 words (approx. 7.2 pages), 23 sources, $ 63.95
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Abstract
A combination of factors (increasing costs of health care, changing societal values, and advances in treatment therapies to name but three), is bringing about rapid and important changes in the delivery of health care services in the United States (Salmon, 1993). One of the more significant of the changes occurring involves the direct delivery of health care services by non-physician health care professionals.
From the Paper
"HOME CARE WITHIN THE CONTEXT OF COMMUNITY HEALTH NURSING
A combination of factors (increasing costs of health care, changing societal values, and advances in treatment therapies to name but three), is bringing about rapid and important changes in the delivery of health care services in the United States (Salmon, 1993). One of the more significant of the changes occurring involves the direct delivery of health care services by non-physician health care professionals. A second significant change involves a trend toward the delivery of health care in non-institutional community settings-including the home.
Zerwekh (1997, p. 46) noted, however, that nursing care "provided in the patient's home continues to lose status and funding. … Funding continues to be cut because of lies about the..."
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Nursing Home Care, 2007.
This paper discusses creating stimulating environments for the elderly in nursing homes.
1,253 words (approx. 5.0 pages), 3 sources, MLA, $ 42.95
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Abstract
In this article, the writer presents an overview of the question regarding stimulation in nursing homes for the purpose of helping residents remain active. The writer, who has worked in nursing homes for the past 27 years, has experienced first hand the negative impact that lack of stimulation has had on her clients. The writer explores research regarding the topic and designs a plan in which it would be mandatory to gather information about the residents' prior interests when they move in so that those interests could be incorporated into clients' daily care plan once they arrive. The writer concludes that the goal of her nursing home plan would be to create a more mature and active activity plan for the aged, thereby creating a more well rounded end of life experience for them and their families.
From the Paper
"Having worked in a nursing home for the past 27 years I have seen what happens to the elderly as they enter the home and they are no longer being stimulated.
They give up. They come in full of enthusiasm, if not a bit nervous, and they start to interact. I can always spot the residents who have been there a long time because as the resident passes the time he or she begins to stop interacting. The lack of stimulation begins to take its toll and soon they sit and wait to die instead of getting up each morning ready to live.
Many people believe they are simply witnessing a natural progression toward death, however, I believe that if the residents were stimulated within the nursing home setting they would enjoy a higher standard of living for their remaining years and perhaps live longer as well."
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Home Health Care For Elderly, 1989.
Examines alternative to institutional care, focusing on long-term care for chronically ill patients. Discusses health needs & costs, population affected, laws and government involvement.
2,700 words (approx. 10.8 pages), 19 sources, $ 95.95
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From the Paper
"This research examines the concept of home health care (HHC) services delivery for the elderly. HHC is examined as an alternative to institutional delivery of health care services. The focus in this examination is on the delivery of long.term care (LTC) to chronically ill individuals.
HEALTH CARE NEEDS AND COSTS OF THE ELDERLY
The average life span in the United States increased from an expected 70 years in 1960 to 79 years in the late 1980s. The expected life span for women is greater than that for men. Additionally, the expected life span applied to individuals born in the year for which the statistic is determined..not for those individuals already in their elderly years. A similar life expectancy increase, however, developed with respect to all age (...)"
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Home Health Care, 1996.
Economic, social & medical advantages over institutional care, emphasizing role of nurses & multi-disciplnary team approach.
1,800 words (approx. 7.2 pages), 16 sources, $ 63.95
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From the Paper
"As a result of the combination of factors (increasing costs of health care, changing societal values, and advances in treatment therapies to name but three), the delivery of health care services in the United States is undergoing rapid and important change (Salmon, 1993, pp. 1674-1678). One of the more significant of the changes occurring involves the direct delivery of health care services by non physician health care professionals. A second significant change involves a trend toward the delivery of health care in non institutional settings?including the home. There exists both substantial support for these changes, as well as substantial opposition to them (Hupcey, 1993, pp. 181-185)."
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