Visiting Nurse Health System Essay Example for Free

Visiting Nurse Health System Essay I. Executive Summary Visiting Nurse Health System (VNHS) is experiencing difficulty in quantifying the benefits of their telemonitoring services used to provide care to patients recently discharged from hospitals. While the company believes these services provide real value to the patients, hospitals and insurance companies, VNHS is worried about the ability to provide future investment in the technology given the tenuous healthcare reimbursement environment. To continue to grow its telemonitoring services, VHNS should: †¢ Assess patient specific effectiveness of telemonitors †¢ Quantify the advantage of telemonitoring to insurance companies †¢ Reduce the technology’s accessibility limitations †¢ Find alternatives to the telemonitoring service †¢ Create and implement a marketing strategy In order to accomplish these goals, we recommend the following: Develop an electronic means of assessing telemonitoring usage and compliance with final clinician approval for removal of telemonitor. †¢ This will increase the effectiveness of telemonitors by eliminating patients who do not use telemonitors effectively. †¢ Automated analysis will be quick and simple. Lobby with FDA and government agencies to pass new act/regulation which forces insurance companies to reimburse for telemonitoring devices †¢ Benefits the entire health care industry and reduces cost at multiple levels. (Insurance companies, patients and hospitals) Create secure website and computer application to compliment Health Buddy. †¢ Gives patients a variety of choices to transmit data †¢ Inexpensive and effective, with no need to upgrade Health Buddy Integrate Health Buddy with alternative technologies †¢ Having options to do telemonitoring via internet, mobile application and voice based automated telephone systems will allow VNHS to keep the cost low. Create a marketing strategy that targets hospitals and insurance companies that do not have a preferred partner status with VNHS. †¢ Acquiring preferred status has a direct correlation to the future success of VNHS †¢ By targeting specific hospitals and insurance companies, the marketing message can be tailored to each individual client. II. Overview Visiting Nurse Health System (VNHS) is an accredited nonprofit home health company located in Atlanta, GA. As a home health company it depends on patient reimbursement from Medicare, Medicaid, and private insurance companies to fund a majority of its operations. As the Center for Medicare and Medicaid Services (CMS) moved to a flat fee for reimbursement and also implemented initiatives to reduce the amount of hospital readmissions due to preventable causes, healthcare organizations are under increased pressure to lower costs while also delivering high quality health care. One way VNHS is trying to become more efficient and meet CMS goals is to use telemonitoring devices to assess a patient’s health remotely. By remotely monitoring patients, VNHS can reduce clinician visits to the patient location as well as monitor potentially important health information that can prevent the patient from having to be readmitted to the hospital. The Health Buddy telemonitoring device has the potential to improve patient outcomes while reducing VNHS cost. The downside is that while CMS encourages the use of telemonitors, VNHS does not receive reimbursement from CMS or insurance companies when it purchases telemonitors. With a limited supply of telemonitors and a significant cost associated with each, VNHS must decide if telemonitoring is the most cost effective way to increase patient health outcomes while also keeping its costs low.

Warfare :: Essays Papers

Warfare Warfare is a prominent theme in Beowulf . The reasons and conduct for and during warfare are mentioned and displayed throughout the poem. The reason for warfare is usually for retribution. As an act of revenge, battles are fought. The conduct is also very standard and prevalent. All warfare fought by honorable men had to be fought fair. If the opposing side bore no weapons, then the other side also used no weapons. The author of this poem depicts himself/herself to be an advocate of warfare. By idolizing Beowulf because of his heroic deeds during warfare, the poet makes armed conflict courageous and noble. The reasons for bloodshed are spelled out quite well when noble Beowulf consoles his sad friend, Hrothgar concerning his friends demise. He tells him: " Sorrow not wise warrior. It is better for a man to avenge his friend than much to mourn" (Norton 45). Beowulf advocates and promises to avenge Aeschere’s death during warfare with the slayer, Grendel’s mother. The act of battle is given a reason and purpose which is to avenge a death. Conduct in warfare might be "every man for himself" in today’s world however, during Beowulf’s time, the poet shows that honor was the most valuable asset. Upon knowledge that Grendel used no weapons, just bare flesh, Beowulf immediately put his weapons aside and promised to fight empty handed, so the fight would be fair. "I have also heard say that the monster in his recklessness cares not for weapons......I scorn to bear sword or broad shield, yellow wood, to the battle, but with my grasp I shall grapple with the enemy and fight for life, foe against foe " (Norton 32). An unfair fight, as the poet implies, has no glory or distinction. This proves Beowulf to be a worthy hero and role-model. The poet gives the impression that warfare is honorable and exciting. This does not imply that the poet likes bloodshed; it refers to honorable warfare. Honorable warfare includes a good reason and virtuous conduct. The poet can not be a pacifist because he/she describes Beowulf as a savior and hero. If the poet was a pacifist he/she would have described him as an egotistical bully. The poet makes Beowulf an icon and noble warrior. Beowulf is described as " †¦survived every combat, every dangerous battle, every deed of courage†¦" also called ".

House of Saud Essay

The â€Å"alternative† visions of the nineteenth century all sought to Oppose authority and protect local community. Feedback/Reference: See pp. 600-601 2. The Wahhabi Movement sought to institute pure Islam and challenge The Ottoman Empire. Feedback/Reference: See p. 604 3. Allied to Wahhabi Movement leaders was the Najdian House of Saud of The Arabian Peninsula. Feedback/Reference: See p. 604 4. Which of the following did Shaka not use in his command of the Zulus? Mercy Feedback/Reference: See p. 605 5. The Taiping Rebellion of China gained momentum from all except which of the following? Government reforms aimed at relieving economic pressures by lowering taxes Feedback/Reference: See p. 608 6. Hong Xiuquan’s Taiping society demonstrated all but which of the following? Free opium use Feedback/Reference: See pp. 609-610 7. Which of the following best describes what reactionaries sought to accomplish? To reverse democracy and secular influence Feedback/Reference: See p. 612 8. Which of the following best describes what liberals sought to accomplish? To limit state power while expanding that of the individual Feedback/Reference: See p. 14 9. Which of the following best describes what radicals sought to accomplish? To reconstruct society economically and politically Feedback/Reference: See p. 614 10. The materialist theory of history generated by Marx and Engels taught that what mattered was How goods were produced and how that shaped social relations. Feedback/Reference: See p. 618 11. Insurgents opposed to powerful colonizing nations generally preached a message that reflected all of the following except Strong statements of universal love and toleration. Feedback/Reference: See pp. 618-622 12. What did Tenskwatawa advise his followers to do to rid Indian lands of the white man? Return to the traditional Indian rites and lifestyle Feedback/Reference: See p. 619 13. Why did Mayan rebels stop their drive to rid the land of imperialists during the Caste War? Planting season came, so the Mayans went home. The insurgencies discussed in this chapter were most commonly Destroyed with brute military force. 16. All of the following are true about Usman dan Fodio’s Fulani movement except It expected women to remain completely uninvolved in political action. Feedback/Reference: See pp. 604-605 17. Nationalism in Europe Slowly gained strength over the nineteenth century by pushing education and culture to unify †the nation. † Feedback/Reference: See p. 614 18. Mayan identity developed from all but which of the following bases? Close ties to the sugar and hennequen producers who felt threatened by new taxes Feedback/Reference: See p. 623 19. Which of the following best describes the utopian socialism of Charles Fourier? The organization of people into phalanxes that would preserve diversity in tasks and classes, but in which merchants did not exist Feedback/Reference: See p. 615 20. The charismatic leaders in this chapter offered all but the following: Decentralized states where power rested in the hands of the people

Interview Of A Helping Professional - 1376 Words

Interview of a Helping Professional Hui An Old Dominion University Interview of a Helping Professional It should be noticed that in the recent few decades, the science developed at an astonishing pace, and the problem of substance abuse cause a huge public concern. Currently, substance abuse has already become a pandemic around the world. It costs individuals substantially, and it of their family as a whole. It is essential for the society to help those people who struggle with drug addiction to get rid of their pain and get back their health and balance life. Therefore, I understand the substance abuse is a tough area, and people who are struggling with addiction really need help. During the course of the interview, I†¦show more content†¦Most of the time, they do group counseling which includes ten to twelve, but they also do some individual and family. For the group counseling, it always takes about three hours each time, and the program is thirty-five days’ long. After the program, the following care of clients will be continued for another year. Primary, as a counselor, they have to track daily notes and document everything; then they will have a team meeting to make sure they are on the same page. The reason why you have to document everything is because if you did not document, then it never happened. Supervisors will evaluate counselors’ performances, and Navy will make sure counselors did their paperwork correctly, and also there is a survey for clients to evaluate their helpers. In addition, record make sure staffs’ skills are developing, they have training twice a week, and since this hospital is a teaching hospital, Bob is also training his two interns every day. The Individual As an addictions counselor, he is currently the senior group counselor for a co-occurring disorders group, and he is certified as an addictions counselor, nationally, through the Navy, and through the state of VA, and certified as a Clinical Supervisor for the Navy. Every morning, Bob starts to work at 7:30 am, then they will have aShow MoreRelatedInformative Interview For Helping Professionals Essay1364 Words   |  6 PagesInformative Interview for Helping Professionals In order to have a better understanding of what exactly an individual in the helping profession does especially one who works with children; I decided to interview the Guidance Counselor and middle school student life coordinator Rebecca Louth at Saint Patrick’s Catholic School. Saint Patrick’s is a private Catholic school grade Pre-k through 8th. 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