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In: Nursing

Prepare a quality improvement program. Continuous quality improvement covers many areas. Throughout the course, pay particular...

Prepare a quality improvement program. Continuous quality improvement covers many areas. Throughout the course, pay particular attention to what attributes constitute a quality improvement team and what questions this team attempts to answer.

Select one of the following six high-risk areas for your project.

Psychiatry
Long-term care
Home healthcare
Emergency room
Obstetrics and neonatology
Surgery

Research the area you selected using at least three scholarly sources.

Identify and classify all of the risks associated with these areas. Describe the nature of the risks to patients, healthcare professionals, and healthcare facilities.

Develop a table to present this information, create a Word document report, or a PowerPoint presentation

Solutions

Expert Solution

Answer:-
?Health care system reform has enormous implications for the future of American society and economic life.
? ?Since the early days of the republic, 2 world views have vied for determination of this country’s political system,the view of the individual as sovereign vs government as sovereign.
? ?As they developed the foundations of our nation’s governance, the founders were heavily influenced by the Enlightenment philosophy of the late 17th and 18th centuries—the US Constitution sharply limited the power of central government to specific narrowly defined functions, and the economic system was largely laissez faire, that is, economic exchange was mostly free of government regulation and securing individual liberty was a high priority.

?Among economic sectors, health care has led the shift toward government domination for decades.

?The shift is propelled by the idea that there is a right to health care, a concept that was first articulated by Franklin Delano Roosevelt in his address to Congress in 1944, in which he spoke of a new set of basic rights, including “the right to adequate medical care and the opportunity to achieve and enjoy good health.

?To clarify competing ethical theories, I will describe 2 distinct ideologies, by which I mean systems of more or less coherent ideas, which bound the ends of a spectrum of approaches to health care reform.
?The ACA and most other reform proposals are admixtures of elements from the spectrum’s boundary anchors that I refer to as “central planning,” which relies on regulatory controls, and “free market,” which favors minimal government involvement in the health care system. Opposing ideas drive these 2 positions: that health care is an entitlement that must be provided by society and that obtaining health care is the responsibility of individuals.

?I will start by describing an approach to the ethical thought that underlies free market systems, then do the same for central planning. I will go on to argue that central planning is fatally flawed and that free markets will deliver substantial benefits for individuals and for society.
? Then I will describe the implications of these ethical considerations for the development of public policy, and will end by briefly describing health care system reforms that are well grounded ethically and are likely to actually achieve the goals of increased access and cost control, namely, systemic reforms using market mechanisms.


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