This week reflect upon the Medicare and Medicaid programs to address the following: Describe the Quality...

This week reflect upon the Medicare and Medicaid programs to address the following:

Describe the Quality Improvement Organization (QIO) and explain how the QIO improves policies and healthcare for Medicare beneficiaries.
Briefly define the qualifications for Medicare and Medicaid benefits. How can qualifications be modified to serve more people who are considered a vulnerable population?
Discuss the impact (including at least two positive and two negative aspects) that the ACA has had on benefits and coverage for Medicare and Medicaid recipients.
Describe your role(s) as a healthcare leader as it applies to the practice of advocating for cost effective care for vulnerable populations.

Solutions

Expert Solution

ROLE AS A HEALTHCARE :-
Ensure Safety. Ensure that the patient is safe when being treated in a healthcare facility, and when they are discharged by communicating with case managers or social workers about the patient’s need for home health or assistance after discharge, so that it is arranged before they go home.
Give Patients a Voice. Give patients a voice when they are vulnerable by staying in the room with them while the doctor explains their diagnosis and treatment options to help them ask questions, get answers, and translate information from medical jargon.
Educate. Educate patients on how to manage their current or chronic condition to improve the quality of their everyday life is an important way nurses can make a difference. Patients undergoing chemotherapy can benefit from the nurse teaching them how to take their anti-nausea medication in a way that will be most effective for them and will allow them to feel better between treatments.
Protect Patients’ Rights. Protect patients’ rights by knowing their wishes¾this might include communicating those to a difficult family member who might disagree with the patient’s choices and could upset the patient.
Double Check for Errors. Everyone makes mistakes. Nurses can catch, stop, and fix errors, and flag conflicting orders, information, or oversights by physicians or others caring for the patient. Read the orders and previous documentation carefully, double check with other nurses and the pharmacist, and call the doctor if something is unclear before administering chemotherapy.
Connect Patients to Resources. Help patients find resources inside or outside the hospital to support their well-being. Be aware of resources in the community that you can share with the patient such as financial assistance, transportation, patient or caregiver support networks, or helping them meet other needs.

Nightingale answered 1 year ago

Next > < Previous

Related Solutions

This week reflect upon the Medicare and Medicaid programs to address the following: Describe the Quality...

This week reflect upon the Medicare and Medicaid programs to address the following: Describe the Quality Improvement Organization (QIO) and explain how the QIO improves policies and healthcare for Medicare beneficiaries. Briefly define the qualifications for Medicare and Medicaid benefits. How can qualifications be modified to serve more people who are considered a vulnerable population? Discuss the impact (including at least two positive and two negative aspects) that the ACA has had on benefits and coverage for Medicare and Medicaid...

Describe the financing of Medicare Part A, Medicare Part B, Medicare Part D, and Medicaid.

A. Creating a single payer system by expanding existing government programs such as Medicare, Medicaid, and...

A. Creating a single payer system by expanding existing government programs such as Medicare, Medicaid, and SCHIP. B. Mandating insurance coverage either individually or through a place of employment. C. Expanding the use of market incentives to encourage and enable individuals to purchase insurance. D. All of the above. E. None of the above. Most Americans favor the idea of expanding insurance coverage to all Americans, but disagree on how to do it. The more popular options include which of...

Identify three major components of the Medicare and Medicaid programs and, based on these components, identify...

Identify three major components of the Medicare and Medicaid programs and, based on these components, identify at least two patient coverage gaps for each of the programs. Be clear when you describe the coverage and the gaps as they may relate to specific ages, patient populations, or disease entities. Use primary sources to identify the components and the gaps. Additionally, discuss your stand (criticize or defend) regarding the relevance of the Social Security program to the American public. Should the...

Prior to 1983, hospitals received reimbursement from governmental programs such as Medicare and Medicaid on a...

Prior to 1983, hospitals received reimbursement from governmental programs such as Medicare and Medicaid on a cost-plus basis. That is, if the hospital reported total costs of $100 to provide care for Medicare/Medicaid patients, it received $135 from the government (given a 35% cost-plus mark-up). After 1983, hospitals received reimbursement from governmental programs such as Medicare and Medicaid on a fixed-fee basis. That is, every time the hospital provided a particular type of care (for example, diagnosis and treatment of...

describe the medicaid program. What are the differences between Medicare and Medicaid ? ( 300 non...

describe the medicaid program. What are the differences between Medicare and Medicaid ? ( 300 non plagiarised )

Introduction to Healthcare Insurance Coding, Billing, and Reimbursement Medicare and Medicaid are federal programs that cover...

Introduction to Healthcare Insurance Coding, Billing, and Reimbursement Medicare and Medicaid are federal programs that cover a large proportion of the US population with healthcare. The two have similar objectives in the area of providing care, but there are significant differences in them that concern reimbursement. Tasks: Describe each program, Medicare and Medicaid. Provide the major features of each program. Discuss how these programs differ from each other. Briefly describe the process of how to bill for each program.

What lessons can we learn from government sponsored programs such as Medicare, Medicaid, and the VA...

What lessons can we learn from government sponsored programs such as Medicare, Medicaid, and the VA System about the problems facing fixed-budget health care systems? Should the healthcare system be operated on a fixed budget?

Do you think Medicare and Medicaid programs face challenges from the perspectives of providers, the government,...

Do you think Medicare and Medicaid programs face challenges from the perspectives of providers, the government, and consumers (recipients of Medicare or Medicaid)? Why or why not?

What are two differences between Medicare and Medicaid. What are two similarities between the programs? Some...

What are two differences between Medicare and Medicaid. What are two similarities between the programs? Some people are eligible for both Medicare and Medicaid. Who are they? Describe an example of an alternative policy approach that might improve the care provided to this group of people and do so at a lower cost.

Subjects