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HEALTH CARE SYSTEM 4 U.S. Health Care Systems for Small Populations, Part 2 Kianna James University of Phoenix MHA//19//2021 Professor Jackie Lucas Healthcare system State of health care in your selected city The health care state in Kansas City is one of the most crucial sectors that control the city's economy. Health care is a fundamental part of society as people's lives depend on the services offered in the healthcare facilities. Over the past few years, the people in Kansas City have paid more attention to the health care system because of the growing economic size of the sector and the amount of budget allocated to improve the healthcare facilities in the region. The city consists of three different healthcare system levels that serve the people in different ways (Elson, Oermann, Duehlmeyer & Bledsoe, 2020).
The first level is the primary level of care, which mainly focuses on providing healthcare facilities to the public. The primary level gives priority to the community members because of the direct link with society. People living in Kansas City have a direct contact number to reach out to the health facilities in emergencies. The primary level of care at Kansas City comprises public health nurses and physicians who prioritize service to the local people. The secondary level at Kansas City comprises physicians with primary health care training and working both in the government and private healthcare institutions.
The secondary level of care, unlike the primary, focuses on offering specialist services to the customers. Kansas City consists of various secondary-level healthcare facilities specializing in optician services, orthopedic services, and minor and severe surgery services (Vaupel, 2018). The secondary services are present in the infirmaries and outpatient hospital facilities located in diverse locations in Kansas City. The final healthcare level present in Kansas City consists of the tertiary level of care (Vaupel, 2018). The tertiary level of care plays a vital role in the community as it deals mainly with offering referral patients to the secondary care facilities.
The tertiary healthcare facilities in Kansas City most deal with emergency cases. After the patient situation is under control, the practitioners refer the client to secondary facilities to better provide services (Lavin, Harper & Barr, 2015). Consequently, the tertiary level of care handles intensive and complicated patient situations that other healthcare facilities fail to offer better service. Source: Picture of proposed Kansas City Mental Health Clinic Center : (Google) Proposal for a new or improved service The improved service proposed for Kansas City is the provision of services to children with disability cases. Although various healthcare facilities offer pediatrician services in Kansas City, none handles children with disabilities.
The number of children with disabilities in Kansas City is on the rise, and it is only fair that the authority builds healthcare that only treats children with disabilities. Children with a disability require unique needs and help in almost every aspect of life (Elson, Oermann, Duehlmeyer & Bledsoe, 2020). The majority of the children with disabilities experience specific illnesses more frequently, unlike normal children. Parents that have children with disabilities, in some cases, feel offended in taking sick children to the general hospitals. According to researchers, children with a disability require assistance from many domains to meet the unique needs because of their physical inability.
Authorities ought to developing a healthcare facility that offers treatment options to children with disabilities to facilitate unity in families, as parents would have a better solution to the ailment affecting disabled children (Lavin, Harper & Barr, 2015). Consequently, private investors ought to tap into the opportunity, as it will offer more profits shortly. References Elson, E. C., Oermann, C., Duehlmeyer, S., & Bledsoe, S. (2020). Use of telemedicine to provide clinical pharmacy services during the SARS-CoV-2 pandemic.
American journal of health-system pharmacy : AJHP : official journal of the American Society of Health- System Pharmacists , 77 (13), 1005–1006. Lavin, M., Harper, E. & Barr, N. (2015). Health Information Technology, Patient Safety, and Professional Nursing Care Documentation in Acute Care Settings OJIN: The Online Journal of Issues in Nursing , (20) 2. Vaupel, A. (2018). Top of the List: KU Hospital rockets higher (plus, a visualization of KC's health system market).
Kansas City Business Journal , systems-in-kc-metro.html U.S HEALTH CARE SYSTEMS 8 U.S. Health Care Systems for Small Populations 3 Kianna James University of Phoenix MHA//26//2021 Professor Jackie Lucas U.S. Health Care Systems for Small Populations Various factors such as the target population, size of the healthcare facility, and the target department are considered when designing the health care system. In this case, the target population is small, and the systems for every process should be simple, flexible, and more efficient than those intended to target high populations. The workflow diagram presents logical steps that users can use to navigate the system and interact with it when seeking different services.
This activity focuses on the three processes, including patient check-in-out, billing, and patients’ visit in healthcare facilities targeting small populations. A workflow diagram explaining Patient check-in and check-out process Patients visits the healthcare facility and expect to be checked in before receiving services and checked out upon clearance from the facility. This steps involved in this process are as follows: A. Check in- at this step, patients’ details are keyed into the system to authenticate them before validating their treatment. B.
Before authentication, the patients’ details are unlocked to allow the database administrator to verify them from their databases and the state government’s site. C. When checking out, the same details are presented to the database admin who then integrates them to other healthcare facility’s systems to check whether the patient is approved for checking out or not. One key aspect that is checked at this point is clearance from the billing department and completion of treatment process from the office discharge department. D.
The last step of checking out allows the patient to be discharged from the facility. Some key features that make this system appropriate for small facilities include its simplicity, integration and coordination, and innovations (Mà¼hlbacher et al., 2013). The patients do not have to spend much time queuing to be checked out upon clearance from the healthcare facility. Figure 1: Patients check-in-out workflow diagram A workflow diagram explaining Patient visits process Patients must not seek healthcare facility’s physical admission especially if they are seeking routine checks. Figure 2 presents the processes that a patient and the facility can use for such admissions as follows: A.
Checking documents B. Waiting for approval from the physician C. Conducting additional examination D. Checking the details with the admitting department E. Coordinating with the house department F.
Leaving the ED This system is simple and serves universal coverage as it does not limit its service to patients from one region. The integration of this system to others also indicates the patients’ visit process system (Hicks, 2020). Despite limitations such as delays in the waiting process, particularly when the patients’ details are keyed for the first time, this systems’ advantages outdo the limitations. Figure 2: Workflow diagram for patients' visit process A workflow diagram explaining Billing process The billing process is one of the challenging ones in any organization. Therefore, the system below is sophisticated in the following ways: Firstly, the system is integrated with all other departments as patients should prove that they are cleared in each of them to be allowed to leave.
Secondly, some patients may be allowed to undergo treatment before paying for services, implying that there would be a need to backtrack the entire system before discharging them. The patients’ payment should also be recorded in the database for future references, especially when linking them with the insurance companies (Berg et al., 2019). However, despite being sophisticated, the system serves all purposes in a small facility. Its data may not be an issue to the facility as it would process and retrieve the details efficiently. Figure 3: Workflow diagram for Billing Process Conclusion In conclusion, these workflow diagrams present logical steps that users can use to navigate the system and interact with it when seeking different services.
The systems showcase simplicity, universal coverage, and resilience enough to serve a small facility. Despite some limitations, the three systems prove to be efficient for both patients and the facility. For instance, they address the queuing issue that would take much time and lead to ineffective service delivery. References Berg, K., Doktorchik, C., Quan, H., & Saini, V. (2019). Meaningful information in the age of big data: A scoping review on social determinants of health data collection for electronic health records.
Hicks, L. (2020). Economics of health and medical care . Jones & Bartlett Publishers. Mà¼hlbacher, A. C., Bethge, S., & Schulman, K.
A. (2013). Patient-centered health care delivery systems: A framework. International Journal of Integrated Care , 13 (5). HEALTH CARE SYSTEM 5 U.S. Health Care Systems for Small Populations, Part 1 Kianna James MHA/599 Professor Jackis Lucas 04/12/2021 Health Care System Map of the city Source: Internet, 2020.
Types and locations of medical services The increasing complexity of the healthcare system within the United States has been attributed to increased specializations in the health industry. The Kansas City located in Kansas consists of various medical services mainly located in the city center. The population in Kansas City has a diversified range of medical services to select when in need of medical care treatment. One of the standard medical services present in Kansas City consists of the general hospitals that provide short-term medical care (Elson, Oermann, Duehlmeyer & Bledsoe, 2020). The majority of Kansas City healthcare facilities focus on delivering services related to curing diseases, injuries, and emergency cases.
Most hospitals in Kansas City offer 24 hours delivery of services to ensure that patients in the region have proper healthcare lifestyles. Consequently, the hospitals have highly skilled doctors and nurses to treat patients. The hospitals within the region entail modern technological facilities to enable doctors to offer better services to patients. Technology has helped doctors treat patients at a faster rate reducing the long line of patients waiting for service delivery. The second medical service offered in Kansas City, Kansas, consists of ambulatory surgical centers that offer patients the option of having same-day emergency surgeries.
The ambulatory surgical centers' services do not require intensive hospital care as the patients return home the same day after undergoing surgery. The medical service takes care of minor surgeries that take less than an hour to perform by a specialist. The centers further take care of post-operation patients that might need routine checkups by the specialist. The third category of the medical services offered at Kansas City, Kansas, consists of the doctor's office specializing in consultation and specialization in one common practice (Elson et al., 2020). The doctors in this healthcare space offer the patients solutions to complicated ailments and prescription of medication to help cure the sickness.
The doctor's office usually handles cases that need the immediate intervention of acute conditions that do not require the patient to go to the hospitals. The final category of the medical services in Kansas City, Kansas, consists of the nursing homes that take care of the patients who constantly require the nurse's attention. The nursing home mostly takes care of the elderly patients who require the nurses' attention on a 24 hours basis with the availability of therapy. The nursing homes further assists the elderly with performing a primary function such as walking, eating, and bathing. Demographics (population, age, gender, etc.) Kansas City consists of almost 152,590 citizens, with primarily white ethnicity (Elson et al., 2020).
According to the census conducted in the previous year, the city is the third-largest city in Kansas, with the population increasing at a diminishing rate of 4.91 percent. The majority of the Kansas City population consists of whites that make up almost 56.1 percent of all the humans living in the region. The African American is the second largest ethnic group of people living in Kansas City, attributing to 23.26 percent of the overall population. Other races account for approximately 9.65 percent of the population, while the Asian, which is the smallest population in the city, contribute to 4.92 percent (Elson, et al., 2020). The remaining percentage of people consists of mixed races such as Pacific Islanders and Native Americas, that the numbers keep on changing without a constant number.
Income and employment According to the census information retrieved from the National government statistics bureau, household income average consists of almost 57, 202 dollars (Elson, et. al, 2020). The statistics information regarding earning of the population of Kansas City is specific on individual or ethnic background. Consequently, the poverty level is almost at a rate of 19.78 percent meaning that majority of the people in the region have the ability to afford medical healthcare (Elson, et. al, 2020). The population has the ability to live a decent lifestyle as majority of the adults have an employment to provide a salary. The earned salary helps the people manage to pay bills and afford a decent healthcare system.
Residential details According to the National Government Statistics Bureau (NGSB), the rental in Kansas City on a median analysis entail approximately 885 dollars per month. Subsequently, the house's value following the median is 95,600 dollars (Elson, et al., 2020). The majority of the adults that earn a salary can afford housing in Kansas City. Include a rationale of why you selected the city, including if you have any prior experience or knowledge about the existing health care system in that city. I selected the Kansas City because I once lived in the city while pursuing my first certificate in nursing.
I had prior information on the existing healthcare system as I did my internship at the Truman Medical Center. Reference Elson, E. C., Oermann, C., Duehlmeyer, S., & Bledsoe, S. (2020). Use of telemedicine to provide clinical pharmacy services during the SARS-CoV-2 pandemic. American journal of health-system pharmacy : AJHP : official journal of the American Society of Health- System Pharmacists , 77 (13), 1005–1006.
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Introduction
The healthcare system is pivotal in shaping the quality of life within any urban setting. Kansas City, a significant cultural and economic hub, faces unique challenges and opportunities in delivering healthcare services, particularly for small populations. Understanding Kansas City’s healthcare system requires an analysis of its various levels of care, existing services, and proposed improvements, particularly catering to vulnerable demographics such as children with disabilities. This essay explores the healthcare landscape in Kansas City, proposing a specialized service to address the growing need for focused care in this population.
State of Health Care in Kansas City
The healthcare system in Kansas City can be categorized into three distinct levels of care: primary, secondary, and tertiary. Each level serves a unique purpose and plays a critical role in meeting the healthcare needs of the community (Vaupel, 2018).
1. Primary Care: The primary care network in Kansas City is designed to offer first-contact services to the community. This level emphasizes preventive care and aims to manage general health concerns efficiently. Public health nurses and primary care physicians operate within this category, facilitating accessible healthcare for residents. The direct line and emergency contact options enable timely intervention during health crises (Elson et al., 2020).
2. Secondary Care: This level is characterized by specialized care provided by professionals who have received additional training. Health facilities in Kansas City, such as outpatient hospitals and specialty clinics, offer various services ranging from orthopedic to surgical interventions. Secondary care acts as the bridge between primary care and specialized treatment, ensuring that patients receive the necessary attention when their health issues require a higher level of expertise (Vaupel, 2018).
3. Tertiary Care: The tertiary care system focuses on complex and critical conditions requiring extensive medical expertise and technology. Facilities dedicated to this level of care manage cases referred from secondary care providers. The emergency units, trauma centers, and specialized surgical hospitals represent this tier and are essential for managing acute health crises effectively (Lavin, Harper, & Barr, 2015).
Proposed Improvement: Specialized Care for Children with Disabilities
Based on the demographic trends and increased prevalence of disabilities among children in Kansas City, the healthcare system can significantly benefit from a dedicated facility to care for this specific population.
Currently, while services exist for pediatric care, there is a noticeable gap in facilities that cater to children with disabilities. According to the Center for Disease Control and Prevention (CDC), approximately 1 in 6 children aged 3 to 17 years has a developmental disability (CDC, 2022). This growing number underscores the urgent need for specialized healthcare options tailored to their unique requirements.
Rationale for Proposed Facility
1. Unique Healthcare Needs: Children with disabilities often have unique healthcare needs that require specialized attention. These needs encompass not only physical health but also developmental and mental health considerations. A dedicated facility would streamline the healthcare delivery process for these vulnerable young patients, facilitating improved management of their conditions (Elson et al., 2020).
2. Parental Concerns: Parents of children with disabilities frequently report feeling marginalized in traditional healthcare settings. Creating a designated facility would foster an environment where parents feel understood and supported, ensuring that their children's unique needs are prioritized (Lavin et al., 2015).
3. Economic Viability: Establishing a specialized healthcare facility offers potential economic benefits. As the demand for specialized pediatric care rises, private investors could find an opportunity to tap into this niche market, leading to increased profitability while addressing a crucial community need (Vaupel, 2018).
Implementation Considerations
To establish a healthcare facility dedicated to children with disabilities, several strategic considerations must be addressed:
1. Location: The facility should be situated in a location that is easily accessible for families. Proximity to public transportation and community resources can enhance the ability of parents to seek care for their children (Vaupel, 2018).
2. Staffing: Employing a multidisciplinary team trained in handling various disabilities is essential. This team should include pediatricians, therapists (occupational, physical, and speech), and specialty nurses who understand the nuances of managing developmental conditions.
3. Community Engagement: Engaging the community will foster trust and awareness regarding the new facility. Hosting informational sessions, collaborating with local schools, and forming partnerships with existing healthcare providers can help promote the new services and ensure that they align with community needs (Hicks, 2020).
Conclusion
Kansas City’s healthcare system is comprised of multiple layers that address the complexity and diversity of healthcare needs within the community. While primary, secondary, and tertiary care facilities provide extensive health services, a significant gap exists in the specialized care required for children with disabilities. Establishing a dedicated facility to cater to this demographic presents a crucial opportunity to improve outcomes for these children while providing a supportive environment for their families. By implementing a thoughtful approach that addresses logistics, staffing, and community integration, Kansas City can enhance its healthcare system to better serve its most vulnerable population.
References
1. Berg, K., Doktorchik, C., Quan, H., & Saini, V. (2019). Meaningful information in the age of big data: A scoping review on social determinants of health data collection for electronic health records. International Journal of Medical Informatics, 124, 82-90.
2. Centers for Disease Control and Prevention. (2022). Developmental Disabilities: Data & Statistics. Retrieved from https://www.cdc.gov/ncbddd/developmentaldisabilities/data.html
3. Elson, E. C., Oermann, C., Duehlmeyer, S., & Bledsoe, S. (2020). Use of telemedicine to provide clinical pharmacy services during the SARS-CoV-2 pandemic. American Journal of Health-System Pharmacy, 77(13), 1005–1006.
4. Hicks, L. (2020). Economics of Health and Medical Care. Jones & Bartlett Publishers.
5. Lavin, M., Harper, E., & Barr, N. (2015). Health Information Technology, Patient Safety, and Professional Nursing Care Documentation in Acute Care Settings. OJNI: The Online Journal of Issues in Nursing, 20(2).
6. Mühlbacher, A. C., Bethge, S., & Schulman, K. A. (2013). Patient-centered health care delivery systems: A framework. International Journal of Integrated Care, 13(5).
7. Vaupel, A. (2018). Top of the List: KU Hospital rockets higher. Kansas City Business Journal.
8. U.S. Census Bureau. (2020). Quick facts: Kansas City, Kansas. Retrieved from https://www.census.gov/quickfacts/fact/table/kansascitykansas/PST045219
9. World Health Organization. (2017). Children with disabilities. Retrieved from https://www.who.int/news-room/fact-sheets/detail/children-with-disabilities
10. National Institute of Health. (2019). The needs of children with disabilities: Heading into the future. Retrieved from https://www.nih.gov/news-events/news-releases/needs-children-disabilities-heading-future