Monday, March 11, 2019
Hospitals and Long-Term Care Facilities Essay
AbstractHospitals can be set up as nonprofit or for-profit facilities. The differences among the nonprofit and for profit infirmarys will be discussed. Hospitals pose experienced different veers in the last thirty years. This radical will identify at least three major(ip) trends that possess occurred within the infirmary sector. terzetto drills that describe and differentiate the roles of hospitals and nursing homes be providing eagle-eyed-term c be. The conclusion of this paper will be a design critiquing of the current state of long-term concern insurance in the linked States.Hospitals and Long-Term C be FacilitiesThe differences between nonprofit and for-profit hospitals A characteristic as stated by Williams and Torrens (2008) of nonprofit hospitals is that these hospitals do not billet chthonic the realm of regular corporate law simply under a special provision of the corporate law in each state. It is too noted that nonprofit hospitals also function under specia l federal and state appraise provisions because of recognition of their community service function. different characteristics of nonprofit hospitals ar they do not have owners and their g eachplacening embody is a community based board that has complete authority over operations. Nonprofit hospitals, in common, are not required to pay about of the taxes at federal, state and local levels. Under section 501C (3) of the federal tax code, the non-profits are exempt. Due to this exemption status donations made by individuals are tax deductible. Nonprofit entities are not only expected to sell for the destitute and poor but they are also expected to cater a variety of operate to the community (Williams & Torrens, 2008).Now that the characteristics of the non-profit have been outline the for-profit entities make-up will be discussed. For profit entities, un same nonprofit unmatcheds, have owners. The owners are issued stocks and these stocks reflect the owners equity positi on. For- profitentities, including hospitals, may be in public or backstagely held (Williams & Torrens, 2008, p. 186). Stocks for entities for-profit that are publicly held are made available for any unrivaled to purchase. Publicly held for-profit entities are plagued with various accountability and regularization rules that are supervised by the Securities and Exchange Commission at both federal and state level. Williams and Torrens (2008) state that privately held for-profit entities issue stock but the difference in public versus private issuing of stock is that the private for-profit stock is not available for purchase by the general public. For-profit hospitals, in the past, have been owned by the physicians who work in them but due(p) to the astronomical woos of such expenditures as building, maintaining and operating a hospital in todays market the trend of physician owned for-profit hospitals is al more or less extinct. The majority of for-profit hospitals in the fa ll in States are part of a large multihospital chain.The multi chains of hospitals as stated by Williams & Torrens (2008) are publicly traded. For-profit hospitals do not serve only the community but they are also expected to operate at a profit so that the equity investors receive a return on their capital (Williams & Torrens, 2008). Three major trends that have occurred within the hospital sector. One of three major trends that have occurred within the hospital sector is the outgrowth in intensity hospitals. The specialty hospitals focus on such areas as cancer and subject matter disease as well as profitable fields like orthopedic surgery. The specialty hospitals as stated by Williams & Torrens (2008) show an increase of being owned partially by the physicians who practice in them. whatever would make the argument that the specialty hospitals bid the best assistance eyepatch others see these hospitals as entities that siphon off insured and relatively healthy patients lea ving the less profitable and more complicated cases to community general hospitals (Williams & Torrens, 2008, p. 194).Concerns raised by the physicians ownership of the specialty hospitals include but not limited to are that the financial incentives will affect the treatment decisions (i.e. diagnostic work) and also that the physicians will treat the less complicated but yet more profitable health sustainment cases and leave the biggest burden of condole with for the less fortunate, financially challenged and uninsured individuals to the community and public hospitals (Williams & Torrens, 2008) Another trend that has occurred within the hospital sectoris in the field of technology. Technology has mold the physical and operational structures of hospitals, has affected the bouncys of patients and families, and has provided a delivery vehicle for physicians in clinical practice (Williams & Torrens, 2008, p. 195). It is technological research that allows for the services hospita ls provide for example anesthesia and antisepsis laid the ground work for surgical make out and imaging technology has impacted effective intervention for individuals seeking explosive charge in a hospital atmosphere. Technology has affected a enormous array of individuals obstetric patients, those in need of pediatric billing and terminally ill patients just to name a few.Advanced technology has take to development increased specialization, clinical practices, expansion of specialized services, new aesculapian and surgical specialties, and treatments for many diseases for which little curative or other care could be provided (Williams & Torrens, 2008, p. 195). While continued advance technology leads toward continuous meliorate health care it also brings along with it problems, especially for the hospitals. The hospitals are immensely gratified by the increased technology and its application to improve boilersuit general health but along with the benefits comes complications . Hospitals are expected to provide the most up to date technology but at the most effective pricing to please their customers, patients and physicians. This presents a major challenge to hospitals (Williams & Torrens, 2008) pedantician aesculapian centers are another trend that has occurred within the hospital sector. donnishian medical centers are composed of medical schools and their primary teaching hospitals. The academic medical centers provide tertiary, secondary, and primary care but have a principal focus on biomedical research, teaching of medical residents and medical students, and often an array of other professional training, research, and services activities (Williams & Torrens, 2008, p. 196). conflicting other hospitals, the academic medical center does not have top priorities of financial efficiency and customer satisfaction. Great demands are placed on these facilities by physicians and researchers to provide the latest technology and staffing for the assurance of teaching and clinical investigation. accord to Williams and Torrens (2008) the long-term strengths and successes of our health care systems depends largely on the success of the academic medical centers to achieve their mission. Three examples that describe and differentiate the roles of hospitals and nursinghomes in providing long term care. The nursing home celerity is for patients who need all-encompassing care because they are very sick or unable to function without continued nursing and supportive services in a glob health care facility. These patients are sick and/or are in need of assistance but they are not ill nice that they require the intense treatment and care offered at a hospital. harmonise to Williams and Torrens (2008) about forty-seven percent of all nursing home facility care is paid for by Medicaid and residents and their families pay approximately one-third of the cost for the facility services. In recent years the length of time one stays at a nursing home has greatly decreased. heretofore with the decrease in stay there is still a fifty dollar bill percent chance of an individual in his/her lifetime having to spend just about(prenominal) time in a nursing facility. Both of these previous mentioned trends is meditative of the nursing facilities moving toward becoming more technologically sophisticated as well as being able to function as more of a short term temporary residence for patients in between the hospital and going home (Williams & Torrens, 2008). Hospitals are designed to take care of the more acute problems and emergencies. Hospitals provide a wide array of outpatient services. The outpatient services range from rehabilitation to mental health counseling to outpatient surgery (Williams & Torrens, 2008, p. 205). Unlike the nursing home facility the primary source of remuneration for hospital stay and services is Medicare and private insurance and very little payment comes from individuals. The current state of long -term care policy in the United States.Medicare provides financing for medical care for nearly all elderly Americans and others with genuine disabilities but this does not hold true for long-term care. The majority of individuals needing long term must depend on family and friends and sometimes the community they live in. There is a lot of work to be done in the United States as it relates to the financing of long term care for every needy individual (Williams & Torrens, 2008). There is no clear and precise policy in the United States for long-term care but there are different provisions within Medicare and Medicaid that provide for long-term services for some (not all) individuals in need of it. While the financing of long-term care has been and continues to be a challenge for the United States there have been strives in the care coordination of long-term patients.The care coordination that has emerged through the years for longterm care patients appears to be relatively effective . Quality is enhanced when information is communicated among all the professionals feel for for a person, and efficiencies are achieved when duplication of services is avoided (Williams & Torrens, 2008, p. 211). Case forethought, which is a passage that encompasses the following case identification, assessment, care planning, service arrangement, monitoring and reassessment enables one professional individual to work with the family to coordinate and obtain all of the services that the long term care patient may need. Case management has proven to have one of the most positive effects of astir(p) long-term care (Williams & Torrens, 2008).ReferencesWilliams, S. J., & Torrens, P. R. (Eds.). (2008). Introduction to health services 2010 custom fluctuation (7th ed.). New York Cengage Delmar Learning.