BUSI505 Liberty Disadvantages of Quality Improvement in Healthcare Discussion My potion of a Group Paper Disadvantages of Utilizing Quality Improvement (Q

BUSI505 Liberty Disadvantages of Quality Improvement in Healthcare Discussion My potion of a Group Paper Disadvantages of Utilizing Quality Improvement (QI) in Healthcare Use concepts from the textbook that are related to your topic, including page numbers where the concepts may be found. Credit will only be earned for concepts supported by page numbers from the textbook. (Essentially, this is accomplished through integration of the relevant course content, using properly formatted, current APA citations.) Use in-text citations in current APA format to credit sources listed in the reference list as appropriate. BUSI 505 APA FORMAT 450-word POST with three reference. One biblical quote
Please respond to
Rocco Voglio
Rocco- DB4
COLLAPSE
“Healthcare is one of the largest sectors of the economy in many parts of the world. As a result,
health spending plays a major role in economic policy” (Nelson & Staggers, 2017). The health
care field is a constant changing profession that demands a lot of knowledge and expertise in
order to efficiently and correctly use the equipment, determine patient care, and heal those
patients correctly. Having knowledge of health informatics and the medical technology is critical
for the success of any person getting an education in the healthcare field. There are many
resources to use and a lot of information to learn, especially when the person is looking to go
international with their studies.
One issue with the healthcare profession is the shortage of healthcare workers. “Current
shortages of skilled workers in the healthcare profession demand a human resource strategy and
long-term plan for the education and training of eHealth personnel” (Nelson & Staggers, 2017).
Human Resources are beginning to offer eLearning programs and professional development
plans for employees to show a vested interest in the employee so they can provide value to the
organization. “The causes of shortages in human resources for health are many and complex.
Effective mitigating strategies should therefore be comprehensive and context-specific and
derived from an adequate understanding of the context” (Nkomazana, Mash, Shaibu & Phaladze,
2015).
“A key problem in achieving global interoperability in eHealth is the lack of semantic
interoperability” (Nelson & Staggers, 2017). Some issues resulting in that are health care costs,
lack of granularity and health care accessibility in different parts of the world. “eHealth literacy
draws our collective attention to the knowledge and complex skill set that is often taken for
granted when people interact with technology and address information” (Norman, 2011). There
are efforts being created to help solve the problem of clinical terminologies and technologies to
help have standardization across all countries so that global expansion of these practices are
better understood and refined to be the most efficient they can be. The International Council of
Nurses is working to ensure data is recorded using the same terminology and can be translated
and formatted to any language. With this implementation, it will ensure that nursing remains
connected to a wider health informatics infrastructure (Nelson & Staggers, 2017). These
challenges can be overcome from the International Council of Nurses working tougher with
other organizations around the world to spread the challenges they are facing and work towards
making an infrastructure that can be adopted by all health care professionals that is easy to
understand for every person and have the data needed to give each patient the care and help the
deserve, no matter the technological advances or financial freedom available. Healthcare needs
to be a top priority to each country to manage healthy people for a better future.
James 1:27 says, “Religion that is pure and undefiled before God, the Father, is this: to
visit orphans and widows in their affliction, and to keep oneself unstained from the world”
(James 1:27). To keep ourselves from being polluted by the world, we need to commit ourselves
to Christ’s ethical and moral system, not the world’s. We are not to adapt to the world’s value
system of money, power and pleasure. True faith means nothing if we are contaminated with
such values (James 1:27). This can relate to eHealth because as medical companies only look at
the bottom line, they do not really care if medical terminology and knowledge crosses from
boarder to boarder. It is up to others to ensure they are remaining ethical to the health of patients
and work towards making global eHealth a successful part of the health care industry.
References
Nelson, Ramona, PhD, RN-BC, ANEF, FAAN and Staggers, PhD, RN, FAAN. Health
Informatics: An Interprofessional Approach.. [MBS Direct].
Nkomazana, O., Mash, R., Shaibu, S., & Phaladze, N. (2015). Stakeholders’ perceptions on
shortage of healthcare workers in primary healthcare in botswana: Focus group
discussions. PLoS One, 10(8), e0135846. doi:10.1371/journal.pone.0135846. Retrieved
fromhttp://go.galegroup.com.ezproxy.liberty.edu/ps/i.do?p=HRCA&u=vic_liberty&i
d=GALE%7CA425872100&v=2.1&it=r&sid=summon
Norman, C. (2011). eHealth literacy 2.0: Problems and opportunities with an evolving
concept. Journal of Medical Internet Research, 13(4), e125. doi:10.2196/jmir.2035.
Retrieved
from http://web.b.ebscohost.com.ezproxy.liberty.edu/ehost/results?vid=0&sid=f86
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oTW9kZT1TdGFuZGFyZCZzaXRlPWVob3N0LWxpdmUmc2NvcGU9c2l0ZQ%3d%3d
Andrew Dutton
BUSI 505
DB 4
BUSI 505 APA FORMAT 450-word POST with three reference. One biblical post
The world continues to shrink and borders are becoming more and more
transparent as technology has allowed for accessible global travel as well as
instantaneous global communication. This not only opens the opportunity for travelers
to enlighten themselves to other cultures but also exaggerates the opportunity for the
rapid spread of dangerous diseases that were historically localized in their spread. Due
to the significance and the speed in which this threat can affect global populations, it is
imperative that the technology utilized by the healthcare industry be utilized in a
globalized effort and not kept only localized. This initiative will take significant planning,
as a lack of healthcare workers trained in healthcare informatics is not only significant
on a national level, but needs to be addressed globally in order to keep up with the
rapidity of movement of people globally.
Technology continues to adapt and expand at exponential rates as society
continues to find ways to improve day to day lives through the vast capabilities of widely
spread interfaces. There is a need for unique skills adapted by healthcare workers that
will be able to understand and apply technological means, and informatics, into their
current repertoire of treatment options. Healthcare informatics has the ability to gather
and organize vast amounts of information, and healthcare workers must be able to
understand the technologies that will assist in this compilation. These technologies
range from wearable sensors that are designed to ensure healthier pregnancies, lab-onchip micro imaging solutions that will provide rapid diagnosis of disease through
imaging, and the utilization of smart phone base point of care that will allow patients in
developing countries to have access to medical care from around the world to name a
few. (Akay & Tamura, 2015) Healthcare workers must be able to understand and adapt
their care to and healthcare management must also be prepared for the influx of
personnel from different countries and cultures. Cross cultural management are the
skills that managers will utilize to ensure that they are both sensitive to the needs to
their employees that arrive from a multitude of backgrounds and also the ability to fully
utilize each individuals unique skillset as it will pertain to the overall strategic
goals. (Scott, 2016) Even the human body and physiology are universal, the
terminology and vernacular in treating it are not. A skill that is needed will be the
utilization of standardized medical terminology which can be facilitated through the use
of healthcare IT. (Nelson & Staggers, 2018)
With the increase and implementation of new technologies into an existing
field, there will be several obstacles that exist for the optimum integration to
occur. These systems can be expensive and highly sophisticated training teams must
be hired to ensure there is a full understanding of the complexities of them. This can
create a significant financial burden that many communities, especially those in
developing countries, cannot afford. (Akay & Tamura, 2015) These financial burdens
are compounded even more with the inherent need for logistical and administrative
support needed for increases in overall production and the uptake in capabilities that the
facility will offer. Also, with the globalized need for these systems, there will again be
large language barriers that must be addressed when training and implementing these
healthcare informatics systems in foreign healthcare facilities. (Scott, 2016) These
issues can be overcome with the capabilities that are implemented within the healthcare
IT systems themselves, with the exception of addressing cost. The logistical and
administrative needs are systems that are already accessible to healthcare
informatics. These systems will help to make sure that the right people and equipment
are on hand for the predicted needs based upon the determined analytics. (Nelson &
Staggers, 2018) Language barriers can also be overcome with translation software as
well as training in the utilization of standardized phraseology. (Akay & Tamura, 2015)
The financial costs will require that organizations assist with the needs of certain
facilities, similar to the way organized financial incentives were distributed with the
implementation of the Affordable Care Act. (Nelson & Staggers, 2018) Despite the
initial costs, the overall savings and information sharing that a system in place would
place would prove to be a significant investment for all facilities integrated.
“They are to do good, to be rich in good works, to be generous and ready to share”
Timothy 6-18. Doing good is to share the riches that you have with others, thus
improving the whole world in the process. These riches are more than just the financial
ones, they are also the riches of knowledge and work. Developing strategies and work
that benefit the world as a whole through improved healthcare is an incredible goal and
one that will assist all that participate in its grandeur.
Bibliography
Akay, M., & Tamura, T. (2015). Global Healthcare: Advances and
Challenges. Proceedings of the IEEE, 147-149.
Nelson, & Staggers. (2018). Health Informatics: An Interprofessional Approach. St
Louis: Elsevier.
Scott, K. (2016). Cross Culture Management: Global Healthcare Workers. Journal of
Continuing Education Topics & Issues, 68-75.
Ashley Herrington
APA FORMAT 450-word POST with three reference. One biblical quote
Cost, Access, and Quality
COLLAPSE
An underserved population is the transgender community. The Institute of Medicine identified
transgender adults as an understudied and underserved population in critical need of health
research. The term “transgender” is used inclusively to describe individuals who have “gender
identities, expressions, or behaviors not traditionally associated with their birth sex. (FredriksenGoldsen, et al, 2014) Gender is assigned at birth according to the visible genitals, gender identity
is an individual’s own sense of male or female. According to the Gerontologist, “some existing
descriptive studies have explored the sociodemographic characteristics, health care access,
health-related behaviors, rates of victimization, and levels of social support experienced by
transgender adults of all ages, with limited attention to how such factors are associated with
specific health outcomes.” (Fredriksen-Goldsen, et al, 2014) A major challenge with transgender is adults
is that they earn less household income despite some studies suggesting that transgender adults are more
educated than the general population. A larger social contect may increase risk of health problems as many
experience increased violence and abuse, or are victims of hate crimes. Transgender people are also at risk of
discrimination, harassment, and victimization of in healthcare settings. They are often denied enrollment in
health insurance due to their gender identity which means they are also less likely to have access to
healthcare and many of their medical needs are not covered by insurance. (Fredriksen-Goldsen, et al, 2014)
According to The Gerontologist, 22% of transgender older adult participants indicated having experienced
financial barriers to health services, and 40% reported that they feared accessing health services outside the
LGBT community. (Fredriksen-Goldsen, et al, 2014)
Another underserved population are those with HIV/AIDS. AIDS is caused by an infection with
HIV. HIV is an unusual type of virus that causes an immune system suppression leading and
classified as a retrovirus. (Shi and Singh, 2017 pg 285) The CDC estimates that more than one
million adults and adolescents are currently living with HIV. The average cost of antiretroviral
therapy is at least $15, 000 per year which makes getting treatment very difficult for many
patients in the US. Some patients end up stopping treatment because the drug is complicated and
requires coordination of many pills and doses. (Shi and Singh, 2017 pg 285)These populations
face obstacles more profound than the general population including social stigma and
discrimination (Krishnan & Cravero, 2017).
When looking at challenges minorities face we will compare Black Americans and Hispanic
Americans. According to Shii and Singh, Black Americans are more likely than whites to be
economically disadvantaged, they have shorter life expectancy, higher rates of premature deaths
from stroke and coronary artery disease, more likely to report hair or poor health status, 65%
higher homicide rates, and black males are more likely to smoke cigarettes than white males.
(Shi and Singh, 2017 pg 273) Hispanic Americans are more likely to be uninsured than nonHispanic whites, one-fourth of families live below poverty line, nearly one-third have less than a
ninth-grade education, AIDS is the leading cause of death, homicide is the second leading cause
of death for young males, individuals over 18 have a higher portion of being overweight, and
alcohol use is 43% in Hispanics. (Shi and Singh, 2017 pg 273)
John 2:11 “But anyone who hates a brother or sister is in the darkness and walks around in the
darkness. They do not know where they are going, because the darkness has blinded them.” I
chose this bible verse as this week discussion topic is a current topic that we face in the US. We
should not discriminate people who are different. It is not for us to judge. We should accept
everyone. Open our eyes, open our hearts, and our arms and let god be the judge. It does not
matter if someone is different. Its what makes us unique. It makes me extremely sad that people
even are nervous to seek out healthcare for the fear of being discriminated or don’t even have
access to healthcare because they are different, poor, or ill.
Fredriksen-Goldsen, K. I., Cook-Daniels, L., Kim, H., Erosheva, E. A., Emlet, C. A., Hoy-Ellis,
C. P., . . . Muraco, A. (2014). Physical and mental health of transgender older adults: An at-risk
and underserved population. The Gerontologist, 54(3), 488-500. doi:10.1093/geront/gnt021
Retrieved from https://academic-oupcom.ezproxy.liberty.edu/gerontologist/article/54/3/488/717913
Krishnan, A., & Cravero, C. (2017). A multipronged evidence-based approach to implement
mHealth for underserved HIV-infected populations. Mobile Media & Communication, 5(2),
194-211. doi:10.1177/2050157917692390 Retrieved from https://journals-sagepubcom.ezproxy.liberty.edu/doi/full/10.1177/2050157917692390?utm_source=summon&ut
m_medium=discovery-provider
Shi, L., & Singh, D. A. (2017). Essentials of the U.S. health care system — with
access (4th ed.). Burlington, MA: Jones & Bartlett Learning.
Tariq Stuart Kelly
APA FORMAT 450-word POST with three reference. One biblical quote
2 Vulnerable and Underserved Populations
COLLAPSE
Vulnerable populations include the economically disadvantaged, racial and ethnic minorities, the
uninsured, low-income children, the elderly, the homeless, those with human immunodeficiency virus
(HIV), and those with other chronic health conditions, including severe mental illness (Shi, Singh, 2017,
p. 301). It may also include rural residents, who often encounter barriers to accessing healthcare
services. The vulnerability of these individuals is enhanced by race, ethnicity, age, sex, and factors such
as income, insurance coverage or lack thereof, and absence of a usual source of care. Their health and
healthcare problems intersect with social factors, including housing, poverty, and inadequate education.
The two that I chose to address are the chronically ill and disabled and low-income and/or homeless
individuals.
People with chronic diseases are at risk of poor health outcomes and they, obviously, consume more
healthcare dollars than healthy individuals. The chronically ill are twice as likely to report poor health
days as the general population. Disabled individuals, like the chronically ill, usually have many
interactions with the health system, but, due to their disability, they may have difficulty accessing care
(Stefaniak, Mi, Alfonso, 2015, p. 52). The chronically ill and the disabled may face special challenges in
obtaining services.
In general, low-income individuals are more likely to have chronic illnesses, and the impact of those
illnesses can be more severe. People with low incomes are also disproportionately racial and ethnic
minorities. Being low-income, they may be less likely to have coverage and, as a result, have less
interaction with the healthcare system (Glassman, Helgeson, Kattlove, 2012, p. 581). People with lower
incomes are also more likely to have co-occurring conditions meaning they might have behavioral health
issues, such as depression or substance use problems, as well as chronic medical conditions like obesity
or diabetes. Since people experiencing homelessness may not have a safe place to stay, they are at an
increased risk for adverse health-related outcomes. In 2017, the US Department of Housing and Urban
Development reported that almost 554,000 people in the country were homeless on a single night (Hall
et al, 2015, p. 63). These individuals are less likely to have a regular source of care and more likely to
forgo care. In addition, it’s difficult to reach homeless individuals because they can often feel branded or
unwelcome.
Race and ethnicity in the United States is a complex topic both because the United States of America has
a racially and ethnically diverse population and because the country has a heavily racist history
involving slavery and anti-miscegenation laws (Rabinowitz, Hilty, 2016, p. 1). At the federal level, race
and ethnicity have been categorized separately. The most recent United States Census officially
recognized five racial categories White American, Black or African American, Native American and Alaska
Native, Asian American, and Native Hawaiian and other Pacific Islander, as well as people of two or more
races. With these wide varieties of races found here in America, they all have been compared to the one
race, in particular, white Americans (Rabinowitz, Hilty, 2016, p. 1). History has shown us that this race of
Americans have for a long time been perceived as a superior race and has benefited because of it. The
comparison between this race and minorities in America has proven to be significant drastic when
looking at healthcare.
Minority Americans have lower rates of insurance coverage and less access to care. Lack of health
insurance is linked to less access to care and more negative care experiences for all Americans. Hispanics
and African Americans are most at risk of being uninsured. Nearly one-half of working-age Hispanics
lacked health insurance for all or part of the year prior to the survey, as did one-third of African
Americans. In comparison one-fifth of whites and Asian Americans ages 18-64 lacked coverage for all or
part of t…
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