Reference no: EM131115393

Instructions: Please ensure to substantiate your response with scholarly sources and/or also a personal account of your own experience in the work place or personal life. Cite and reference work! Must be 150 -200 word count.

What reactions do you have to the ideas they presented? Include examples from the course readings or your own experience to support your perspective..

1. Review Ten 10-Year Trends for the Future of Healthcare: Implications for Academic Health Centers and discuss your thoughts. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3116776/

2. While reading the article, "Ten 10-Year Trends for the Future of Health care: Implications for Academic Health Centers," what resonates with me is the decreased reimbursement rates to doctors. I know of several doctors who have either left medicine all together, or who are thinking about leaving. Most of them express deep regret, but they feel they have no choice. When liability insurance is more expensive than their income, the doctors I know have made the hard choice to leave the Telehealth industry. This is evident in poor income areas. For example, in Illinois and Wisconsin, two places I have recently visited, there is a crisis in Telehealth delivery. In those two states, I have observed a marked decrease in neurologists. In fact, in Illinois, on the outskirts of the city, if a person sustains a head injury, one must be taken by helicopter to a trauma level I in Chicago. There, the wait times are frustrating because they are so long. I have heard a quote that says, "time is brain." The morbidity of patients has markedly gone up, due to the incenses of neurosurgeons in rural areas. When I spoke with an old colleague of mine, a neurosurgeon, he said, "I can't keep up the premiums for liability insurance because of the "sue happy" society I am practicing in." He is planning to move to a more economically stable state, like North Carolina. I could not blame him. Patients are being left to the wayside.
Sal: Yes, I have also seen MD's change careers due to the very reasons you have mentioned. I have a friend who is an MD and he went back for his MBA and now recruits MD's across the country for various positions in high need areas. He does not miss the challenge of decreasing reimbursements and the liability day to day. Have any of you seen MD's who have left their career for these above or other reasons and what areas or careers did they change to?

3. I have a friend that is a physician that left due to the high expenses of running a practice and low reimbursement rates. He worked in an area with a large Medicaid population, he was over run with low reimbursement for services. He worked in a private practice and the emergency room. He was exhausted, he worked all the time. The hospital work was more patients that would go to the ER for something they could be seen at the office for but didn't have insurance or want to miss work. He left medicine and opened a real estate brokerage. He has done very well in real estate, he put a lot of work into getting it off the ground but misses medicine. He decided the best of both worlds was to be behind the business side of things. He purchased some land and built an extended hours medical office that treats minor emergencies. He is working in the business and seeing patients 2-3 days per week. He is no longer connected to a hospital contract and he is very happy about that.

4. The content of the article on the uninsured is self evident in the people I know around me. One friend of mine, had to take a catastrophic policy because it is the cheapest policy in the Obamacare cafeteria of plans. Her plan has a $10,000 deductible. This leaves her with no way to manage her conditions until they become critical. Her credit is very low due to unpaid medical bills and collections. Since the deductible is set so high, the only time she can see the doctor for her Hepatitis, is when it has gone so far that she has swelling in her abdomen, she has jaundice, and she cannot walk due to weakness. This is not quality of life. This is not healthcare for everyone as Obama promised. My friend chose this policy because it only costs $26.00 per month. She feels no hope for a good life because of her limited access to health care providers. She must pay out of pocket to be seen, so she doesn't get seen. It is heart wrenching seeing her seesaw with symptoms. She will die without some relief. I blame Obamacare,, that does not cover low income families unless they are in critical condition.

5. The Obamacare program has pros and cons and I feel like the cons outweigh the pros. The only pros I can think of is the preexisting clause and young adults being covered under their parent's health insurance plan up until the age of 26. I do not think the rest of the program was thought out thoroughly given the rising cost of health care and the number of people who work for minimum wages. I have a pretty decent job and I can barely make ends meet in regards to paying rent, paying for family health care coverage and putting food on the table. My personal opinion is that the United States is being designed for the rich while the poor will have to eventually move because they are penalized for not being able to comply with new regulations being put in place.

6. What are three potential challenges or trends that your chosen health care field will likely experience? How will these impact quality of service? How would you strategically handle these issues in your organization?

7. As healthcare leaders, you will be faced with challenges on a daily basis. Some of my greatest challenges have been budgeting and keeping up with IT changes. Here is a question to give us more depth to the topic of healthcare challenges. What is the individual's role in dealing with challenges and trends in health care? How does this role overlap into the community?

8. I think one of the biggest challenges for a health care worker today is to be flexible. There are so many changes in the health care arena, such as IT changes and budgetary restrictions that you mentioned. I feel the individual can help the entire community by continuing education. If there are new technologies being presented in a health care job, one must get as much information on the subject as one can. In this way, anxiety about the change can be quelled. I hate to coin the phrase, "knowledge is power," but it is true. The more a person knows about a new change, the better they can help others. Flexibility, therefore is a must in health care. It is certain that health care will be ever changing, so education is the key as well as flexibility.

9. Another challenge and trend that is difficult to deal with in health care is the shortage of nurses, doctors and other personel. In many readings throughout this program, I have heard about the nursing crisis. There are not enough people joining the nursing field. As shortages continue to rise, quality of care is affected in a monumental way. Nurses feel helpless when call lights are buzzing, because there is very little resources like ancillary staff to rely on. I think in the future, nursing is going to have to change to 1:1 care with a ratio of no more than 5 patients. In this way, the nurse takes total care of the patient, from bathing to medications. I have found this modality works best, in my experience.

10. One challenge for nurses would be licensing as well. This would actually also apply to other healthcare professions. Some states have made it easier for professionals by creating interstate licensing. Does your career of choice offer interstate (multi-state) licensing? Do you agree with multi-state licensing?

11. I have worked with type of aide to start IV's and this has worked well. It is important to have tools available to make care safer for patients and more efficient for healthcare workers. I think one of the greatest aides for hospital staff would be the implementation for creative lifting devices so they don't injure themselves. There are lifts which can actually take the patient from their bed or chair into the bathroom. There is no lifting demanded of staff. Back and other injuries have been so prevalent with healthcare workers and with all of these new tools, staff are staying much healthier which leads to fewer sick calls. Has anyone else experienced any of these tools to help with moving patients?

12. See video transcript attachment- Review the following video transcript below: Write 100- 150 words. What new trends are happening in health care and their challenges?

a. Health Care Systems Limitations
b. Concierge Medicine: Greater Access-for a Fee

13. This week you will be setting professional career goals. These are goals that relate to your chosen career, what type of job you want, and what steps you need to take to secure that job. These include gaining skills to include on your resume and a look at what hiring managers will focus on. You will do a gap analysis, where you identify the skills you currently posses and those you need to posses in your chosen career.

This will help prepare you for job searches and interviews.

Review the American Council for Health Care Executives (ACHE) Career Management 101 workshop site.https://www.ache.org/newclub/CAREER/CareerMgmt101/Mod1/intro.cfm?CFID=473946147&CFTOKEN=94269373&jsessionid=8c30d736c27325382b47

Create a cover letter

Create a professional career plan using the Material: Professional Career Action Plan Outline.See below

Write a 1,400- to 1,750-word paper, based on your action plan outline, addressing the following questions:

• Introduction
• What are your professional goals?
• What job do you plan to have in the health care sector?
• What skills for this job do you currently have?
• Which skills do you need to change or alter?
• What is your plan for ultimately achieving these professional goals?
• What professional organizations can help you achieve these goals?
• What benefit does your career action plan outline provide?
• Conclusion

Include at least four references. Format in proper APA Style

Professional Career Action Plan Outline

Complete this professional career action plan outline after viewing the Career 101 workshop link on the student website. You may need to research specific careers or companies to answer all of the questions.

A professional career plan details career goals, rather than personal goals. This plan will look at your professional strengths and weaknesses, the type of company you wish to work for, any knowledge gaps that exist, and your professional resume.

Create three to five professional goals (for example, "I want to get a job in a health care facility in the emergency services department"), and then complete this outline with those goals in mind.

1. Goal #1
2. Goal #2
3. Goal #3

I. Self-Awareness

a. Professional strengths
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b. Personal strengths
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c. Professional weaknesses
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d. Personal weaknesses
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e. Write 4 to 5 sentences, using the strengths and weaknesses above, to describe yourself to a potential employer.

II. Ideal Next Objective (or position) - based on your self-assessment, where will you go next?

a. Required competencies
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b. Compensation requirements
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c. Company culture
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d. Compromises
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III. Gap analysis, plan, and execution - these are skills you already have

a. Credentials
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b. Responsibilities
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c. Accomplishments (personal and professional)
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d. Career management gaps (lacking credentials)
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IV. Personal marketing

a. Resume (include)

b. Cover letter (include)
c. Networking - what do you do to network?
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d. Interviewing techniques and skills
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V. Periodic career audit

a. How often will you evaluate career plan?

b. What influences or affects career plans

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