We live in a time where getting ANY bill through the Congressional Process is a (pun intended) Act of Congress!!!
I want you to assume YOU could change the current ways things are done in your Country, Region, or Facility. I hope to hear from a range of Nursing Arenas. Also, this is broad spectrum, so think out of our scope, you can change ANYTHING.
Here is my example:
The Urgent Care Centers, After Hours Clinics, and "Doc-In-a-Box's"
that are popping up everywhere now, Urban Areas, Suburban Areas, Small Towns, and even Pharmacies! (seen several at major department stores now!)
Easy Access to Healthcare that is more affordable than ERs
Huge Pressure of Emergency Departments when Utilized, or "Triaged-To"
Higher Insurance Reimbursement
Quicker than ERs in most cases for lower and Moderate level Medical Needs
Greater utilization of APNs
Wonderful for ACUTE problems that are not emergent
No Consistant Primary Care Provider for the patient on an ongoing basis
Fractured or Partial Care for Chronic Conditions "Bandaid Effect"
Less Follow-Up, and Familiarity with patients
Largely Profit Driven
According to the New England Journal of Medicine they miss complex diagnosis such as various cancers, Rheumatic Conditions (e.g. Lupus) , Nerve Problems, and Mental Illnesses).
My Grandmother is notorious for using these Facilities. She has a Co-Morbid Factor that drives me crazy for her to use these places (yes, MORE than one) for their ease of access, and rarely sees the same one again! This leads her COPD to be treated like Colds, and it's nothing to find her going 2-3 fails before being hospitalized for Pneumonia!
NOW MY SOLUTION
: Get Rid of the "Doc-in-a-Box?" . . . . . No Way!!!!!!
Before they came about, sometimes I couldn't get her into a Physician anywhere in a 4 county area!!!! These are God Sent! But, there's the continuity of care issue.
I would Repeal HIPAA
, and create a new Rider Bill with Privacy for the patient, but a new Information Highway for your Health History- Just like your Credit History. It would only be dispensed AT YOUR PERMISSION!!!!!!!!!!! (Just like your Credit History) I know this needs much more thought, and could mean some really negative things, (I REALIZE THAT PROSPECTIVE EMPLOYERS
ALREADY CHECK CREDIT HISTORY!) But, you do sign a form giving them that liberty. So I would have in the bill that it would TOTALLY BE FOR MEDICAL REASONs ONLY, and could only be accessed for the duration of your care, could be contested/corrected/updated. It would have your vaccination history, all medical tx, surgical tx, Allergies, Negative Responses to therapies, fails, What works for chronic conditions, XRays, Laboratories, Endoscopy Results, Scheduled Procedures, Preventive Medicine for "At Risk Populations," and Genetic Predispositons and more! You could Opt out for religious reasons, or Political Disagreements.
Please understand I have NO Political Intentions, and any intention is to advocate for the BEST outcome for the patient. "Above All Do No Harm!"
[FONT=franklin gothic medium]Disclaimer:
For the greatest freedom of my posters on this thread, PLEASE
don't criticize what another poster would do, I want to know WHAT YOU
WOULD DO! Just want to keep it clean, and not get anyone excited NEGATIVELY.
If you want to add or say you would like that IF . . ., that's fine, just please keep it courteous.* Let's play Congress and start a discussion by people who REALLY WALK the halls, areas, and rooms where healthcare is delived.
*I KNOW THIS IS A SUPER SENSITIVE SUBJECT.
This could potentially include Abortion, Stem Cell Research, Sterilization/Eugenics, Population Control/Child Bearing Limitations, Obamacare (USA), Socialized Medicine, Addictions/Chemical Abuse, Religous Issues, Privacy, Promoting Dignity, Assisted Suicide, and many more sensitive issues. NO ALLOWED, LOL!!
[FONT=arial black]:redlight:HOW or WHAT would you change about Healthcare?