Erd Case Study

Medical costs are getting too expensive. Ever fought with your insurance providers because they refused to pay for care, or struggle to find an “in-network” provider? I know a woman whose name I will change for her privacy and the struggles she is going through are a perfect example of an issue many people face when dealing with insurance; Nancy’s (name changed for privacy) story is a perfect example of how our healthcare system is no longer working for the people. Nancy is this woman whose husband recently passed away. Nancy used to work for county and county workers cannot receive social security; and Nancy is too

According to the U.S. Census Bureau, there are 49 million Americans without healthcare insurance and more than 10 million are non-U.S. citizens (http://www.census.gov). Because many people are uninsured and those that do have insurance pay high deductibles, Americans often dismiss the need for doctor’s visits for minor problems or annual physicals. As a result, health problems that can be detected at an early stage or prevented altogether become major illnesses. Individuals with disabilities hold one of the biggest weaknesses in the healthcare system because they cannot often obtain affordable health coverage.

Primary treatments include antibiotic therapy, Fluid resuscitation, and crystalloid. Potential treatments depending on patient status include vasopressors and steroids, ventilator, renal dialysis, blood transfusion, and surgery.

Being admitted into a hospital can sometimes lead to many expensive medical bills. This is not a problem for the wealthy or middle class. However, for those who live in poverty or are even just in between jobs this presents a major problem. How will they be able to pay for these expenses?

However, this causes a financial burden. Medicare is a program which provides insurance benefits to all individuals aged sixty-five and older, including younger people with disabilities (Grabowski, 2007). Medicare covers few long-term care services and Medicaid covers the rest of the huge amount. “Policy options include capitation, pay-for-performance, and federalization, in which federal government would assume the Medicaid’s costs for the dually eligible population” (Grabowski, 2007). Medicaid and Medicare programs do not sufficiently cover acute and long-term care services, an example. After the injury the disability process takes long. There is a language barrier, institutional barrier, and ratio cost-sharing. Also, cost shifting within health care settings, and cost shifting across health care settings needs major improvements. Policy holders should expand their critical

In the United States Renal Data System (USRDS) report for 2015 there were 661,648 cases of End Stage Renal Disease (ESRD) at the end of 2013, of which 117,162 cases were newly reported. Of the newly reported cases, 88.2% of individuals with ESRD started renal replacement therapy with hemodialysis (HD) while 9% began peritoneal dialysis (PD), and 2.6% received a kidney transplant.

For many countries such as Europe, care is allocated based on predetermined factors (Knickman & Kovner, 2015). For example, an individual may be meticulously examined from health history to their present state to determine whether they are approved for chemotherapy treatments. Allocating care, familiarly called rationing, allows countries to control expenses of health care (Stein, 2010). Based on numbers, the United States tops Europe by double of the amount of patients they see for dialysis treatments (Knickman & Kovner, 2015, p. 265). Withinn the United States, as long as the services are in the guidelines of policy to provide care, Medicare is going to cover those services no matter the

The wait times of dialysis patients before and after hemodialysis treatments have been an area of concern. In a typical morning at an outpatient dialysis clinic, all the patients for the first shift will begin to gather in a waiting room just prior to a specific time. I will use the start time of 7:00 a.m. for example. The nurses and patient care staff will arrive a considerable amount of time earlier to prepare for the oncoming shift of patients. At 7:00 a.m., the nurse in charge will begin calling each patient in one at a time. An assessment is done. The patient is weighed. His/her lungs are listened to. Many specific questions are asked. A treatment goal is determined based on protocols. Then, the assessment data is entered into a networked computer system, which is retrieved at a specific station for a particular patient. This process continues until every station in the clinic is full. Typically, a clinic will hold anywhere from 12 to 30 stations. For this example, I will use a 20-station clinic.

I have never been informed about the related change request is a regulatory requirement. It is quire embarrassment if I need to tell ESD that the said change request is a regulatory requirement because I never mentioned this important message on my discussion with them. To be honest, I will not ask ESD to make a judgment if it is an essential change. After my further discussion with Nathalie on this matter, she confirmed that ESD would not need to make any change of client's statement unless it is required by SFC. Before we consider taking any further action ourselves, please help to clarify with LCD whether the said change is a regulatory requirement or not? Thanks

We are very sorry to hear about your recent troubles with your O.C.P. Home Response System, Model #ED-209. We are aware of the problem with this model and its correlation to the upgrade, version 3.8.133. We completely understand your frustration, and greatly value your safety as well as the well-being of your home and all occupants within it. We fully understand the gravity of this situation and take this matter very seriously. Please know that we find this problem completely unacceptable and we would like to thank you for your understanding as we work on a solution for your problem.

Chronic Kidney Disease (CKD) is a disease that is described as a loss of kidney function gradually over time. As kidney function decreases, the waste collection in the body’s blood becomes high and makes the individual feel sick. This disease can lead to other complications in the body such as anemia, poor nutritional health, high blood pressure, and nerve damage. These complications will begin to progress and show as CKD progresses to advanced stages. Early detection of this disease is essential when it comes to treatment. If CKD is diagnosed early enough the disease progression can be slowed down and managed. This disease will eventually lead to failure of the kidneys

Kidney failure is the result of kidney disease that has either not been treated, or failed to respond to treatment. Some kidney diseases are: Acute kidney failure (potentially reversible), Acute nephritic syndrome, Goodpasture syndrome, Atheroembolic renal disease, Glomerulonephritis, Polycystic kidney disease, and chronic kidney failure (end stage) (United States National Library, 2010). The usual treatment for kidney failure is medication and dialysis. Dialysis is used for end stage kidney failure, when the patient has lost

pain. The second stage is the chronic renal failure, which is accompanied by feelings of

On April 17, a 29-year-old Pennsylvania man was arrested after police raided his Centre Township home and allegedly found drugs, firearms and an improvised explosive device, or IED. The raid took place at approximately 7:30 a.m.

Chronic kidney disease (CKD) is an irreversible condition that progresses causing kidney dysfunction and then to kidney failure. It is classified by a GFR of <60mL/min for longer than 3 months. There are five stages of CKD: Stage 1 has kidney damage but has a GFR ≥ 90. Stage 2 has mild damage and a GFR of 60-89. Stage 3 has moderate damage and a GFR of 30-59. Stage 4 has severe damage and a GFR of 15-29. Stage 5 is also known as end stage renal disease (ESRD), this is kidney failure with a GFR of ≤ 15 and theses patients are typically on dialysis or in need of an immediate transplant. The leading cause of CKD is diabetes. Hypertension is also a major cause. Since most DM patients have HTN,