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Papers On Health Care
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Ethics in Vision and Mission Statements
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A 3 page paper examining how hospitals can develop vision and mission statements simultaneously attractive to hospital management while having the effect of making health care mosr accessible to those who need it right away. As health care costs continue to spiral despite efforts to contain them, some hospitals have found ways to enhance the quality of health care they offer while yet holding down cost increase rates. One such organization is Hamot Medical Center in Pennsylvania. The purpose here is to advise hospitals on how they can “develop and implement a value based and mission-centered approach to providing health care.” Bibliography lists 5 sources.
Filename: KShlthCareMissVal.rtf

Ethics of a Two-Tier Health System
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A 7 page paper discussing the ethics of a two-tier health system, using comparison of the Canadian and US systems and the principles of distributive justice and utilitarianism. The paper concludes that most insured Americans have no choice in their insurers; the uninsured simply have no choice. In terms of distributive justice, it is the welfare principle based on utilitarianism that appears to be the most workable. If health care is a right, then likely the two-tier system is the most ethical structure. Bibliography lists 6 sources in 13 footnotes.
Filename: KShlthCar2tierEth.rtf

Ethics of Human Cloning
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A 3 page paper discussing the ethics of human cloning. Stem cells used in therapeutic cloning are most plentiful in placenta and aborted fetuses, but they also are available in every adult. Therapeutic cloning does not seem to be as much an issue as is the origin of the stem cells from which cloning can be accomplished. All ethical issues should be served through adult donation of stem cells, in the same way adults now donate blood and organs. Bibliography lists 3 sources.
Filename: KSethClone2.rtf

Evaluating Options For Medicare & Medicaid
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A 10 page paper discussing options for saving Medicare. It has been known both in and outside the government for some time now that Medicare and Medicaid are facing times that will call for hard decisions in whether and how to continue them. Medicaid is not in as serious state as is Medicare, partly because it is state-administered, though with federal funds. It is Medicare that needs and has generated the most attention, because it appears that the hospital fund will be bankrupt by 2002. It has been estimated that half the total cost of medical care for an individual will be incurred past the age of 65, the age at which Medicare becomes an issue. Policy regarding Medicare can also be applied to Medicaid, but all must be approached through means testing, and in a light that is compatible with Kingston's theories of bringing the problem to the government. Bibliography lists 5 sources.
Filename: Carecaid.wps

Evaluation of "Analyzing Hospital Readmissions Using Statewide Discharge Databases"
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A 9 page paper providing the text of PowerPoint® presentation slides and speaker notes examining the report of a study done for the purpose of developing an algorithm enabling more accurate assessment of hospital readmission rates across varied state systems. Benchmark data established using the approach developed here can be useful in tracking high-level changes in quality and patient outcome, either on a statewide level or through comparison of states’ progress. Bibliography lists 3 sources.
Filename: KSnursArtRevRehos.rtf

Evidence based practice - dementia
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A paper which looks at the use of evidence based practice in treatment and management of dementia, with reference to the implementation of research in order to develop best practice. Bibliography lists 7 sources
Filename: JLdemen.rtf

Evidence-Based: Nurse-Led Secondary Prevention Clinics For Women With CHD
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4 pages in length. The writer briefly discusses CHD secondary clinics for women. Bibliography lists 4 sources.
Filename: TLCCHDClinc.rtf

Evolution in Long-Term Care
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A 5 page paper discussing the effect that Medicare has had on the nursing home – or skilled nursing facility – industry over the past 30+ years. Automatic increases in payments results in automatic increases in prices, a fact that now has become obvious to legislators. The paper includes a timeline beginning with Medicare’s creation in the 1960s, extending through 2002 when Medicare’s fraud investigation system extended to all 50 states. Bibliography lists 7 sources.
Filename: KShlthCLngTerm.rtf


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