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Papers On Health Care
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Quantitative Nursing Research: Reducing Costs While Increasing Quality
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An 8 page proposal for a quantitative study addressing the effects that a primary nursing structure can have on nursing home costs while also achieving better patient outcome. All health care costs continue to increase despite managed care, regulatory insurer and individual efforts to halt the spiral. These cost increases have not spared the skilled nursing facility (SNF), which in fact has additional issues with which to contend. The ongoing nursing shortage has meant for SNFs that they have fewer RNs available to them and that recruiting and retention has become more costly over the past several years. The situation as it exists is expected to intensify in coming years as the baby boomers now approach retirement age. Primary nursing appears to offer a solution that can lower costs, increase quality of care and increase turnaround time in receiving payment for Medicare patients. Bibliography lists 13 sources.
Filename: KSnursResCosts.rtf

Questions: Research Methods and Validity
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A 6 page paper answering four questions centered on research considerations, particularly as they apply to nursing. Subjects include the value of qualitative as well as quantitative research; avoiding bias; and the purpose of the hypothesis. Bibliography lists 8 sources.
Filename: KSnursResQu.rtf

Rapid Response Team: Quick Recognition And Intervention Of Problems At Va Medical Centers
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15 pages in length. Assembling a rapid response team for quick recognition and intervention of problems at VA medical centers is an objective that is being addressed in a number of ways; with the ever-evolving nature of health care and the responsibility inherent to maintaining quality of care, it is imperative for the ongoing development of programs that serve to bridge the chasm that oftentimes exists where patient care and proper medical interface fail to meet because of poorly defined operational roles. The VA has taken seriously the challenge to see that preventable problems remain that way with a proactive approach. Bibliography lists 17 sources.
Filename: TLCVA_RapRes.rtf

Rationing Health Care / The Only Alternative
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A 5 page overview of the economic and emotional issues of health care rationing. Includes material on the Oregon experiment and the argument that rationing is not only an economic necessity but also a humanistic necessity. Bibliography lists 6 sources.
Filename: Hlthrat.wps

Real-Time Information in the Hospital Setting
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A 4 page paper examining some hospitals' approaches to implementing real-time database applications for patient information and care provider use. Included are examples from Duke, El Camino Hospital, VA San Diego Healthcare System. Bibliography lists 8 sources.
Filename: KShlthCareIT3.rtf

Recent Economic Effects on Home Health
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A 6 page paper reviewing economic influences on home health, including increasing fuel costs and the ongoing nursing shortage. The healthcare industry is hampered by its history of trying to operate separate from economic realities and laws, creating several hurdles that it will need to negotiate simultaneously. Bibliography lists 7 sources.
Filename: KSeconHlthChome.rtf

Recommendation to Purchase New Operating Room Lights
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A 3 page executive summary of a report concluding that a hospital needs to replace obsolete operating room lights. Reasons for replacement includes insignificant cost differential in replacing bulbs vs replacing the entire system; better patient outcome; better working conditions; possible reduced malpractice insurance premium rates for the hospital; and greater productivity. A 5-slide PowerPoint® presentation also is available. Bibliography lists 3 sources.
Filename: KSmedORltExec.rtf

Reengineering Of Health Care Systems
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This 19 page paper looks at the current situation in the infrastructure of the health care services, and consider the need for improved quality by greater emphasis on the nursing aspect rather than financial measures. The paper undertakes a literature review and uses the results of this to propose a new model for the health care systems, with a proposal for a study to look at the hypothesis formed and test the paradigm.
Filename: TEresthc.wps


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