Vision for Healthcare

1. HEALTHCARE ADMINISTRATOR
by Modupe Sarratt

2. INTRODUCTION
Healthcare Administration is the field for leadership and the management for public
health is the profession for health administrator.
In many parts of the world, particularly in developing countries, people get their primary
health care, or first-contact care, where available at all, from non-medically qualified
personnel; these cadres of medical auxiliaries are being trained in increasing numbers to
meet overwhelming needs among rapidly growing populations. Even among the
comparatively wealthy countries of the world, containing in all a much smaller percentage
of the world's population, escalation in the costs of health services and in the cost of
training a physician has precipitated some movement toward reappraisal of the role of the
medical doctor in the delivery of first-contact care.
-medicine. (2010). Encyclopædia Britannica. Encyclopaedia
Britannica Deluxe Edition. Chicago: Encyclopædia Britannica.

3. THE INDUSTRY CODE
 The North American Industry Classification Systems or NAICS is used by business and
government to classify business establishments according to type of economic activity for process
of production in Canada, Mexico, and the United States of America. NAICS is the North American
Industry Classification System for business establishment for the types of activities and services
for financial systems.
 The Mills article identified Healthcare Administration under the private sector for small businesses.
NAICS sector 62 is for Health Care and Social Assistance as of October 24, 2012 to reflect the
size of businesses for the type of financial assistance. - Mills, K. G. (2012).
 Health care for small business includes Fee-for-service that provides the services of a doctor or
hospital with partial or total reimbursement depending on the insurance company. Health
insurance offering programs or plan is geared toward small business.
 Preferred Provider Organization (PPO) is example of healthcare regarded as fee-for-service plan
because of having in place some restriction to control the rate and the cost for care. Under the
PPO, a doctor provides a service at alternative price or for a lower price.
 Others such as Point of Service for urgent care combines the for fee-for-service plan and HMOs,
which an employee or a patient is responsible for deductible.
 HMO is more complex system for small business partnerships with other criteria that include
independent appraisals or sometimes three independent appraisals valuation to determined for a
fair market value

4. CARE
Is understanding the nature of the individual
and the culture of the community for well-
being to provide assistance.
Healthcare for a patient is preventing an illness and curing a sickness .
A concern for the community is education for healthy living.
Outpatient care is the care of individual and the community for interaction
Evidence showed that the understanding community improve health in the
study of the elderly community.

5. CARE CONTINUES
The study of the elderly community for well-being by
Kothari et.al (2015) showed
that involvement of the community support professional practices for
healthcare to improve the care of seniors in the case study of elderly
communities in Ontario, Canada. The study sheds light on using
outpatient care to facilitate systems to include social worker in the
care of the elderly. The study conducted on a yearly base helps to
increase understanding of organizing outpatient care to affect
system change by strategically analyzing individual cases. The
community practice for outpatient care includes the care for the low
income minority for lifestyles modification. For example, the obesity
trend in the low income community for lack of activity is a health
issues that should be included in the Affordable Healthcare Act.
-Kothari 2015

6. CARE CONTINUES
Outpatient care is undergoing a diagnostic workup,
evaluation, or treatment outside of a hospital in the
community at a local clinic or from private therapists. A
patient who receives care in a hospital without requiring
an overnight stay; any patient who attends a specialty
(consultant) or other medical clinic or is seen outside of a
clinic by a consultant or senior member of his or her
team at any location including the patient's home
According to Dorland (2007), a patient who comes to the
hospital, clinic, or dispensary for diagnosis or treatment
but does not occupy a bed. Therefore, outpatient is a
checkup for well-being to prevent an illness or a
sickness.
 Dorland's Medical Dictionary for Health Consumers. © 2007

7. LEVELS OF CARE
The levels of care for health according to the practice of Medicine (2010)
 Are various forms of medical practice that are generally thought of as forming a pyramidal
structure, with three tiers representing increasing degrees of specialization and technical
sophistication but catering to diminishing numbers of patients as they are filtered out of the system
at a lower level. Only those patients who require special attention either for diagnosis or treatment
should reach the second (advisory) or third (specialized treatment) tiers where the cost per item of
service becomes increasingly higher. The first level represents primary health care, or first contact
care, at which patients have their initial contact with the health-care system.
 Primary health care is an integral part of a country's health maintenance system, of which it forms
the largest and most important part. As described in the declaration of Alma-Ata, primary health
care should be “based on practical, scientifically sound and socially acceptable methods and
technology made universally accessible to individuals and families in the community through their
full participation and at a cost that the community and country can afford to maintain at every
stage of their development.” Primary health care in the developed countries is usually the province
of a medically qualified physician; in the developing countries first contact care is often provided
by nonmedically qualified personnel.
 The vast majority of patients can be fully dealt with at the primary level. Those who cannot are
referred to the second tier (secondary health care, or the referral services) for the opinion of a
consultant with specialized knowledge or for X-ray examinations and special tests.
-Medicine 2010

8. HOW TO MEASURE CARE FOR OUTPATIENT
Is the increase in the number of patients visiting Emergency Room (ER) for non emergency
complaints related to the inadequacy of Medicaid and copayments for health services as a result
of not able to afford paying for care in the private practice. In addition, many private health
providers are not accepting outpatient for having Medicaid.
According to the Medicaid Access Study Group. (1994) New England Journal of Medicine, 330(20),
1426. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/8159198
The journal article indicates that the purpose of Medicaid is to assist low-income patients with
access to health care. However, the Medicaid recipients have to wait for providers that will accept
government payments. This article deals with patients using emergency facilities for
nonemergency care because they cannot find providers who will accept Medicaid, given that the
patient cannot walk-in without an appointment and copayment.
The study of Medicaid recipients in urban areas who have limited resources to outpatient care
highlights the need to mandate Medicaid for unlimited coverage . The research to identify why
Medicaid patients go to the emergency department for non-emergency procedures, such as
complaints of back pain, sore throat, and lethargy instead of standardized visits to private primary
care. The research was conducted as a telephone survey to make appointments for patients
receiving Medicaid.

9. How to measure care for outpatient
continue
As mentioned in slide 8.
The result of the survey showed that urgent care centers would not accept Medicaid, which
was the most common reason for not granting appointments. Sixty percent of private provider
practices agreed to see patient with delayed appointments for two to three weeks before
scheduled to see patients with Medicaid instead of two to three days with private health
insurance.
About 8 percent of private practices offer after-hours care within two working days while only a
about 26 percent of private care facilities agreed to see Medicaid patient within two days. The
relevance of the article is the limitation for care within private practices to include non-profit
organization such as outreach centers to assist with patients overall wellbeing. The
establishments include medical staff providing general or specialized care that ranges from
outpatient pain therapy, outpatient community health, outpatient disorder clinic, and outpatient
biofeedback center. Outreach care centers include holistic approaches, spiritual wellness, and
health education.
-According to the Medicaid Access Study Group.
(1994)

10. HEALTHCARE CHALLENGE
The hurdles for healthcare is a triangle of cost, quality and access for health insurance and for health
services in contrast to the uncapped tax exclusion for Affordable Care Act to be faulty for the
coordination of services for coverage relates to the laws for the states to control the
implementation of Medicaid and Medicare. The dilemma to improve health with more testing and
the dangling of pharmaceutical and drug side effects for ER visit are ongoing for constant
reevaluation to adjust and to make changes. The tasks for Affordable Care Act is daunting and
never-ending for management for accessibility to the patients to receive care without going
through the bureaucracy of government control.
Rosenbaum et.al(2013) describes the challenges for “the Affordable Care Act (ACA) gives states the
option for expanding Medicaid coverage to nonelderly adults ages 19 to 64 with incomes at or
below 138 percent of the federal poverty level who do not fall into other eligibility categories as
parents, caretaker relatives, dependent children, pregnant women, and adults receiving
Medicare based on disability”. The law also provides states with flexibility to choose the level of
coverage provided to such adults. The coverage model is based on a benchmark linked to the
benefit designs used by private insurers, rather than the broader coverage rules used for
traditional Medicaid beneficiaries. How states are implementing this benchmark approach to
coverage is an important consideration for Medicaid policymakers and for Healthcare
Management for adjusting and changing healthcare policies and practices.

11. Choosing the most suitable and cost-
effective for providing healthcare is time
consuming for medical benefit to designed
computer that calculate cost of health-care
based on individual need for care.
The question on how to measure
healthcare systems for performance in the
triangle of cost, quality and access to
reflect individual organization or private
providers for primary care, urgent care,
and hospitals are ongoing measure which
put pressure on three trends for healthcare
administration.
The three trends for Outpatient care (OC),
Health Information Technology (HIT) and
Healthcare Management (HM).

12. OUTPATIENT CARE FOR

13. PROSPECT FOR OUTPATIENT CARE IS WALK-IN TO
RECEIVE TREATMENT
Patient comes first for providing
care and fee for later for
affordability.
No more revisiting to the doctor
office for the same problem or for
more testing.
Giving knowledge to the patient
Patient knows as much about the
doctor the cause for illness and the
testing for providing treatment
A visit to the doctor or ER means
patient is well for no further
infection or nosocomial.
Doctor for to restore health first for
payment.
Patients satisfaction is seeing a
doctor to get well not to return for
getting sicker or for more testing.
It is possible that the doctor can
restore health first before getting
pay.
Giving knowledge to the patient
Patient should know as much as
the doctor the cause for an illness
and the testing for providing
A visit to a doctor means the patient received treatment to
get well for no further testing.
Likewise, a visit to ER means patient is well for no further
infection or reinfection for nosocomial.
Healthcare for restoring health first for payment later.
Healthcare for wellbeing is not for experiment with drug
Health services is empathy for caring

14. Anonymous, unknown publisher (2015)
http://www.justwalkinmedicalcare.com

15. HEALTH MANAGEMENT
HEALTH CARE SOCIAL ASSISTANCE

16. SOCIAL ASSISTANT IS
forming the relationship for services
Although, activities such as aerobics classes, personal and laundry services,
nonmedical diet and weight reducing are found to be very important for maintaining
personal health, the services for healthy living and lifestyle modification are
excluded from outpatient care. Hurdle’s publication reflects the facts and the
practices of outpatient care for wellness and illness prevention to includes the
collaboration of social workers. The article identifies social workers as a benefit to
providing social care. Social assistants help individuals to recover quickly from a
serious illness and reduce the mortality rate. Social worker support is part of public
health in order to promote wellness by educating the community about
communicable diseases and promoting activities for healthy living. - Hurdle, D.
E. (2001).

17. FOR HEALTH INFORMATION
TECHNOLOGY (HIT)
HIT for medical informatics is the field of medicine for allocating of resources, distributing information,
taking patient history, retrieving test result, monitoring clients, teaching medical education,
researching health issues, coordinating procedures in the medical office, billing and financial
management are the reasons for government intervention.
HIT allocation of resources for public good is the market place for healthcare services. HIT is
implementation for monopoly to fix external problem for costs and benefits related to providing
care. For example, if a private provider fails to restore health for doing more harm or for any
reasons, the government is empower to intervene through the technology that were in place to
monitor benefit for special interests that influence politician rather than society as a whole. The
range for government intervention is the application of HIPAA for funding medical research.
According to Shekelle, Paul, Sally C. Morton, and Emmett B. Keeler. "Costs and benefits of health
information technology" (2006). Retrieved from http://www.ncbi.nlm.nih.gov/books/NBK37988/
the cost and the benefit for Health Information Technology (HIT) is the primary care settings. The
report showed that the used of HIT improved care in the 256 studies, 124 of the studies suggests
that Electronic Health Records (EHRs) has the ability to improve the quality of care in the
ambulatory setting. The studies conducted at four sites in the three U.S. Medical Centers and one
in Netherlands demonstrated improvement in provider performance when clinical information and
decision were made available within an EHR system to translate data into context-specific
information empower the providers to perform better in their work. Therefore, the implementation
of HIT has the potential to transform the delivery of health care for safer, more effective, and more
efficient. HIT built around EHRs is predicted for substantial savings. However, there is limitation
from a lack of generalizes knowledge on how to implement HIT to specific health organizations.

18. Shekelle article did not address the current trends for Electronic
Medical Records (EMRs) used by the physicians for
reimbursement and the Personalized Health Records (PHRs) used
for patient data for health transaction. Although, the analyses of
HIT for quantifiable benefits did not includes the Microsoft
application programs for the administrative function. In addition,
the study is limited in scope for marketing health products,
advertising for care, and does not include the cost for securing
data or the cost for data breach for HIPAA compliance. -Shekelle
et.al (2006)
As of now, the computerized systems available fail to meet the
rising expectations for service, privacy and transparency. Teoh
and Cai studies aims to understand how innovation for three
dimensional can be strategically nurtured, developed, and
managed to upgrade the quality of care through integrating and
reconfiguring to cope with changes in HIT. -Teoh, S. Y., & Cai, S.
(2015).

19. CHAMPIONSHIP FOR MANAGEMENT
Is the combination of healthcare and social worker for acquisition of costs and sharing of
government budget for providing health services. This includes a dedication to
managing and treating patients to improve overall health and quality of life. The
championship for management provides comprehensive medical evaluation and care,
and the opportunity for the patient to join in the clinical trials to provide the best care
for there is no limitation to individual health and the health of the community.
Griffith, J. R., & King, J. G. (2000). Championship management for healthcare
organizations. Journal of Healthcare Management, 45, 17-31. Retrieved from
http://www.biomedsearch.com/article/Championship-Management-Healthcare-
Organizations/61837279.html
Discuss how the growth of technology betters performance tracking by creating
boundaries for health reform on tough issues such as price reductions, negotiating
professional care, meeting patient demand for quality service, and debating the
prescription for expensive drugs. The article helps identify different views within
several areas in the healthcare, such as conflicts in budget, negotiating for
stakeholders, contract for employers, providing patient care as an expenses within
budget considerations. The rising of healthcare costs for affordable and accessible
quality care for low income families.

20. Although, there is no single legislation
stated in the article to address social
problems besides the Patient Protection
and Affordable Care Act, healthcare
management is designed to expand
coverage by containing a host of provisions
to tend to individual’s issues for wellness
and prevention. Public health fund and
insurance requirements covering
immunization and screening is
implemented by cost sharing to reform the
healthcare budget.
- Griffith, J. R., & King, J. G. (2000

21. THE CHAMPIONSHIP FOR MANAGEMENT
Improve process knowledge and standard of care
Implement medical informatics for technology
Protect medical record
Creating guidelines for best practice
Collecting problems and providing solutions
Include the community for improving health

22. THE ADMINISTRATOR
Is by formal education for the evaluation of health problems to acquisition of health for
implementing day to day of information technology systems and clinical functions
within healthcare industry. Keeping in mind that there is more than one model to
Healthcare administration, the fact is healthcare is about individual wellbeing in the
community for practice of medicine to maintain health and improve the physical and
mental vitality through the provision of medical services.
An administrator is a qualifying professional with a graduate degree in health science for
the ability to process and coordinate the activity for running a health business which
involves dispensing care by giving resources that were necessary for making
improvement.
An administrator is the alliance for implementing and dispensing medical services for the
applications of industrial code, the NAICS sector 62 is the classification for
Healthcare and Social Assistant.
As an administrator, preventing and increasing performance for mental health and overall
well being is transferable of care between the providers services and the patients
care for coverage and reimbursement of services
-Sarratt, M. O. (2015). For

23. Serving You,
Double Click the link below
Open web for services
Outpatient care is come in for
care
Click the link for care

24. REFERENCES
 Appari, A., Johnson, M. E., & Anthony, D. L. (2009, November). HIPAA compliance in home health: a neo-
institutional theoretic perspective. In Proceedings of the first ACM workshop on Security and privacy in medical
and home-care systems (pp. 13-20).
Retrieved from ACM. http://dl.acm.org/citation.cfm?id=1655087
 Anonymous, Unknown publisher (2015) Walk-In Medical care
 Griffith, J. R., & King, J. G. (2000). Championship management for healthcare organizations. Journal of
Healthcare Management, 45, 17-31.
Retrieved from http://www.biomedsearch.com/article/Championship-Management-Healthcare-
Organizations/61837279.html
 Hurdle, D. E. (2001). Social support: A critical factor in women's health and health promotion. Health and
Social Work, 26(2), 72-79.
Retrieved from http://www.biomedsearch.com/article/SOCIAL-SUPPORT-Critical-Factor- in/75453645.html
 Jong-Yi, W., Hsiao-Yun, H., Jen-De, C., Sinkuo, C., Chih-Jaan, T., & Yung-Fu, C. (2015). Attitudes toward inter-
hospital electronic patient record exchange: discrepancies among physicians, medical record staff, and patients.
BMC Health Services Research, 15(1), 1-15. doi:10.1186/s12913-015-0896-y.
Retrieved from http://eds.a.ebscohost.com.ezproxy.umuc.edu/eds/detail/detail?vid=45&sid=2bfc452c- 41a9-
 Kothari, A., Boyko, J. A., Conklin, J., Stolee, P., & Sibbald, S. L. (2015). Communities of practice for supporting
health systems change: a missed opportunity. Health Research Policy & Systems, 13(1), 1-9.
doi:10.1186/s12961-015-0023-x.
Retrieved from http://eds.a.ebscohost.com.ezproxy.umuc.edu/eds/detail/detail?vid=43&sid=2bfc452c- 41a9-

25. REFERENCES
 Medicaid Access Study Group. (1994). Access of Medicaid recipients to outpatient care. The New England Journal of
Medicine, 330(20), 1426.
Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/8159198
 Medicine. (2010). Encyclopædia Britannica. Encyclopaedia Britannica Deluxe Edition. Chicago: Encyclopædia
Britannica.
 Mills, K. G. (2012). Small Business Size Standards: Health Care and Social Assistance. Federal Register, 77(185),
58755-58761.
Retrieved from http://eds.a.ebscohost.com.ezproxy.umuc.edu/eds/detail/detail?vid=21&sid=2bfc452c- 41a9-
 Rosenbaum, S., Lopez, N., Mehta, D., Dorley, M., Burke, T., & Widge, A. (2013). Realizing Health Reform’s Potential.
Retrieved from http://www.commonwealthfund.org/~/media/files/publications/issue-
brief/2015/may/1815_rosenbaum_medicaid_benefit_designs_newly_eligible_adults.pdf
 Sarratt, M.O. (2015). The Administrator & the publisher
 Shekelle, Paul, Sally C. Morton, and Emmett B. Keeler. "Costs and benefits of health information technology" (2006).
Retrieved from http://www.ncbi.nlm.nih.gov/books/NBK37988/
 Teoh, S. Y., & Cai, S. (2015). The process of strategic, agile, innovation development: a healthcare systems
implementation case study. Journal of Global Information Management, (3). 1.
Retrieved from http://eds.a.ebscohost.com.ezproxy.umuc.edu/eds/detail/detail?vid=32&sid=2bfc452c- 41a9-475e-bbd7-