Health Care Administration Career

Students can pursue their interests in health and business by completing educational training in health care administration. Schools provide students with the skills needed to manage medical systems. Through this specialized understanding of the field students will have many health care administration career possibilities.

Several main career fields exist in this industry and students can enter one with the correct education. The main focal point of each area is working to provide a smoothly ran medical office, which branches out to include many aspects of the health industry. Possible career options include:

* Health Care Administration

Professionals work at a variety of management levels to oversee different components of health care. Managers are trained to properly handle the continually changing and expanding world of healthcare. The supervision of employees, analyzing charts, working with human resources, and monitoring finances are main job duties. Job responsibility will change depending on the facility professional’s work for.

* Geriatric Care Management

Providing help and counsel to elderly people at their home or inside a facility makes up the overall job description for this career field. Professionals coordinate all services provided by the government, insurance, home health care, or assisted living agencies. Professionals work with the business and human service side of this field to properly care for the geriatric community.

* Health Management

Leadership and organizational skills are used at a high level as professionals work to maximize the potential of facilities. This often includes staying current with new technologies, medical treatments, and providing positive health environments for patients and employees at a facility.

* Hospital Unit Coordinator

Careers in this field have professionals working on non-clinical duties inside medical facilities. Coordinators answer phones, take messages, transfer discharges, and file paperwork for admissions. Professionals work with patients before and after their visit to obtain a complete medical history. The goal is to help make a hospital run smoothly.

Within these main career fields students will be able to enter job opportunities at several levels. The broad spectrum of careers is a direct result of the schooling that students complete. Education is obtainable at every level allowing students to complete programs for specific careers. Undergraduate degrees typically prepare students for entry-level careers such as medical secretaries and health information managers. Graduate degree programs prepare students to become executive administrators, consultants, and directors.

Through coursework students develop a strong skill set that helps them transition into careers with ease. Course topics examined will be determined by the degree level and area of concentration students enter. Some possible courses include:

  • Health Care Finance
  • Global Health Issues
  • Record Keeping
  • Health Care Policy

Completing a health care degree program is the best way for students to enter careers that match their interests. The health industry is complex, which requires students to have a formal education.

Health Care Vs Health Insurance

I’ll be blunt and get right to the three points of this article.
Point 1. Health care and health insurance should be separated.
Point 2. If it weren’t for the fact that health insurance has come to mean health care for most Americans there would be no health care reform.
Point 3. The only way to fix America’s health care once and for all is to bifurcate health care and health insurance as they should be.

I’ll also give you three reasons why I say this so if you choose you can go to other articles and not bother with reading this further.
Reason 1. Because health care is now paid for by a third party health insurance premiums have increased over 100% since 2004.
Reason 2. On average over 60% of every health care dollar is wasted in the health insurance claims process.
Reason 3. Because of the health insurance/health care connection Americans are being robbed of their most precious birthright – their health.

By means of government and health insurance company propaganda health care has been synonymous with health insurance since most of us can remember. At some point who among us hasn’t thought we needed a job with “benefits,” or maybe better benefits, so we could go to the doctor. We have been brainwashed by a system that profits monstrously from our lack of knowledge or apathy – whichever the individual case may be. We have been taught from our first paycheck that health insurance is the be-all-end-all when it’s time to take the kids to the doctor for a runny nose.

That is confirmed within days when we get bill from the doctor’s office that says that the cost for that visit was $225.00.

The system is rigged and it’s rigged so that each and every American thinks that someone else should pay for their health care. More on that later.

Health care should be separated from health insurance like car care is separated from car insurance. When it’s time for an oils change do you reach in your pocket for your car insurance card to pay for it? “Of course not.” you say, “That would be ridiculous.”

I ask you now to stop for a second and think why that would be a bad idea.

In case you don’t know, let me give you a little primer on insurance. Insurance premiums are based on, among other things, claims – both the number and the amount of the claims. The individual states Department of Insurance ride herd over insurance companies to see that the amount paid out in claims is in proportion to the amount collected in premiums. So an insurance company doesn’t get a rate increase unless they have the claims to substantiate the increase. (That, by the way, is the one good service that the departments of insurance serve, since as individuals we don’t have the time nor the inclination nor the resources to look all of that information up.)

So let’s now go back to the oil change scenario and look at it again. Instead of the one, two or three claims that you may file in a lifetime on your car insurance, you now find yourself filing a claim every three months or 10,000 miles. What would you expect your premiums to be like? How much would they increase? Also take this into consideration; your local mechanic or oil change service would have to wait 90 to 120 days to get paid for their money for the oil change. Plus there would be layer upon layer of paperwork to file the claim. The fact is, that if car insurance was like health insurance, your local oil jockey would have to hire an entire billing department just to file the correct forms with the correct codes – not once – but maybe as many three or four times.

Do you think the oil change would still be $35.00 at your local Spiffy Lube would still be $35.00 or with the added payers of paperwork and personnel would the cost go up?

The average face time with a medical doctor in the United States in now less than 10 minutes. The average amount of office labor involved in collecting the money for that 10 minute visit is upwards of three hours. How much is that costing you? Since there are no statistics kept on this let me do the simple math for you here. Billing and coding personnel make an average of $15.00 an hour. That could mean as much as $45.00 of your health care dollar goes toward processing your claim… and that is just at the doctor’s office. To be fair it is probably close to $30.00 on average but that is still a mighty large chunk of money.

It is even larger when you look at what the doctor gets paid. (I told you earlier we would get back to this.) Don’t look at what the doctor bills, Look instead at your EOB, Explanation of Benefits that comes in a few months down the road. Don’t get caught up in the coding and insurance gibberish but instead look good and hard at the amount that was paid to the doctor. In many cases it will be something around $50.00, up to very rarely, $100.00.

So the doctor paid out $30.00 to $45.00 to collect $50.00. Does that sound right or even smart?

Then there are the processing costs added on at claims departments at the insurance companies. Most companies have at least two tiers of bureaucracy to look at every claim. The highest cost of any division at the large health insurance companies – right after management – is the claims department.

The new health care reform law (Patient Protection and Affordable Care Act )has added no less than 159 new programs, agencies and departments in between your visits and your doctor getting paid. Anyone out there really think all of those programs will save your health care dollars for health?

NHS Continuing Health Care

What Is NHS Continuing Health Care?

In England, NHS Continuing Health Care (NHSCHC) is care funded by the NHS. It is available for people aged 18 and above and is provided to meet physical or mental health care needs that have arisen through disability, accident or illness. NHSCHC is care that takes place away from a hospital. Care can be provided in your home or in residential accommodation.

Who Qualifies for NHS Continuing Health Care?

You will qualify for NHSCHC if you are assessed as having a primary health need. The NHS Choices website provides a very unhelpful circular definition of this. A primary health need, it is explained, is one that is on-going and substantial and is related to your health. An assessment will take into account the nature and complexity of your needs; the intensity and severity of your needs, and the unpredictability of your needs.

How Do You Get NHS Continuing Health Care?

In short, you need to be assessed. The assessment is carried out by a multidisciplinary NHS team. There is no right to an assessment, but if it seems that you might need NHSCHC then the Clinical Commissioning Group (CCG) for your area must carry out an assessment.

The fact that you have a long term medical condition is not, of itself, a qualification for NHSCHC. However, the following circumstances are likely to suggest that an assessment is appropriate. 1. Where you are due to be discharged from hospital and you have long term needs, 2 Where a period of intermediate care has come to an end, 3. Where your health declines significantly, 4. Where you are approaching the end of your life, 5. Where you reside in a nursing home and your health care needs are under review and 6. Where your health and social care needs are being assessed as part of a community care assessment.

In most circumstances, there is a two stage assessment process. The first stage is an initial assessment. The purpose of this is to decide if you need a full assessment. The initial assessment may be completed by a doctor, social worker or other health care professional.

The full assessment is carried out by two or more health and/or care professionals. The assessment looks at the following criteria: behaviour, cognition (understanding), communication, psychological/emotional needs, mobility, nutrition (food and drink), continence, skin (including wounds and ulcers), breathing, symptom control through drug therapies and medication, altered states of consciousness, other significant needs.

Each of those criteria (or domains) is assessed on the following scale: no needs, low needs, moderate needs, high needs, severe needs or priority needs. The criteria in bold are assessed, on the full scale, from low through to priority. The criteria in italics are assessed from low to severe. The remainder are assessed from low through to high.

You will be eligible for NHSCHC if one or more criteria are assessed at the priority level or two or more criteria are assessed as severe. You may also be eligible if one criteria is assessed as severe and you have needs assessed in a number or other criteria or a number of criteria are assessed as high and/or moderate.

A two stage assessment is obviously a little time consuming. It can take 28 days from the initial assessment to determine you eligibility by way of a full assessment. Clearly in some cases this is far too slow. There is, therefore, a fast track procedure that can be used where your condition is worsening and/or you are terminally ill.

What Is the Cost of NHS Continuing Health Care?

There is no cost to you if you qualify for NHSCHC.

Who Provides NHS Continuing Health Care Services?

NHSCHC services can be provided by any number of health professionals including physiotherapists, occupational therapists, speech therapists and domiciliary carers. When you are assessed as being eligible for NHSCHC, you will be allocated a personal health budget. This is an amount of money that is used to support the needs that you have. It is similar to the personal budgets allocated by social services to support social care needs.

Just as with a social care personal budget, you can ask for your personal health budget to be paid to you in the form of a direct payment. A direct payment puts you in control of choosing who supplies your services. You don’t have to do this. You may, however, enjoy the freedom and choice that direct payments give you.

Mirrors of Health Care Reform for the Elderly

I’m deeply concerned that the American public, especially our nation’s elders, will be relying on our government to provide long term care services they’ll never see. They’ll only see the “smoke and mirrors” of Health Care Reform.

Our nation’s seniors are the most vulnerable segment of the U.S. population; vulnerable both health wise and financially. They’re silently discovering the savings they thought would be enough is not enough. They’re silently fearful of running out of money with no one to care for them as they become more frail. The silence is about to become deafening.

Regrettably, when Health Care Reform proudly announced New Long Term Care Services, it discouraged many American’s from purchasing Long Term Care Insurance.

The New York Times reported on ‘Options Expand for Affordable Long-Term Care’ THE NEW OLD AGE. The Associated Press announced ‘New Health Care Law Has Benefits for Seniors’. Point being, the casual reader was relieved to hear their government will “take care of them” when they need long term care services. We now know that is not about to happen.

Fortunately our representatives in Washington discovered that Health Care Reforms answer to the problem of Long Term Care, “CLASS”, (Community Living Assistance Services and Supports Act) legislation would have been fiscally unsound. $70 billion in premiums that was expected to be raised for the new “long term care” program would have been counted as “deficit reduction”. The long term care benefits it was intended to finance were assumed not to materialize in the first 10 years. However, that money was not accounted for anywhere in the legislation.

The new legislation proposed to “trim” $463 billion from Medicare. Yet Medicare is currently having trouble balancing its books today. Yet, why does the health care bill tell us Medicare can operate more cheaply going forward without the accompanying reforms?

Our national media gave enormous fanfare to the CLASS ACT when it passed. Unfortunately the media has given the CLASS ACT’s demise little attention. Now what?

Projections show that the federal deficit is expected to exceed $700 billion annually over the next decade. This essentially will double the national and $900 billion represents interest on previous debt. Would the CFO of any major corporation in the United States allow the company he worked for to end up in this type of financial position? Absolutely not.

Our officials in Congress have been elected to protect the best interests of the American people. “Robbing Peter to pay Paul”, and once again printing more currency, has become our government’s mantra for the future. Yet the magnitude of the mismanagement of America’s purse strings has now reached an unconscionable state.

The United States of America cannot continue to mismanage its financial future. Future Congresses will have to deliver a multitude of future reforms and, regrettably, history tells us THAT will never happen. Proposals for financing health reform were based on more “smoke and mirrors”. The “Cadillac” tax is scheduled to begin in 2018.

The health care legislation that has been forced on each and every one of us is known to be fiscally unsound. Where do we go from here? It’s too easy to point the finger at the President and his administration. Yet Congress owns the responsibility of passing Health Care Legislation. And THAT is the problem.

The 535 voting members of Congress shared the responsibility equally. If one clear thinking, intelligent, honorable Congressman had the entire responsibility for Health Care Reform, he or she would not have forced a fiscally unsound Health Care Reform Bill down our throats.

Now let’s again evaluate how Health Care Reform will work against our senior citizens.

A most recent government report identified that in 2000 there were 1.8 million available nursing home beds. As the year 2010 came to a close, there were 1.7 million nursing home beds; a net 5 percent reduction in available beds. And, there are no new nursing homes being built.

Today there’s less than 1.5 million Americans confined to nursing homes. Reportedly 10 percent of these nursing homes are operating under bankruptcy protection. It’s well known that most of these facilities are understaffed and many don’t have competent help.

Next, let’s consider that the Alzheimer’s Association tells us the likelihood of developing Alzheimer’s after age 85 is 50 percent. By 2030, they tell us that the number of people age 65 and older with Alzheimer’s disease is estimated to reach 7.7 million, a 50 percent increase from the 5.2 million age 65 and older currently affected.

The logical question I must ask is “if we cannot take adequate care of 1.5 million people today, how can we possibly take care of 7.7 million people in 2030?” We cannot. More simply put, when you or your spouse or your parent has Alzheimer’s, there is no place for them to go. Not to be cruel, but if you ever think for a moment about taking in an aged parent with Alzheimer’s into your home, please think again. Ask any caregiver who’s been through it. It’s GUARANTEED to destroy any families’ peace of mind and harmony.

Why aren’t our political leaders actively working on solutions? Where’s the outcry? Regrettably our political leaders only align themselves with solvable problems.

America’s seniors became more hopeful reading that Health Reform will help them with added Long Term Care services. And we now know THAT is not going to happen. There are no plans in place to help our nation’s seniors think they’ll receive the comfort and dignity of adequate long term care services. What’s worse is the silence shared by all our political leaders. The silence is now deafening.

Now there’s newfound hope on the horizon. We have a new President election just starting to evolve. What the Republican and Democratic candidates have to say about our nations seniors need for long term care services? What do they think about the need for 7.7 million Americans with Alzheimer’s that need a place to spend the night and be cared for when we can’t take care of 1.5 million seniors today?

The national media needs to start reporting that our nation’s seniors will have no place to spend the night when they become too old or frail to take care of themselves. Then the upcoming election presents one more opportunity for our political leaders to pay attention to our nation’s elderly and their need for long term care services.