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WynnRegionalMedicalCenter1.ppt

Wynn Regional Medical Center
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Introduction
Healthcare industry is advancing due to adoption of new technologies whose deployment has changed the nature of healthcare workforce.
Perhaps, regulatory adjustments, shifts of the patients behavior, increased pace of IT development alongside the aggressiveness of healthcare organization consolidation remain to be the primary factors contributing to ever changing of the health care industry  (Becker, 2015).
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United states has the most complex healthcare system and so applies to various states within the country. Many factors have evolved and accelerated change of the nature of workforce in healthcare industry (Becker, 2015). The changes are all attributed to factors such as the levels of education, dynamics of cultural values and use various technologies in healthcare system
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Cont.……
Due to complexity of the healthcare system complexity in the untied states at large, there has been slow incorporation of changes within the health industry.
Many factors are involved in developing, implementing and enforcement of changes in healthcare system.
Complexity and slow to change policies have be regarded ae the main and obvious factors contributing to change of healthcare workflow  (Becker, 2015).
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Besides that technological factors, environment, frequent change of healthcare and illness trends as well as nurse demographic factors contribute to continuous change of healthcare system.
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Historical information on the changing healthcare workforce
In healthcare industry labor force is possibly the most expensive cost center. lack of adequate healthcare professionals and disconcerting future there are a lot of concerns about future healthcare workforce which may hit beyond the expected cost,
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Whether its recruiting or training, or dealing with the incoming millennial workers, there are several issues and trends concerning the changing healthcare workforce. These trends include;
The retirement of the baby boomer generation and the lack of new talent. 
Retaining experience is critical aspect in the healthcare industry and in some fields, like healthcare there is no sufficient talent coming through.
2. The shortage of skilled health IT professionals.
Complexity and sophistication of healthcare is growing much faster than the economy and the need for highly skilled talent is going to increase and outplace the availability.
3. An impending trend of significant turnover.
Currently the healthcare industry is seeing “almost a perfect storm.” due to latent dissatisfaction and people are questioning whether loyalty makes sense anymore.
4. The undertrained millennial generation.
 In addition to the lack of new talent entering the healthcare workforce there are serious underlying issues when it comes to the country’s educational system. “I’m convinced we’re not doing enough to drive up the caliber of the people who are exiting the educational system and are coming into the workforce.
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How have legislation and policies changed in the past decade?

Affordable care act has brought mandatory changes in the healthcare sector particularly subsidized and quality care to the US.
Policies such as affordable care act has expanded and perhaps transformed healthcare system in US.
Since the ACA policy become part of law in U.S several progress have been made towards solving existing healthcare challenges  (Becker, 2015).
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1. The Patient Protection and Affordable Care Act of 2010 (ACA) policy has posed a lot of impacts in the healthcare system. Some of these include;
Expansion of access to health insurance to approximately 30 million people and aspect that has lead to the increased number of insured patients flooding an already fragile and strained workforce resulting in longer wait times, reduced patient-doctor time, and increased costs (Becker, 2015).
2. The Medicare Access and CHIP Reauthorization Act (MACRA) as a result of the revision of balanced budget Act of 1997 was initiated to;
Regulate the rates of reimbursing healthcare professionals and perhaps Establish fee framework for reimbursing physicians attending to Medicare patients.
3. Executive Order 13813 of 2017 during Mr. Trump’s reign allowed small business to purchase healthcare coverage which expanded health savings which led to short-term and low cost coverage in insurance company
 
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How have patient centric approaches changed in the past decade
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A patient-centric approach provides a framework that which form the basis for partnership of healthcare system practitioners, patients and families to make decisions that are in line with patients preferences , needs and wants  (Becker, 2015).
Unlike in traditional era, todays nurses have been trained to offer a more patient centered services by educating patients about their condition among other assistive approaches.

Patient centric approaches have changed over many years currently nurses and other healthcare practitioners work collaboratively with patients to ensure that desired care is provided to meet the dynamics of healthcare needs of various patients. Patients are now able to access varied information in social media. Healthcare professional are able to interact and improve patient-physician relationship (Becker, 2015). This has further created harmonious relationships between the patient and healthcare relationship.
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Challenges associated with the changing healthcare workforce
Change of healthcare workforce may have many implications that could lead to devastating effects.
Change of workforce may lead to disrupted career experiences among the healthcare practitioners.
Additionally such changes may lead to stress due to frequent shifting of professional from one department to another  (Van Bokkelen, Morsy, & Kobayashi, 2015) .

Fifty-one percent of healthcare workers are known to lack the advancement opportunities due to the challenge in their current or previous position. The survey also identified a key turnover issue in healthcare workers taking on additional responsibilities above their comfort level as a result of ever-changing of healthcare workforce. perhaps fewer staff members must issues means that they existing workforce has to divide a significant workload, pushing some employees to the brink of exhaustion and decreasing job satisfaction considerably (Becker, 2015). The challenge of too few staff is unsurprising issues that increases labor pressure.
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Cont.………..
Perhaps , change of healthcare workforce has been associated with decreased number of healthcare practitioners with specialized abilities. Lack healthcare structure that nurtures talents within deferent areas for specialization had death healthcare system a big blow.
Healthcare industry is still struggling to fetch healthcare professionals that can perfectly fit certain positions  (Van Bokkelen, Morsy, & Kobayashi, 2015) .
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The growing skills gap in healthcare industry has been a big challenge with respect to change of healthcare workforce. Lack of sufficient staff can mean the disparities between life and death. Perhaps such changes might be difficult due to increased use technology in which case not all the employees may have competent skills in IT sector
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What are some challenges associated with demographic changes?
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The main challenges associated with demographic changes may include lack of adequate resources to provide the entire world population.
This means that that healthcare system will be too expensive for the patients to afford  (Wong, 2020).
Perhaps demographic changes are believed to increase the number of patients with chronic illness such as arthritis, diabetes and heart diseases.

Some of the relevant factors associated with demographic changes are, national origin, language, gender, age socioeconomic status, sexual orientation among many others. It has been challenging to the nurses to understand cultural diversity among deferent patients an aspect that have challenged provision of patient based care. Healthcare professionals are facing it tough to develop the right skills and cultural awareness to meet the needs of increasing cultural diversity. Aging of baby boomers alongside increasing life expectancies has resulted to the increased pressure in the healthcare system (Wong, 2020).
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Challenges of consuming online healthcare information.
Online search may be helpful to patients but it may lead to wrong judgment more so when patient knowledge is below average.
One of the challenge of patient searching health information on their own is that they may not understand medical terms used.
Online information is not always be accurate and may contain errors.
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Online healthcare information may be poisonous more so when consumed by emotional patients. Online information may also raise the anxiety of the patient which may worsen the symptoms instead of alleviating the condition. Perhaps one-on-one interaction between physicians and patients creates trust and understanding of treatment process where the patients care guided on how to follow instructions and report issues incase of overreaction of prescribed medication. Online information never the less may damage patient physician relationships
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What have been some of the improvements to the healthcare system over the last decade?
Formulation and implementation of policies such as ACA and Medicare Access and CHIP Reauthorization Act have been the yardstick in propelling the progress in healthcare systems overt the past decades  (Wong, 2020). Among the improvement include expanded insurance cover and establishment of scheduled reimbursement of physicians and nurses who attend to Medicaid patients.
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The has been improvement in the access of affordable care by the public as the enactment of ACA abolished the discriminatory insurance polices and practices in medical care (Wong, 2020). ACA policy has streamlined Medicaid and the Children’s Health Insurance Program an aspect that has allowed coverage medical care services with little or no cost at all. Perhaps ACA has improved healthcare system has eliminated copayments for preventive services for nearly all private and public health plans.
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What are some of the challenges associated with the policy and legislative changes?
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U.S healthcare model relies on most of the polices and legislative regulations in executing its functions.
Insurance polices have positively contributed to increased cost of healthcare services  (Wong, 2020).
In comparison with other western nations, legislation and other polices have lead to high rate of uninsured people.

The Affordable Health Care Act has led to increased number of insured patients. This has in spearheaded an influx of patient in the healthcare facilities sabotaging the already overwhelmed workforce (Wong, 2020). It has increased pressure in the healthcare system due to increased number of patients who seek medical attention via the use of insurance granted.
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References
Becker, S. (2015, September 18). 10 key policy issues facing healthcare. Retrieved from https://www.beckershospitalreview.com/hospital-management-administration/10-key-policy-issues-facing-healthcare.html
Van Bokkelen, G., Morsy, M., & Kobayashi, T. (2015). Demographic Transition, Health Care Challenges, and the Impact of Emerging International Regulatory Trends With Relevance to Regenerative Medicine. Current Stem Cell Reports, 1(2), 102-109. doi:10.1007/s40778-015-0013-5
Wong, K. (2020, January 4). Top Workforce Challenges and Trends Impacting the Healthcare Industry in 2020 | Engage Blog. Retrieved from https://www.achievers.com/blog/top-workforce-challenges-and-trends-impacting-the-healthcare-industry-in-2020/
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