In a recent study by Abel, Pring, Rich, Malik, & Verne (2013), the authors conducted a "retrospective cohort study on deaths of all patients known to a hospice in a 2.5-year period to see if use of ACP affected actual place of death, hospital use and cost of hospital care in the last year" (Abel, Pring, Rich, Malik, & Verne, 2013, p
Although the studies researched in this paper reveal coordinated care management programs such as integration of early palliative care have revealed positive results, this study says these types of programs have not been successful. "Many care coordination and disease management programs designed to improve beneficiaries' care and reduce their need for hospitalizations have been tested, but few have been successful" (Brown, Peikes, Peterson, Schore, & Razafindrakoto, 2012, p
4) Goodman, Fisher, & Chang (2011), presented a report discussing the effectiveness of communities and hospitals in relation to care for seriously or terminally ill patients. They state: "Without high-quality care coordination, patients can bounce from home to the emergency room and back into the hospital, sometimes repeatedly" (Goodman, Fisher, & Chang, 2011, p
The article discusses how the perceived notionS of palliative care include the same as end-of-life care. But, it argues that "palliative care is focused on the relief of suffering, in all of its dimensions, throughout the course of a patient's illness" (Smith et al
In an article by Temel et al. (2010), they examine the effect of introducing: "palliative care early after diagnosis on patient-reported outcomes and end-of-life care among ambulatory patients with newly diagnosed disease" (Temel et al
Some literature serves the purpose of presenting statistics. Vitas Care shows on aveage the statistics for medicare patients: "1 in 5 Medicare patients re-admit within 30 days 1 in 3 Medicare patients re-admit within 90 days 14-17% general population re-admit within 30 days 30 day re-admissions cost Medicare $12-15 billion" (VITAS Innovative Hospice Care of Connecticut & Kinzbrunner, 2009, p
4(a) allow the USCIS to withdraw a school's approval to issue I-20's, the admission of undocumented students is not one of those reasons. (Badger & Yale-Loehr, 2006)
A coalition of immigrant-rights groups filed a lawsuit against Virginia's public universities, alleging that by denying admission to illegal immigrants the universities were "unconstitutionally usurp[ing] the role of the federal government in regulating immigration." (Barakat, 2004)
Regardless of one's position on the issue, the fact remains that an increasing number of illegal immigrants have been graduating from American high schools each year. In fact, approximately 65,000 illegal immigrants graduate each year. (Barbassa, 2006)
For example, Arizona, which has an extremely high number of illegal aliens, has made attempts to bar illegal aliens from receiving state-sponsored college financial aid. (Billeaud, 2005)
Therefore, no matter what misinformed people say, everyone who lives in the United States, legally or not, has to pay taxes. (Guevara, 2001)
At the same time, these students make up a minute fraction of all students, and most of them enroll at community colleges, so the data indicate that fears of illegal immigrants taking coveted spots at competitive universities are largely unfounded. (Jaschik, 2005)
Doing so is ultimately detrimental to the American economy, because "education increases tax revenues and decreases spending on welfare, health care, and law enforcement." (Kantrowitz, 2006)
California had over $1 billion in state aid available for students, but the competition for those funds was stiff even without illegal immigrants being eligible for those funds. (Miranda, 2006)
Schwarzenegger cited the state's limited funds and the fact that undocumented students were already eligible for in-state tuition rates as his reasons for vetoing the bill. (Parker, 2006)
Many of these programs are specifically designed for American students because they can accommodate the enrollment that traditional schools cannot manage because of their strict admission criteria and limited enrollment capabilities. Canadian students have also demonstrated an interest in these schools, and they have been warned that their chances of practicing medicine with a degree from an offshore school are very limited (Korcok 865)
S. Ross University in the Dominica, discussed earlier, also planned to open a branch campus in Casper, Wyoming despite the opposition (Mangan A39)
They have reduced the number of days that they will pay for certain conditions. This was found to be a key factor in releasing patients early, when they might have benefited from a longer hospital stay (Bueno, Ross, & Wang et al
It will examine the quality of care indicators developed by Ludke and Booth, as well as those developed by other authors. The work of many other authors supports the basic conceptual model presented by Ludke and Booth (Goldfield, McCullough, & Hughes et al
It may be that insurance companies and Medicaid/Medicare reimbursements are a factor in early release of patients rather than hospital practices. Factors that were identified in other studies of hospital 30-day readmissions included the presence of deep vein thrombosis and pulmonary embolism (Spencer, Gore, & Lessard et al