Integration of Just In Time (JIT) Inventory in Outpatient Pharmacy Information Systems

2012 ◽  
Vol 14 (4) ◽  
pp. 27-40
Author(s):  
Bhushan Kapoor ◽  
Timothy Mullen
Keyword(s):  
Inventory Management ◽  
Health Care Services ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Non Profit ◽  
Service Levels ◽  
Inventory Costs ◽  
Care Services ◽  
Comprehensive Health ◽  
The Right

With the implementation of the recent Healthcare Reform Act and the increased scrutiny on the soaring costs of healthcare, medical plans are looking for ways to optimize workflows and reduce costs. Titan Healthcare is a large non-profit integrated healthcare company located in Arizona, New Mexico, Nevada, Colorado, and Texas. They provide health insurance coverage, and a broad range of comprehensive health care services. Titan Healthcare is engrossed to employ the best strategies to close performance gaps and efficiently manage their operations. To help improve their pharmacy operations, they are seeking to design and implement a new Outpatient Pharmacy Information System which will handle both dispensing and inventory functionality. From a pharmacy inventory perspective, expectations for the system are to significantly reduce inventory costs and increase service levels to their members. Titan Healthcare is currently exploring options for designing the right Outpatient Pharmacy Inventory Management System for its operations.

scholarly journals Perinatal outcomes among Venezuelan immigrants in Colombia: A cross-sectional study

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L Garnica Rosas ◽  
H Lamadrid-Figueroa ◽  
A Granich Armenta ◽  
M Salvador Dominguez
Keyword(s):  
Public Health ◽  
Regression Models ◽  
Health Care Services ◽  
Insurance Coverage ◽  
Perinatal Outcomes ◽  
Health Insurance Coverage ◽  
Health Policies ◽  
Migrant Population ◽  
Care Services ◽  
Colombian Women

Abstract Introduction In the last decade, Venezuela suffers a humanitarian crisis, leading to massive emigration to border countries, including Colombia. One of the most vulnerable migrant groups is pregnant women. They face social and economic challenges, in addition to the barriers to access public health care services. These circumstances might increase adverse perinatal outcomes. This study aims to analyse the perinatal outcomes of Venezuelan migrants in Colombia and determine if the migration factor impacts on the perinatal results. Methods Data were obtained from the 2017 Colombian national birth register (n = 1,085 births in Venezuelan migrants and n = 654,829 in Colombian women). The premature birth (PB), low birth weight (LBW), 1-minute, and 5-minute Apgar score were compared to identify any association with the demographic, obstetric and neonatal characteristics, considering motheŕs origin as the primary exposure variable. Logistic regression models were used for the binary outcomes and linear regression models for continuous outcomes. Results The main difference was found in the low prevalence in health insurance coverage among Venezuelan women in comparison to natives (2.5% vs. 86.4%), and antenatal care visits (Mean 3.35±2.60 vs. 6.37±2.56). Venezuelan women were more likely to have newborns with LBW (OR 1.27; 95%CI 1.01, 1.58), lower Apgar scores at 1-minute (ß -0.09; 95%CI -0.14, -0.025) and 5-minute (ß -0.13; 95%CI -0.17, -0.08) in comparison to Colombians. Conclusions Our findings support that some neonatal outcomes among the Venezuelan migrants differed significantly from those of the Colombian women. The disadvantages found in health insurance coverage and antenatal care among migrants group were considered influencing factors. More effort among public health policies is needed to allow the migrant population having effective access to health care services, in order to improve the conditions of these women and their offspring. Key messages Pregnant migrant women are a vulnerable group in Colombia, facing health access barriers with neonatal consequences. The action is required by the application and reinforces of inclusive health policies among migrant population in Colombia.

Ten Years Later: Reflections on Critics' Worst-Case Scenarios for the Affordable Care Act

2020 ◽  
Vol 45 (4) ◽  
pp. 465-483
Author(s):  
Stacey McMorrow ◽  
Linda J. Blumberg ◽  
John Holahan
Keyword(s):  
Health Insurance ◽  
Affordable Care Act ◽  
Health Care Services ◽  
Insurance Coverage ◽  
Health Spending ◽  
Health Insurance Coverage ◽  
Worst Case ◽  
Care Services ◽  
Health Insurance Markets ◽  
The Affordable Care Act

Abstract The primary goals of the Affordable Care Act (ACA) were to increase the availability and affordability of health insurance coverage and thereby improve access to needed health care services. Numerous studies have overwhelmingly confirmed that the law has reduced uninsurance and improved affordability of coverage and care for millions of Americans. Not everyone believed that the ACA would lead to positive outcomes, however. Critics raised numerous concerns in the years leading up to the law's passage and full implementation, including about its consequences for national health spending, labor supply, employer health insurance markets, provider capacity, and overall population health. This article considers five frequently heard worst-case scenarios related to the ACA and provides research evidence that these fears did not come to pass.

Patients' Rights and Medical Personnel Duties in the Field of Hospital Care

2016 ◽  
pp. 282-297
Author(s):  
Bogusław Sygit ◽  
Damian Wąsik
Keyword(s):  
Health Care Services ◽  
Medical Personnel ◽  
Patient Rights ◽  
Medical Documentation ◽  
Medical Procedure ◽  
Current Case ◽  
Patients Rights ◽  
Care Services ◽  
Consent To Treatment ◽  
The Right

The aim of this chapter is to describe selected universal rights of the patient. The authors specify the seven types of patient rights: the right to appropriate organization of treatment on equal terms, the right to respect patient's dignity and privacy, the right to full and comprehensible information on the state of health, the right of access to medical documentation, the right to self-determination - to agree to provide health care services, the right to respect for private and family life and religion and the right to seek compensation and other benefits in the event of damage to the result of medical malpractice. This classification is the basis to discuss the specifics of each of them with reference to specific examples of their implementation or violations. The chapter specifically addresses the issues such as the obligation to inform the patient of the medical procedure, the legal conditions for the effectiveness of consent to treatment and the principle of access to medical documentation. Presentation of patients' rights is made from the perspective of fulfilling the duties of medical personnel working in hospitals. The authors make extensive use of current case law of the European Court of Human Rights. The undeniable advantage of the publication is to present selected theses of Polish court rulings issued in cases of violation of patient rights.

scholarly journals Wealth Status, Health Insurance, and Maternal Health Care Utilization in Africa: Evidence from Gabon

2020 ◽  
Vol 2020 ◽  
pp. 1-12 ◽  
Author(s):  
N’doh Ashken Sanogo ◽  
Sanni Yaya
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Maternal Health ◽  
Health Care Services ◽  
Insurance Coverage ◽  
Maternal Health Care ◽  
Care Utilization ◽  
Services Utilization ◽  
Maternal Health Care Utilization ◽  
Care Services

Background. To achieve the universal health coverage among other Sustainable Development Goals, African countries have shown the commitment by implementing strategies to improve access and coverage of health care services whose access is still very low. The achievement of universal health care requires the provision and availability of an adequate financing system. This study explored the wealth-related association of compulsory health insurance on maternal health care utilization in Gabon. Methods. The study used the 6th round of Gabon Demographic and Health Surveys (GDHSs)—2012 data to explore three outcome measures of maternal health care utilization extracted on number of antenatal care (ANC) visits during pregnancy, place of birth delivery, and postnatal health care. The dependent variable was women with health insurance coverage against those without. Logistic regression and propensity scoring matching analysed associations of health insurance coverage on women’s utilization of health care. Results. Mean (+/− SD) age of women respondents of reproductive age was 29 years (9.9). The proportion of at least 4 antenatal care visits was 69.2%, facility-based delivery was 84.7%, and postnatal care utilization was 67.9%. The analysis of data showed disparities in maternal health care services utilization. The GDHS showed maternal age, and geographical region was significantly associated with maternal health care service utilization. A high proportion of urban dwellers and Christian women used maternal health care services. According to the wealth index, maternal health services utilization was higher in women from wealthy households compared to lower households wealth index (ANC (Conc. Index = 0.117; p≤0.001), facility-based delivery (Conc. Index = 0.069; p≤0.001), and postnatal care (Conc. Index = 0.075; p≤0.001), respectively). With regard to health care insurance coverage, women with health insurance were more likely to use ANC and facility-based delivery services than those without (concentration indices for ANC and facility-based delivery were statistically significant; ANC: z-stat = 2.69; p=0.007; Conc. Index: 0.125 vs. 0.096 and facility-based delivery: z-stat = 3.38; p=0.001; Conc. Index: 0.076 vs. 0.053, respectively). Conclusion. Women enrollment in health insurance and improved household’s financial status can improve key maternal health services utilization.

… And Health Care for All: Immigrants in the Shadow of the Promise of Universal Health Care

2009 ◽  
Vol 35 (1) ◽  
pp. 185-204 ◽  
Author(s):  
Adrianne Ortega
Keyword(s):  
United States ◽  
Health Care ◽  
Health Care Services ◽  
Insurance Coverage ◽  
The United States ◽  
Care Plan ◽  
Universal Health Care ◽  
Care Services ◽  
Eligibility Requirements ◽  
Universal Health

President Obama’s ambitious universal health care plan aims to provide affordable and accessible health care for all. The plan to cover the estimated 46.5 million uninsured, however, ignores the over thirty million non-citizens living in the United States. If the United States passes universal health care coverage, Congress should repeal the prohibitions of the Welfare Reform Act, extend Medicaid coverage to non-citizens, and allow non-citizens to purchase employer-based insurance coverage.President Obama’s plan follows the lead of state universal health care legislation by retaining private, employer-sponsored insurance coverage and expanding the eligibility requirements of the Medicaid program. This strategy will not aid uninsured immigrants or overburdened states and hospitals, though, because current law excludes most non-citizens from nonemergency health care services.

Trends in Insurance Coverage for Complementary Health Care Services

2020 ◽  
Vol 26 (10) ◽  
pp. 966-969
Author(s):  
James M. Whedon ◽  
Serena Bezdjian ◽  
Justin M. Goehl ◽  
Louis A. Kazal
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Insurance Coverage ◽  
Care Services
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