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Journal Of Lancaster General Health

Relationship Jlgh.org

Both of these responsibilities will be upheld and fortified by a relationship with the University of Pennsylvania Health System; with the support of that relationship we can confidently face the inevitable uncertainty of health care’s future. REFERENCES. 1. Beeman, TE. For healthcare’s future, look locally. J Lanc Gen Hosp. 2006; 1: 4.

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Journal Of Lancaster General Health

System Jlgh.org

Lancaster General Health cannot wait for Congress or the Supreme Court. As has always been true in the American system of health care, a large hospital system like LGH must take responsibility for its own future by determining a strategic direction that can ensure its success no matter the shape of healthcare

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Journal Of Lancaster General Health

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Editor’s note: Behavioral Health is a vital component of comprehensive health care. This journal has previously published articles about integrating behavioral health into primary care practices, 1 and about the behavioral health aspects of obesity. 2 In response to the growing need for behavioral health services in our region, the Lancaster Behavioral Health Hospital (LBHH) opened in July

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The Role Of The Physiatrist In Health Care

Prospective Jlgh.org

Prospective, longitudinal, patient-reported outcomes registries are powerful tools, which allow measurement of cost, safety, effectiveness, and health care value of clinically meaningful episodes of care. Registries will be used to proactively suggest care patterns, and will examine appropriateness of care and disparities in delivery.

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Journal Of Lancaster General Health

Health Jlgh.org

Patients are becoming responsible for a greater share of the cost of their health care. A UC visit is one fifth the cost of an emergency department (ED) visit, thus offering an affordable alternative for people with immediate health care needs. 3 The last factor in the equation is the quality of health

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Journal Of Lancaster General Health

Rights Jlgh.org

Editor’s Note: In the previous issue of the Journal, LGH Director and Senior Counsel Megan R. Browne, Esq., discussed the rights of minors to give consent for care and to seek certain specific types of care. 1 The following article completes the discussion by focusing on issues of a minor’s rights to liberty and privacy under the U.S. Constitution and Pennsylvania Common Law, and by

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Journal Of Lancaster General Health

Consent Jlgh.org

Mental Health: As previously stated, a minor can consent to mental health treatment if he fits into one of the four delineated circumstances (at least 18 years old, a high school graduate, married, or has been pregnant) includes the power to consent to mental health treatment. iii The Minors’ Consent Act also addresses some other minors

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Relationship Based Care Is Here!

Change Jlgh.org

Health Care Team, Leadership/Management, and Process Improvements. Who developed these principles and who is leading this change? With many initiatives in organizations, change usually comes from the top and fi lters down. Instead, this change is coming from the bottom up, which means that our clinical hands-on staffs are leading this change with


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Journal Of Lancaster General Health

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Since resistant bacteria can spread in multiple ways, including individuals, communities, agriculture, health care facilities, and the environment, a One Health approach to antibiotic stewardship that looks beyond only human medicine was developed. 19 One Health is a collaborative approach that recognizes the interconnection between people

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What Rights Do Minors Have To Refuse Medical Treatment

Minor Jlgh.org

ment, unless that decision threatens the child’s health or welfare; Virginia (the only state to address this issue though legislation) permits a minor 14 years or older to refuse, with parental acquiescence, medical treatment, even when the minor suffers from a life threatening disease. Some …

Mens Health
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Journal Of Lancaster General Health

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As of October 20, 2020, the Lancaster General Health system has 247,731 patients who can access their medical records and have health care delivered via MyLGHealth. According to a 2014 study in the Journal of Health Care for the Poor and Underserved, 80% of family health care decisions are made by women, 5 which may account for the fact that 60

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Journal Of Lancaster General Health

Adults Jlgh.org

Put another way, HNHC adults represent 37% of adults in the top 10% of health care spending and 47% of those in the top 5%. The average annual per-person health care expense for HNHC patients is $21,000, which is three times the average expense for adults with multiple chronic conditions who have no functional limitations.

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Journal Of Lancaster General Health

Forty-eight Jlgh.org

Forty-eight health care providers attended, representing 20 out of 26 practices in the Lancaster General Health system. An evaluation of the audience response data revealed that there was a need for standardized guidelines.

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Journal Of Lancaster General Health

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The nursing profession has a vision, and a powerful incentive to influence the path of health care, as did Florence Nightingale – the greatest visionary leader of all nurses. As roles are defined and health care professionals unite, the introduction of the DNP may prove to be just what the doctor ordered.

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Journal Of Lancaster General Health

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Behavioral Health includes mental health issues such as depression and anxiety disorders. Social Determinants of Health (as outlined by the Office of Disease Prevention and Health Promotion 1 ) includes: • Economic Stability • Education • Social and Community Context • Health Care • Neighborhood and Built Environment

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Journal Of Lancaster General Health

Percent Jlgh.org

Health care spending accounted for 10.9 percent of the GDP in Switzerland, 10.7 percent in Germany, 9.7 percent in Canada and 9.5 percent in France, according to the Organization for Economic Cooperation and Development. The annual premium that a health insurer charges an employer for a health plan covering a family of four averaged $12,100 in

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Journal Of Lancaster General Health

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The Health Care Cost Institute (HCCI), 2 a nonprofit funded by four major health insurers (Aetna, Humana, Kaiser, and United Healthcare), with access to claims data on approximately 25% of the commercially insured market, recently published a study of commercial health care prices that shows regional price differences even for relatively

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Journal Of Lancaster General Health

Vegetative Jlgh.org

So, clearly, the health care system can refuse to treat individuals. But, those are extreme (and common sense) examples. What about cases where a patient is in a vegetative state and on mechanical support and the medical team recommends withdrawing support, yet the family demands continued care in hope of some miraculous recovery?

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Journal Of Lancaster General Health

Health Jlgh.org

These businessperson-physicians are especially important in health care administration, where they can incorporate good business practices into the clinical realm. As one of my professors said: “medicine is a science, health care is a business, healing is an art. A good physician must be well versed in all three.”

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Journal Of Lancaster General Health

Health Jlgh.org

Health Care Resources Another contextual reality in Malawi is the overwhelming lack of health care resources. In 2014, combined spending in the public and private health care sectors was just $29 per capita, down from a “peak” of $43 in 2011. 5. This represents less than .03% of per capita health care spending in the U.S. ($9,403).

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Journal Of Lancaster General Health

Postpartum Jlgh.org

Health care providers trained in obstetrical care should facilitate early postpartum follow-up, a comprehensive postpartum visit within 12 weeks of delivery, and connection with a primary medical home for ongoing well woman care for all women. REFERENCES. 1. Presidential Task Force on Redefining the Postpartum Visit. ACOG Committee Opinion.

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Journal Of Lancaster General Health

United Jlgh.org

INTRODUCTION The United States spends more than any other country for health care (about $3 trillion), but in 2014 it ranked only 43rd in life expectancy. 1 According to the 2010 Global Burden of Disease Study, the No. 1 risk factor for morbidity and mortality in the United States is poor diet, followed by obesity, smoking, and hypertension. 1 More than 70% of Americans are overweight (BMI 25

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Journal Of Lancaster General Health

Greenwald Jlgh.org

Greenwald HP. Health Care in the United States: Organization, Management, and Policy. John Wiley & Sons, 2010. pp 147-149 2. Peterson AS. Shale gas (methane) extraction and public health: Why doctors should be concerned. J Lanc Gen Hosp. 2017; 12 (3): 88-89. 3. Kontra JM. Zombie Infections and Other Infectious Disease Complications of Global

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Journal Of Lancaster General Health

Health Jlgh.org

2. Insourced in-person medical scribes: When a health care organization employs scribes, the experience is the same as above, with the major exception that the organization manages the scribes. Often, health care organizations look to extend MAs to provide scribe services, even though the profile for success in the two roles can be quite different.

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Journal Of Lancaster General Health

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Race and ethnicity are risk markers for other underlying conditions that affect health including socioeconomic status, access to health care, and exposure to virus related to occupation. 3 This article will explore structural racism, social determinants of health, and the impact of …

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Journal Of Lancaster General Health

Spring Jlgh.org

Spring 2010, Vol. 5 - Issue 1: Can the Health Care System Ever Say No? Spring 2011, Vol. 6 - Issue 1: The Emergency Medical Treatment and Labor Act - A Primer 554 N Duke Street, 2nd Floor • Lancaster, PA 17604 • (717) 544-8004

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Journal Of Lancaster General Health

Federal Jlgh.org

When Sen. Bernie Sanders introduced HR 676 (single-payer health care), the Wall Street Journal proclaimed that it would increase federal spending for health care $15 trillion over 10 years. 4 Since the WSJ opposes measures that expand the federal government, they avoided mentioning that the increase in federal spending would reduce comparable

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P ConTrol And H C DeVeloPing W

Article Jlgh.org

a unique perspective on global health from the front lines in a poor country, and anyone who hasn’t read that article is urged to do so. His article did not have the space to address population control, though it is an essential aspect of the inter-dependent issues of health care and economic development, and I asked him to explore the topic


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Journal Of Lancaster General Health

Health Jlgh.org

The U.S. health care system is not adequately meeting the needs of the 12 million adults who have both a medical condition and a behavioral health disorder. 1 These are the sickest adults, and this deficiency raises costs. Salzberg and co-workers found that over a two-year period, 34% of adults with a behavioral health condition were in the

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Journal Of Lancaster General Health

Health Jlgh.org

Health care team barriers For patients to have accurate illness-understanding, the appropriate information must be conveyed to them by their health care team. Nonetheless, physicians report varying reasons why this does not occur, even when there is evidence these concerns are mistaken.

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Journal Of Lancaster General Health

Lancaster Jlgh.org

Lancaster General Health. INTRODUCTION Low back pain is the leading cause of disability in the United States, accounting for nearly 15 million medical visits and $25 billion in health care spending annually. One major consequence of the condition, prescription opioid abuse, imposes an …

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BArrierS To BehAviorAl HeAlTh TreATMenT Changing The

Health Jlgh.org

Lancaster Behavioral Health Hospital Editor’s note: Behavioral Health is a vital component of comprehensive health care. This journal has previously published articles about integrating behavioral health into primary care practices,1 and about the behavioral health aspects of obesity.2 In response to the growing need for behav-

Mens Health
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Journal Of Lancaster General Health

Health Jlgh.org

One of the theory’s tenets is cultural accommodation or negotiation, which refers to “creative nursing actions that help people of a particular culture adapt to or negotiate with others in the health care community in an effort to attain the shared goal of an optimal health outcome for client(s) of a designated culture.” 14 A related

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Journal Of Lancaster General Health

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Mental health care of transgender individuals intersects with hormone therapy, gender confirmation surgery, and primary care. Prior to hormone therapy, a referral from at least one mental health care professional is needed, and gender confirmation surgery requires referral by two mental health

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Journal Of Lancaster General Health

Houses Jlgh.org

The recent mid-term elections were a sobering experience for President Obama and the Democratic Party. For us as health care providers, the Republicans’ control of both houses of Congress, and their vow to drastically amend or even reverse the Accountable Care Act (ACA), has the potential for far-reaching implications.

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Journal Of Lancaster General Health

Midst Jlgh.org

The U.S. Health Care System was declared “broken” 10 years ago, there has been no significant improvement. It is time for Change! Western Medicine is in the midst of a paradigm shift, as physicians and patients begin to adopt a more “holistic” approach to health care.

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Journal Of Lancaster General Health

Hospital Jlgh.org

LGH is a tertiary health care system that serves central Pennsylvania via an inpatient hospital in Lancaster, PA, and multiple outpatient facilities throughout Lancaster County and beyond. It has been a top 100 hospital for five years in a row, and has also been designated a Magnet Hospital in recognition of its nursing services.

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Journal Of Lancaster General Health

Lancaster Jlgh.org

Lancaster General Health (LG Health) is the largest employer in Lancaster County, currently responsible for more than 7,000 employees. In January 2013, we took the bold step of implementing a new human resource policy, hiring only those applicants who test negative for tobacco use.

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Journal Of Lancaster General Health

Children Jlgh.org

Although HF in adults is common and has considerable impact on health care outcomes, in children it is relatively rare, and may not be seen often in community practice settings. Nonetheless, prompt recognition of HF in children is important, as prompt referral may limit unnecessary investigations and even be lifesaving for critically ill children.

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Journal Of Lancaster General Health

Amend Jlgh.org

Health care providers clearly play a significant role in the success and growth of the Medical Marijuana Program. The state should, ideally, amend the Pennsylvania Controlled Substances Act to account for medical marijuana, and it should also amend the Medical Marijuana Act to clarify that providers can do more than simply certify patients.

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Journal Of Lancaster General Health

Health Jlgh.org

To produce a health care expert, the system often sacrificed teamwork, standardization, and collegiality, and focused on episodic care and short term results. Under a fee-for-service model, health care organizations benefitted from these highly skilled and highly productive physicians, but utilization soared and costs were unsustainable.

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Journal Of Lancaster General Health

Health Jlgh.org

Implicit bias within the health care system is seldom acknowledged but is a critically important reason for the striking racial disparities in women’s health. In 2017, ProPublica and National Public Radio conducted a series of interviews with over 200 African American women regarding their experiences in the U.S. health care system during

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Journal Of Lancaster General Health

Election Jlgh.org

Still, as I noted in my previous column, 6 the results of the midterm election, and the upcoming presidential election, have focused attention on health care. Several U.S. senators have recently introduced strong legislation, a hospital consortium has proposed a radical initiative, and the Trump administration is also weighing in.

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Journal Of Lancaster General Health

TeleDerm Jlgh.org

TeleDerm II introduced the use of the dermatoscope. The Center for Health Care Innovation at Penn Medicine Lancaster General Health (CHCI-LGH) purchased 15 dermatoscopes, and provided training for Primary Care Providers (PCPs). Training protocols and implementation lessons from TeleDerm I …

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Journal Of Lancaster General Health

Health Jlgh.org

Since 2003, racial health disparities for Black people have not improved on 60 of the 73 measures of health care quality and access tracked by the Agency for Healthcare Research and Quality. 5 Only 10%-30% of the variance in cancer and chronic disease outcomes has been attributed to genetic factors, while the remaining 70%–90% has been

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Journal Of Lancaster General Health

Should Jlgh.org

Manuscripts should ideally be between 2,500 – 3,000 words and should have an abstract of approximately 250 words. Medical articles should report research; introduce new diagnostic or therapeutic modalities; describe innovations in health care delivery; or review complex or controversial clinical issues in patient care.

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Journal Of Lancaster General Health

Health Jlgh.org

The Pennsylvania College of Health Sciences has a new home to educate the health care providers and leaders of the future. Eight thousand physicians and staff are providing some of the best health care in the nation, and Jan Bergen, our CEO, moved into leadership seamlessly with her team, creating a new and fresh vision for LGH’s role in the

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FAQ jlgh.org health

What is healthy really means?

Healthy eating means eating a variety of foods that give you the nutrients you need to maintain your health, feel good, and have energy. These nutrients include protein, carbohydrates, fat, water, vitamins, and minerals. Nutrition is important for everyone. When combined with being physically active...

How do you stay healthy?

In order to stay healthy, you need to live an active and aware lifestyle. This means getting at least 30 minutes of exercise daily, eating a well balanced diet, and try and reduce stress in your lifestyle. Becoming more active will help with stress levels and eating a well balanced diet will help keep you healthy.

Is your healthy food really healthy?

Is Your Healthy Food Really Healthy? Give your salad a second look. While salads are a great way to get in your daily vegetables, it's surprisingly simple to... Avoid artificial sweeteners. While reducing the amount of sugar in your diet is always a positive move, artificial... Be picky about popcorn. Popcorn can be a great low-calorie snack when you make it at home. More ...

Is being too healthy unhealthy?

Yep, being too healthy can actually be unhealthy . Orthorexia is an obsession with eating a "pure" diet, which can mean avoiding foods with unhealthy fats, added sugar or salt, genetic modifications, artificial colors, or flavors and preservatives.

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