MSN 6218 Discussion Enhancing Health Care

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MSN 6218 Discussion Enhancing Health Care

MSN 6218 Discussion Enhancing Health Care

upon the best health care systems worldwide.

the health care systems that you consider having the best outcomes worldwide,
citing evidence that supports your claim.

What makes
these health care systems so important to overall global health?

lessons can be learned from countries with the most effective wellness programs
and how might the United States apply those lessons?

What are
the barriers for the United States to apply those lessons?

Remember to adhere to the requirements listed in the Faculty Expectations Message
for unit discussion posts and peer responses.


Respond to
two colleagues’ posts. In your responses, consider the following questions:

What might
be the positive consequences, locally and globally, if the United States
applies the lessons learned, as suggested by your colleague?

If the
United States applies those lessons, as suggested by your colleague, are there
possible negative consequences? If so, what are they?


activity will help you achieve the following learning components:

appropriate community health benchmarks or goals.

how lessons learned from other health care systems can be applied to domestic
systems to improve outcomes.

non-U.S. health care systems that afford an opportunity for useful comparison
with the United States.

the components of a health care system and the contributing factors that
produce the best possible outcomes.

the salient similarities and differences among various health care systems.

the feasibility of making specific changes to a health care system or program.


Kenya’s response to the COVID-19 pandemic received a shot in the arm following commissioning of the Pressure Swing Adsorption (PSA) Oxygen Generating Plant barely a week ago, at the Moi Teaching and Referral Hospital (MTRH) in Eldoret.

Health Cabinet Secretary Sen. Mutahi Kagwe, on a two day working tour in Uasin Gishu and Trans Nzoia counties, commended the hospital management for its efforts in responding to the country’s need for oxygen supply.  “I thank the management for seizing the opportunity presented by the pandemic response to transform the overall delivery of services at the hospital.  MTRH serves a wide catchment area, half of the country at twenty-three 23 Counties besides some of the neighboring countries.” The Cabinet Secretary said.

The oxygen plant with the capacity to generate 2,000 liters of oxygen per second is connected to more than 1000 patient beds at the facility through the piping system, as well as the 62 ICU beds.

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“Parliament allocated about 100 million shillings to MTRH, we have to commend them for making good use of the resources allocated to them. We are committed to giving resources where they are well utilized”, said the National Assembly Health Committee Chair Hon. Sabina Chege who was present at the launch of the project by the CS.

The launch of the oxygen plant, coincided with the launch of the NHIF biometric patient registration and E-Claims system at the facility that will improve efficiency by reducing the waiting time for patients. Other key projects unveiled during the tour of the facility include;

  • A data center that paves the way for investment in electronic health records and telemedicine. Telemedicine is poised to offer the best solution to challenges faced by access to facilities in distant locations and a lack of adequate specialists in the medical field.
  • The ICT network upgrade and high definition CCTV
  • MTRH radiotherapy equipment
  • MTRH Chandaria Centre and chronic diseases center which is a one stop point of care for patients seeking treatment for cancer and chronic diseases
  • Nawiri recovery and skills center the first of its kind in the region. The center is a half way home in a public hospital designed to enhance the quality of life and self-sufficiency for persons with mental health conditions to enable them live respectable lives and feel valued in the community.

Uasin Gishu Governor Jackson Mandago, called for continued support of the referral hospital by the national government. “We are looking forward to the beginning of the new MTRH projects for Kenyans to access affordable health care in the region and beyond”, Mandago stated.

Trans Nzoia County Tour

Cabinet Secretary Sen. Mutahi Kagwe assessed progress in delivery of key health services at Kitale County Referral Hospital and Trans Nzoia County Teaching and Referral hospital. He toured the new kitale eye unit accompanied by the area Governor Dr. Patrick Khaemba.

At the facility, Dr. Hillary Rono a renowned ophthalmologist feted severally for using innovation to assist those with eye conditions, demonstrated how the facility uses the smartphone technology in screening children for visual impairment. A technology that propelled the institution to the global limelight for being the first to develop and use a smartphone to screen for eye conditions.

“It is encouraging that Trans Nzoia is the first in the globe to develop and use smartphone technology in screening school children for visual impairment”, Cabinet Secretary Mutahi Kagwe said during the demonstration. In total 168,820 learners in public primary schools in the county were screened for various eye conditions using the technology, 6,696 were found to have problems, of whom 6,200 were treated.

Currently plans are ongoing to roll out the screening program to other counties. The eye unit also boasts of developing and testing a community screening app for use by community health volunteers (CHV’s) to identify eye problems and link those affected in the community with health facilities. The eye unit offers referral eye services for residents in North Rift, Trans Nzoia, West Pokot, Turkana, Bungoma and eastern parts of neighboring Uganda.

The two day working tour by the CS concluded with a visit to the Trans Nzoia Teaching and Referral Hospital located in the outskirts of Kitale town. The facility which is in the final stages of construction will be a level 5 hospital. It stands at approximately 15,000 square meters. The hospital once completed will help in decongesting health facilities around the region as well as the national referral hospitals.

“I am yet again glad to see the impact of these facilities in serving patients in the region and beyond. I wish to give assurance of the National Government’s commitment to ensuring continued support in meeting the needs of residents in health.” The Cabinet Secretary concluded.

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