Note: Sample below may appear distorted but all corresponding word document files contain proper formattingExcerpt from essay:
Given the projected demographic trends and the actual statistics from the surrounding hospitals considered above, it is obvious that the "business" for open heart surgery is moving into the Cabarrus Memorial Hospital area. In the interim however, the hospital administrators on the Board will have to consider possible alternative strategies before making a "go/no-go" decision on the possible addition of the open heart program. Unfortunately, a helicopter medevac average price is $7,500-$8,000. This will of course vary based upon the medications and supplies used during trip ("How much does," 2011).
First of all, in the opinion of the author, we have identified an access problem for the present CMH area residents to the existing open heart surgery facilities at the surrounding hospitals. As noted in the case study text, driving to Charlotte is a major problem. The immediate issue will be relieving this before an open heart surgery center is functioning at CMH (ibid, 812-813). This is a very sticky problem with few immediate alternatives short of a full open-heart surgery program.
Also, it will be the continued gradual expansion of open heart surgery programs at the CMH, such as the cardiac catheterization program that was started two years earlier. Even with the success of the program, CMH 82 patients to outside hospitals for angioplasty as well as 117 to open heart surgery. To make matters worse, Rowan Memorial Hospital which is located a half-hour's drive to the north in Salisbury opened its own cardiac catheterization service and might compete in the future for the cardiac catheterization "market (ibid, 813-814)." If Rowan provides open heart services the results are clear, the hospital desperately needs to provide full service cardiac services, including open heart surgery to its patients.
This primarily leaves financial considerations. Capital costs will $3, 273, 180. The hospital had sufficient reserve funds to cover this. Significantly, there will need to be an increase in 23 new staff employees for the new open heart surgery unit and a need for ten new beds to become operational as coronary care beds and one new open heart operating suite. The clinical personnel will cost $711, 793 (Ibid, 815-816).
Survival rates go up significantly for patients at hospitals with open heart surgery centers. A comparison 19 hospitals found that risk algorithms showed superior performance and accuracy in survival 30 days and one year after being treated in hospitals in open-heart surgery programs in-house, and EuroSCORE, NYS, and Cleveland Clinic in CABG-only surgery (Nilsson, Algotsson, Hoglund, Luhrs, & Brandt, 2006).
In the opinion of this author, the hospital needs to go for the application for a license for an open heart surgery unit and needs to open. For Cabarrus Memorial Hospital to continue to have a positive reputation as a progressive teaching hospital and to grow with the region's population this not just a nice to have thing. It is the next item that is necessary for the hospital's survival and the health and well-being of the population it serves. Otherwise, we will loose out to those hospitals that are stepping forward to provide these services and people will use their services instead.
Heart. (2011). Retrieved from http://www.cmc-northeast.org/body.cfm?id=51.
How much does a ride in a medevac helicopter cost? (2011). Retrieved from http://answers.yahoo.com/question/index?qid=20100329055051AAbYeqW.
Nilsson, J., Algotsson, L., Hoglund, P., Luhrs, C., & Brandt, J. (2006). Comparison of 19 pre-operative risk stratification. European Heart Journal,…[continue]
"Decision To Found An Open" (2011, August 08) Retrieved October 27, 2016, from http://www.paperdue.com/essay/decision-to-found-an-open-43842
"Decision To Found An Open" 08 August 2011. Web.27 October. 2016. <http://www.paperdue.com/essay/decision-to-found-an-open-43842>
"Decision To Found An Open", 08 August 2011, Accessed.27 October. 2016, http://www.paperdue.com/essay/decision-to-found-an-open-43842
CONCLUSION The rate of teacher burn out has reached alarming numbers. Each year teachers are fleeing from the field as they become overwhelmed following the first few years in a classroom. This school system has voted to incorporate a new organizational structure using the open system model as its guide. The new system will utilize a Consult Team of senior experienced teachers who will be trained in how to assist the
Open Fields Doctrine and Its Relevance to the U.S. Constitution What is the open fields doctrine? According to the definition provided by Black's Law Dictionary (1990), the open fields doctrine "permits police officers to enter and search a field without a warrant. The term 'open fields' may include any unoccupied or undeveloped area outside of the curtilage (Oliver v. U.S., 466 U.S. 170, 104 S.Ct., 1735" (1091). For the purposes of searches
Decision Support System (DSS) Assuring a safe and secure it (IT) atmosphere for that exchange of business has been a significant problem. The degree related to the task has been increasing annually, as assailants become a little more well-informed, more driven, and more vivid within their endeavours. Based on a lead security professional at International Data Corporation, a worldwide supplier of marketplace data and advisory services to the IT network, "Rising
Decision Making Barnes and Noble Inc. is one of the most successful bookstores in the world. The company operates throughout the United States and boasts roomy inviting stores. In addition to books, the company also sells DVDs and music. The company operates both brick and mortar stores and it is also the largest internet bookstore. Furthermore, Barnes & Noble, Inc. is a Fortune 500 company and the largest bookseller in the
Open Market Operations Monetary policy may involve several facets, including reserve requirements, discount rate and interest rate targeting. The U.S. Federal Reserve's long-time strategy has been to use interest rate targeting through Open Market Operations primarily to keep the economy in its attempts to keep the economy in a state of equilibrium. Today, open market operations (purchase and sale of U.S. Treasury and other federal agency securities) are the principal tool used
An intriguing example that can be found in the book refers to the episode in which men under his command succeeded to sneak guns in areas which were supposed to be protected by screening devices. Through his experiment Ervin managed to demonstrate that the Transportation Security Administration authorities are definitely not doing a good job. Furthermore, the reaction of the authorities to the event demonstrate that they are more concerned
Decisions by School Superintendents Improper Attitude and Unprofessional Conduct of Teachers To educate a person in mind and not in morals is to educate a menace to society - President Theodore Roosevelt. That teaching is at one and the same time an intellectual as well as a moral endeavor, is an idea that is well entrenched in the minds of men since centuries past. The sayings of great teachers of ancient times bear