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Another major change was the nature of the staff that ran hospitals. Often, these hospitals were still paid for by subscriptions of the wealthier members of society, yet how the money was being spent began to change. There were less volunteer and religious undertones as more and more specialization became a key evolution in the hospital's history. Thus, hospitals in this period saw the implementation of a highly skilled and trained nursing staff. This more specialized and trained staff could go much further beyond the capabilities of the predominately religious-based volunteer nurses of the past hospitals. There was a specialization of doctors and nurses who worked within very specific fields.
Hospitals became the "main provider of specialized care"
and essentially a precursor to the concept of specialized care. In this new hospital setting, specialized staff could focus on providing expert skill in therapies directed specifically for certain conditions or injuries.…
Greene, Jeremy a., "Therapeutic Evolution and the Challenge of Rational Medicine." The New England Journal of Medicine, 367(2012), 1077-1082.
Marland, Hilary, "The Changing Role of the Hospital, 1800-1900." Medicine Transformed, Health, Disease and Society in Europe 1800-1930 (Manchester: Manchester University Press, 2004), pp. 31-60.
"New Hospital," PowerPoint Slides. (2012).
Marland, Hilary, "The Changing Role of the Hospital, 1800-1900." Medicine Transformed, Health, Disease and Society in Europe 1800-1930 (Manchester: Manchester University Press, 2004), p 32.
In any profession today, quality control means the prevention of problems that were the aim of the business to solve in the first places. ecurrence of these problems means that the business has not been functioning optimally and a new strategy or focus is required. In the health care setting, such a challenges is presented by hospital readmissions. When a person is discharged from hospital after receiving treatment for a certain condition, this means that the aim to persuade the patient with a remedy for the condition was reached. eadmission for the condition at some future date means that the remedy was not sufficient and a different strategy needs to be followed. There are several focus points when considering the readmission of patients to hospital and how this can be prevented. Upon final analysis, it is indeed possible to prevent this and the health care professional has an…
Daly, B.J., Douglas, S.L., Kelley, C.G., O'Toole, E., and Montenegro, H. (2005). Trail of a Disease Management Program to Reduce Hospital Readmissions of the Chronically Critically Ill. CHEST, Vol 128, No. 2. Retrieved from: http://journal.publications.chestnet.org/article.aspx?articleid=1083596&issueno=2
Fiegl, C. (2012, Aug 27). 2,200 hospitals face Medicare pay penalty for readmissions. Retrieved from: http://www.ama-assn.org/amednews/2012/08/27/gvsb0827.htm
Gleckman, H. (2012, Sep. 12). How Nursing Homes Can Cut Hospital Readmissions. Forbes. Retrieved from: http://www.forbes.com/sites/howardgleckman/2012/09/12/how-nursing-homes-can-cut-hospital-readmissions/
Gonseth, J., Catillon-Guallar, P., Banegas, J.R., Rodriguez-Artalejo, F. (2004, Aug.). The effectiveness of disease management programmes in reducing hospital re-admission in older patients with heart failure: a systematic review and meta-analysis of published reports. The European Society of Cardiology. Retrieved from: http://eurheartj.oxfordjournals.org/content/25/18/1570.full.pdf
Hospital Crisis Management Planning
The study of crisis management is one of the most written about issues of importance. This is true in part because crises can happen to any or all types of organizations (from businesses to community or governmental initiatives), and they can arise on a broad variety of levels. As such, they can be difficult to predict and to plan for at the same time that digital connectivity makes rapid and prepared responses all the more important.
There is much evidence that suggests that digital community building and the speed with which someone can access a wave of interconnected supporters will be most important in the future as crises arise. And this is particularly true for organizations such as hospitals, which carry out public benefit as well as profit obligations, making the potentials of crises even bigger. A hospital, for example, can have an internal crisis of…
Ghinn, D. (2011), CreationHealthCare, Managing a Social Media Crisis. Retrieved on October 11, 2011 from http://creationhealthcare.com/articles/managing-a-social-media-crisis/
Grady-Erickson, O and Saruwatari, M., 2009, Continuity of Operations Planning: Lessons Learned form the H1N1 Pandemic, LivePress, NJ. Retrieved from http://www.LivePress.com .
Hanvik, R. (2011), CreationHealthCare, Introduction to Digital Governance. Retrieved on October 11, 2011 from http://creationhealthcare.com/articles/introduction-to-digital-governance/
Pearson, C.M. And Clair, J.A., Reframing Crisis Management, Academy of Management Review, 23(1) (1998): 59 -- 76, as printed in Boin, A, (2008). Crisis Management, V II, Sage Publications.
Falls are the leading cause of hospital related injuries in the United States. There are many surprising factors that affect patients in regards to hospital falls; they involve patients of all ages and over a range of different scenarios. As a result the fall incident rate has been the target of the academic world and professionals alike as inpatient falls are serious patient safety and quality issues. Fall prevention is an important aspect to patient safety and effective communication among staff, patients, and their families is required to mitigate potential risks. This project will outline an effective strategy for outlining an intervention that implements a proactive fall prevention program. Patients injured in a fall incur increased hospital costs due to additional treatment and longer lengths of stay (Pearson, Coburn, 2011). According to the IOM, (Institute of Medicine) creating safe, effective, patient-centric, timely, efficient, and equitable care…
Colon-Emeric, C., Schenck, A., Gorospe, J., McArdle, J., Dobson, L., Deporter, C., & McConnell, E. (2006). Translating Evidence-Based Falls Prevention into Clinical Practice in Nursing Facilities: Results and Lessons from a Quality Improvement Collaborative. Journal of the American Geriatrics Society, 1414-1418.
Schwendimann, R., Buhler, H., De Geest, S., & Millsen, K. (2008). Characteristics of Hospital Inpatient Falls across Clinical Departments. Gerontonlogy, 342-348.
Semin-Goossens, A., van der Helm, J., & Bossuyt, P. (2003). A failed model-based attempt to implement an evidence-based nursing guidelines for fall prevention. Journal of Nursing Care, 217-226.
Von Rentein-Kruse, W., & Krause, T. (2007). Incidence of In-Hospital Falls in Geriatric Patients Before and After the Introduction of an Interdisciplinary Team -- Based Fall-Prevention Intervention. Journal of the American Geriatrics Society, 2068-2074.
Hospital Management Concepts
Great Lake Memorial Hospital has just entered into a five-year contract with Springville General Hospital to deliver quality care without duplication of services. e now have a new CEO who will be meeting with a current CEO. Dan Smith, the new CEO, has certain management options for dealing with inevitable key problems arising from merger. In addition, the CEO of Springville General Hospital must deal with inevitable issues arising from merger. Both CEOs will also require the cooperation of their hospitals' Board of Trustees and Medical Directors to ensure a smooth transition and consolidation of resources.
The key problems that Mr. Dan Smith will be Facing in his New Role
hile a change in CEOs does not affect hospital performance per se (Li-Ping Tang & Timmer, 2008, p. 11), Dan Smith must deal with the large issues involved in mergers and acquisitions. Fundamentally, he must establish a…
Bellou, V., & Thanopoulos, J. (2006). Enhacing service quality in a hospital setting. Retrieved on May 20, 2012 from Proquest.umi.com Web site: http://proquest.umi.com/pqdweb?index=6&did=1017978211&SrchMode=2&sid=12&Fmt=6&VInst=PROD&VType=PQD&RQT=309&VName=PQD&TS=1257985287&clientId=29440
Choi, S., & Brommels, M. (2009). Logics of pre-merger decision-making. Retrieved on May 20, 2012 from Proquest.umi.com Web site: http://proquest.umi.com/pqdweb?index=0&did=1871992041&SrchMode=2&sid=1&Fmt=3&VInst=PROD&VType=PQD&RQT=309&VName=PQD&TS=1337608110&clientId=14844
Groff, J.E., Lein, D., & Su, J. (2007). Measuring efficiency gains from hospital mergers. Retrieved on May 20, 2012 from Proquest.umi.com Web site: http://proquest.umi.com/pqdweb?index=4&did=1426086671&SrchMode=1&sid=8&Fmt=6&VInst=PROD&VType=PQD&RQT=309&VName=PQD&TS=1313430062&clientId=29440
Li-Ping Tang, T., & Timmer, L.S. (2008). All in the name of change: Effects of organizational change on performance measures of customer service in the health care industry. Retrieved on May 20, 2012 from Proquest.umi.com Web site: http://proquest.umi.com/pqdweb?index=40&did=000000044862337&SrchMode=1&sid=2&Fmt=3&VInst=PROD&VType=PQD&RQT=309&VName=PQD&TS=1099944551&clientId=29440
Hospitals and Public Health:
Crises Medical Error
Medical errors have caused a crisis in the national health care system. According to the Bureau of Primary Health Care, using studies from Colorado, Utah and New York, estimates that 44,000 -- 98,000 hospitalized people die in the U.S. annually due to medical errors (BPHC Task Force on Patient Safety, 2001, p. 5). In addition, as of March 31, 2010, the ten most frequently reported sentinel events within U.S. healthcare organizations are: "wrong site surgery; suicide; operative/post-operative complication; delay in treatment; medical error; patient fall; unintended retention of a foreign body; assault, rape or homicide; perinatal death or loss of function; patient death or injury in restraints" (HealthLeaders Media, 2012). Clearly, many of these injuries/deaths are avoidable. Furthermore, according to JCAHO's L.D. 5.2, patient safety concerns demand that "an ongoing, proactive program for identifying risks to patient safety and reducing medical/health care errors"…
BPHC Task Force on Patient Safety. (2001). Report of the BPHC Task Force on Patient Safety. Washington, D.C.: January.
HealthLeaders Media. (2012, June 6). Joint Commission updates: Sentinel events statistics. Retrieved on September 1, 2012 from Healthleadersmedia.com Web site: http://www.healthleadersmedia.com/content/QUA-250699/Joint-Commission-Updates-Sentinel-Event-Statistics##
Henry J. Kaiser Family Foundation. (2004). Five years after IOM report on medical errors, nearly half of all consumers worry about the safety of their health care. Washington, D.C.: Henry J. Kaiser Family Foundation.
Henry J. Kaiser Family Foundation. (n.d.). Medical malpractice policy. Retrieved on September 1, 2012 from kaiseredu.org Web site: http://www.kaiseredu.org/Issue-Modules/Medical-Malpractice-Policy/Background-Brief.aspx
During this period, market share is normally held fixed as a core planning assumption, with the potential share gains modeled inside specific strategies after sometime in the process. The genesis of strategic business planning is to secure, and if possible enhance, the financial situation of the organization, facilitating it to continue its mission well into the coming years. Midvale must build a macro level financial model connected to its demand forecasts and based on "most likely" supposition for revenue and expense categories. Certain level of capital costs connected to infrastructure and essential equipment replacement shall have to be included in the fundamental model. Including a yardstick component at this stage will assist in the identification of opportunities for improvement and sensitivity analyses for development of assumption.
Since business planning is concentrated on future investments in clinical enterprise, it is important to delve deeper than the income statement to the balance…
Bachrodt Andrew K; Smyth Patrick J. (November, 2002) "Strategic Business Planning
Linking Strategy with Financial Reality: Linking long-term strategy with near-term financial and operational realities makes for a clearer march toward key objectives" Care Financial Management. Retrieved at http://www.findarticles.com/p/articles/mi_m3257/is_11_58/ai_n6359509 . Accessed on 12 July, 2005
CAH Frequently Asked Questions" Retrieved at http://www.raconline.org/info_guides/hospitals/cahfaq.php#whatis . Accessed on 12 July, 2005
Freeman, Victoria; Walsh, Joan; Rudolf, Matthew; Slifkin, Rebecca. (3 March, 2005)
(Capps; Dranove; Lindrooth, 2006) Let us now discuss some of the causes of errors and the barriers to providing safe care which are ccreditation issues, Partnership, Physician-hospital organization issues and Medical errors.
ccreditation issue was an important factor causing errors and barriers to providing safe care thereby finally resulting in closure of hospitals. ccreditation in hospitals could be considered as the method by which the services provided by the hospital is being measured to understand as to whether it is providing high quality services, so that the people could have faith in the services provided by the hospital. s a result of low quality being provided, several hospitals were being faced with the problem of cutting their funds being issued from the Joint Commission on ccreditation of Healthcare Organizations - JCHO. (Munoz, 2005) With regard to ccreditation issues, the Joint Commission on ccreditation of Healthcare Organizations -- JCHO in July…
Accreditation issue was an important factor causing errors and barriers to providing safe care thereby finally resulting in closure of hospitals. Accreditation in hospitals could be considered as the method by which the services provided by the hospital is being measured to understand as to whether it is providing high quality services, so that the people could have faith in the services provided by the hospital. As a result of low quality being provided, several hospitals were being faced with the problem of cutting their funds being issued from the Joint Commission on Accreditation of Healthcare Organizations - JCAHO. (Munoz, 2005) With regard to Accreditation issues, the Joint Commission on Accreditation of Healthcare Organizations -- JCAHO in July 2002 recommended standardized performance measures which were intended to measure the performance of accredited hospitals and encourage improvement in health care quality. JCAHO investigated hospital's performance on 18 standardized indicators of the quality of care for acute diseases. In order to deal with the problems in the healthcare system, the report desired for establishment of monitoring and evaluation procedures for assessing the progress of the health care system. (Williams; Schmaltz; Morton; Koss; Loeb, 2005)
Now let us discuss about the issue of Partnership. Whenever an alliance of businesses, hospitals, and doctors start working towards healthcare costs and improving quality, the partnership is fraught with problems. An example can be cited of Cleveland hospital where this happened. The team took a decision to execute an assessment system that measures patient care clinical outcomes as well as satisfaction of patients in spheres like surgery, intensive care, general medicine and obstetrics and gynecology -- O&G at 30 hospitals in the Cleveland region. The 30 hospitals who were willing to participate understood that it was just taking a chance which might lead to loss of business. (Kisner, 1992)
Although financial problems continue to be the most urgent concern in case of apex management of hospitals, other matters of concern that continue to plague the functioning of hospitals are quality, safety of patients and physician/hospital relations. During the annual survey of front ranking issues facing the hospital CEOs, the American College of Healthcare Executives -- ACHE enquired respondents to list the three most demanding matters impacting their hospitals and identify the issues. During the year 2006, 40% of the CEO of the hospital attributed physician / hospital relations as
Hospital Case Study
In any case study, it is important to gather information concerning the topic, or "case," and then ask three questions. The questions are, "What's going on right now?," "What can we do about it?," and "What can we do about it?"
In the case of Faith Community Hospital, there are several problems going on that can be divided into three categories:
Organizational process issues.
Communication system issues.
The first group of problems that we are having at the hospital fall under the heading of Organizational Processes. The current problems in this category include a lack of organization regarding the creation of a central concept of operation. Everyone from the CEO, to the doctors, pharmacists, and general staff seem confused about just what their role is in terms of ethical, belief-based, and "bottom-line" issues. The Mission Statement of the hospital is symbolic of this problem. It…
Hospital Management Justification eport
[Type text] [Type text] [Type text]
Maintenance Notice | Patient Satisfaction
Major Sections of the eport
VMC Utility Tie Breaker Maintenance
Procedures preparation For Total Power Outage
This report from the Facility Director conveys information about an item related to general hospital maintenance and a description of a plan to improve patient satisfaction. The general maintenance notice provides guidance and instructions for preparing for the annual maintenance shutdown of the VMC Utility Tie Breaker. All department heads are responsible for reading the information in this report that will enable them to seamlessly prepare for the maintenance shutdown. In addition, department heads are responsible for communicating the plans for addressing patient satisfaction scores. It is recommended that department heads convey the patient satisfaction plans in writing so that staff has it for future reference, and also provide time to discuss the plans at…
Hynes, G. (2012). Participation as a multi-voiced process: Action research in the acute hospital environment. Action Research, 10(3), 293-312. Retrieved from http://arj.sagepub.com/content/10/3/293.abstract
Koshey, E., Koshy, V., & Waterman, H. (Eds.) (2010). What is action Research [Chapter 1]. In Action Research in Healthcare. Thousand Oaks, CA: Sage Publications Ltd. Retrieved from http://www.sagepub.com/upm-data/36584_01_Koshy_et_al_Ch_01.pdf
Appendix I - Procedures preparation For Total Power Outage
Located in Bronx, New York’s Norwood section, Montefiore Medical is a teaching hospital named after Moses Montefiore and affiliated with the Albert Einstein College of Medicine. In the top ten of NYC hospitals, it boasts a large and varied workforce (Montefiore Medical Center, 2017). It was founded in 1884 and houses 1,490 beds. While the main hospital has 200 to 500 employees, the organization hired more than 12,000 employees (Business Wire, 2004).
Montefiore Medical Center follows the traditional organizational structure of most hospitals. The CEO or Chief Executive Officer is Steven M. Safyer and serves also as the President. The organization employees a large staff of physicians, nurses, specialists, along with others that serve as the foundation for the organization regarding billing, administration, human resources, and operations. Alfredo Cabrera serves as both Chief Human Resources Officer and System Senior Vice President. Lynn Richmond serves as both the Chief Strategy…
Business Wire. (2004, November 22). Montefiore Medical Center Standardizes 12,000 Employees On Kronos. Retrieved from https://www.businesswire.com/news/home/20041122005098/en/Montefiore-Medical-Center-Standardizes-12000-Employees-Kronos
Moini, J. (2011). The pharmacy technician: A comprehensive approach. Clifton Park, NY: Delmar, Cengage Learning.
Montefiore Medical Center. (2017). Montefiore Medical Center - Leadership. Retrieved from http://www.montefiore.org/about-leadership
Montefiore Medical Center. (2017). Sustainability at Montefiore. Retrieved from http://www.montefiore.org/green-initiatives-environmental-sustainability
SHARMA, D. K. (2017). HOSPITAL ADMINISTRATION AND HUMAN RESOURCE MANAGEMENT. S.l.: PHI LEARNING.
USNews. (2017). Access Denied. Retrieved from https://health.usnews.com/best-hospitals/area/ny/montefiore-medical-center-6213100
Instituted forty years prior to the US’s formation, the Bellevue Hospital of New York City is the first public hospital of the nation, constructed even before medicine became a profession, on the piece of land presently housing the City Hall. Currently situated along a First Avenue stretch, its first building accommodated six beds. The hospital’s history reflects the city’s ongoing transformation, besides recording the nation’s medical education. With regard to illness, the major part of US public health policy may be traced directly back to Bellevue hospital. While its name is ‘infamous’ for mistreatment and mental treatment- related horrors, Bellevue has, at all times, cared for patients presenting with more physically apparent illnesses. Typically the last resort for those at the end of their tether, this hospital has endured outbreaks of tuberculosis, typhus, pneumonia, HIV, polio, yellow fever, and the flu, carried by its poverty- ridden patients. New York…
Caress, B., & Parrott, J. (2017). ON RESTRUCTURING THE NYC HEALTH HOSPITALS CORPORATION: PRESERVING AND EXPANDING ACCESS TO CARE FOR ALL NEW YORKERS. Retrieved July 5, 2018, from https://www.nysna.org/sites/default/files/attach/419/2017/09/RestructuringH H_Final.pdf
Gordon, S. H. (2016, December 07). Bellevue: Treat Yourself to a Tour of NYC\\\\'s Oldest Hospital. Retrieved July 5, 2018, from http://www.signature-reads.com/2016/11/bellevue-treat-yourself-to-a-tour-of-nycs-oldest-hospital/
Kellermann, C. (2015, January 11). Fiscal Challenges for NYC\\\\'s Health and Hospitals Corporation. Retrieved July 5, 2018, from https://www.huffingtonpost.com/carol-kellermann/fiscal-challenges-for-nyc_b_6132980.html
Lee, L. S., Dafny, L., Kaplan, R. S., Porter, M. E., & Lee, T. H. (2017, May 18). How to Bring Real Competition to the Health Care Industry. Retrieved July 5, 2018, from https://hbr.org/2016/12/health-care-needs-real-competition
New York City Health and Hospitals Corporation. (2014). HHC Report to the Community. Retrieved July 5, 2018, from http://www.nyc.gov/html/hhc/downloads/pdf/publication/2014-hhc-report-to-the-community.pdf
New York University. (n.d.). Ronald O. Perelman Department of Emergency Medicine. Retrieved July 5, 2018, from https://med.nyu.edu/emergency/patient-care/bellevue-hospital
NYC Health + Hospitals. (2012). Bellevue Emergency Department Receiving Ambulances Again. Retrieved July 5, 2018, from https://www.nychealthandhospitals.org/pressrelease/bellevue-emergency-department-receiving-ambulances-again/
NYC Health + Hospitals. (2015). Ten Doctors from HHC Bellevue Hospital Center Named among Top Physicians in the Tri-state Area by New York Magazine. Retrieved July 5, 2018, from https://www.nychealthandhospitals.org/pressrelease/ten-doctors-from-hhc-bellevue-hospital-center-named-among-top-physicians-in-the-tri-state-area-by-new-york-magazine/
The Children’s Hospital of Philadelphia is located near the University of Pennsylvania and is the first hospital in the U.S. to be solely dedicated to providing health care specifically for children. Over the years, the Children’s Hospital of Philadelphia has been ranked among the top specialty hospitals in America. It has more than 500 beds, and nearly half of them are reserved for neonatal care, cardiac care and pediatric intensive care. Every year, the Children’s Hospital of Philadelphia admits nearly 30,000 children as inpatients and sees more than 1 million children in the ER and outpatient wards (Children’s Hospital of Philadelphia Annual Report, 2016).
The Children’s Hospital of Philadelphia has played an important role in the community of Philadelphia since its inception in 1855. There were almost half a million people in Philadelphia at the time. Diseases like typhoid, small pox and scarlet fever were very dangerous and in one…
About the History of Children’s Hospital. (2017). CHOP. Retrieved from http://www.chop.edu/about-us/about
Bell, M. (2015). The Children’s Hospital of Philadelphia. Charleston, South Carolina: Arcadia Publishing.
Children’s Hospital of Philadelphia Annual Report. (2016). CHOP. Retrieved from http://ar.chop.edu/
Infrastructure in An Inpatient Care System at A Hospital
We will focus on data management which is the administrative process that involves acquiring, validating, storing, protecting, and processing of the data received by an organization. This is mainly done to ensure the data is accessible, reliable, and timely. Within the hospital, there is an electronic health record (EHR) system. However, the system has not been fully implemented within the hospital. Departments like laboratory and radiology are still using their own independent system that synchronizes data with the EHR every hour. Therefore, all the laboratory test results and radiology results are not readily available once they are uploaded into the system. In order to overcome this challenge, the hospital staff are forced to use manual results as they await the synchronization of the results in the system. The manual process is not recommended since it causes loss of data (Groves, Kayyali,…
Andreu-Perez, J., Poon, C. C., Merrifield, R. D., Wong, S. T., & Yang, G.-Z. (2015). Big data for health. IEEE journal of biomedical and health informatics, 19(4), 1193-1208.
Bhushan, S., Anandasabapathy, S., & Shukla, R. (2018). Use of Augmented Reality and Virtual Reality Technologies in Endoscopic Training. Clinical Gastroenterology and Hepatology, 16(11), 1688-1691.
Groves, P., Kayyali, B., Knott, D., & Kuiken, S. V. (2016). The\\\\'big data\\\\'revolution in healthcare: Accelerating value and innovation.
Mock Investigative Interview: Assault on Staff in a Hospital Causing Malicious Criminal Damage
The purpose of this mock investigative interview is to provide the results of a hypothetical interview with a witness to an alleged physical assault on a registered nurse, “Martha,” at the Central Queensland Hospital and Health Service, a tertiary medical center, on 30 July 2020 at approximately 0933 hours.
Background of the case
It has been alleged that the suspect walked into an office at the hospital and became extremely agitated, at which point he struck a registered nurse in her face with his fist and then picked up the computer monitor off of her desk and smashed it against a wall. The estimated cost of the destroyed computer monitor was $200. No other patients or visitors were involved in this incident.
The registered nurse who was the victim of the assault works in the Community…
It is very important for hospitals and other health care agencies to have accreditation because this serves as a standardization process that ensures that every agency or facility is able to produce the kind of quality care results expected of them by the general public. The advantage of accreditation is that it protects both health care professionals and patients from practitioners who are not qualified to provide quality care. The disadvantages are that it can be a time-consuming process and a costly one.
Accreditation impacts patients and health care professionals by ensuring a safe and effective environment is pursuable by the facility or organization operating in the industry providing health care services. As Kiss, Kotsis & Kun (2014) point out, successful application of health care services requires professionals to be well-educated and trained; and patient satisfaction depends on professionals providing the care that is expected of them. If professionals…
DaVinci Robot Purchase
The fact that the annual growth rate for robotic surgery is 2% per year is the most important fact that needs to be considered. The margins are high enough to justify the investment alone—but the 2% growth year over year indicates that robotics are the future and a facility that is not invested in them will not be competitive. As Gerhardus (2003) notes, the future is here and now with the Da Vinci robot: robot-assisted surgery cuts down on the potential for human error, reduces risk, and increases margins for outpatient operations. It is a win-win for the hospital any which way one looks at it.
The hospital can focus on providing more outpatient robot-assisted operations, thanks to the hiring of the new surgeon who is skilled on the Da Vinci robot. It can increase its margins substantially by shifting the focus to outpatient procedures away from…
Gerhardus, D. (2003). Robot-assisted surgery: the future is here. Journal of Healthcare Management, 48(4), 242.
In this case, the plaintiff, Southernmost Foot and Ankle Specialists, is suing John F Torregrosa, the defendant, in an appeal from a final judgment granting declaratory relief.
The legal questions presented in this case include:
1. Whether there was an abuse of discretion by the trial court with respect to rendering a final ruling that failed to put into effect the complete two-year term of the restraining covenant, that looked after geographic restrictions that were tighter compared to those enclosed within the oral declarations of the trial court
2. Whether there was an abuse of discretion by the trial court owing to the modification of the period and interval of the restraining covenant from 2 years to 1 year devoid of providing a validation or justification for the modification
3. Whether the trial court did not have the evidence to back up its discoveries that the public…
District Court of Appeal of Florida. (2004). SOUTHERNMOST FOOT AND ANKLE SPECIALISTS, P.A., Appellant, v. John F. TORREGROSA, D.P.M., Appellee. No. 3D04–1096
Personalized training is centered on patient evaluation, willingness to be taught, patient’s needs as well as those of the family members. Prior studies have supported this model of personalized training as it is considered successful compared to other models in use. Well planned training leads to a substantial amount of knowledge acquisition compared to informal teachings. In a United States study, it was observed that 60.0% of invalids who obtained communal training as well as 59.5% of invalids who got personalized training performed impressively than the patients who got normal checkup. Education geared towards patients entails group work. Diverse practitioners of multidisciplinary programs on health ought to conduct the trainings as per the required competencies (Feinberg, 2014).
Safe and Successful Use of Medications
Apart from being consumed on their own, benzodiazepines can also be taken together with other conventional medicines which curb psychotic behavior. Oral intake of benzodiazepines leads…
Bellack A. S. (2001). Psychosocial treatment in schizophrenia. Dialogues in clinical neuroscience, 3(2), 136-7.
Cook, J. A., & Razzano, L. (2000). Vocational rehabilitation for persons with schizophrenia: Recent research and implications for practice. Schizophrenia bulletin, 26(1), 87-103.
Feinberg, L. F. (2014). Moving toward person-and family-centered care. Public Policy & Aging Report, 24(3), 97-101.
Keks, N., & Blashki, G. (2006). The acutely psychotic patient: Assessment and initial management. Australian family physician, 35(3), 90.
Pearsall, R., Praveen, K. T., Pelosi, A., & Geddes, J. (2016). Dietary advice for people with schizophrenia. Cochrane Database of Systematic Reviews, (3).
Tomlin, A. (2013, May 14). The risks of benzodiazepines, antidepressants and antipsychotics in adults with schizophrenia. Retrieved February 26, 2019, from https://www.nationalelfservice.net/mental-health/schizophrenia/the-risks-of-benzodiazepines-antidepressants-and-antipsychotics-in-adults-with-schizophrenia/
The clinical trial team includes doctors, nurses, social workers, data entry technicians and other health care professionals (NWHRC 2005). They review a participant's health history and current medical intakes before the trial begins. They impart adequate information and instructions about the clinical trial, monitor each participant in the conduct of the trial and may contact the participant after the conduct of the trial.
Clinical trials or researches may also be open-label, placebo-controlled, double-blinded or randomized. They consist of four phases. Phase I establishes the maximum safe dosage; Phase II, its effectiveness; Phase III, its use on a broad population; and Phase IV, post-FDA insights on the effects of its long-term use (NWHRC).
From 1999 to 2000 alone, the Food and Drug Administration approved 73 new medications (NWHRC 2005). These included drugs for HIV, cancer, heart attack and Alzheimer's disease. As of 2000, Medicare covers many of the costs involved in…
Billings, P.R. (2002). Should reproductive cloning be made available to people who want their own biologic chidren - pro and con. 2 pages. International Medical News Group: Gale Group
Deneen, S. (2001). Designer people. 9 pages. E: the Environmental Magazine: Earth Action Network, Inc.
Frankel, S., et al. (2000). The limits to demand for health care. 10 pages. British Medical Journal: British Medical Association
Hollander, D. (2005). Abortion support slipping. 2 pages. Perspectives on Sexual and Reproductive Health: the Allen Guttmacher Institute
Hospitals v. Hotels
Hospitals are basically hotels and can be evaluated in the same way.
There was a time in the not so recent past when doctors were sacred and individuals would take anything that they said to heart, as the saying "doctor knows best" triumphed over all. People went to hospitals with the pure intention of getting better, the desire to become stronger and take the physicians advice, as always, into careful consideration. Though, hospitals are not taking the concept of patient care to a whole new level and trying to make the hospitals stays for patients as comfortable as possible, taking pointers from hotels; this in turn begs the question, are hospitals basically hotels and should they be evaluated in the same way? The answer is undoubtedly, no for one main reason- hospitals and hotels have two different end goals with the individuals that stay there and thus,…
Gupta, Kiran. "When hospitals become hotels." Financial Times [London] 15 July 2011, n. pag. Web. 29 Nov. 2011.
PRIVACY and CONFIDENTIAL INFORMATION
Protection and safeguarding of information created in the conduct of Lenox Hill
Hospital and its affiliates business including patient information, staff data, financial data, research data, strategic plans, statistical information, purchasing agreements and contracts.
The words information created are an unnecessary limitation that narrow the applicability of the provision, contrary to its obvious intent to apply as broadly as possible. Under a literal interpretation, the provision, as drafted, does not apply to any of the types of information listed unless that information is "created" by the hospital.
Therefore, a better formulation of that portion of the provision would read as follows:
Protection and safeguarding of any and all information created, accessed, maintained, collected, transmitted, duplicated, or utilized by the hospital or by any of the hospital's employees, agents, associates, consultants, contractors, and any other person or entity affiliated in any way with the hospital..."
The parties involved in the case are Charles Cullen, the primary guilty party, the families of the victims who were murdered by Cullen's actions, and the hospitals that employed Cullen, including the Somerset Medical Center. Other hospitals that employed him are located in New Jersey and Pennsylvania.
In 2003, Charles Cullen was arrested for the murder of 29 patients in hospitals in New Jersey and Pennsylvania. Of these victims, 13 were at Somerset Medical Center. Cullen had stolen medications to murder these patients (Serial Killer Central, 2008). In 2008, an appeals court case was to decide whether the families of the victims have the right to sue the medical centers and hospitals that employed Cullen at the time of the murders.
Other outcomes were that hospitals were ordered to report serious medical mistakes both to patients and state regulators. In New Jersey and Pennsylvania, requirements were also tightened…
Buchanan & Buchanan Litigation Counsel (2011). Hospital Liability. Retrieved from: http://www.buchananfirm.com/malpractice-hospital-liability.htm
LSU Law Center (2011). Medical Risk management: Preventive Legal Strategies for Health Care Providers. Retrieved from: http://biotech.law.lsu.edu/books/aspen/Aspen-Employee.html
Serial Killer Central (2008, Jan 29). Appeals court will hear arguments for hospital liability in Cullen Case. Retrieved from: http://www.skcentral.com/news.php?readmore=2585
Silvers, Langsam & Weitzman, P.C. (2011). Hospital Malpractice and Liability. Retrieved from: http://www.birthinjuryinfo.org/Who-Is-Liable-for-My-Child-s-Injury/Hospital-Malpractice.shtml
You are the hospital CFO, trying to solve the managed care problem. Based on the scenario and advice provided. What will you do?
The first step is to see if Mega Plan can live with a 20% discount. The way that this can be achieved is this amount could be applied to the hospital (which is in line with the profit margins for the facility). The other 15% will be passed onto to members. If this kind of approach was used it will address the concerns of Mega Plan and ensure that these programs are economically viable. (Wolper, 2011) (Young, 2003)
To reach this goal means negotiating with Mega Plan and asking them to take this kind of discount. At the same time, staff members and actuaries from accounting will need to have an open discussion about how some kind of compromise can be reached. During this process,…
Wolper, L. (2011). Health Care Administration. Sudbury, MA: Jones and Bartlett.
Young, D. (2003). Management Accounting. Hoboken, NJ: Wiley.
Hospital Protocol Revision and Annotated ibliography
Within every hospital, clinic, private practice or similar health care facilitator, a strict set of institutional protocols and policies is used to govern the conduct of physicians, nurses, orderlies and any other employees responsible for the delivery of health care at the highest standard. The John Dempsey Hospital at the University of Connecticut Health Center currently maintains a protocol regarding identification and treatment of patients who are suspected of being child abuse victims. Although this protocol is comprehensive in nature, providing health care professionals with clear guidelines to apply during interactions with young patients who are possibly being abused, the rate of reported child abuse cases deriving from the John Dempsey Hospital has fallen behind national and state averages. The purpose of this paper is to implement meaningful changes to the current child abuse policy in place at the John Dempsey Hospital, in order…
Ben Natan, M., Faour, C., Naamhah, S., Grinberg, K., & Klein-Kremer, A. (2012). Factors affecting medical and nursing staff reporting of child abuse. International nursing review, 59(3), 331-337.
This research article describes a descriptive, correlational, cross-sectional study designed to assess the efficacy of the theory of planned behaviour (TPB) in predicting nursing and medical staff reporting of suspected child abuse. The research team administered a survey to 143 nurses and 42 doctors to assess individual perception of child abuse reporting. After analyzing the compiled data, the researchers concluded that a number of personal factors influence a health care professional's propensity for reporting child abuse cases, including position of authority, cultural background, or fear of legal ramifications for false reporting.
Kearney, K. (2007). The Nurse's Duty to Report Child Abuse vs. The Attorney's Duty of Confidentiality: The Nurse Attorney's Dilemma. Journal of Nursing Law.
This article explores the ethical dilemmas faced by nurses and their attorneys, or nurses who also practice law, in the event that a young patient is suspected of being abused. The author explores the various legislation regulating the conduct of nurses, who are typically mandated to report their suspicions, and lawyers who expected to uphold strict standards of client confidentiality.
Since they have experience, they would serve as a great source and wealth of information for her as well as a sounding board when she is frustrated about certain aspects of the job. There will also be greater opportunities to meet, converse with and work with people from a variety of backgrounds.
The new cardiologist would also fare well by working in a clinic right after training. The pace of a clinic may sometimes be slower than that of a hospital and the patients treated there are usually not in a state of emergency. This does not diminish the importance of any cardiologist choosing to work in a medical clinic over a hospital. This slower pace may give the new cardiologist ample time to get acclimated to the procedures that she will be performing. It will also give her a longer time to perfect her surgery skills. Because clinics are…
Attract and retain top nursing talent -- organizations that have achieved magnet status tend to have far less turnover than those who do not. The research postulates that this is due to several factors, among which the nurses' ability to actively participate in the organization and higher than average job satisfaction scores (Jones and Gates, 2007).
Improve patient care, safety, and customer satisfaction -- Because nurses are happier, have more advanced training, and are allowed to robustly participate in the organization's operations, patient care is improved, there is a higher nurse to patient ratio, greater emphasis on avocation and safety, and higher customer satisfaction numbers with an increase in quality (Hines and Yu, 2009).
Foster a collaborative culture within the healthcare organization -- Magnet organizations, but their very nature, foster more collaboration between physicians and nurses, nurses of all stages of their career, and nurses and other departments. The idea…
Aiken, L., Sochalski, J., Lake, E. (1997). Studying outcomes of organizational change in health services. Medical Care. 35 (supplement): NS6-18.
American Nurses Credentialing Center. (2011). Certification. Retrieved from ANCC Home Page: http://www.nursecredentialing.org/
____. (2011). Magnet Model Components. Retrieved from ANCC: http://www.nursecredentialing.org/Magnet/ProgramOverview/New-Magnet-Model.aspx#TransformationalLeadership
____ (2010). Case Studies. Retrieved from: http://www.nursecredentialing.org/MagnetTestimonials.aspx#3
Dermatology- The dermatology department deals mostly with skin related illnesses. The most common issues within this department pertain to skin, scalp, hair and nails. Many of our clients are female with more cosmetic needs. Many would like to retain their youthful appearance and believe minor surgery is the best solution. As such, our departments offer many cosmetic treatments including hair removal, hair transplants, laser therapy and tattoo removal. This past fiscal year has been quite difficult as many of our affluent clients have postponed treatment due to economic concerns with the U.S. We believe this trend to be transitory in nature, with a steady increase in treatments to occur in early 2012.
Oncology- The oncology department pertains mostly to cancer, its detection and diagnosis. The most common diseases in this department are various forms of cancer with the most common being breast cancer. We have recently overhauled our…
e believe that the best care is the delivery of care that exceeds all expectation and that is encircled by compassion." (Baptist Healing Trust, 1)
In terms of besting these challenges, the healing hospital must work to protect the morale of its personnel against the pressures that are inherent with the occupation. This means ensuring that personnel are giving the proper opportunities to rest, that facilities are adequately staffed and that the necessary resources are availed so that personnel can perform to the fullest of their abilities. This denotes that the healing hospital's capacity to meet its ambitions will be highly contingent upon its dexterity at managing the needs of healthcare workers just as it will be contingent upon its management of the patient needs.
The Gospels of Mark and Luke are particularly rich in allusion to the power which Jesus possessed to heal the sick. Here, the…
Baptist Healing Trust. (2010). The Compassionate Care Initiative. Baptist Healing Trust.org.
Chapman, E. (2003). Radical Loving Care: Building the Healing Hospital in America. Baptist Healing Hospital.
New International Version (NIV). (2010). Passage Lookup. Bible Gateway.
Hospital for Special Surgery
In America there a wide variety of healthcare organizations, that have specialized in addressing the needs of various patients. Part of the reason why this occurring, is many facilities are unable to address the challenges facing those individuals requiring some kind of specialty care. As a result, a number of hospitals have evolved to deal with these issues. One such example of this is with Massachusetts General Hospital (MGH). Even though the facility was established as a community hospital in 1811, their overall mission has evolved. What has been happening is the hospital has become more focused on: offering specialized care and innovative health solutions. This is an effort by the administration to build upon their outstanding reputation through: improving the overall quality of care that patients are receiving. ("Hospital Overview," 2011)
As a result, the facility has become known for the specialty care and the…
Health Care Uncovered. (2011). Connect With Partners. Retrieved from: http://www.connectwithpartners.org/2011/04/14/%E2%80%9Chealthcare-uncovered%E2%80%9D-program-highlights-mgh%E2%80%99s-care-management-program/
Hospital Overview. (2011). Massachusetts General. Retrieved from: http://www.massgeneral.org/about/overview.aspx
Monagan, D. (2000). MGH and MGPO. Massachusetts General. Retrieved from: http://www2.massgeneral.org/pubaffairs/Issues/081100CPM.htm
Valencia, M. (2011). MGH Faces Suit. Boston. Retrieved from: http://articles.boston.com/2011-03-10/news/29339649_1_hospital-staff-hospital-report-hospital-officials
Hospital Case Study
If the first requirement of any successful case study is a detailed and analytical examination of the situation, the emotional component of so called "high stakes" issues can make this requirement difficult, indeed. The simple fact, however, is in order to find good solutions and policies regarding the problem presented in the case study, one must apply the three main questions of "situation," "remedy/s," and "method/s." Although this may seem difficult in some situations, the emotional component must not be considered.
A good example of this fact occurs in the examination of an unfortunate case involving the botched heart/lung transplant of a 16-year-old girl, much like the recent incident at Duke Hospital. In this case, a young girl died as a result of receiving miss-matched organs. Unfortunately, in this case, all of the supposed safeguards of the system, imposed to assure that proper blood typing of both…
Chibbaro, Lou. (2004) Victory Claimed in HIV Suits. Washington Blade. Web site. Retrieved on August 8, 2004, at http://www.washblade.com/print.cfm?content_id=2771
Colorado State University Writing Center. "Case Studies." Retrieved from Web site on August 2, 2004 http://writing.colostate.edu/references/research/casestudy/com2a1.cfm
CTDN. California Donors Network. (2004) Facts about organ and tissue donation. Web site. Retrieved on August 8, 2004, at http://www.ctdn.org/resources/faqs.php?id=3&NoHeader=1
Duke University. (2004). UNOS and DUH Safeguards for Organ Transplant Safety. Duke Medical News. Retrieved on August 7, 2004, at http://dukemednews.org/filebank/2003/06/28/UNOS%20and%20DUH%20Safeguards%20for%20Organ%20Transplant%20Safety.doc
Hospitals in the U.S. are facing serious financial crunch but fail to understand that they are save significant costs by better managing the supply chain. It is strange that while other organizations are very well aware of the role of supply chain in costs, hospitals remain blissfully unaware. As the result of this, the hospitals are faced with serious financial challenges and the costs cannot be effectively borne by the state as they tend to burden state resources too.
The authors have thus focused on the management of supply chain to see how this one method can bring down the costs. By paying more attention to reduction of costs for supplies, hospitals can effectively reduce the financial burden they face each year but the fact remains that the sheer lack of understanding about role of supplies and collaboration among key players continue to put supply chain management in the background…
Hospital Re-engineering reasonably good insight into hospital re-engineering has been provided in the article entitled "Hospital reengineering: An evolving management innovation: History, current status and future direction" in the Journal of Health and Human Services Administration, Harrisburg, Spring 2001. Re-engineering is basically undertaking to incorporate some major changes in the organization with the foresight of making some dramatic improvements. Improvements usually for an organization would be the cutting down of costs. It has been rightly stated that the original idea of reengineering has been modified and implemented as restructuring. Restructuring forms the major part of reengineering and both these terms have been used interchangeably. Many major corporations adopted reengineering and many others blindly followed suit. The question remains 'is reengineering suitable for Hospitals?' There are some additional points that have to be considered in this regard. The authors of the article Stephen Lee Walston, Linda D. Urden, and Patricia Sullivan…
Walston, Stephen. "Does Reengineering Really Work? An Examination of the Context and Outcomes of Hospital Reengineering Initiatives." Health Services Research, Feb, 2000
Canada, Edgar. "Medical Staff Reengineering -- Why It Must Be Done!" CSA Bulletin Jan-Feb 1999
Cromwell, Thomas. "Beware the Wolf." CSA Bulletin Jan-Feb 1999
Mezias, S.J., and M.A. Glynn. "The Three Faces of Corporate Renewal: Institutional, Revolution, and Evolution." Strategic Management Journal 14 (2): 77-101. 1993
The Mayo Clinic is one of the most famous hospitals in America, and its name is recognized by over 85% of Americans. The Clinic has several offices, but their most noted one is in Rochester, Minnesota. This particular location is the one most people think of when they hear someone mention the "Mayo Clinic." Their website, Mayoclinic.com, is also extremely popular, and has a great deal of credibility with the public because of the name (Twite, 2002).
The Mayo Clinic is an accredited hospital, meaning that it is recognized as conforming to the high standards that are set by the medical community. The Clinic is not without problems, however. All hospitals have some issues that others would like to see resolved. Accreditation committees look for these kinds of problems, and want to know what the hospital is going to do about problems that are found. Failure to correct…
Faculty Disclosure. 25 April, 2001. Mayo Foundation. 23 February 2003. http://www.mayo.edu/webcasts/archive/breastcancer/bc_disclosure.pdf .
Twite, Manya. Mayoclinic.com tops credibility ratings. 12 December 2002. Mayo Clinic, Rochester, Minnesota. 23 February 2003. http://www.mayoclinic.org /news2002-rst/1563.html.
The new outpatient surgical center that is being proposed will support the orthopedic service line and support the bariatric service line initiative for volume growth. Recently Mercy has started to gain recognition at both the state and national levels for its bariatric work as well, in particular where this work has contributed to reduction in diabetes rates. It is expected that the center will remain at or near capacity for its useful life, which will be between 20-30 years. It is expected that, with the forecasted 90% capacity rate, the center will provide an additional $3-4 million in revenue, depending on the payer mix for this type of surgery.
The advisory board has advised that the hospital's outpatient surgery workload will experience an additional 8% increase annually over the next eight years. The additional outpatient surgery center will focus more on hip scopes, regional nerve blocks, minimally invasive…
The Mayo Clinic: A Not-for-Profit Organization
The Mayo Clinic In ochester, Minnesota is one of a network of Mayo clinics devoted to providing top-notch care for all patients. The clinic's mission is "to provide the best care to every patient, everyday through integrated clinical practice, education and research" (Mayo Clinic). According to the clinic's 2001 Annual eport, on November 28,2001 the Mayo Clinic in ochester saw its 6 millionth patient.
According to the Mayo Clinic's website at www.mayoclinic.org, the primary value of the clinic is to tend to the needs of the patients. The clinic has a core financial principle of using revenue to service present and future necessities, and not for the creation of wealth. The Mayo Clinic is, therefore, operating as a not-for-profit organization.
The founding members of the Mayo Clinic, Dr. Will and Dr. Charlie Mayo, gave the name and earnings of the clinic over…
Mayo Clinic. Mayo Foundation For Medical Education and Research 2001-2002. http://www.mayoclinic.org .
Seasons For Growth: 2001 Mayo Foundation Annual Report. Mayo Foundation For Medical Education and Research 2001-2002.
hospital is that it does not any longer believe in the promises that it made when the founders set up the hospital. The second problem is due to the large differences that exist among the members of the Board and as a result the CEO is not finding it possible to control these differences. The third problem can be viewed as an extension of the same lack of control by the CEO over the lower levels employees of the organization. In normal circumstances these employees are expected to report to the CEO, but here the employees could be seen acting according to their interests. In continuation of this is the lack of setting up rules under which these employees should be operating.
This is also the responsibility of the CEO, but it is clear that this has not been done. This leads back to the third problem that if these…
Baldwin, Fred. (May/June, 2001) "Emergency Room Drama: Be Prepared before a Crisis
Happens" Retrieved from http://www.icepts.com/pennmed/25-147.htm
Accessed on 12 July, 2005
Donoghue, Richard J. (December, 1990) "Evaluation of hospitals as entities able to continue as
hospital community group with high incidence of diabetes and low literacy presents to the teaching efforts of a hospital nurse.
Description of the selected adult learner, learning topic and related hospital circumstances
I am a registered clinical nurse in St. Vincent's hospital. We are a medium-sized hospital located in a highly diverse part of the town. We have a sizeable domestic and Spanish inpatient population with diabetes, including people with long-standing diabetes related complications and co-morbidities requiring inpatient expertise. Today, that population seems to be increasing. Almost 80% of all our adult patients lack literacy referring to the ability to read and write as well as knowledge about the topic of diabetes literacy. It is not only the printed word that challenges these patients with inadequate literacy; writing, speaking, listening numeracy, and conceptual knowledge is often impaired as well. About 2/3 of these illiterate patients are Latinos and the majority…
Davis, E. (2000). A quality improvement project in diabetes patient education during hospitalization. 1-6. Diabetes Spectrum Volume 13 Number 4, 2000,-Page 234.
Accessed 3 October 2011.
journal.diabetes.org/diabetesspectrum/00v13n4/page228.aspCached - Similar
You +1'd this publicly. Undo Heisler, M. & Bouknight, R.R. & Hayward, R.A. & Smith, D.M. & Kerr, E.R. (2002). The relative importance of physician communication, participatory decision making and patient understanding in diabetes self-management. 242-252.
These are just some of the expenses. Treating this man for free, more so, may open the door for more 'deserving cases', and then where does one draw the line. And a further ethical dilemma: if the care system agrees to treat the man for free, its debt may be so steep that it will be the paying customers who will, eventually, have to pay the price.
Identified alternative courses of action and explained expected consequences.
The health care system could return the man to Mexico and to his family, but this would aggravate the man's station. In terms of traumatic brain injury, any lapse in treatment spells crucial damage to the patient's brain.
Another option is that once danger to life is over, the patient could be moved to an ordinary hospital ward where his care would be less expensive and he could spend time recuperating. This, nonetheless, would…
Hardman, J.M., & Manoukian, a. (2002). Pathology of head trauma. Neuroimaging Clinics of North America, 12, 175 -- 87.
Saatman, K.E, & Duhaime, a.C. (2008). Classification of traumatic brain injuries for targeted therapies. Journal of Neurotrauma, 25, 719 -- 38.
WGBH Educational Foundation. (n.d.). The Hippocratic Oath: Modern version. Doctors' Diaries. Retrieved on January 30, 2011 from: http://www.pbs.org/wgbh/nova/doctors/oath_modern.html
Holder, S. (2008). Traumatic brain injury -- the medical insurance maze. Head and brain injuries. Retrieved on January 30, 2011 from: http://www.headbraininjuries.com/brain-injury-medical-insurance
Heart hospitals are foregoing the traditional systems with a model known as patient-focused care. In this model patients stay in one room throughout the entire procedure, rather than the traditional method of waiting for beds to open as they transfer from one unit to another. This one-room approach also works to reduce the time spent in the hospital. The Heart Hospital, which has 12 beds, usually sends patients home in three days, in comparison to five to seven days in a conventional hospital.
In addition, medical staff is generally paid higher salaries at specialty hospitals. Nurses can earn between $5 and $7 more per hour than their counterparts in traditional hospitals (tringer, 2001).
A study by health care research firm HCIA.com in Maryland demonstrates that the amenities of specialty hospitals are winning over more and more patients (tringer, 2001). The study revealed that two public hospitals performed between 25% and…
Stringer, Heather. (January 22, 2001). Change of Heart. Nurseweek Magazine.
Terlep, S. (September 19, 2003). Hospital waiting room or living room? The Detroit News.
Wood, Kaitlin. (October 20, 2005). Hospital aims ads to attract patients. Stanford Daily.
School Nurse Conflict Mission
Mary Jackson did exactly what a professional RN should do -- she tended to the injured children that were her responsibility. It happened that her efforts spilled over into a hospital emergency room, which technically she did not have the legal right to practice in. But still, she acted according to the values that she was trained in and moreover, as a professional healthcare employee of a school, she knew these children and her instincts were to boldly provide triage and other emergency procedures to help the children. In addition, Mary is not just an RN, she is a Nurse Practitioner specializing in pediatrics, and her skills and training are well beyond those of an RN. Hence, she deserves respect and she deserves the benefit of the doubt when she acts in behalf of the children she is contractually and morally obliged to protect and care…
Klein, C.A. (2006). Nursing Responsibilities in a Disaster. The Nurse Practitioner, 31(11), 56.
Northrop, C.E. (1990). How Good Samaritan Laws Do Protect You. Nursing90, 20(2), 50-51.
Riverbend City: School Nurse Conflict Mission. Washington Allston Elementary School.
The positive relationship between breastfeeding and improved infant health has been reiterated by both the Centers for Disease Control, UNICEF, and the World Health Organization. This has encouraged some hospitals to adopt the 'Baby Friendly USA' designation, which marks them as institutions which emphasize a number of initiatives which encourage breastfeeding for all mothers. As of August, 2011, more than 100 maternity centers in the U.S.A. (out of a total of 3000) have met the qualifications to be declared 'Baby Friendly' (ochman, 2011). Citing the study published in Pediatric, ochman (2011) asserts that this growing trend towards reducing the power of formula manufacturers to influence parental behavior has many positive implications for parents and their new babies. This includes the possibility of lower obesity rates in American children and an improved bond between mother and newborn.
ochman's article illustrates that breastfeeding is more likely to succeed when hospitals actively work…
Rochman, B. (2011, Sept. 26). Fewer hospitals hand out free formula to new moms. Time Magazine. Retrieved from http://healthland.time.com/2011/09/26/are-mothers-being-manipulated-fewer-hospitals-hand-out-formula-freebies-to-new-moms/
Such additions would increase the validity of the study by widening its scope, even if the focus remains quantitative and retrospective.
Measurement occurred via a number of stud variables, including ED initial complaints, admission diagnosis, primary discharge diagnoses, weekend admissions, weekday admissions, gender, race, age, and other variables. These are supplemented by ICU variables such as wait time until the results of tests, admission and discharge. Hospital mortality was also used as a measurement factor. The measurements appear to be consistent with the objective of the study, to relate specific elements of ED care with mortality rates.
Data Collection and Analysis
Data included targeted information such as arrival in emergency department, registration time, medication, intervention results, as well as specific patient data. Data were analyzed by a variety of methods, including descriptive statistics and logistic regression analysis. Statistical methods include scatter plots, box plots, cross tabs, and regression. These…
Where will you reduce cost?
The running of an ICU is a very expensive affair. Below is the revenue, income as well as expenses (Direct and indirect).
Labor cost: U.S.$1,020,000
Equipment cost: $600,000
Material costs: $700,000
Co-medical service cost: $200,000
Cost reduction strategies:
The expenses can be reduced by the adoption of online training programs which are considerably cheaper. The cost of staff training would therefore be reduced by more than half.
Some of the equipment can be hired instead of being acquired if they are never utilized fully in most operations.
Some staff can be contacted as independent contractors on a yearly basis in order to reduce the burden of allowances and taxation.
Identify committees that you might expect to see in the unit and provide a one or two sentence description of the committee function, approximate number of…
Treggiari MM, Martin DP, Yanez ND et al. (2007) Effect of intensive care unit organizational model and structure on outcomes in patients with acute lung injury.
hospitals profits come from the cardiology department. One key strategy the hospital should adopt is specializing for growth. Not only has the rise in specialty hospitals increased in the last few years, but it has also enabled hospitals facing stiff competition to maintain or gain new patients. A specialized care strategy must be adopted for proper implementation of strategy. Hospital administrators in this role have to take the time to examine potential or existing specialty healthcare providers within the community. By identifying an area of opportunity, it becomes much easier put into effect a strategic plan that will gain the hospital national and even worldwide recognition.
Specialty hospitals satisfy the needs of a specific population. In the case of the hospital, those are elderly patients with cardiac problems. By examining if the local demographics match this population group, hospital administrators can then focus their attention on recruitment of specialized personnel…
Freeze, R., Vinze, A., Santanam, R., & Furukawa, M. (2012). IT Adoption: Healthcare Metrics Tracking. 2012 45th Hawaii International Conference On System Sciences. http://dx.doi.org/10.1109/hicss.2012.392
Girotra, S., Lu, X., Vaughan-Sarrazin, M., Popescu, J., Horwitz, P., & Cram, P. (2011). Abstract P314: The Impact of Hospital Cardiac Specialization on Outcomes After Coronary Artery Bypass Graft Surgery: Analysis of Medicare Claims Data. Circulation: Cardiovascular Quality And Outcomes,4(Suppl 1), AP314-AP314. Retrieved from http://circoutcomes.ahajournals.org/content/4/Suppl_1/AP314.abstract
Multicultural Patient Care
The Market Orientation of the Family Birthing Center is no doubt, diverse. It is also an excellent avenue for health care reforms as the community hospital is forced to cater to the needs of people that speak 40 different languages, to do it well, and to serve as an example for other hospitals that multicultural patient care is possible and could be done in the best possible way (Noonan & Savolaine).
As the demographics of the United States continue to change to include more foreign nationals, health care professionals need to become increasingly aware of multicultural issues. Developing a greater cultural awareness of a particular client population can aid health care providers in improved care giving. ith the steady increase of people from other countries coming to the United States, health care professionals have been asked to assess and respond to the needs of a more diverse…
Noonan, M.D., and Savolaine, R. (2001. Winter). A neighborhood of nations. Marketing Health Services.
Peterson, R. (1996. April 1). A patient care team approach to multicultural patient care issues. Journal of Nursing Care Quality.
Post Staff Writer. (2002. May 12). International Deliveries; Maternity Wards Adapt to Special Needs of Region's Rush of Immigrants. The Washington Post.
catastrophic events can impact hospital risk financing, the purchasing of new physical property and insurance. Catastrophes can range from terrorist acts like 9/11 to natural disasters like Hurricane Katrina to biological endemics/outbreaks that shut down entire cities for days as medical teams race to erect quarantines in order to stop the spread. Each catastrophe has its own unique fall-out and impact. Terrorist attacks call for higher alert by law enforcement authorities and demand more scrutiny and optimum records keeping by hospitals, for safety's sake. Natural disasters call for optimum coordination among the various impacted medical facilities so that the best and highest quality care can be delivered in a collaborative fashion to those in need who are detrimentally affected. And biological outbreaks can be threatening to hospitals especially as they are in the business of treating patients who might have come into contact with a deadly illness and thus have…
Epstein, A. (2014). Financing Risk. JPUB. Retrieved from http://samples.jbpub.com/9781449645656/45656_CH05_Kavaler.pdf
Gould, N. (2015). Understanding the vulnerability of hospitals to natural disasters.
IRMI. Retrieved from https://www.irmi.com/articles/expert-commentary/understanding-the-vulnerability-of-hospitals-to-natural-disasters
RMS. (2015). Catastrophe, injury and insurance. Retrieved from http://static.rms.com/email/documents/liferisks/reports/catastrophe-injury-and-insurance.pdf
health care IT strategy
Hospitals form one element of the health care industry, proving medical care for patients. There are three main types of hospitals in the U.S. -- for profit, non-profit and government. While many hospitals operate independently, some are part of larger groups. But overall, they are diffuse. The annual revenues for the hospital business around estimated to be around $1 trillion (IBIS World, 2015). There are an estimated 5.5 million people working in hospitals, mainly in nursing, administration and doctors. There are approximately 2900 hospital businesses in the U.S. (IBIS World, 2015).
The largest hospital operators in the U.S. are Community Health Systems, based in Tennessee, which runs 188 hospitals, and Hospital Corporation of America, which is also based in Tennessee and which has 166 hospitals (Marshall, 2015). The 10th-largest chain, however, only has 8 hospitals, so outside of the major groups the hospital business is fairly…
IBIS World (2015). Hospitals in the U.S. IBIS World. Retrieved October 9, 2015 from http://www.ibisworld.com/industry/default.aspx?indid=1587
Gamble, M. (2014) 15 largest non-profit health systems. Becker's Hospital Review Retrieved October 9, 2015 from http://www.beckershospitalreview.com/lists/30-largest-nonprofit-health-systems-2014.html
Marshall, E. (2015). 10 largest for-profit hospital systems in 2015. Becker's Hospital Review. Retrieved October 9, 2015 from http://www.beckershospitalreview.com/lists/10-largest-for-profit-hospital-systems-2015.html
Hillestad, R., Bigelow, J., Bower, A., Girosi, F., Meili, R., Scoville, R. & Taylor, R. (2005). Can electronic medical records transform health care? Potential health benefits, savings and costs. Health Affairs. Vol. 24 (5) 1103-1117.
Hill v. Ohio County
468 S.W. 2D 306 (Ky.1971)
Facts lady by the name of Juanita Monroe went to Ohio County Hospital seeking medical assistance. She was pregnant, and the charge nurse she approached assumed she was seeking obstetrical care. The lady also stated that she was afraid she wouldn't be able to make it back to Illinois, where her doctor was, before the baby would be born. The nurse consulted the "on call" doctor and found he was in surgery. The nurse inquired as to whether she should admit this woman. He informed the nurse he did not handle OB cases.
The nurse consulted with the hospital administrator who advised her that another physician was making rounds at that time. The nurse talked to this doctor who said he did not handle "walk-in OBs." The doctors who were permitted to admit patients to this hospital were all…
Hospital quality and mortality rates
People often have relatively little choice in selecting what particular hospital they must have a procedure performed at or where to go to the E. But "the assumption that the nearest hospital is as good a choice as any other is a risky one" according to the American Hospital Quality Outcomes 2014: Healthgrades eport to the Nation (Healthgrades, 2014: 3). Uneven quality of care is a serious problem for healthcare institutions. In a study of Atlanta hospitals, a stroke patient's risk of dying is 17 times higher if they go to one hospital vs. another with a lower rate. In a study of hospitals overall, patients have a significantly higher risk of dying if they go to a one-star rated hospital vs. A five-star hospital. For a heart attack there was a 48.1% lower risk (11.0% vs. 5.7%) going to a higher-quality hospital;…
American Hospital Quality Outcomes 2014: Healthgrades Report to the Nation: Executive
Summary. Retrieved from: https://d2dcgio3q2u5fb.cloudfront.net/56/90/e07df9f64a5fb741ab59924a9e0d/2013-american-hospital-quality-outcomes-2014-healthgrades-report-to-the-nation.pdf
Purpose and Overview
Nurse consultation involves the application of change management principles and visionary leadership to the improvement of healthcare organizations. Guided by evidence-based practice and ethical principles of the healthcare profession, nurse consultation is a process involving multilateral communications, quantitative assessments, goal-setting, and strategic change management. Advance practice nurses can collaborate with nurse leaders to identify problems, analyze those problems and their root causes, and identify meaningful and feasible methods of achieving desired changes and measurable outcomes.
The purpose of this consultation is to work with nurse leaders, administrators, and executives to help the local healthcare organization better meet their goals and improve patient satisfaction. Nurse consultation requires the use of multiple, rigorous empirical methods. The data collection processed used in this case include both qualitative methods like interviews and focus groups, as well as quantitative data gathered from HCAHPS scores, patient metrics, and patient surveys. Although the current…
Nurse burnout is a common occurrence. This can exacerbate an ongoing problem that is seen in hospitals, nosocomial infections. Nosocomial infections remain prevalent for patients with extended hospital stays like those in intensive care units. An infection that starts roughly 48 hours after admission, those in intensive care units (ICUs) experience a continued rate of infection leading to increase length of stay, mortality, and morbidity. The number of patients that develop a nosocomial infection are from 7 to 10% internationally (Dasgupta, Das, Hazra, & Chawan, 2015). As such, hospitals have decided to classify nosocomial infection sites based on clinical and biological criteria.
esearch has led to the discovery of several bacterial strains that involve the formation of nosocomial or hospital acquired infections. "The agents that are usually involved in hospital-acquired infections include Streptococcus spp., Acinetobacter spp., enterococci, Pseudomonas aeruginosa, coagulase-negative staphylococci, Staphylococcus aureus, Bacillus cereus, Legionella and Enterobacteriaceae family members,…
CDC. (n.d.). HAI Data and Statistics. Retrieved from https://www.cdc.gov/hai/surveillance/
Cheng, C., Bartram, T., Karimi, L., & Leggat, S. (2016). Transformational leadership and social identity as predictors of team climate, perceived quality of care, burnout and turnover intention among nurses. Personnel Review, 45(6), 1200-1216. doi:10.1108/pr-05-2015-0118
Cimiotti, J. P., Aiken, L. H., Sloane, D. M., & Wu, E. S. (2012). Nurse staffing, burnout, and health care -- associated infection. American Journal of Infection Control, 40(6), 486-490. doi:10.1016/j.ajic.2012.02.029
Dasgupta, S., Das, S., Hazra, A., & Chawan, N. (2015). Nosocomial infections in the intensive care unit: Incidence, risk factors, outcome and associated pathogens in a public tertiary teaching hospital of Eastern India. Indian Journal of Critical Care Medicine, 19(1), 14. doi:10.4103/0972-5229.148633
Medical care institutions have come up with various strategies to reduce noise generated within their facilities. However, this has remained quiet a challenge. The situation has never been rosier even in the private rooms within such facilities. Matters have worsened bearing in mind that hospitals have become increasingly open with more liberal visiting hours and policies that permit cell phones and other devices (Cmiel, Karr, Gasser, Oliphant & Neveau, 2004). The war is not yet lost because some medical facilities have come up with ways of reducing noise like reducing the frequency and intensity of medical alarms, dimming lights in the evening, and replacing nurses' pagers and walkie-talkies with mobile headsets. Walkie-talkies and pagers make all manner of noises during a typical night in a hospital bed. Patients are also being provided with Quiet Kits (Landro, 2013). The use of information technology is really taking the war against…
Cmiel, C.A., Karr, D.M., Gasser, D.M., Oliphant, L.M., Neveau, A.J. (2004). Noise Control: A
Nursing Team's Approach to Sleep Promotion. American Journal of Nursing, 104(2), 40
Landro, L. (2013). Hospitals Work on the Most Frequent Complaint: Noise. Retrieved August
This included meeting the concerns of being able to properly care for patients while implementing the program.
In addition, I was able to finds creative ways to solve problems by having meetings and expressing concerns. I was able to show creativity through the development of workshops to aid the nurses. I was also able to encourage the development of the skills of the junior nurses through workshops and granting them hands-on experiences with nurses under the watchful eye of more experienced professionals. I was able to find ways of making people aware of the program.
Another important aspect of the role I played as responder involved participating in planned changes. I was involved at every facet of the plan to implement the campaign at our facility. Initially I was involved in the meetings and played an instrumental role in developing a plan that would provide a sound platform for the…
Densten I.L., Gray J.H. (n.d.) Leadership Applications and Organizational effectiveness. accessed August 26, 2005 http://www.cda-acd.forces.gc.ca/CFLI/engraph/research/pdf/50.pdf.
Dowling, M., Hesketh A., Harden. R. Facts not fiction a firm base for managing everyday practice
Quinn, R.E., & Kimberley, J.R. (1984). Paradox, planning, and perseverance:
Guidelines for managerial practice. In K.J.R & R.E. Quinn (Eds.), New
communication and best practices or standards are very simple yet when not addressed may cause complex problems that require serious modification. Quality improvement within certain aspects of the medical professional landscape may be extremely beneficial to the solving of these problems.
This Quality Improvement Plan is based upon the problems experienced at Samaritan Hospital, located in Watertown, NY. This environment has been targeted because a lack of effective patient transfer from one department to another. The documentation process has been identified as problematic and in order to adjust to this problem a quality improvement effort is applied to this situation.
This plan describes in detail the many facets of this process into a real world situation. The goals and objectives of this plan are to significantly increase patient quality through better communication at the transfer patient level within this hospital. This plan details how the gathering of information and data…
Burns, N., & Grove, S.K. (2011). Understanding nursing research (5th ed). St. Louis, MO: Elsevier Saunders
Eichner, J.S., & Das, M. (2010). Challenges and barriers to clinical decision support (CDS)
design and implementation experienced in the Agency for Healthcare Research and Quality CDS demonstrations. Agency for Healthcare Research and Quality.
Finkelstein, R. (2010, April 10). Get Everything In Your Day Done Efficiently with POSEC Time Management . Retrieved from Go Articles: http://goarticles.com/article/Get-Everything-In-Your-Day-Done-Efficiently-with-POSEC-Time-Management/1531249/
Health care in the United States has evolved through governmental and private answers to historical trends, starting with the first days of the United States. Often arising as responses to serious gaps in health care, these remedies traditionally build on each other and have resulted in a uniquely American health care system. The trickle of Baby Boomers into "the elderly" is now posing new challenges for both governmental and private providers, which must be met by new responses and a newly adapted health care system.
Discuss the government's role in responding to historical trends that impact the delivery of hospital care and how this has added to the expansion of hospitals in the United States.
Commencing with the very existence of our Republic, the United States government has taken a leading role in dealing with historical trends, significantly impacting delivery of hospital care and expansion of hospitals in this…
Barton, P.L. (2010). Understanding the U.S. health services system, 4th ed. Chicago, IL: Health Administration Press.
Hays Companies. (n.d.). Inpatient vs. outpatient care. Retrieved April 22, 2012 from contnt.mybenergy.com Web site: http://content.mybenergy.com/ContentTemplates/WellnessTemplate.aspx?view=user&userid=101412&link=799
Setness, P.A. (2002, June 20). The looming crisis in geriatric care: As baby boomeers age, healthcare policy fallout seems inevitable. Retrieved April 22, 2012 from ERMS.tourolib.org Web sit: https://erms.tourolib.org/url/http://proquest.umi.com/pqdweb?did=129196051&sid=4&Fmt=3&clientId=14844&RQT=309&VName=PQD
U.S. Department of Health and Human Services. (2012). Timeline of the Affordable Care Act. Retrieved April 22, 2012 from Healthcare.gov Web site: http://www.healthcare.gov/law/timeline/index.html
Arnold Palmer Hospital
Managing Service, Processes and Supply Chains
Hospitals and Supply Chains - Overview
Hospital Supply Chains - Advancements
Standard Supply Chain
Vendor Managed Inventory
Automated Point of Use Systems
The Next Step in Supply Chain Evolution
Arnold Palmer Hospital Supply Chain
The Arnold Palmer Hospital is one of the country's leading hospitals for women and children. It is located in Orlando, Florida and is currently a part of a national purchasing group in which it utilizes to provide supply chain purchases. Even though being a part of the purchasing group has some cost advantages stemming from the collective bargaining power, there are also many disadvantages that are not entirely consistent with the organizations priorities. These disadvantages can be mitigated by equipping the hospital with more modern supply chain technology. Therefore, an investigation was conducted that identified the supply chain options available for the…
Alverson, C., 2003. Beyond purchasing -- Managing hospital inventory. [Online]
Available at: http://managedhealthcareexecutive.modernmedicine.com/mhe/article/articleDetail.jsp?id=75802
[Accessed 23 September 2011].
Berling, R. & Geppi, J., 1989. Hospitals can cut materials costs by managing supply pipeline. [Online]
Hospital Emergency Plan
According to a study, about 99% of hospitals have plans to cope with disaster, and 95% of them even had committees for that purpose. There were reports from 90% or more of the hospitals which showed that they were in collaboration with emergency treatment services (96%), emergency agencies for management (94%), agencies for law enforcement (95%), fire sectors (95%), along with health sectors (92%). 96% of the respondents sated that there were plans to cope with disaster throughout the hospital, and that they were accessible easily (Higgins et al., 2004, p. 328). Meridian Health has made it its responsibility to better the welfare and health of New Jersey residents. They do this by giving the best quality health services in the community, homes and hospitals, which put their focus on patients, and also by conducting clinical research and education for the enhancement of medicine (Meridian Health, 2016).…
GOI-UNDP. (2002-2008). Guidelines for Hospital Emergency Preparedness Planning. Government of India --United Nations Development Programme. Retrieved 22 July 2016 from http://asdma.gov.in/pdf/publication/undp/guidelines_hospital_emergency.pdf
Higgins, W., Wainright III, C., Lu, N. & Carrico, R. (Oct. 2004). Assessing Hospital Preparedness Using an Instrument Based on the Mass Casualty Disaster Plan Checklist: Results of a State-wide Survey. Department of Public Health, 32(6), 327-332. doi: 10.1016/j.ajic.2004.03.006
Meridian Health. (2016). Meridian Health: New Jersey's Leader in Integrated Care.Retrieved 22 July 2016 from https://www.meridianhealth.com/about-meridian/index.aspx
Merrill, M. (Jun 2011). Top 5 Security Threats in Healthcare. Healthcare IT News.Retrieved 22 July 2016 from http://www.healthcareitnews.com/news/top-5-security-threats-healthcare
Constituents of Complex Environments in Health/Social Care
USA's National Academies have, for numerous years, been conducting systemic researches into the nation's healthcare cost and quality (Building a Better Delivery System, 2005). Plainly, considerable improvements are required in healthcare delivery. Many assert that these may be attained through competition of a value-based nature among healthcare delivery organizations. One must, of course, remember that the American system of healthcare didn't achieve its present state overnight. The nation's National Academies as well as other parties have conducted several studies and arrived at the conclusion that a key issue facing the U.S. healthcare delivery system is: it isn't a system, in truth (ouse, 2008). This paper will address two issues: 1) how conventional systems differ from CAS (complex adaptive systems) (e.g. healthcare); and 2) the differences' implications on health delivery system planning and management.
The U.S. healthcare system would be faced with…
(2005). Building a Better Delivery System. Available: http://www.nationalacademies.org/onpi/030909643X.pdf . Last accessed 12 Feb 2016.
Chichester SR, Mann GB, Wilder RS, Neal E. (2002). Incorporation of evidence-based principles in baccalaureate and nonbaccaluareate degree dental hygiene programs. Journal of Dental Hygiene, 76(1), 60-66.
Dayaratna. (2013). Competitive Markets in Health Care: The Next Revolution. Available: http://www.heritage.org/research/reports/2013/08/competitive-markets-in-health-care-the-next-revolution . Last accessed 12 Feb 2016.
Devol, Bedroussian, Charuworn, Chatterjee, Kyu Kim, Kim, and Klowden. (2007). An Unhealthy America: The Economic Burden of Chronic Disease -- Charting a New Course to Save Lives and Increase Productivity and Economic Growth. Available: http://www.milkeninstitute.org/publications/view/321 . Last accessed 12 Feb 2016.
Clinical isk Management
Hospitals are one of the top listed high-risk places of work. Just like any high-risk workplaces, Clinical isk Management (CM) procedures are formulated to enable hospitals in identifying, containing, as well as manage work related risks such as injuries, which are bound within the facilities. Implementation of element contained in risk management procedures in any hospital setting should be effected in order to ensure for the safety of both patients and workers accommodated in the facility.
isk management is highly prioritized in most high-risk organizations. Technological advances have been realized in modern medicine progressively resulting to more complex care and treatment processes. Despite the positive result of leveraging care opportunities, such advancements may result in adversities that might in turn affect patients and staff working in hospital environments. Since it is far from possible to eradicate such risks completely, clinical risk management procedures are there…
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