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The current hospital setting has only a basic information system in place, which performs many of the functions common to the most basic information systems in such areas as patient registration, certain aspects of patient billing, and medical records indexing and accessing (Kelker, 2010). Portions of other system administration functions are also included in the information system being used at the hospital, such as the logging and tracking of staff in leadership positions, however this is one of the only more "advanced" functions of the largely outdated information system. Many of the more specialized and sophisticated functions more recent information systems can include, such as ambulance tracking and communication, digital communication with the in-hospital pharmacy and with other departments such as radiology and laboratories, are not facilitated by the information system (Kelker, 2010). Some of these functions can be replaced by the internal email system for certain cases,…… [Read More]
A Hospital Based Practice Paradigm to Improve Patient Outcomes
Advanced practice nurses are well situated to assume leadership roles in improving patient outcomes through the development and implementation of evidence-based interventions that affect large patient populations (Curley & Vitale, 2011). All types of evidence-based interventions, however, are not necessarily appropriate or optimally effective in all circumstances, making the need for ongoing research an essential part of the process (Mateo & Foreman, 2013). Nevertheless, some interventions already have proven efficacy in a wide range of hospital settings, and it just makes good sense to draw on these in formulating new practice paradigms. The purpose of this paper is to describe a fall-prevention hospital based practice paradigm that can improve patient outcomes in virtually all inpatient settings.
Review and Discussion
With a growing percentage of the American population entering their elder years today, it is reasonable to suggest that a greater share…… [Read More]
Advance Information Management and the Application of Technology
In this modern age, the incorporation of information technology (IT) with the health care system is important. With the need of quality care within the industry, there is great significance in many institutions about the execution of electronic health record (EHs) and information support systems. The use of registries and IT support systems will enable the community hospital to monitor and track patients and improve patient safety and quality of care (Chin and Sakuda, 2012). The advantage of making use of computerized management systems is limited not only to reduced book-keeping and accounts for patients and physicians but is linked to continued access to reasonably priced healthcare, enhanced quality of care, prevention of medical blunders, reduction in health care expenses, improved administrative efficacies, and engagement of patients in their own health care (Chin and Sakuda, 2012).The following proposal will seek to investigate…… [Read More]
Healthcare providers deal with people and family during stressful and difficult situations. Professionals delivering palliative care must understand how culture and religious background affect this interaction. The provision of a favorable healing environment is possible via the understanding of culture and religion.
How cultural diversity affects the quality of services and health outcomes
egardless of the similarities, fundamental variations among people arise from nationality, culture, ethnicity, as well as from personal experience and family background. These variations affect the health behaviors and beliefs of both providers and patients have of each other. The provision of high-quality palliative care that is accessible, effective, affordable and requires medical care practitioners to exhibit an in-depth understanding of the socio-cultural backgrounds of a patient, their families, and the environments in which they live. Culturally competent palliative care facilitates clinical experiences with more favorable outcomes, support the possibility for an extremely rewarding patient…… [Read More]
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…… [Read More]
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…… [Read More]
Setting Policies and Procedures
In every organization the Human esource Manager plays a very critical role.as the Human esource Manager there are several things that I will be expected to do. This paper will look at some of the tasks that are set before me.
The influence of the Joint Commission on basic functions of the HM
The Joint Commission is a non-profit organization in the United States that is charged with the duty of the accreditation of both healthcare organizations and programs within the United States. The main mission of the organization is to improve the healthcare of the public. They also collaborate with other stakeholders through the evaluation of health care organizations and strive to inspire them into excelling in the provision of effective and safe care which is of high quality and value. The joint commission has had a significant impact on the basic functions of HM.…… [Read More]
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…… [Read More]
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…… [Read More]
The author of this report is asked to profile and otherwise answer questions regarding Canadian company JGH. A description of the services and structure will be offered and then the author will speak of the management theories and practices that the company engages in. How obvious and transparent these practices are will be discussed and whether or not it would be prudent and wise of JGH to continue that strategy. The climate of the organization will be summarized and critiqued as well as the diversity orientation of the firm. While JGH certainly has room for improvement, they are indeed doing many things quite well and they are certainly moving in the right direction.
JGH stands for Jewish General Hospital, a research hospital based on Montreal, Quebec, Canada. They are a McGill University teaching hospital and their website is tailored to the mixed language disposition of…… [Read More]
Piney Woods Hospital
Satisfaction is the pivotal problem for Piney Woods Hospital to address. Satisfaction across all stakeholders has a substantive impact on the other key challenges the hospital is facing. When customers are satisfied with the service and care they receive at hospital, they let others in the community know about it. When hospital employees are satisfied, they provide superior hospital services. When physicians are satisfied, they provide excellent medical care. It is an obvious and intractable cycle. Further, levels of satisfaction are indicators of other symptoms or successes regarding the operations of the hospital and its relationship to the community. This paper will focus on the challenges of increasing patient and employee satisfaction within the Emergency Department at Piney Woods Hospital.
The health care industry has in common with other service industries the pivotal importance of employee engagement on the customer-facing -- or patient-facing, as the case may…… [Read More]
Memorial Hospital," the hospital is privately owned and contains 600 beds for patients. It also offers a wide range of services like X-ray facilities, an intensive care unit, a cardiac care unit, an emegency room, a complete laboratory, and a psychiatric ward. The hospital has great services however, these services are offered in other healthcare facities and hospitals in the surrounding area. In order to prevent additional costs, the hospital avoided hiring specialists and providing specialized services as these additional services and medical practioners were costly. In order to provide quality of care, the hospital places an emphasis on personal attention provided by a ursing staff to each and every, singlel patient. Patient-oriented care is there way of attracting new patients and thus have been used as the subject matter for their ads on television and in newspapers. Janice is instructed to discover a way to measure quality of care…… [Read More]
Discuss some ways that a hospital might measure quality.
There are many ways that a hospital can measure quality. To some extent, the quality as rated by the end user is one of the critical success factors. However, as the case mentions, this may not tell the full story. It is possible for clients to be satisfied with the care they received even though they did not receive adequate care. Therefore the metrics to measure quality must obviously be multifaceted. Patient perceptions should be a key component, but other considerations such as industry averages and industry metrics should be considered.
hat are the potential costs of quality for Memorial Hospital? How could the value of a human life be included?
It is difficult to associate a financial value to the cost of a human life. Some estimates can put the value in the millions while others place the…… [Read More]
Nursing Proposal -- Evidence-Based
The utilization of call lights particularly in hospital settings has recently been put under study as a function of various aspects of nursing including shortages, rounds and analyses of patient outcomes. The proper scheduling of nursing rounds may be essential to enhance the capability of nurses to tackle common or ordinary patient issues relative to more dire needs that have to be regarded as the primary/main target for the use of call lights by patients. Besides patients' general well-being and safety while hospitalized, nursing employees are also concerned with how satisfied the patients are. On a rather fundamental level, hospital settings that enable patients to experience peace of mind allow them to heal quicker than those that do not; these patients are highly likely to relay less stressful communications to those around them, and have a higher possibility of clearer perspectives that allow them to distinguish…… [Read More]
Many women have today started to complain about their bitter experiences, and this has led to the creation of a birthing room at the hospital. The room is made to look more like a warm and cozy room at home, rather than a cold medically equipped room at a hospital. Since birthing is a warm and beautiful experience, most women do feel that they must be provided with an atmosphere conducive to give birth in. A birthing room therefore, would be equipped with articles like rocking chairs, cozy seats, warm lighting, a variety of different kinds of stools, and railings, all of which would allow a woman to try out different birthing positions, and finally choose the one that suited her the best.
All the equipment in a birthing room must be designed to accommodate the entire team of medical personnel attending to the woman, and also accommodate her family…… [Read More]
Legal Aspects of Health Care Administration
One of the platforms upon which the law enforcement agencies and the healthcare providers interact on frequent occasions is the treatment and handling of the patients who might have been injured outside the hospital and brought in for treatment, or even sustained the injuries from within the hospital altogether in the process of general medical care, surgery or drug administration. There are OSHA regulations that guide the reporting, recording and handling of such events within the hospital settings.
The following are the injuries that hospitals are required to formally report to the local law enforcement authorities or the police department for the city within which the treatment took place (UNC School of Governance, 2011). If there are patients brought into the hospital with wounds and injuries resulting from apparent gunshots or any other type of discharge from a firearm, then these must be reported…… [Read More]
Happy on the Job: Is Employment Satisfaction among Saudi Nurses necessary for working Suitably in the Professional Settings and Improved Quality of Healthcare.
When it comes to Saudi Arabia, nursing plays a major role in any health care system. Many evidences support the quality of nursing care and patient outcome. Patient interact with nurses more than any other health profession. Improved level of job satisfaction among Saudi nurses will be significant in the delivery of quality healthcare to the patients. Variable such as appropriate wages, effective facilities, healthy environment, professionalism, suitable working hours, and successful management will improve the level of job satisfaction among Saudi nurses. The correlation between impaired job satisfaction levels of nurses will affect their performance in the clinical settings, which will certainly result in the poor quality of healthcare. Thus, job satisfaction among Saudi nurses is necessary for working appropriately in the professional settings and improved…… [Read More]
Mock Code Blue taff Assessment
A hospital-based code team should consist of the following medical professionals:
Emergency Department Physician - a board certified emergency physician oversees the code blue process.
Team Coordinator - A registered nurse from the Cardiovascular Medical Intensive Care Unit (CVICU) acts as Team Coordinator. This person is certified in advanced cardiac life support (ACL), and is responsible for the patient's care during a code blue.
Recorder - The recorder is an ACL certified registered nurse from the Cardiovascular Care Center (CVCC). This team member monitors the patient throughout the process and documents the time and details of each action taken.
Medication Nurse - The medication nurse comes from the Neuro Intensive Care Unit and is also ACL certified. This individual establishes an IV and administers medications necessary to restore a patient's vital functions.
Other Professionals - In addition to the core team described above, a pharmacist,…… [Read More]
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…… [Read More]
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…… [Read More]
setting with a focus on one specific EMS unit that will participate in the CDP training program. This setting was selected because it offered a snapshot collection of data that could be valuable based on the outcome of the training provided by the CDP program. The researcher will conduct pre and post-interviews with the members of the EMS unit as they start and complete the program. One of the benefits of this style of approach is that it allows for the gathering of qualitative and quantitative data.
A mixed research study design provides the researcher with hard, numerical data on feelings, thoughts, beliefs and perceptions. The organization benefits from this type of study because the organization can analyze through numerical data how its members actually perceive the training they receive. The data can help discover whether the training is effective or needs to be improved upon.
This thesis…… [Read More]
Balanced Scorecard for a Hospital System by Pink, G. H, McKillip, E.G., Preyra, C., Montgomery, C., and Baker, G.R. This article shows setting targets, benchmarks, and standards is not limited to educational settings, and workers and service providers in all other sectors are subject to their own accountability mechanisms.
Business and industry first introduced the idea of setting targets for accountability purposes in the Total Quality Management (TQM) era twenty-five years ago, and with the rising cost of health care today, they become even more important to viable health care providers and the general public. This article illustrates how to create a balanced scorecard for hospital systems, and discusses why these scorecards are so important to modern health care organizations. One of the most important things to take into account when creating a scorecard for hospitals is to note they are extremely intricate organizations, and so, performance cannot…… [Read More]
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…… [Read More]
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,…… [Read More]
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…… [Read More]
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…… [Read More]
Rachel and Choo Hospital
Choo Choo's Liability
The fact that Rachel was initially discharged from the emergency department following examination by a physician with nothing more than a prescription for pain medication when she was in fact suffering form a very serious blood infection could definitely leave Choo Hospital exposed to litigation. There are several key elements of this case, as briefly as it has been described, that lead to this potential exposure to liability and tortuous action. First, the emergency room physician is expected to provide a certain level of care in his diagnosis, and if it was reasonable to foresee a more serious underlying problem of the general pain the patient presented with, the physician (and by extension the hospital) could be liable for failing to make proper recommendations and determinations. Second, then, a determination must be made as to whether or not the blood infection that was…… [Read More]
Create imaginary health care organization (hospital). Evaluate organization basis Baldrige National Quality Program Health Care Criteria Performance Excellence listed. (1) Leadership: (a) Describe senior leaders' actions guide sustain organization.
Healthcare organization: XYZ Hospital
The senior leaders of XYX Hospital are notable for the breadth and depth of their experience in the field of healthcare. All senior leaders have experience in the field as practitioners or as former leaders of public healthcare organizations that are committed to putting people first. This informs their decision-making when setting policy. Senior leaders routinely meet with doctors and nurses as well as administrators to set organizational goals which are patient-focused, rather than exclusively focused on finances.
Strategic planning is conducted by consulting with providers as well as in consultation with managers. Goals are set regarding such objectives as reducing mortality rates, improving outcomes, reducing return visits for the same complaint,…… [Read More]
CIO Interview -- Lakewood Hospital
How were you trained or and how did you decide upon your career?
I received my formal technical training in the Midwest. I hold a Bachelor of Science in Computer Engineering from Loyola University in Chicago, and completed a Master of Science in Information Systems from Michigan State University several years later. I have held many positions over the years, moving from helpdesk service internships during my college career to IT Director level positions by the time I enrolled in graduate school.
It has been an interesting ride -- I have seen the evolution of technology over the past decade and still find it exciting. My interest and passion for technology has always been there and I landed within the healthcare space and have found that it suits me well. Not just in terms of the types of technology, but also in terms of the…… [Read More]
budget template that is being produced for Shatin Hospital, which is a rehabilitation hospital. This hospital is run by the Hospital Authority, which is the main health care provider in the country. The proposal is basically highlighting the issue of labor and increase stress on the hospital administration staff. The project proposal is therefore to reform one pair of the geriatric and the medical wards into a nurse led ward.
Justifications for change
The current hospital that I am working in is located in Shatin, Hong Kong where the aging population and the lack of hospital beds are creating a lot of strain on the delivery of health care . There is a crucial shortage of labor and the nurses and the doctors are being overworked to quite an extent.
Need for Service
The need for service is present because the rehabilitation hospital that is present works in sync with…… [Read More]
Therefore, a basis is formed on which to reduce the inappropriate admissions after the correct rates are determined (estuccia, Shwartz, Ash, and Payne, 1996).
The connection between hospitalization rates and the inappropriateness of the admissions cannot be confirmed. A study of adults revealed that there was no link between the rates of hospitalization and the inappropriateness of the admission while a similar study conducted with no age limits produced contrary results. Three procedures of coronary angiography, upper gastrointestinal endoscopy, and carotid endarterectomy were used in another study to find out the relationship between the varying admission rates and their appropriateness (estuccia, Shwartz, Ash, and Payne, 1996).
It was revealed that there was more inappropriateness in high-use areas. When this study was repeated for a small area, the outcomes were quite different. This showed that inappropriateness cannot be used as a basis to find out the cause for the differing hospitalization…… [Read More]
Evidence-based practice indicates the universal need for the implementation of better maternal and newborn infant care, especially with regard to breastfeeding support and encouragement. This is evidenced by countless research works that both report the optimized goals of better rates of exclusive breastfeeding among infants 0-6 months and the evidence of current trends and practices (AAP, 2010; Scanlon et. al, 2007; Naylor, 2010; Grummer-Strawn & Shealy 2009). These researchers, reviewers an experts base their observations on a need that is well documented in the literature, i.e. both the current state of breastfeeding support in maternity settings and clinical short- and long-term health related outcomes associated with breastfeeding and lack of breastfeeding. The literature associated with this need is demonstrative of many issues regarding breastfeeding and support that the best overall scenario for maternal and infant health is exclusive breastfeeding of infants till six months of age with supplements or…… [Read More]
This is exactly where the problem usually starts.
There are a number of reports published which revealed that even the physicians are not so keen into attending more seminars and trainings to learn the new systems (Ball, 1992). Physicians are expectedly always busy. They sometimes work from hospital to hospital. They are always on call hence they really find it hard to squeeze in their thigh schedule the time for further training and semi-are regarding the system. At some point in time, physicians will also worry about their income that will be affected if they will get a time off just to attend the training.
In the same manner, most of the administrators, who will manage the new systems for the hospitals, also show signs of hesitance regarding the training. It must be noted that the being considered as a 'wired hospital' the institution must have uniform data standards (Aspden…… [Read More]
Managing Quality in Practice Settings: Six Sigma at Floyd Medical Center
By examining an organization's approach to establishing, measuring, and evaluating performance and outcomes, it is possible to develop a firmer grasp on how the quality control process functions in practice. To this end, this paper provides a review of the literature concerning quality management practices at Floyd Medical Center in ome, Georgia, followed by a summary of the research and important findings concerning these issues in the conclusion.
Meaning of "managing quality" and what it means at Floyd Medical Center
Managing quality at Floyd Medical Center is the responsibility of all staff members and the hospital's stated goal in this regard is to "provide excellent care while ensuring the comfort, privacy and safety of our patients and visitors"; the medical center adds that its healthcare teams are "dedicated to continually improving your experience by providing quality health care that…… [Read More]
U.S. technology in Thai hospitals will have a positive, negative or neutral effect on the mortality rate of patients in Thailand. U.S. hospitals currently offer patients some of the most modern and complex technology available. Patients whether at private or public facilities are very often afforded modern urgent care that reduces the likelihood of mortality from common and less common illness. The mortality ratio, or comparison of patients admitted vs. discharged in most U.S. hospitals is close to or less than 1.00 (Comaro, 2003).
In Thailand hospitals, modern technology used in community hospitals is somewhat limited and typically consists of the use of X-ay technology and ultrasound for imaging and diagnosis (Dionson, 2003). Many community hospitals currently lack the advanced technology available in U.S. hospitals that has been proven to save lives. There are several private institutions within Thailand however, that do offer more advanced technology.
However, Thai hospitals historically…… [Read More]
Arn Palm Hospital
The Arnold Palmer Hospital website pronounces the statement that the hospital employs the "most advanced technology, coupled with compassion and dedication" and that has made the hospital "one of the most trusted names in children's healthcare worldwide" (Arnold Palmer Hospital for Children, 2011). Complementing access to the most advanced technology with compassion and dedication sounds good on the company website, but maintaining a 100% patient satisfaction level takes more than just those three items; a couple of other considerations might also include a strong management level of quality of service as well as a process and supply chain that is conducive to excellent patient care. One recent article espouses the opinion that many hospitals and medical clinics are undergoing transformations that will change the face of healthcare in the United States and that many of the innovations being implemented are "being done with patients and the quality…… [Read More]
The RN really became a part of the educational team, tailoring her assistance to the child to the classroom environment. In fact, because much of the education seemed tailored towards teaching the students basic life-skills information, such as the weather, the nurse was able to really interact with the child's education.
The best part of the experience was observing the inherent joy in children. From an outsider's perspective, the children in this school had very few reasons to express joy or feel happiness. Almost all of them had significant physical challenges in addition to mental retardation. None of these children has a childhood even approximating normalcy. However, many of the children seemed happy. In fact, it was seeing the joy that a small action could bring to these children was very uplifting. In fact, one particular child seemed especially joyful. Because of privacy concerns, I was not able to access…… [Read More]
Southmead Integrated Community Hospital Project Proposal Outline for Procurement
Procurement Plan for Hospital Development
Work towards a lean strategy of development, where there is not an excess inventory and goods are procured as needed as much as possible.
This will increase the strategic sourcing, while avoiding transactional sourcing mistakes (Phillips, 2013).
Patient care can not be sacrificed (Pan American Health Organization, 2006).
It is crucial that all strategies for procurement think of the patients first. This will ultimately mean focusing on procurement for the departments first opening and then working on the ones that will be opening later in 2015.
Keep excellent records of data and spending
With new guidelines and regulations on hospital spending and procurement, it is crucial to keep pristine records for accounting and acceptance purposes (Department of Health, 2013).
Four Procurement Issues Faced by Procurement Managers in the NHS
A. Inefficiencies of the North Bristol NHS…… [Read More]
The article “Developing financial benchmarks for critical access hospitals” by Pink et al. (2009) established and made use of benchmarks for five indicators distributed to all critical access hospitals. One item of significance that I gained from the article encompasses the challenges experienced in the development of benchmarks. To begin with, benchmarking can be delineated as an incessant methodical practice of examining the products, services and work procedures of organization that are acknowledged as signifying best practices for the main aim of improving the organization. Imperatively, this is deemed to be a fundamental element of several organizational performance systems of measurement. In actual fact, benchmarking is also beneficial in ascertaining best in class performance, which offers an approach for setting aggressive targets for enhancement, and acknowledges prospective tactics on the enhancement of performance (Pink et al., 2006).
From the article, there were two key challenges that were faced in benchmarking.…… [Read More]
However, this at least provides patients with an introduction to the therapy, and they can weigh the costs of the treatment against the improvement in their health. Some may find certain types of CAM, such as yoga, available within their health clubs or other affordable settings.
3. How might technology help you meet your goal?
A number of major research hospitals, such as New York-Presbyterian Hospital at Columbia University, now offer CAM within the hospital environment. The hospital offers nutritional, exercise, and wellness counseling. Patients can learn about breathing techniques and the use of herbs to combat symptoms. By conducting research on CAM within the framework of a hospital, the institution can make sure that the therapies are undertaken in a safe and supervised manner. More and more people are turning to CAM as a way to cope with illness and may do so whether their hospital formally encourages them…… [Read More]
Older people are associated with increased risk for hospitalisations due to illness or trauma (Seymore & Cannon, 2010). The nature and burden of the illness that the older person faces is related to the quality of health care services they may receive when admitted to a hospital or other clinical setting (Dossa & Capitman, 2010). In terminal cases, the patient may choose to engage Hospice services, either in the clinical setting or at home. The human rights of such patients are ethically fundamental in their quality of care through palliative care services (Brenna, Carr, & Cousins, 2007).
The care received in the clinical health care setting for elderly patients may be substandard due to staffing and regulation issues (Maas, Specht, Buckwalter, Gittler, & Bechen, 2008). There is a need to identify the failings in quality of care and promote the human rights of elderly patients in healthcare settings (Gittler, 2008).…… [Read More]
nursing theory practice setting.
Provide an overview of the theory
Myra Estrin Levine is known as the most important Nursing theorist for developing "The Conservation Model." Levine got a diploma in 1944 and obtained her B.S in 1949 and finished M.S.N in 1962 from Wayne State College. She acted as a specialist to healthcare facilities and colleges of nursing. Furthermore, she offered a teaching format for the medical or surgical sector of nursing and developed "The 4 Conservation Fundamentals." "She clearly connected wellness to the procedure of conservation design and viewed wellness as one of its necessary elements" (Levine, 1991).
The 3 significant ideas of the Conservation Model are 1) wholeness, 2) adaption, and 3) conservation. "Whole, wellness, hale all are sourced from the Anglo-Saxon word hal" (Levine, 1973, p. 11). Myra Levine formulated her take of wholeness as an open system, which meant checking out the components of the…… [Read More]
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…… [Read More]
Ineffective Communication Between Shifts in Acute Care Settings
A recent statistics of the adverse effects arisen from ineffective communication between shifts in acute care setting range from 2.6% to 7.6%, however, Okoniewska, et al. (2015) believes that the adverse effects on in-patients can be between 19% and 23%. (Classen, esar, Griffin. et al. 2011).
The Study aims to discuss the adverse effective arisen from ineffective communication between shifts within acute care settings.
Consequences of not solving the problem
Without implementing the strategies that can enhance effective communication between shifts in an acute healthcare setting, the issue can lead to mortality, readmission, and post-hospital adverse effects. Moreover, poor communication between shifts can lead to medication problems resulting to therapeutic errors. (Okoniewska, et al. 2015). Moreover, lack of intervention to address the problem can lead to medical errors, which can lead to patients' harms. Communication failure has also been identified as…… [Read More]
Early Detection and Management of Diabetic Neuropathy in a Clinical and Homecare Setting
The objective of this study is to examine early detection and management of diabetic neuropathy in a clinical and homecare setting and specifically through examination of articles published after 2002. The information from each source will be summarized listing the strengths and weaknesses of each article in separate paragraphs. As well, this work will utilize table or graphs to present the findings.
O'eilly, Caryl Ann (2005) Managing the Care of Patients with Diabetes in the Home Care Setting, Diabetes Spectrum, July 2005. Vol. 18. No. 3. etrieved from: http://spectrum.diabetesjournals.org/content/18/3/162.full
The work of O'eilly (2005) reports that more patients than ever before are released earlier from hospitals and rehabilitation center and that those with diabetes are included in this trend. Diabetes is reported to be ranked second following congestive heart failure as the primary diagnosis at…… [Read More]
Strategy to Improve the Performance of Jacobi Hospital / Implementation Plan for Jacobi Hospital
Potential Short- and Long-Term Financial Impact of HCAHPS Scores on Jacobi Hospital
Solid finances in the current period as well as progress and viability are seen as some of the objectives of most organizations. It is in the best interests of patients to have good management in hospitals as indicated by the relationship between hospital performance and management scores. The HCAHPS scores may not seem to have an effect on the hospital in the short-term and mid-term. However, in the long run, negative effects may be felt in terms of bad image and loss of customers. Where the scores are low time after time, patients may look for other hospitals, which are clean, well maintained and the patients are treated well. This would impact the hospital's finances negatively, in the long-term. HCAHPS, therefore, affect both short-term…… [Read More]
While these critiques are certainly valid, and the authors clearly demonstrate, as stated in the abstract, that more research may be required, their approach also underlines the weaknesses of a literature review-based article to make a healthcare proposal. Another problem with the use of literature reviews is that it can be difficult to present the results in a meaningful fashion in a chart or graph, to demonstrate the researcher's findings. The format of a literature review -- drawing upon the statistical evidence of a wide range of studies and examining general trends, patterns, and weaknesses -- often means it is comparing apples to oranges, as every study has a slightly different format. The article has a deconstructive purpose, but offers nothing constructive to suggest in the policy's place.
But more disturbingly, there are serious repercussions if the author's ideas are taken seriously, given the problems that could ensue with overcrowding…… [Read More]
.. we have goggles that mimic sight deficits. We use ear plugs, and ways to mimic the tactile changes elderly patients go through. We'll immobilize people, to show what it would be like if they had a stroke, and then ask them to do tasks. It makes them more sensitive to seniors' needs."
In Great ritain, nursing care follows a holistic approach to guiding the aging patient through the hospital stay and into 'step down', cottage hospitals, and community recovery centers. Through an empathetic and geriatric skill set, the geriatric nurse can thereby decrease her ultimate workload while maintaining a higher quality of life for the hospitalized patient.
Aging is no respecter of persons, countries, or races.
We all age. As a graying generation of millions of 'baby boomers' approach the golden years, medical care must shift much of its focus to the particular needs of this group.
Unlike…… [Read More]
Upon termination from the hospital ward, the patient smiled. Her demeanor was much calmer and more serene than when she was admitted, which was under severe stress. Therefore, I noticed many behavioral changes in both the patient and in me during the course of her stay. For example, when the woman first entered the hospital, she was completely tense. She had trouble sleeping and did not know how to communicate her needs to the nurses without becoming upset. She also had trouble eating during the initial phase of her treatment. However, during the course of treatment she grew to trust me and the doctors and she became more relaxed. Her memory remains severely impaired, but she seems more present and aware of her surroundings. Before her discharge the patient was eating regularly, sleeping better, and was more outgoing and talkative. The behavioral changes she exhibited were therefore positive…… [Read More]
Cultural Diversity in Rural Settings for Nurses
On a continuum of cultural awareness to cultural relativity, how do you view yourself and your interactions with others?
As a nurse practitioner, it is easy to see the patient simply as a patient, as a sick person needing treatment, rather than a well person who perceives his or her body as only temporarily ill, but sees his or her person as permanently a part of a family and culture outside of the hospital. As Small and Dennis (2003) counsel, the increase in immigration has resulted in greater diversity of both patients and practitioners within the United States, rather than in traditional urban locations. Thus Small and Dennis remind the nurse that it is not simply enough to treat the patient, but the patient must also understand his or her illness in culturally comprehensible terms. A nurse must be able to communicate to…… [Read More]
Business Plan: Good Samaritan Hospital, Suffern
The Good Samaritan Hospital, located at 255 Lafayette Avenue - Suffern, NY, offers a wide range of care services to inhabitants of Orange and ockland Counties in New York and Northern Berger County, NJ (Bon Secours Charity Health System, 2014). However, the facility lacks special language services, which has been a major problem, given the changing demographics of Suffern area, particularly the increasing population of LEP (limited English-proficient) individuals. This has proven to be a substantial barrier to care, and the facility now seeks funding for the construction of a language access services call center to complement the cultural and language competency training program currently underway.
The Good Samaritan Hospital was founded in 1902, after Ida Bay yan, a Good Samaritan, donated a building at the East Park Place to the St. Elizabeth Sisters of Charity to enable them build a health…… [Read More]
The hospital should always defer to the patient and family that has an advanced directive in place, and if the patient cannot speak for themselves but has an advanced directive, then a proxy must make the decision. The only case where the hospital should be allowed to make the decision on futile care is in the absence of a proxy, in the absence of an advanced directive, and only if it is in the best interest of the patient.
In this psychological-based model, the healthcare professional and hospital is put in the position of negotiating with the family and/or patient. Burns and Truog (2007) state that in these situations the healthcare professional should always follow the wishes of the patient's family in futile care efforts (Burns & Truog, 2007). However, that view places a burden on the healthcare professional to compromise medical principles when that professional deems the care to…… [Read More]
As well as expanding patient's abilities to obtain primary care, virtually, telemedicine can enable patients in isolated locations to see specialists. When rural patients are connected to a hospital network such as the Grinnell egional Medical Center, they are able to access high-quality physicians through some of the more advanced healthcare technology available, although this is not always possible in a local healthcare system with fewer physicians and less access to high-level technology. Technology can still enable patients in a variety of settings to keep track of vital signs such as heart rate, blood pressure, and blood sugar, and to alert their physician immediately if their readings are abnormal.
While some surgeons have even performed procedures through virtual consults, certain aspects of medicine remain challenging to provide rural patients, such as physical rehabilitative services, which may require the patient to travel to receive the full benefit of the services. Patients…… [Read More]
Tylenol Scandal 1982
How did the hospital or facility respond?
Johnson & Johnson made a decision that would set a new standard for crisis involving product tampering (Hogue (2001), p. 1). Once the connection was made between the Tylenol capsules and the reported deaths, public announcements were made warning people about the consumption of the product. Johnson & Johnson was faced with the dilemma of the best way to deal with the problem without destroying the reputation of the company and its most profitable product (The Tylenol Crisis, 1982 (2008), p. 1). Johnson & Johnson chairman, James urke, reacted to the negative media coverage by forming a seven-member strategy team. The team's strategy guidance from urke was first, "How do we protect the people?" And second "How do we save this product?" (Crisis Communication Strategies, p. 2). The company's first reaction was to immediately alert consumers across the nation, via…… [Read More]
GBMC Healthcare Hospital. The main issue relates to privacy and confidentiality issues considered essential components of fostering trust between healthcare consumers and providers. The issue arose the GBMC hospital did not strictly follow the rules of privacy and confidentiality. Because of its lack of complete control on the privacy issues, many pieces of private information of patients were stolen and compromised.
Although GBMC hospital has been committed for 75 years to ensuring patient healthcare information is used to fulfill appropriate needs as provided by consent or law, but with the advent of the electronic health record and the transfer of an individual's health information through electronic media, including the Internet, the need for privacy and confidentiality protection takes on new meanings and challenges for the GBMC.
As medical science and technology continue to mature, and new data is being created that, when accessed, could be used to discriminate against an…… [Read More]
Write a summary of this interview. Do not submit a transcript of the interview.
5. Using the information from your reading, this interview and any journal articles that you find, discuss the impact that public policies have on the roles and responsibilities of clinical mental health counselors working in diverse communities. Be sure to discuss the roles and responsibilities of counselors providing services to clients of diverse ages, backgrounds, and exceptional abilities, including strategies for differentiated interventions. (How do counselors ensure that interventions "fit" for diverse clients?)
6. Discuss how the policies of professional, governmental, and accrediting organizations have impacted the practice of this counselor.
. Share your impressions of the information that the counselor shared, anything that you found particularly interesting, surprising, or that you expected to hear. Discuss the impact that the interview had on your beliefs, expectations, and goals related to becoming a clinical mental health counselor…… [Read More]
Campus Violence for K-12 Setting and accurate before referencing the material.
What measurable outcome do you choose to explain? In other words, what is the dependent variable that you will study?
The number of students in the K-12 setting that have experienced campus violence first-hand from other students to the severity of requiring some form of medical attention is the dependent variable I will study.
How would you measure the outcome?
The school nurse and administrators would be vital in measuring this outcome, as they would be able to keep track of any students sent to the nurse for medical attention or sent to the hospital from school due to injury from other students. This study would be best performed over a length of time so that records can be kept, as opposed to attempting to recall from memory or correlate student records to gather past information.
Identify a measurable…… [Read More]
Critical Thinking Case Study
Faith Community Hospital is a not-for-profit health care services organization that is currently facing a situation, which may compel it to resort to stringent cost cutting measures just to break even, and that too providing the average reimbursement rate does not change. Financial problems, however, are just one of the several problems that Faith Community Hospital must resolve in order for the organization to maintain and further build its reputation as a quality health care services provider. In brief, some of the other critical issues that the hospital needs to address are the conflict between the organization's spiritual heritage and values and the ethics of the medical profession; non-compliance with government, managed care, and insurance regulations; and non-adherence to hospital operational policies. Indeed, it is evident from the preceding list of issues that Faith Community Hospital has an organizational management problem on its hands, which needs…… [Read More]
Nursing Problem: Shortage of Nurses in Healthcare
The researcher works at Phoebe Memorial Hospital, where there is an extreme nursing shortage. Without an adequate amount of nurses, patient care and safety may turn out to be compromised, while nurses themselves may be stunned, upset, and dissatisfied. At the researcher's workplace, high patient-to-nurse ratios has been displaying that there is a lot of frustration and job burnout, which is linked to higher yield. At Phoebe, there is an inadequately staffed nursing force which has been discovered to play a negative part in patient results. In difference, studies have confirmed that hospitals like Phoebe Memorial Hospital with low nurse turnover are the ones that have the lowest rates of risk-adjusted death and severity-adjusted span of stay.
There is no very exact way of describing the concept of nursing shortage at the Phoebe Memorial Hospital Phoebe, but a report of this…… [Read More]
HR Managerial - Interview Questions
NYC Health & Hospitals
Mike K. is a Russian immigrant and is the current head of HR at NYC Health & Hospitals (HHC) under the title of Chief of Staff of human capital. He has over 15 years' experience with this organization as he began his first entry level position in 2000. He first came to the country as a student and he attended City University of New York and was first hired by HHC in 2000 as a HR recruiter for the organization.
The HR Director role is responsible for maintain the human resources for the nation's largest public health care delivery system that includes a network of forty thousand employees in different hospitals, treatment centers, and related organizations that provide treatment to over 1.4 million people annually. The mission of the HHC is to:
Our promise to New Yorkers: Empower every…… [Read More]