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Patton-Fuller Community Hospital
The need for reporting on adverse events related to medical device usage has never before been more salient. Medical technology has certainly been responsible for improving the quality of care, the quality of life, as well as health outcomes. However, at the same time, medical devices are being developed and released at a much faster rate than ever before. To monitor the progress and the safety of these devices, it requires a centralized monitoring system to evaluate outcomes; especially the adverse outcomes. This can allow the monitoring of devices that have issues associated with them in an efficient and effective manner and would give regulators a better opportunity to stop the usage of devices with questionable track records.
The Medical Product Safety Network (MedSun) is an adverse event reporting program launched in 2002 by the U.S. Food and Drug Administration's Center for Devices and Radiological Health…… [Read More]
equirements and Design - This focuses on the areas of intricacies of turning functional specifications into technical specifications, and also creating a series of approaches to giving users a chance to see the development of applications and most importantly, giving them the chance to review evolving system functionality.
Approval and Gate Process - This is the critical step where ownership by users is tested, as the evolving functionality and direction of medical devices and hospital procedures is evaluated. The approval of specifications and concepts happens in this step.
Development - the phase where medical devices designers complete their initial models and plans. Built into this step are several review cycles to ensure the medical devices direction is aligning with the users' needs.
Launch - the formal introduction of the medical device or hospital procedures and the support of these development effort by users including those who championed their development during…… [Read More]
Selecting the best country to locate off-shore manufacturing operations can be a difficult decision owing to the complexities involved in global supply chain operations. The various available options must be carefully evaluated if the desired outcomes are to be successfully achieved. With manufacturing costs in New Zealand on the rise, Kiwi must select a country that offers more competitive costs combined with an acceptable level of risk. Of the four most preferable countries (China, Indonesia, Mexico, and Slovakia), Mexico offers the best location. An important priority for the company as far as reducing its supply chain costs is concerned with locating its manufacturing operations in proximity to its major markets. While headquartered in New Zealand and with strong presence in Asia and Europe, Kiwi's major markets are in North America, which comprises 46% of its overall sales (Fawcett, 2014). Being in North America, Mexico is better compared to the other…… [Read More]
The Bleeding Edge is a Netflix film that examines the $400 billion medical device industry, which produces and markets highly complex apparatuses that are implanted into human bodies (Dick, 2018). The documentary was carried out on the premise that more than 70 million Americans have been outfitted with internal medical devices. While there are numerous medical devices that help uplift and save people’s lives such as corneal transplants and hip replacements, the film mostly focuses on some medical devices that have harmed people. Through this expose, the Netflix film provides shocking revelations regarding medical devices that are implanted in people’s bodies in attempts to enhance their health and wellbeing.
One of the medical devices discussed in this film is hip replacement, which has traditionally been a terrific medical device. This medical device is implanted in an individual’s body to help restore mobility and relieve pain brought by hip…… [Read More]
An advance in terms of speech synthesis aimed at patients with Cerebral Palsy and similar diseases has been developed by the University of Virginia. While in the past speech synthesis devices for the disabled have been somewhat erratic in operation and produced a harsh "metallic' voice, the research at the University of Virginia has improved on these. The new envisaged device is specifically designed "... To electronically reproduce sounds of the human voice and allow speech-impaired people to speak with fluidity and inflection" (Thomasson L.).
This device operates in relation to an individual's range of movement. These movements are 'tracked' on a computer by a programmer or a trained therapist and "...Once the movement, such as swinging the arm or wiggling the foot, is recorded, it is overlaid onto a sound grid. The vowel and consonant sounds are produced as the user moves a tracking device through the grid" (Thomasson…… [Read More]
egulation of Devices
There are 3 classes of medical devices. A Class I medical device is typically designed to perform simple operations and have almost zero or no risk involved in their application. These devices are required to meet regular FDA guidelines: that is, they must be registered, branded and labeled accordingly, made properly and the FDA has to be told of the devices' existence before it is sent to market. Three examples of this type of device are: elastic bandages, tongue depressors, and examination gloves.
A Class II medical device is a little more complex than a Class I device, and its application does include some risk -- but the risk is low. Like Class I, these devices also have to conform to regular FDA policy, including labeling guidelines; but they must also be monitored in order to make sure they meet specific standards when being utilized. This includes…… [Read More]
Porters Five Forces Analysis of Medical Devices in Australia
Threat of New Competition -- Medium
The threat of new competition in the medical devices industry is believed to be at a medium level. This is primarily due to the fact that this industry is heavily regulated and must comply with legislation such as the Therapeutic Goods Act of 1989 (Department of Health and Ageing, 2011). The regulatory environment acts as a deterrent for many potential competitors. However, given the profitability potential in the industry, there is still a significant threat from new competitors as many firms will tackle the regulations.
Threat of Substitute Products -- High
It was identified that there is a significant threat to most medical devices in the Australian market. Australia is an advanced economy with a great deal of innovation that floods the market with quality products. Although not all medical devices can be…… [Read More]
The Use of Biomedical Devices to Improve Patient Outcomes
There have been tremendous advancements that have been made in the field of biomedical devices. All the advancements have been aimed at improving patient outcomes and preventing infections especially in orthopedic surgeries. Biomedical devices have offered an opportunity to doctors and researchers to improve upon their products with an aim of improving the patient’s quality of life. Infection reduction and readmission rates have also been reduced. Biomechanics in surgery keep improving every day, such as better products that help better ERAS for patients. Doctors and researchers keep improving their products to make risk factors minimal and to create better and longer lasting products for patients of the present and future generations.
There have been tremendous advances in biomedical devices and they keep improving with each passing day. These advances are aimed at improving patient outcomes and making more efficient…… [Read More]
In June, 2014, the world's #2 maker of medical devices, Medtronic, agreed to buy Covidien, a smaller company in the same industry. The deal was valued at $42.9 billion, and it was a cash and stock deal. The deal was done at a 29% premium over Covidien's June 13, 2014 closing price. The deal was described by Medtronic's CEO as a "strategic and operational alignment" and there were immediate benefits to be accrued by moving the company out of the country, to Covidien's headquarters in Dublin (Cortez & Welch, 2014). The company disputes the tax argument, noting that it did not believe its 18% tax rate would change much with the move (Kelly & Roumeliotis, 2014). Mostly, the value of the deal was the expected $850 million in annual savings that was expected to accrue from synergies in back office operations, supply chain, distribution and manufacturing (Cortez & Welch,…… [Read More]
The facts that you have provided indicate extremely troubling circumstances that could seriously jeopardize the welfare of your organization. It is well-settled law that entities contracting for the services of subsidiaries are legally responsible for legal and ethical improprieties committed by those subsidiaries irrespective of whether or not the contracting organization had any specific involvement in or knowledge of those actions. Accordingly, we would strongly advise that you take immediate action to rectify the situations described in the manner outlined in our recommendations below.
To avoid the potentially serious criminal, civil, and financial consequences arising under MWHC's respondeat superior responsibility to prevent fraud and abuse in connection with its association with subsidiaries, it is hereby recommended that MWHC immediately:
1. Instruct the subsidiary to cease and desist from offering its contracted home health agency employees compensation of any kind in connection with client durable medical equipment (DME) orders from…… [Read More]
These examples highlight that technology is always a tool, a way of enhancing human judgment -- we must not mistake it as a replacement for good nursing practice.
After all, the use of a computer is no substitute for a medical education. Anyone who works in a hospital can see this -- the increased accessibility of information through the Internet also means that patients often come in, convinced that they are suffering from a serious illness, allergy, or condition, based more upon a diagnosis Googled on WebMD, rather than upon the fact that they saw a doctor! If a computer alone was required to diagnose, everyone would have a degree!
Don't get me wrong -- I use technology every day in my life, and thank my lucky stars, and my patient's lucky stars, that it is so ubiquitous. When health care providers wish to communicate, the use of cell phones…… [Read More]
Medical ID Theft and Securing EPHI
Medical Identity Theft
Medical information can be stolen by 1) the bad guys getting sick and using a victim's information to obtain services, 2) friends or relatives use another friend's or relative's information to obtain treatment, 3) when professionals, such as physicians, fabricate services that did not exist, 4) organized crime, and 5) innocent or not so innocent opportunists (Lafferty, 2007). ad guys that get sick can take a victim's insurance information to obtain services for treatment. Professionals can fabricate false claims to cover medical errors. Opportunists have access to patient data and the ability to steal, use, or sell that information.
Effective security requires clear direction from upper management (Whitman). Assigning security responsibilities and access controls with audit controls to organizational elements and individuals helps to place accountability on individuals. They must formulate or elaborate security policies and procedures based on the organizational…… [Read More]
PESTEL Analysis of the Medical Devices Industry in Australia
The medical devices industry in Australia has become the focus of political leaders in recent months. For instance, the Australian Senate launched an investigation into regulation of the medical device regulation in response to growing concerns about Poly Implant Prostheses breast implants. According to Murphy (2012), "The inquiry, which is being conducted by the Senate's Community Affairs Committee, follows a senate committee inquiry into Australia's medical device regulation that was completed late last year and that generated 18 recommendations on how to improve the regulations" (p. 1). Increased regulatory oversight, though, is complicated by the very nature of the medical devices industry. According to Breton and Stinson, "The medical device world is a shapeless blob" (2010, p. 27). This point is also made by Egan (2001) who emphasizes that while there have been a number of major pieces of legislation…… [Read More]
Schneck Medical Center: The Baldrige Award
Schneck Medical Center: Overview
The Schneck Medical Center according to the National Institute of Standards and Technology -- NIST (2011) "is a 93-bed nonprofit hospital providing primary and specialized services to the residents of Jackson County, Ind., and surrounding communities." The facility as NIST (2011) further points out, offers a variety of primary care services including but not limited to cancer care, noninvasive cardiac care, and joint replacement.
Established in 1911, the facility was amongst four organizations selected by the President and the Commerce Secretary in 2011 to be awarded the Malcolm Baldrige Quality Award. This particular award in the words of NIST (2011) is "the nation's highest Presidential honor for performance excellence through innovation, improvement and visionary leadership." It is important to note that apart from the Baldrige Award, Schneck Medical Center has been a recipient of several other awards including the Outstanding…… [Read More]
Endius' Way Forward
The medical device industry is driven largely by innovation, with new products comprising a substantial portion of sales and profits in the sector. This does not mean that good ideas are instantly saleable or marketable, however, and although the minimally invasive surgical tool developed by the two physicians that started the company Endius shows a great deal of promise, it takes someone with the leadership capabilities, the strategic knowledge, and the connections of Thomas Davidson to really drive this company and its product(s) forward. Davidson has joined the company, but must decide whether to pursue commercial product development as an in-house endeavor or if utilizing the services of Project Genesis, a consultancy firm, would be better. There will be in-house and outsourced personnel, components, and costs regardless of which avenues is selected, and Davidson will likely have to loan the company the necessary funds to…… [Read More]
Market Model Changes
The medtech, or medical technology, industry is a large and intensely competitive industry that produces highly innovative medical devices for hospitals and other healthcare facilities in the effort to save lives and improve health for patients (Research, 2012). It is spread across different segments including, cardiology, oncology, neuro, orthopedic, and aesthetic devices. It relies largely on aging baby boomers, high unmet medical needs, and increased incidence of lifestyle diseases, including cardiovascular disease, diabetes, hypertension, and obesity.
The industry is being challenged by pricing concerns, hospital admissions and procedural volume, uncertainty concerning healthcare reform, Medicare reimbursement issues as agencies are looking for cost reduction measures, and regulatory overhang. There is a rise in patients deferring treatment in elective procedures. "One factor aligning economic and clinical forces: in the U.S., the number of medical practices owned by hospitals grew from 25% in 2005 to 50% in 2008" (practice, 2011).…… [Read More]
Unique product with tangible benefits
Solves a real world problem
Ease of use?
There are a couple of strengths that will drive the adoption of this product. The first is that it is unique – there are no competitors in Canada at the moment. There is one competitor in the UK at present. The competitive threat can be managed by licensing the technology from that company, with a non-compete clause, or by developing similar but superior technology of our own. Patents can protect any unique attributes of our product.
The second strength is that this product solves a real world problem. Many innovative ideas fail at the application stage so it is important that the product solves a problem better than existing products. In this case, there is no product that can allow a cast to be set on the fly. Using this as…… [Read More]
Devices for the Future
Brain controlled prosthetics that have been designed so well that they are almost natural, are the focus of this paper. These limbs enabled humans to figure out how to move them in similar ways as they would coordinate their own arm movements, and consequently get the prosthetics arms to actual functionality (Collinger, B. Wodlinger, Wang, Tyler-Kabara, & Weber, 2013). The research method constituted decoding and recording of motor cortical signals so as to present the participants in the research with the ability to coordinate approximately 10 DOFs with the prosthetic systems of the arm.
The Development Process
Micro-electrode arrays for capturing brain signals on record and establishing complex algorithms to decode natural processes and transforming them into commands for motors in prosthetic systems of the arm are set in process. Single element neural signals have been captured in human clinical patients by implanting a…… [Read More]
Hand-held devices and portable digital assistants (PDAs) are being integrated into the health care setting in the United States. It is important to understand which devices are being used, how they are being used, what they are being used for, and why. Understanding the role that hand-held devices and other portable electronics play in health care can help to inform organizational policy, and help health care administrators better implement electronic medical records.
History of use
The first documented PDA was the Newton MessagePad, issued by Apple in 1993. It was described as being "revolutionary" (Wiggins, 2004, p. 5). Palm, Inc. developed the next big handheld device: the Palm Pilot, in 1996. By the late 1990s, PDAs were equipped for Internet access, and memory capacity and other features improved with each product release. Microsoft also entered the portable electronic devices marketplace in the 1990s. The devices were not yet being…… [Read More]
his device utilizes two 3-volt batteries and has a battery self-tester. he recorded messages not lost when the battery is changed. his item weighs about two ounces and has also a one year warranty.
his item costs $29.95. (http://test.abledata.com/abledata.cfm?pageid=113583&top=0&productid=113886&trail=0) S. similar device is known as Medical Medallion, and it is manufactured for the same purpose. It has the same easy-playback and update options, the same word capacity, the same storage features, and so forth. he only noticeable difference is that the Medical Medallion has a leather cover.
Although in essence these are functionally the same, the Medical Medallion, is $49.95, a full $20 more expensive. (http://test.abledata.com/abledata.cfm?pageid=113583&top=0&productid=113887&trail=0) fully recommend this device for the student. However, I know that the parent will push for the more expensive item to be purchased, even though it is not in the best interest of the child. he devices are functionally the same, and only have…… [Read More]
The second is the development of a research method that takes into account many aspects of the perceptions of patients regarding their condition and their treatment program. This study will play an important role in future medical decisions regarding the use of orthotic devices to treat foot conditions.
Bennett, P., Patterson, C., Wearing, S. & Baglioni, T. (1998). Development and validation of a questionnaire designed to measure foot-health status. Journal of the American Podiatric Medical Association, 88 (9): 419-428.
Budiman-Mak, E., Conrad, K., & oach, K. (1991). The Foot Function Index: a measure of foot pain and disability. Clinical Epidemiology. 55 (6): 561-70.
D'hondt, N., Struijs, P., Kerkhoffs, G. & Verheul, C. et al. (2004). Orthotic devices for treating patellofemoral pain syndrome. Issue 4. etrieved 6 January 2009 at http://mrw.interscience.wiley.com/cochrane/clsysrev/articles/CD002267/frame.html.
Landorf, K. & Keenan, a. (2000). Efficacy of foot orthoses. What does the literature tell us? Journal of the…… [Read More]
Advances in Digital Medical Imaging
In the past few decades advances in healthcare have emerged, as new forms of technological integration are implemented as part of the overall healthcare management system. Healthcare providers, doctors and patients require more technological integration into the system providing real time data analysis and the possibility of enhancing medical knowledge. Sharing that knowledge can lead to what many describe as "digital medicine" where stored clinical data can generate medical knowledge which can be widely distributed, incorporated into decision support systems, and lead to more effective medical practices (ouler & Morgenstern, 2005). Digital medical image processing within the healthcare area has its origins in the 1970's when computed tomography was introduced as the first digital modality. In the decades that followed, advances in digital medical imaging technology have dramatically affected the planning and design of diagnostic interventional radiology facilities. Soon after the advent of computerized…… [Read More]
input/output devices will you be using in the next one to three years as "computing" devices? Which features/components/form factors will be prominent? Why?
Which features/components/form factors will be important to you? Why? Which applications will you be using on these devices? How may these devices change your life in terms of benefits and risks? (Two pages)
A survey of experts identified five major themes that will carry forward through the next half century ("EEEE Spectrum," 2012). ncreased computation and bandwidth is the first of these themes ("EEEE Spectrum," 2012). This notion that there will be computation and bandwidth to burn means that the shift of computing power and network connectivity will move from one end of the spectrum to the other -- there will be utter and unimaginable abundance of computing and networking capacity ("EEEE Spectrum," 2012). Experts predict that people living in developed countries will have gigabit nternet access…… [Read More]
Sharp Medical Center, San Diego is a hospital whose mission is to enhance the health of its clients through a commitment to excellence in all its operations. As part of its commitment to provide affordable and accessible health care services, the hospital applies the 10 rules for redesigning the healthcare system through:
Patient-centered Care and Patients as the Source of Control:
According to the Institute of Medicine, some of the important rules for redesigning the 21st Century healthcare system include customization of care based on patients' values and needs and patients being regarded as the source of control over health care decisions affecting them ("Crossing the Quality Chasm," 2001). Sharp Medical Center has applied these rules through providing special services to patients and their families via online patient tools and information about visiting hours. Through the provided information, the hospital's patients and their families are able to make informed decisions…… [Read More]
Implantable Cardiac Devices
Heart disease remains one of the leading causes of death in the United States but there are a number of different implantable cardiac devices (ICDs) available today, including pacemakers, defibrillators and cardiac resynchronization devices, that can help people with heart disease or failure go on to lead normal lives by regulating their heart beats through a series of electric shocks. To determine the facts about these devices, this paper provides a review of the literature to explain the respective indications for these devices as well as their differences. Finally, a summary of the research and important findings concerning these implantable cardiac devices are provided in the conclusion.
eview and Discussion
Indications for each of the following: Pacemaker, ICD (defibrillator) & Cardiac esynchronization Devices
Pacemaker. According to Gregoratos et al. (1), this type of ICD is indicated for patients suffering from abnormalities of atrioventricular (AV) conduction which may…… [Read More]
("DEKA: Dean Kamen" 2001, NP) Making many smart business decisions along the way and developing many innovative products, which he rarely fails to patent, have made him a renaissance man for the modern world. To some degree he could be called the Leonardo Davinci of modern science and technology.
The technology of the Segway is dependant upon its ability to balance itself, in much the same way the human body does, using technology that its makers call Dynamic Stabilization. This advance makes the Segway nearly impossible to overturn, while in use, making it extremely safe and practical for use. It also boasts a battery system utilizing lithium ion batteries that hold a charge long enough for an individual to travel up to 24 miles between charges. This advance creates a device that can be used for an entire day or even longer by some people with only very…… [Read More]
The recommendation for the safest, most practical contraceptive device today's woman should consider would be the IUD. The choice between the ParaGard and the Mirena product should be up to the woman and her physician, once a good bit of research is conducted by the woman, and questions are asked of her doctor. If a device can be implanted and be effective for up to 10 years, and not have any serious - or even minor - side effects, that device would be well worth trying. In the event that it becomes unpleasant for any reason, the woman's doctor can easily remove it at any time.
Brody, Jane. "Jane Brody: New Devices and Effective Options in Contraception." The New
York Times (October 24, 2006). Retrieved 8 Nov. 2006 at http://www.nytimes.com.
Doheny, Kathleen. "The Birth-Control Choice of Female Docs." Shape 25.7 (March 2006)
86. Retrieved 9 Nov. 2006…… [Read More]
Experiential Exercise: Observing and Reporting Surroundings at a VA Medical Center
To satisfy the requirements of this assignment, the author recently volunteered at a local Department of Veterans Affairs medical center (VAMC) and the results of this experience are related below.
Date and address of where the experience took place
October XYZ, 20XX, in Anytown, Ohio.
Length of time you were there
Four hours (including lunch).
Brief description of the setting
The VAMC visited for this assignment is a major tertiary healthcare facility that provides medical, surgical, dental and mental health services to eligible veterans in its catchment area. The volunteer services department is located on the VAMC's first floor, immediately inside the main entrance. A young female receptionist behind a glass window greets volunteers with and without appointments, but a sign below the window recommends making an appointment to ensure volunteers' services are needed on a specific date. Besides…… [Read More]
Technology in Medicine: Distant Medical Surveillance Technology for Diabetics in the Less Developed Area of Texas
An estimated 26 million Americans live with diabetes. When not properly treated, diabetes could be fatal as it occupies the seventh position on the list of major mortality causes and it is also a strong causative factor of renal failures, sight damage and clinical limb removals among Americans. Diabetes occurrences are approximately 17% higher in less developed areas. Ethnicity and race are also major factors in determining the risk of suffering from the disease as it affects the smaller factions more. Distant medical surveillance can be very helpful in acquiring daily data about a diabetic's sugar levels, dangerous signs, feeding habits and therapy devotion. This method could help patients take their medications appropriately. Even though certain patients could decide not to adhere to their treatments and thus render this technology useless, the group who…… [Read More]
Interoperability of Electronic Medical ecords
Electronic Health ecords (EHs) are patient-management tools that have been created in the health sector to help coordinate patient care. These tools or system focuses on capturing patient-generated health information from outside the clinical setting and incorporating it into the patient's medical history. Electronic health records were developed to help improve patient care through sharing patient information seamlessly. However, for EHs to have the ability to share patient information seamlessly, an interoperable health information technology environment should be established. This essentially means that an interoperable health IT environment is mandatory for electronic health records to be effective.
What is Interoperability?
Interoperability is a term used to refer to the level with which devices and systems can share data and interpret it (Healthcare Information and Management Systems Society, 2013). This means that two devices or systems are considered interoperable when they exchange data seamlessly and eventually…… [Read More]
Mass Casuality Decontamination
Mass Causality Decontamination
Throughout the past era, worries about possible terrorist acts concerning weapons of mass destruction (WMD) directed Congress and the President to obtain a complete counteract terrorism strategy that was aimed at stopping a chemical, biological, or nuclear attack and improving domestic attentiveness. The organization of choice for national significance management has been the Department of Defense. Of the $1.2 billion taken in the FY 2000 business plan purposely for WMD reply, most of it went to DOW Overreliance on the military for domestic (Wynd, C. 2006) WMD defense, nevertheless, may reduce the military's war combating capacity and holds the potential for breach of individual rights. Given that these attacks are confronting to avoid and may take place anywhere and at any time, mass decontamination is one of the significant factors to controlling the distresses of such an occurrence, saving lives, and limiting the number…… [Read More]
Evolution of Health Care Information Systems Physician's Office Operation
Filling in the hole of health care information technology will endorse safe, capable, patient-centered, and patient care that is fruitful in a timely way. In this essay, the theme is to look into two modern health
care organizations and then compare and contrast many characteristics that will involve the kind of evidence systems are using at the moment, investigate the transmission of information 20 years ago and how the substitute of data today. Furthermore, this essay will cover two major events and technology developments that have inclined present Health Care Informational Services practices.
Compare and Contrast Doctor's Workplace Operation
These day's doctor's office operation is familiarizing to the health care reform that was sanctioned in 2010 by the Obama organization. During sometime in October of 2013, the exchanges in health insurance was available on the market for customers on order to…… [Read More]
Evidence-Based Solution to educing Incidence
The goal of this assignment is to increase my ability to appraise and synthesize evidence to provide experience a logical argument in support of a proposal for practice change, and to provide experience in designing a detailed implementation and evaluation plan for my project. I need to discuss my project plan with you.
An evidence-based solution to reducing incidence of hospital acquired infections through indwelling medical devices
Hospital-acquired or nosocomial infections are the fourth leading cause of disease in developed countries. The increased insertion and implanting of prosthetic or indwelling medical devices is a leading cause of these infections since the introduction of a foreign body significantly reduces the body's immunity and decreases the number of bacteria needed to produce an infection. Prosthetic or indwelling medical devices such as urethral catheters, suprapublic catheter, nasogastric tubes, hemodialysis catheters, central venous catheters, and tracheostomy tubes are associated…… [Read More]
air traffic has continued to increase and it now constitutes a considerable proportion of the travelling public. The amount of long-hour flights has increased significantly. Based on the International Civil Aviation authority, air traffic can be anticipated to double amid till 2020. Airline travel, especially over longer distances, makes air travelers vulnerable to numerous facets that will impact their health and well-being. Particularly, the speed with which influenza spreads and mutates, via transportation routes, is the reason why the influenza pandemic is considered to be a huge threat to the human population. Pandemic is a term, which is used for a virus or microbe when it spreads over a large area, in severe cases even the whole world and large number of people start getting affecting by it (CDC, 2009).
In the past 300 years, there have been ten significant influenza pandemics outbreaks that have taken place in this world.…… [Read More]
Integrating Theory and Needs Assessment
A major challenge that a number of health care facilities are facing is accidents related to medical devices. This is from many providers becoming overwhelmed with larger amounts of patients. As a result, the odds have increased of overworked staff members making some kind of error. Evidence of this can be seen in a study that was conducted by the Food and Drug Administration (FDA) along with the Consumer Product Safety Commission (CPSC). They found that between 1999 and 2000 there was a total of 454,383 injuries. ("Estimated 454,383 People," 2004) To deal with these issues the FDA has implemented the MedSun project. This was launched in 2002 with the regulators working in conjunction with hospitals to reduce the number of errors from medical devices. Moreover, the program is built upon the principals of the Safe Medical Devices Act of 1990, the Medical Devices Amendments…… [Read More]
Government Created a Committee
An electronic health record is a digital record of a patient's health information generated from every medical visit a patient makes. This information includes the patient's medical history, demographics, known drug allergies, progress notes, follow up visits, medications, vital signs, immunizations, laboratory data and radiological reports. The EH automates and streamlines a clinician's workflow. (Himss, 2009)
Due to the multiple advantages of an EH, health care agencies have been aiming to push up this technology. In 2004, the FDA approved of an implantable EH microchip into patients. Each microchip has a specific code which is identified through sensors. The device is implanted under the skin, in the back of the arm, requiring a twenty minute procedure, without needing the use of sutures. ("Fda approves computer," 2004)
According to the Center for Disease Control and Prevention, deaths due to preventable medical errors rank as the fifth most…… [Read More]
GE Healthcare (A): Innovating Emerging Markets ead case study titled "GE Healthcare (A): Innovating Emerging Markets" Write a page paper: Determine (2) emerging trends external environment prompted General Electric (GE) Healthcare develop a strategy production marketing a low cost Electroencephalography (EEG) machine bottom pyramid markets (BOP).
GE Healthcare (A): Innovating for emerging markets
India's population of patients with serious heart-related conditions is rapidly expanding: as unfortunate as the statistic that over 80% of heart-related deaths now occur in the developing world may be, from General Electric's perspective this was an opportunity it could capitalize upon. There was clearly a need for new medical devices to screen for and treat these conditions. However, when developing a new low cost electroencephalography (EEG) device, GE was acutely aware of the fact that it would have to adjust its approach to the unique needs of the foreign marketplace it wished to enter: it could…… [Read More]
As with many pharmaceutical products manufacturers, the extent of supply chain and quality performance has a direct effect on distribution, profitability and services performance as well (tevenson, 2012).
Beginning with supply chain management, J&J has an intensively level of supplier audits they expect each supplier to pass and also randomly be able to manage as they provide materials, components and subassemblies to the company (Wechsler, 2011). upplier audits form the interlinking process to Quality Management, another strategic operations management initiative in the comp[any as well. J&J also uses these supplier audits to ensure alignment to the Collaborative, Planning, Forecasting & Replenishment (CPFR) processes which are critical to their success in anticipating global demand for products by business unit (Weill, Ross, 2005). upply chain management is the unifying operations management strategy that keeping the entire value chain and quality levels of J&J aligned to corporate objectives and standards (Weill, Ross, 2005)…… [Read More]
Capturing the anguish and agony which consumes those caring for loved ones at the end of life is an exceedingly difficult task, but essayists Katy Butler and Rachel Riederer have harnessed their unique literary abilities in vastly different ways to achieve the same ambitious objective. Published within the 2011 edition of the annual anthology of American creative nonfiction The Best American Essays, Butler's haunting elegy hat Broke My Mother's Heart and Riederer's visceral portrayal of her own injurious accident Patient each deploy disparate rhetorical styles to impart a shared premise. ith the rancorous debate over health care and its most efficient and effective form of delivery currently embroiling the nation's political, private and public sectors, penning a polemic railing against the medical industry hardly represents an exercise in intellectual courage, which is why the contributions made by Butler and Reiderer are refreshing in their candid and emotionally honest approach to…… [Read More]
Fault: An Alternative to the Current Tort-Based System in England and Wales
The United Kingdom
statistics regarding claims
THE NATIONAL HEALTH SYSTEM
OBSTACLES TO DUE PROCESS
THE CASE FOR REFORM
THE REGULATORY ENVIRONMENT
THE RISING COST OF LITIGATION
LORD WOOLF'S REFORMS
MORE COST CONTROLS
THE UNITED STATES
THE INSURANCE INDUSTRY
TORT REFORM IN AMERICA
STATISTICS FOR ERROR, INJURY AND DEATH
THE CALL FOR REFORM IN 2003: A FAMILIAR REFRAIN
THE UNITED STATES SITUATION, IN SUMMARY
NEW ZEALAND CASE STUDIES
THE SWEDISH SCHEME
COMPARISON: WHICH SYSTEM IS BETTER?
FIRST: UNDERLYING DIFFERENCES
TALKING TORT: AMERICAN PECULIARITIES
AMERICANS CONSIDER NO-FAULT
BRITAIN CONSIDERS NO-FAULT
Appendix A THE UNITED KINGDOM
At issue is the economic effectiveness of tort law in the common law legal system of England and Wales, as applied to medical and clinical negligence and malpractice cases. In response to economic concerns and a continual…… [Read More]
Figure 1: Analysis of the Johnson & Johnson Value Chain
Sources: (Atherton, Kleiner, 1998) (Johnson & Johnson Investor Relations, 2012)
Variability in capacity planning and constraint-based modeling of demand has also led Johnson & Johnson to adopt and standardize on ean Six Sigma as part of its quality management and constraint-based planning strategies (Hunter, Schmitt, 1999). Based on an analysis of their annual reports and filings with the Securities and Exchange (SEC) Commission and (Johnson & Johnson Investor Relations, 2012) the following analysis of the lean manufacturing, Six Sigma and Design for Six Sigma initiatives in the company are profiled. Taken together these form the Johnson & Johnson Enterprise Compliance and Quality Management (ECQM) framework the company relies on for ensuring speed, accuracy, consistency and customer-focused innovation throughout its value chain processes. Figure 2 provides an analysis of how Johnson & Johnson has organized these initiatives as a three-phased approach…… [Read More]
Although the Affordable Health Care Act represents a step in the right direction towards encouraging all Americans to avail themselves of medical services, the bill fails to address the root causes of problems in the system. The American health care system is flawed because it is a for-profit model that places profits far ahead of patients. When profits come ahead of patients, the result is an inability to fulfill the ethical duties of being a health care worker. A progressive transformation of the American health care system would systematically undo the nefarious link between corporate interests and the interests of health care.
The relationship between doctors and drug companies has been well established and well documented. Major news media resources like The Atlantic, as well as professional peer-reviewed journals like the New England Journal of Medicine cover stories addressing the potential ethical conundrums inherent in a cozy connection…… [Read More]
Healthcare -- Administration and Legal
Many vectors -- science, research funding, social acceptance or rejection -- influence how and whether medical technology is eventually adopted into medical praxis (Hogle, et al., 2012). Undergirding the choices and changes is a shared body of ethical standards and law, the establishment of which is often not consensual or efficacious. Any emerging technology can encounter unanticipated social resistance and ethical concerns that can change the course of how medical science research progresses (Hogle, et al., 2012). Medical technology often poses questions about access to expensive innovations and considerations about race, gender, and social justice that are inseparable from the socio-economic levels of patients (Hogle, et al., 2012). In contemporary society, there are the inevitable considerations about patent issues, clinical practice, and the commercialization of medical innovations (Hogle, et al., 2012). The recent court decision finding in favor of Myriad Genetics, Inc. provides a good…… [Read More]
Health Policy Analysis for Maryland AC (Affordable Care) Act
McLaughlin, & McLaughlin (2014) rank 11 areas of health innovation based on their impact on costs and quality of healthcare delivery. The process improvement is the highest ranking item. However, the authors identify data analytics, disease management, "non-physician delivery alternatives," and "alternative to fee-for service" (McLaughlin, & McLaughlin, 2014 p 335) as other innovation items that can enhance quality and reduce costs. Additionally, the authors point out that innovation in electronic medical records, diagnosis, and pharmaceuticals can also assist with quality and cost.
Objective of this health policy paper is to evaluate the items that can play important role in the health policy process of Maryland's ACA (Affordable Care Act).
Healthcare items for Health Policy Process for in Maryland Affordable Care Act
The ACA (Affordable Care Act) is a federal government legislation focusing on healthcare coverage for small groups and individuals.…… [Read More]
Invention and Summarize the Significance of the Underlying Technology Innovation
The device titled the Thornton Adjustable Positioner or TAP is an oral/dental device worn in the patient's mouth during sleep to move the lower jaw slightly forward to create an open airway for proper breathing while sleeping. The device or some like them have been previously tried on minor sleep disturbances such as snoring, yet, their efficacy has been unknown for more serious problems such as mild to severe sleep apnea. Sleep apnea, a disorder that creates oxygen deprivation during sleep and can moderately to severely affect the health of the individual first by depriving the individual of restful sleep and in more severe cases by creating oxygen deprivation that can lead to other chronic diseases or even acute death from asphyxia.
Up to this point the most commonly prescribed device for sleep apnea is a device that forces oxygen…… [Read More]
Stryker Organizational Strategic Plan
Stryker is a world leader in medical technology and works to make healthcare much better. Stryker offers innovative medical devices and technologies reported to include "reconstructive, medical and surgical, and neurotechnology and spine products to help people lead more active and more satisfying lives. Stryker products and services are available in over 100 countries." (Stryker.com, 2014, p. 1) Stryker reports having spent $471 million on research and development during 2012 and 5 to 6.3% of its sales invested each year since 2000 are in research and development having assisted 4,768 patients on a global basis in 2012. Stryker has been recognized by Fortune 500 and is a Gallup Great Workplace Award Winner as well as being recognized by Fortune Magazine as one of the top 100 that are best to work for. While Stryker is a successful company it has recently reported a problem with an…… [Read More]
Healthcare -- Floor Plan
Renovation of an existing facility into a walk-in health clinic would be a complex, expensive task. It would involve careful planning, numerous stakeholders, land, building, renovations, driveway and parking, contracts, furnishings, equipment and supplies. Budget planning would be critical. Having completed this task, I would change several key aspects of my plan.
If this is a new facility or a renovation
I selected renovation of an existing facility, which is a walk-in health clinic. The floorplan follows:
(Smartdraw, LLC, 2016)
Reason you selected the facility
I chose this facility because it is an increasingly common and modern structure for providing outpatient medical care in a community
ho are your stakeholders for this project
The stakeholders for this project are: providers; patients; payers; and in certain circumstances, the patients' employers (Duke University School of Medicine - Department of Community and Family Medicine, 2016). In addition, due to…… [Read More]
service cost, Devices, and Cost per bed
Qualitative research design model
Secondary Data Collection
esearch Validity and eliability
Across the U.S., hospitals are overspending millions each year on mobile assets that are not utilized effectively. Despite more than adequate inventories, equipment often is not available when needed. As a result, more units are bought, leased, or rented. And those units, in turn, get lost in the system and therefore, underutilized. In fact, the number of mobile devices per U.S. hospital bed has increased 60% in the past 15 years while costs have doubled. Yet in most hospitals, the device utilization is approximately 45%. In the present study, the need for optimization and efficiency methods with clinical assets is investigated.
Hospitals in U.S. have to incur increased expenses for acquisition of medical equipment utilized for their normal operations. The cost of equipment purchased is high and hospitals are required to…… [Read More]
Currently there are different types of tests to study the behavior of the heart and monitor it. These tests are extremely important, because let us know in time if the heart is failing or has a problem. And because of that, today we submit to treatment or surgery to correct them when they are still small and manageable, before our life is at risk. The electrocardiogram, ECG or EKG, is one of those tests.
The electrocardiogram (ECG / EKG) is the graph obtained with the electrocardiograph to measure the heart's electrical activity as a continuous graphic tape. It also helps to know the duration of the cardiac cycle. It is the main instrument for cardiac electrophysiology and has a significant role in screening and diagnosis of cardiovascular diseases, metabolic disorders and predisposition to sudden cardiac death (Daja, eljin, eljin, 2001). The ECG has the advantage of being a medical…… [Read More]
Systems Media Table: Comparison
The main purpose of this program is to construct sentences of the perceived information and manipulate paragraphs to form a word document. The program uses a display format 'what-you-see-is-what-you-get' to enhance the quality of the expected hardcopy.
WordPerfect and Microsoft Word are mostly superseded by both organization and personal computers to perform functions such as word formatting, letter processing and some simple designing. Accordingly, it is the most frequently used program in day-to-day operation.
It is used to type the text, save, and format and print the text.
It is used to insert pictures into the text page.
It is used to spell check the text document.
It is used to prepare letters and other word documents.
This kind of database system is to display a structure that would relieve the presentation of information using parent to child relationship. The…… [Read More]
To elaborate, he used his 'transistor' to build logic circuits that program each cell's behavior. For instance, he was able to tell a cell to change color in the presence of both a specified two enzymes. Remarked Kleem (online): "Endy envisions plant-based environmental monitors, programmed tissues and even medical devices that "make Fantastic Voyage come true," (Kleem, 04.02.13).
In the first (grainy) image below, Endy's DNA "buffer gates" flash different colors according to their situation. In the image below that, we have a string of DNA -- we see the code of the a's, C's, T's and G's -- that has been programmed by synthetic biologist Eric Winfree of the California Institute of Technology --.
(Excerpted from Keim, B Computers Made Out of DNA, lime and Other trange tuff
Timothy Lu, a researcher at the Massachusetts Institute of Technology, is taking this idea further by building cellular computers…… [Read More]
Technology and Healthcare
Demographics of the global community are rapidly changing so that each year there are more and more seniors within the population base. This has a profound implication on the healthcare system of many regions since a large number of elderly citizens will be spending their lives in the confines of their home, and some may have chronic illness that require continuous monitoring. Clinical telemedicine is one way to offer greater services to rural or homebound populations. Indeed, a variety of technological advances have made it possible to change the paradigm of healthcare. Clinical information systems, for instance, have expanded in scope and depth. Increased processor speeds and data storage devices have made it possible to collect more data than ever on the detailed encounters that make up the provider-patient care delivery process, and present it more effectively to a wider range of users. Healthcare monitoring is part…… [Read More]
The ole legal nurse consultant may provide service in a number of roles, including but not limited to:
Trainer and in-service presenter
Quality improvement, risk management, claims management
Liability insurance marketer and clinical resource" (Chizek, 2003)
As standards of care constantly change, medical and nursing staff must keep informed of current standard to develop and/or modify policies and procedures, which must be maintained and secured indefinitely. In the event the facility is sued, these will be used to establish the current standard during the time of the questionable occurrence. Policies and procedures also provide the legal nurse consultant with the foundation for facility documentation to be judged for compliance. (Chizek, 2003)
The minimum length of time the modified policies and procedures should be kept is the time frame of the statute of limitations in the individual jurisdiction. In most jurisdictions,…… [Read More]
" (2004, p.159) Activities have included:
(1) Development and promotion of industry-wide standards;
(2) Funding of research for investigation of the impact of IT on quality;
(3) Provision of incentives that provide encouragement of investment in IT;
(4) Giving grants to investors in IT; and (5) Development of strategies to improve the flow of information across providers. (Report to Congress, June, 2004, p.159)
Stated additionally in the Report to Congress is that there are multiple functions that must be considered when purchase IT and hundreds of applications that various vendors offer. The various IT applications are stated to be within three categories including those of:
(1) Administrative and financial systems that facilitate billing, accounting and other administrative tasks;
(2) Clinical systems that facilitate or provide input into the care process; and (3) Infrastructure that supports both the administrative and clinical applications. (Report to Congress, June 2004, p.160)
The work published…… [Read More]
The Gram-negative, motile, rod-shaped bacterium Pseudomonas aeruginosa is an opportunistic killer that takes advantage of people suffering from medical problems (Van Delden and Iglewski, 1998).For this reason, P. aeruginosa is one of the most common nosocomial infection that occurs in hospitals. P. aeruginosa is responsible for causing 16% of pneumonia cases, 12% of urinary tract infections, 10% of bloodstream infections, and 8% of surgical infections due to hospital care. Patients who are immune-compromised are also susceptible to P. aeruginosa infections, such as patients undergoing chemotherapy, suffering from HIV / AIDS, recovering in burn units, and suffering from cystic fibrosis. With death rates ranging from 30 to 60% for these patients, P. aeruginosa is considered to be a significant threat to patient health.
P. aeruginosa can switch between a free-swimming planktonic form and colonies enclosed within slime-protected biofilms attached to surfaces (Baltch and Smith, 1994,…… [Read More]
Health Care Reform Federal Deficit
The American Health Care Crisis and the Federal Deficit
The United States spends more than any other country on medical care. In 2006, U.S. health care spending was $2.1 trillion, or 16% of our gross domestic product. At the same time, more than 45 million Americans lack health insurance and our health outcomes (life expectancy, infant mortality, and mortality amenable to health care) are mediocre compared with other rich democracies. We spend too much for what we get.
Nothing is new about these sobering realities. The Nixon administration first declared a health care cost crisis in 1969. Four decades later, the United States still has not adopted systemwide cost controls because the politics of health care make it extraordinarily difficult to control costs. I explain below why this is so (Marmor, et al., 2009).
The starting point for understanding the politics of cost control is…… [Read More]
Healthcare Financial Management
To quote Jonathan Clark at the beginning of his article, "Improving the revenue cycle can be a daunting task due to the scope and complexity of the interdepartmental process." Of the suggestions offered by the authors, which concept(s) give you the greatest insight into creating an improved evenue Cycle process in the organization where you work (or one in which you are familiar)? Be sure to identify which article or author you are referencing.
In his comprehensive advisory article to improve the medical industry's revenue capturing capabilities, entitled Strengthening the evenue Cycle: A 4-Step Method for Optimizing Payment, Jonathan Clark provides a series of sensible solutions to the ongoing dilemma of payment optimization. David Hammer also provides guidance to healthcare finance professional in his article The Next Generation of evenue Cycle Management, by reminding them that the key performance indicators (KPIs) which dictated policy in previous years…… [Read More]
The looks in the eyes of some of these children, ranging from blank stares to pleading for attention left an impression upon me that is still present today, more than a year after meeting them. They were basically kept clean and fed, and not much else, as staffing was so short that no additional staff was offered them, even though they were clearly in need of some of the simplest interventions, such as love, attention and physical affection. They were isolated from the general population and had little recourse to make an impression on anyone, other than each other. I also believe that those from the general population, who had been starved of opportunity for affection and attention were also placed here, as a result of the affect of such under stimulation.
It is my understanding that MSF has taken actions in the past to assist unwanted children in China,…… [Read More]
evidence-based practice use in nursing for making decisions using evidences to provide care to patients. This assignment has highlighted five main principles of EBP. These principles should be considered while implementing EBP. Moreover, there are certain challenges and barriers in implementing EBP. This assignment focused on strategies for implementing EBP.
Introduction of evidence-based practice to the workplace:
Changing the accepted confirmation of an NG (nasogastric) tube
Currently, I am employed at a medical and geriatric unit in a rehabilitation hospital. The unit is such that the majority of the nurses (60%) have over ten years' experience of practice. Thus the nurses on the unit are highly-trained professions who are extremely competent at their jobs. However, nurses of this level of experience are also often extremely change-resistant. Due to the level of the morale on the unit, nurses are often reluctant to alter the standard operating procedures with which they have…… [Read More]
2010; Chorny et al. 2010). This research is still quite new, however, and the question remains as to whether or not nanoparticles can truly serve as a replacement for stents by prohibiting plaque growth through a variety of means, including more targeted and longer-range delivery of pharmaceutical substances that destroy such build-ups and inhibit plaque deposits from forming. The efficacy of this approach has already been preliminarily demonstrated, but the long-term viability and safety of this intervention method as well as attendant risks have not yet been fully determined (Chan et al. 2010; Chorny et al. 2010).
IV. Motivation for esearch
Despite the numerous advancements that have been made in treating plaque build-up in arteries and the general treatment and control of other cardiac issues, coronary artery disease is still the leading cause of death in North America and is a significant problem in other parts of the world, as…… [Read More]