1000 results for “Medical Services”.
Community/Organization of Interest:
Health and medical services in Bella Vista, PA, a South Philadelphia neighborhood
The cultural perspective
Bella Vista, PA, a South Philadelphia neighborhood, is a largely Italian-American ethnic enclave dominated by white, working-class residents. Although recent scholarly literature has focused upon the deficit of healthcare knowledge and services in lower-income nonwhite populations, deficits in knowledge and willingness and ability to access vital resources to improve their health still persist across population groups. For example, one study of non-Hispanic and Hispanics found that there were high levels of systemic barriers to obtain colorectal screening, including: scheduling and financial barriers; fear of diagnosis and pain; and lack of motivation amongst all study participants (Green et al. 2008). Culturally and psychologically in many communities, there is often an unwillingness to seek medical treatment in the form of screening. Even though Bella Vista is not a poor community cultural attitudes towards healthcare can still be…
Breen, T. (2013). Overview of the 2013-2014 Medicaid payment increase for primary care services. The Advisory Board Company. Retrieved:
Brown, E.R. (et al2004). Effects of community factors on access to ambulatory care for lower-
income adults in large urban communities. Inquiry - Excellus Health Plan, 41(1), 39-56.
Emergency Medical Services System Act of 1973 helped to establish national standards for emergency medical systems, with broad implications for education and public health. The Act follows a series of seminal events that drew attention to weaknesses in emergency response, including the lack of proper, regulated, or consistent training for personnel. Moreover, the Act helped to ensure that healthcare infrastructure would be modernized to minimize instances and costs related to accidental injury and death. The Act includes provisions for training in emergency medical services, offering funding and support for training programs that conform to a set of federal standards. Interestingly, Nixon had initially vetoed the Emergency Medical Services System Act, and it was subsequently reworded to omit mandate for a Public Health Service Hospital system -- something Nixon believed was "unnecessary," (Shah, 2006, p. 1). Passing the EMS Systems Act of 1973 meant that the Department of Health, Education,…
EMS Systems Act of 1973. Public Law 93-154
Shah, M.N. (2006). The formation of the Emergency Medical Services System. American Journal of Public Health 96(3): 414-423.
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 the subsidiary.
Reid, T. (2009). The Healing of America: A Global Quest for Better, Cheaper, and Fairer Health Care. New York: Penguin Group.
USDHHS. (2004). U.S. Department of Health and Human Services-Office of Inspector
General-Statement of Organization, Functions -- and Delegations of Authority.
Federal Register. Vol. 69, No. 127; July 2, 2004. Retrieved November 14, 2010,
Health are -- Medical Retention Laws
Medical records retention requirements, whether Federal or State, are apparently aimed at maintaining records for a significant length of time after a patient's discharge. HIPAA does not impose a specific requirement for retention of a patient's medical records and leaves that task to State legislatures. alifornia meets and far exceeds Federal requirements in multiple requirements from multiple laws. Meanwhile, Nevada takes a far simpler tack while still adhering to Federal requirements.
HIPAA does not impose a length of time for which patients' medical records must be retained (U.S. Department of Health and Human Services, 2009); rather, that requirement is left to the states. However 45 .F.R. §164.530(j) does require that an entity governed by HIPAA must retain its "privacy policies/procedures, privacy practices notices, disposition of complaints, and other actions, activities, and designations that the Privacy Rule requires to be documented" (U.S. Department of Health and Human…
California's record retention laws are at least as strict as federal law, as required, and are often stricter. Beyond the HIPAA requirements binding covered entities, California has various strict retention requirements stemming from several laws. California's Code of Regulations §70751(c) (22 C.C.R. §70751(c) requires hospitals to keep patients' medical records for a minimum of 7 years after any patient's discharge and, if the patient is a minor, the records must also be retained for a minimum of 1 year after the minor has reached the age of 18 (California State Legislature, 2013). Also, the Welfare & Institutions Code §14124.1 states that the medical records of Medi-Cal patients must be kept by the provider for 3 years after the last date of service rendered under the Medi-Cal Program (California State Legislature, n.d.). In addition, the Health & Safety Code §1797.98e (b) states that providers reimbursed by the Emergency Medical Services Fund must keep patients' records for 3 years after the last reimbursed service was rendered (California State Legislature, n.d.). The Health & Safety Code under §11191 also requires that prescription books with issued prescription copies must be kept for 3 years after the last noted prescription was issued and that a provider who "prescribes, dispenses or administers a controlled substance classified in Schedule II" is required to make and keep a record of each such transaction for 3 years (California State Legislature, n.d.). Furthermore, under California's Code of Regulations §1300.67.8 (28 C.C.R. §1300.67.8), managed care plans governed by the Knox-Keene Act must also retain all "records, books, and papers of a plan" for 2 years, keeping the records available for inspection by the Commissioner of Corporations (California State Legislature, 2009, p. 54.5). California's Code of Regulations §39.5 also requires that in cases of Worker's Compensation, all qualified medical evaluators must retain patients' medical-legal reports for 5 years after the employees' evaluation (California State Legislature, 2013). Finally, regarding its state Occupational Safety and Health Administration (OSHA) program, California's Code of Regulations §3204(d) (8 C.C.R. §3204(d) requires that in cases of employees who were exposed to "toxic substances or harmful physical agents," providers must keep medical records for a minimum of the duration of employment plus thirty years (California State Legislature, 2013).
Nevada's laws regarding medical records retention
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 of injuries.
10th european congress of trauma and emergency surgery. (2010). European Journal of Trauma and Emergency Surgery, 35, 1-1-188. doi:10.1007/s00068-009-8001-z
Cabrera, Suzanne Lobaton, R.N., M.N., & Beaton, Randal D, PhD., E.M.T. (2009). The role of occupational health nurses in terrorist attacks employing radiological dispersal devices. AAOHN Journal, 57(3), 112-112-9; quiz 120-1.
DA-az, G. (2005). Different approaches to the difficult relationship between intelligence and policy: A case study of the cuban missile crisis of 1962 vs. The 2003 war in iraq. UNISCI Discussion Papers, (9), 93-93-126.
Disaster Response: Principles of Preparation and Coordination. (1989). St. Louis: Center of Excellence and Disaster Management.
Medical trauma triage management requires skillful curriculum development, which in turn depends on an assessment of needs and an anticipation of potential barriers to implementation. The initial needs assessment has revealed required resources of about four or five medical services providers such as physician assistants and nurse practitioners. Support personnel may be provided, but an additional challenge will arise when implementing the curriculum in a real world setting such as a trauma center, emergency room, or intensive care unit. Adequate space and time must be carved out for the curriculum implementation, without disturbing standard operating procedures. At the same time, improving trauma triage management will ultimately facilitate patient service delivery and maximize care outcomes, goals that should continually be communicated to the institutional administration as well as all participants in the program.
Each phase of the ADDIE model, an industry benchmark for curriculum development, "requires constant evaluation," (Allen, 2006, p. 439).…
Allen, W.C. (2006). Overview and evolution of the ADDIE training system. Advances in Developing Human Resources 8(4): 430-441.
Bass, E.B. (n.d.). Step 1: Problem identification and general needs assessment.
Swanson, R.A. & Holton, E.F. (2009). Training and development practices. Chapter 12 in Foundations of Human Resource Development.
Services Presentation in Older Adults
Approximately 75 million baby boomers were born in the United States between1946 and 1964. This generation will stress the healthcare system as has no other generation in history. There are many services available for older adults in relation to their psychosocial, cognitive, and emotional issues. This work will identify available services for older adults in a specific facility and address the issues relating to older adults and mental health programs or the psychosocial health of older adults in this facility. The facility at focus in this work is Tripler Army Medical Center in Hawaii.
The adult psychiatric treatment program for older adults at Tripler Army Medical Center in Hawaii is such that focuses on depression experienced in older adults. The U.S. Department of State examines the issues of dealing with elderly parents by those in the service so that the health care of the elderly parent…
Aging Baby Boomers In a New Workforce Development System (nd) report updates and revises an earlier study by the Urban Institute, The Aging Baby Boom: Implications for Employment and Training Programs, June 1997, by Stacy Poulos and Demetra Smith Nightingale.
American Legion giving little ground over proposed cost-shifting (2011) The American Legion Legislative Point Paper (2011) TRICARE. 4/6/2011. Retrieved from: http://www.legion.org/files/legislative_pointpapers/legislative_tricare.pdf
Caring for Elderly Patients (2010) U.S. Department of State. Retrieved from: http://www.state.gov/m/dghr/flo/c23141.htm
Department of Defense Health Care System and Military Facilities (2010) Brown, Bauman & Smith. Attorneys. Retrieved from: http://www.brownbaumansmith.com/newsletters/Elder-Law/?launch_pg=NewsletterDetailLayout&launch_sel=1000283&title=Department+of+Defense+Health+Care+Benefits
Secondly, in my opinion, it is irrational and insensitive for the rich to continue spending billions of dollars on luxuries as millions across the world continue to suffer. For instance, why would an individual own several luxury cars while another person cannot even afford to settle his or her medical bills? Similarly, why should an individual have billions of dollars lying idle in the bank as scores of people across the world die of hunger? In my opinion, luxury items are insignificant when compared to the basic needs of others including but not limited to food, shelter, and medical attention. In the final analysis, it does not make much sense for one to live in luxury as others wallow in poverty. e therefore have an obligation to give up some of our luxuries so as to help the less fortunate amongst us.
Lastly, I am convinced that helping the poor would…
Gupta, Bina, ed. Ethical Questions: East and West. Maryland: Rowman & Littlefield, 2002. Print.
MacKinnon, Barbra. Ethics: Theory and Contemporary Issues. Concise Edition. Boston, MA: Cengage Learning, 2010. Print.
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 mission priorities, assets,…
HIPAA Security Series. (n.d.). Retrieved from HHS.gov: http://www.hhs.gov/ocr/privacy/hipaa/administrative/securityrule/techsafeguards.pdf
Hoffman, S. & . (2007). SECURING THE HIPAA SECURITY RULE. Journal of Internet Law, 10(8), 1-16.
Lafferty, L. (2007). Medical Identity Theft: The Future Threat of Health Care Fraud is Now. Journal of Healthcare Compliance, 9(1), 11-20.
Whitman, M. & . (n.d.). Case B: Accessing and Mitigating the Risks to a Hypothetical Computer System, pages B1-B24 .
How do these companies provide care?
Aetna provides care by being a health insurance company that offers a range of services in the field of medical, pharmaceutical, dental, behavioral group, long-term care, and plans for those who are disabled. Humana is also a health insurance company that offers its services in numerous states. United Health Group operates two businesses, known as United Healthcare and Optum, and similar to the two aforementioned companies, it offers health insurance to individuals, which includes seniors.
What types of plans do they have?
Aetna offers various types of plans under its various insurance, which as mentioned before, include medical, dental, vision, medicare, disability, pharmacy, life, student, behavioral health, health expense funds, and wellness products and discounts. Under medical insurance, a person can get a quote via state, which may include individual HMO health benefits plan or QPOS individual advantage health benefits and health insurance plan. Under dental,…
Aetna - Health Insurance, Dental, Pharmacy, Group Life and Disability Insurance. (n.d.). Aetna - Health Insurance, Dental, Pharmacy, Group Life and Disability Insurance. Retrieved December 19, 2011, from http://www.aetna.com
HUMANA - Guidance when you need it most. (n.d.). HUMANA - Guidance when you need it most. Retrieved December 19, 2011, from http://www.humana.com/
UnitedHealth Group - Featured News - Products & Services. (n.d.). UnitedHealth Group - Featured News - Products & Services. Retrieved December 19, 2011, from http://www.unitedhealthgroup.com
Medical Home Model and Health Disparity
Nursing esearch Proposal
The Impact of the Medical Home Model on Health Disparities
The Impact of the Medical Home Model on Healthcare Disparity
Medical homes are primary care practices where a physician or NP establishes a long-term care relationship with patients and provide patient/family-centered, coordinated, and culturally-sensitive care (AANP, n.d.; Strickland, Jones, Ghandour, Kogan, & Newacheck, 2011). The benefits include improved healthcare access, quality, and safety. A number of states have enacted statutes supporting the medical home model after research findings revealed health disparities for racial and ethnic minorities were reduced (NCSL, 2013).
As a nurse practitioner I am interested in how effective a medical home model would be in reducing healthcare disparities, especially for racial and ethnic minority children residing in underserved communities. Nurse practitioners have traditionally practiced in underserved communities and will continue to do so; therefore, any strategy that could improve the quality of care with…
AANP (American Association of Nurse Practitioners). (n.d.). Medicare legislation: Fact sheet: The medical home -- What is it? How do nurse practitioners fit in? Retrieved from: http://www.aanp.org/legislation-regulation/federal-legislation/medicare/68-articles/349-the-medical-home .
Abrams, M., Nuzum, R., Mika, S., & Lawlor, G. (2011). Realizing health reform's potential: How the Affordable Care Act will strengthen primary care and benefit patients, providers, and payers. The Commonwealth Fund. Retrieved from: http://www.commonwealthfund.org/~/media/Files/Publications/Issue%20Brief/2011/Jan/1466_Abrams_how_ACA_will_strengthen_primary_care_reform_brief_v3.pdf .
NCSL. (2013). Health disparities: State laws. Retrieved from: http://www.ncsl.org/research/health/health-disparities-laws.aspx .
Strickland, B.B., Jones, J.R., Ghandour, R.M., Kogan, M.D., & Newacheck, P.W. (2011). The medical home: Health care access and impact for children and youth in the United States. Pediatrics, 127(4), 604-11.
In other words, the facilities that are available will be laid out in the best possible pattern and fashion so as to maximize efficiency and convenience for people who use the services (Handler & Mirchandani, 1979). There is obviously no way to put all of the facilities into the same space, and some of them take up more land than others, but there is no reason that urban planning officials, city leaders, and companies that want to build in a particular area cannot work together to meet everyone's needs. Often they want to accomplish this, but they simply are not sure what the best way to go about it would be.
Consider, as an example, a network model of an urbanized area, shown on the following pages and reproduced from Larson & Odoni, 1997-1999 http://web.mit.edu/urban_or_book/www/book/chapter6/6.5.2.html.
All of the nodes (a through H) indicate points at which service demands are being generated.…
Beltrami, E., & Bodin, L., (1974). Networks and Vehicle Routing for Municipal Waste Collection, Networks, 4 (1), 65-94 (1974).
Chan, D.W.M. And Kumaraswamy, M.M. (1996). An Evaluation of Construction Time Performance in the Building Industry. Building and Environment, 31(6), 569-578.
Church, R.L., & Garpinkel, R.S., (1978). Locating an Obnoxious Facility on a Network. Transportation Science, 12, 107-118.
Frank, H. & Frishch, I.T., (1971). Communication, Transmission, and Transportation Networks, Addison-Wesley, Reading, Mass.
Also, ratings of performance on a questionnaire can be highly subjective, and one person's rating of 'excellent' may be another person's 'acceptable.'
How can Sam maximize the response rate to the survey?
Personalizing the submitting responses is essential -- sending follow-up emails to individuals who do not respond is a good idea as is electronically 'thanking' those who do submit a response. The latter practice will ensure that responders will continue to respond to such surveys in the future. Also, if at all possible, having a small prize for a randomly selected questionnaire, such as a gift certificate, will likely improve the response rate.
The extracts of Sam's questionnaire you have seen do not include any of the amendments suggested by her pilot test. What amendments to these questions do you think Sam made after the pilot testing?
The extract measured the gap between expected service and actual service. Describing exactly what types…
Service Demand & Supply
Service Demand and Supply Planning
Planning is considered the most important function of every project and organization (Singla, 2011). Successful organizations spend their more than 60% of the time in the planning process. It is because strong planning makes the subsequent steps easy. If planning is poor, the rest of the activities are bound to fail. It is, therefore, mandatory to spend maximum time and put in the best efforts in the phase of planning so that execution and implementation can be made possible without hassle.
In the context of business organization, the major game to play around is maximizing profitability (Tulsian, 2002). It is the core objective of every commercial organization and the very survival and existence of organization depends upon the ratio of profits it earns. The simple formula of profit calculation is revenue less expense. In order to maximize profits, organizations adopt any or both of…
1. Arlbjorn, Jan, Vagn, Freytag and Henning, De. 2011. "Service Supply Chain Management." International Journal of Physical Distribution & Logistics Management 41: 277-295
2. Arlbjorn, Jan. 2010. Supply Chain Management. Denmark: Academica.
3. Costes, Fabbe, Marianne, Jahre and Christine, Roussat. 2009. "Supply chain integration: the role of logistics service providers." International Journal of Productivity and performance Management 58: 71-91.
4. Holmstorm, Jan, Ala-Risku, Timo et al. 2010. "Demand-supply chain representation: A tool for economic organizing of industrial services IMS." Journal of Manufacturing Technology Management 21: 376-387.
In this case, that power dynamic was only exacerbated by the fact that the entire MSICU nursing team had never received training in management of the type of clinical issues presented and by the fact that they were excluded from any consultation in connection with a post-operative management plan.
Therefore, it is recommended that the institution immediately implement a policy of "see something, say something" according to which all members of healthcare teams are encouraged to speak up irrespective of power differentials. Furthermore, that protocol must include a statement of policy insulating any member of a healthcare team who does voice a legitimate concern in good faith from any retaliation or other negative response that could conceivably deter such diligence. Finally, the record of this case also indicates the immediate need for protocols requiring all members of the healthcare team to identify themselves to other members of the team, especially…
Bosk, Charles L. (2003). Forgive and Remember: Managing Medical Failure.
Gawande, Atul. (2008). Better: A Surgeon's Notes on Performance.
Groopman, Jerome. (2008). How Doctors Think.
Timmermans, Stefan. (2003). The Gold Standard: The Challenge of Evidence-Based
Medical l Nursing
The United States has the largest number of professional nurses in the world totalled 3 millions approximately. Despite the available large number of professional nurses, there is still imbalance between the supply and demand for nurses in the United States. Demand for the professional nurses has outnumbered the supply. Typically, critical nursing shortage has become a serious issue in the United States, and the production capacity is lagging based on the estimated future needs. The concept of nursing shortage refers to the situation where the demand for nurses outnumbers the supply. The worsening nursing shortage in the United States has created the demand for more nurses to fill the gap. Many private and public sectors healthcare leaders have advocated for the serious solution to boost the supply of nurses. One of the solutions advocated is that the U.S. should facilitate the migration of foreign graduate nurses to…
Aiken, L.H. (2007). U.S. Nurse Labor Market Dynamics Are Key to Global Nurse
Sufficiency. Health Service Research.42(3):1299-1320.
Brush, B.L. Sochalski, J. & Berger, A.M. (2004). Imported Care: Recruiting Foreign Nurses
to U.S. Health Care Facilities. Health Affairs. 23(3):78.87.
Nurses are required to make many immediate decisions in their assigned duties. Unfortunately, in recent years, patient care has often been compromised as a nursing shortage crisis has escalated to epic proportions. Increased patient loads have resulted in often hasty nursing decisions as responsibilities and hours worked have increased. Although precious time must be spread thin to accommodate higher numbers of patients, nurses must exercise their morals through consistency in ethical behaviors. According to Peggy Chinn (1), "Many ethical issues, such as end-of-life decision making, have increased in complexity. Other issues, such as advocacy and choice, have changed in certain respects but are more clearly centrally situated within nursing's ethical domain."
As a result, nurses are held accountable for a variety of decisions in nursing practice and in many instances, a patient's life depends on such decisions to survive. Gastmans (496) states that "Generally, the goal of nursing activity is…
Chinn, P. (2001). Nursing and ethics: the maturing of a discipline. Advances in Nursing Science
Erlen, J. (2001). Moral distress: a persuasive problem. Orthopaedic Nursing 20(2): 76-80.
Erlen, J. (2001). The nursing shortage, patient care, and ethics. Orthopaedic Nursing 20(6):
Gastmans, C. (2002). A fundamental ethical approach to nursing: some proposals for ethics education. Nursing Ethics 9(5): 494-507.
elevance to Human Service Practice
According to Australian Government - Office of the Privacy Commissioner (2007), the Australian human services confidentiality is a major principle defining the relationship between the human service workers and the clients. In the two cases the human services have privileged the notion of confidentiality over the more fundamental right of privacy. They argue there is a persistent confusion between these two concepts and that privacy is an important but neglected ethical concept within human services. The two cases are examples of breach of confidentiality and privacy and implications.
Following her accident, Sara was liable to compensation from her insurer in accordance to the New South Wales road accident compensation scheme. In New South Wales, people who suffer personal injuries because of road accidents can claim compensation under the New South Wales Motor Accidents Scheme, which is administered by the Motor Accidents Authority. Motor accident compensation claims are…
Australia. Human Rights Commission. (1983). Review of Crimes Act 1914 and Other Crimes Legislation of the Commonwealth. Australian Government Publication Service.
Australian Government - Office of the Privacy Commissioner. (2008). M v Commonwealth Agency  PrivCmrA 13. Retrieved April Monday, 2012, from www.privacy.gov.au: http://www.privacy.gov.au/materials/types/casenotes/view/5929
Australian Government - Office of the Privacy Commissioner. (2001, November). Privacy in the Private Health Sector. Retrieved April Monday, 2012, from www.privacy.gov.au: http://www.privacy.gov.au/index.php?option=com_icedoc&view=types&element=guidelines&fullsummary=6517&Itemid=1021
Australian Government - Office of the Privacy Commissioner. (2005, March). Review Issues Paper. Retrieved April Monday, 2012, from www.privacy.gov.au: http://www.privacy.gov.au/index.php?option=com_icedoc&view=types&element=other&fullsummary=6728&Itemid=1021
For example, because different etiologies require corresponding therapeutic designs and mechanisms (Spector, 2000; Steefel, 2002), specific support group makeup must consider the need to develop different strategies and methodologies for the following types of patients at a minimum if support groups are to provide equal benefit to all patients:
Elderly Patients and Lifelong Laborers - This group typically presents with psychological issues in the realm of a direct link between their sense of purpose and self-worth and their ability to continue to function productively in their community. Their need for acute medical and ancillary services, particularly in the Longview/East Texas community are often precipitated by chronic physical deterioration from a lifetime of relatively hard labor. Therefore, support group rehabilitation services must address the issues of self-esteem as a function of vocational productivity and lifestyle changes necessitated by medical conditions.
Prime-of-Life Victims of Traumatic Injury - This group typically presents with psychological issues…
Clark, C., Robinson, T. (2000). "Multiculturalism as a Concept in Nursing" Journal of the Black Nurses Association, 11(2), 39-43.
Spector, R. (2000). Cultural Diversity in Health and Illness (5th ed.). New Jersey: Prentice Hall.
Stanhope, M., Lancaster, J. (2004). Community and Public Health Nursing (6th ed.)
St. Louis: Mosby.
Performance Measures for (50,000 call per year) EMS
EMS ORGANIZATIONAL PERFORMANCE MEASUREMENT
That the organization implements additional clinical performance measures, including those to evaluate the quality of the EMS.
That the organization uses survey data to evaluate and analyze customer and employee satisfaction and that a proper feedback and control mechanism is in place to use this data to implement required changes.
This report starts from the premise that Emergency Medical Services will be treated as any other service. As a consequence, this type of service reflects the relationship between the service recipient (in this case the patients) and the service provider (in this case the medium-sized organization being analyzed in this report).
This means that this report will use many of the existing research and business literature and apply business principles such as customer and employee satisfaction in presenting and analyzing a comprehensive set of recommended performance measures for a medium-sized (50,000 call…
1. Balridge National Quality Program (2002). Criteria for performance excellence. Gaithesburg: National Institute for Standards and Technology
2. The Customer Communicator (TCC) (2005). Alexander Communications Group, 28 (1) 2.
3. National Highway Traffic Safety Administration (2009). Emergency Medical Services: Performance Measures, Recommended Attributes and Indicators for System and Service performance.
4. Bruce, J. (2004). Application of EMS Customer Satisfaction Survey Data to Improve Service Delivery at Rialto Fire Department.
1993). Within medical settings in particular, physicians and supervisors are often too over-burdened with their myriad formal responsibilities to take note of minor irregularities in protocols and procedures. Because coworkers are often in the best possible situation to notice inadequacies, it is important for all levels of employees to be equally involved in the overall CQI process.
Optimal implementation of an effective CQI process also requires a culture of openness to suggestion and confidentiality with respect to reporting more serious issues such as those that result from negligence or willful misconduct on the part of co-workers.
11. The textbook states that "an organization's most vital component in costly resource is its staff." With this being the case, the human resource function plays a very important role. Should the human resource function be part of the senior management team?
In terms of policy implementation and organizational philosophy, the human resources function does require…
Horine, P.D., Pohiala, E.D., Luecke, R.W. (1993) Healthcare Financial Managers and CQI: Implementing Continuous Quality Improvement; Healthcare Financial Management.
Humphry, D. (1991) Final Exit: The Practicalities of Self-Deliverance and Assisted Suicide for the Dying. Secaucus: Carol Publishing
Russell-Walling, E. (2005) Fifty Management Ideas You Really Need to Know. London: Quercus
In the current era of managed care in medicine, physicians and other healthcare providers and institutions have been under tremendous pressure to reduce costs. In that regard, avoiding unnecessary hospitalization is one of the most important goals of lowering the costs of healthcare delivery (Stanhope & Lancaster, 2004). Toward that end, diverse strategies have evolved to provide as many healthcare services as possible on an ambulatory basis.
Hospitals and insurance companies now encourage patients to participate in preventative medicine and routine testing intended to lower the costs associated with hospitalization over the long-term. The strategy is simply to reduce the incidence of serious illnesses, particularly those that typically develop over many years and which are capable of prevention through behavior modification and early detection through diagnostic testing (Stanhope & Lancaster, 2004).
Because state and federal governments must absorb much of the costs of uncompensated medical services, the many administrative agencies within the…
References Stanhope, M., Lancaster, J. (2004) Community and Public Health Nursing (6th ed.) St. Louis: Mosby.
The employees should be firmly committed to the firm, they are the face of a firm (also its eyes and ears). The staff focus should be involved in the process management, also their measurement and knowledge as well as initial contact with customers, all contribute to the performance of the organization.
Firms need to provide results on a consistent basis, be innovative and should respond quickly to any changes in environment for giving exceptional results and satisfying customers. Further in continuous improvement, aspects such as redesign of processes or services, upgraded technology systems, proper paperwork should be focused upon. Continuous improvement requires all firms' members to look for opportunities to improve. Overall, the continuous improvement process involves customers, leadership, employees and quality. It is the customers who determine if the firm is providing quality. They are the judges of it. The leadership is useful for setting direction of the firm.…
Brown, S.A. (1998). Breakthrough Customer Service. Toronto: John Wiley & Sons.
Buttle, F. (2004). Customer Relationship Management. Amsterdam: Elsevier Butterworth-Heinemann.
Els, W. (2003). Winning at Service. Hoboken: John Wiley & Sons.
Horrell, E. (2006). The Kindness Revolution. New York: AMACOM.
Patient Centered Medical Home
PCMH model leads to reduced cost of care, improved population health" is a medical report authored by Katie Sullivan Published on FierceHealthcare. The report is a summary of the general findings of a report carried out by the Patient-Centered Primary Care Collaborative. According to the research report, the Patient Centered Medical Home has resulted in reduced unnecessary emergency room (ER) and hospital visits, costs of care, and improved population health.
The research methodology employed is the review of literature released between August 2012 and December 2013. This means that a panel of experts reviews all the articles before they accepted for publication. The report achieves quality and merit by restricting the literature to peer review articles that can be relied for scholarly and official use. However, there is no indication of the section process used in identifying the literature to be used. August 2012 to December 2013 is…
According to the figures for 2000 and that is the latest that is available, their average earnings are $17,570 in a year. In this business the contracts are given to the one who quotes the least and this makes the security companies oppose any government rules which will increase their costs. The businesses which employ them also do not want increased charges. This has resulted in criminals becoming security guards, and even those that are checked, go through the checking of records in only one state. Stories keep coming about beating, raping and robbing the people they are expected to protect. Even according to New York Daily News, there have been employment of criminals for the protection of Statue of Liberty and some of the guards were even convicts. At the same time, the labor department expects that demand of security guards will grow up very fast till 2010, and…
Hall, Mimi. Private security guards are Homeland's weak link. USA Today. 23 January, 2003. Retrieved at http://www.usatoday.com/news/nation/2003-01-22-security-cover_x.htm . Accessed on 15 June, 2005
Schneider, Greg. Looking Abroad for Answers on Airport Security; Attacks Add Urgency to Long U.S. Effort. The Washington Post. 09 October, 2001. Retrieved at http://www.house.gov/transportation/aviation/issues/washpost.html . Accessed on 15 June, 2005
Security Guards and Gaming Surveillance Officers. Retrieved at http://www.bls.gov/oco/ocos159.htm . Accessed on 15 June, 2005
ICD and CPT CodesICD and CPT codes are both used in medical billing and coding, but they serve different purposes. ICD codes are used to describe the diagnosis or reason for the medical service, while CPT codes are used to describe the actual medical service or procedure provided.ICD codes (International Classification of Diseases) are a standardized system of codes used to classify and code diagnoses and medical conditions (Hong & Zeng, 2023). These codes are used to describe the medical condition or disease being treated or diagnosed. ICD codes are typically used by healthcare providers and insurers for billing purposes, but they are also used for public health surveillance, research, and clinical decision-making.CPT codes (Current Procedural Terminology) are a standardized system of codes used to describe medical services and procedures provided by healthcare providers (Joo et al., 2021). These codes are used to report the specific services and procedures that…
ReferencesHong, Y., & Zeng, M. L. (2023). International classification of diseases (ICD). Ko Knowledge Organization, 49(7), 496-528.Joo, H., Burns, M., Kalidaikurichi Lakshmanan, S. S., Hu, Y., & Vydiswaran, V. V. (2021). Neural machine translation–based automated current procedural terminology classification system using procedure text: Development and validation study. JMIR formative research, 5(5), e22461.
Leading hange for Patient and Service Improvement Module
about service quality: Service quality concept in the current literature
The developed countries have given a significant importance to the service sector of the country. With every passing day the segment of employment is growing and increasing very rapidly. This ultimately gives the members of the society a life with high quality and setting high standards for the members to a live a good life. Service sector contributes as a major portion of the country and without it other sectors cannot also develop. It also faces competition with global world as the world has become global all the way. The main point of this competition is to bring free circulation of the services and products. Getting confidence of the consumers is an essential part and while facing competition they need to provide the best services in order to sustain in the market. The quality…
Consultant dieticians are employed under an agreement with health related establishments or work privately. They execute dietary checks on their patients and propose diet related solutions to issues like being overweight and fat cutback. Some give their time to welfare organizations, sports groups, superstores, and such food related dealings. They may confer with food managers, supplying the skill necessary to carry out hygienic conditions, safety protocols, diet programs, and financial issues.
In the next few pages we will discuss the drivers aforementioned in detail and how they help in attaining viability, acceptability, feasibility and desirability of the change in home healthcare services.
In order to estimate the home healthcare working excellence, diet facilities must be looked on a continuous basis (Babakus & Mangold, 1992; Devebakan, 2005; Lee et al., 2000), including semblance of hospital and hygiene (Lee & Yom, 2007). Most important thing for the home healthcare and dietary staff is that they must be serviceable and comfortable. The overall environment must be organized in a way that provides freedom from anxiety to the patient. There must be proper supply of devices and dietary supplements in hospitals as
This is particularly the case in sub-Saharan Africa where clinicians have often come to rely on signs and symptoms alone to make diagnoses." (Nicoll, Walraven, Kigadye, Klokke, 1995)
The laboratory environment is critical to administering testing to determine population rates of HIV / AIDS throughout nations and perhaps continents where the lacking of resources facilitates a substandard environment for care. In the case of the African nation of Mozambique, which perhaps can be understood as a case indicative of the environmental assessment one would find throughout Africa and therefore, can be labelled to be a median statistical nation. A nation representing the median would indicate that half of the population nations that are categorized as resourced deficient, half would be above Mozambique in terms of resource allocation and half would fall below.
esearch into the quality of HIV / AIDS case-detection and case-reporting system in Mozambique was conducted by (Chilundo, Sahay,…
Chappuis, F., Loutan, L., Simarro, P., Lejon, V., and Buscher, P. Options for Field Diagnosis of Human African Trypanosomiasis. Clinical Microbiology Reviews, January 2005, p. 133-146, Vol. 18, No.1
Chilundo, B., Sundeep S., Sundby J. The Quality of HIV / AIDS case-detection and case reporting systems in Mozambique. African Journal of AIDS Research 2004, 145-155. Copyright NISC Pty Ltd.
Clark. Blood Safety PPT. CDC, WHO
Loefler, I. Surgical wound infection in the Third World: the African experience. Journal of Medical Microbiology. Volume 47, 471-473. 1998. The Pathological Society of Great Britain and Ireland
Once the written request is received, we will pay within 30 days (PCC.com, no date). If you paid by credit card, we will issue the refund to your card directly. If you paid cash, we will issue you a check.
This policy is ideal for a small generalist office.
The policy should outline the Medical Associates position clearly, so that the patient has an understanding of how billing and collections work from our end. This is important because of medical offices are somewhat unique in this regard compared to other businesses. The multiple means of payment, often for a single bill, necessitate this written explanation for the patient.
The main objective of the financial policy is to effectively communicate the means and methods of payment to the patients. Not only should it clarify the role of the office, but it should also clarify for the patient their role as well (PCC.com,…
Valerius, Bayes, Newby & Seggern. (2008) Medical Insurance: An Integrated Claims Process Approach. McGraw-Hill, New York, 2008.
Website: MedicalCodingandBilling.com. Various pages. Retrieved February 20, 2009 at http://www.medicalcodingandbilling.com/pract_management.htm
No author. (no date). Writing a Financial Policy. Physician's Computer Company. Retrieved February 20, 2009 at http://www.pcc.com/practmgmt/business/finpol.php
No author. (no date). Financial Policy. Napa Valley Orthopaedic. Retrieved February 20, 2009 at http://napavalleyortho.com/financial_policy.html
Nursing Leadership and Management
Organizational Analysis -- The Organization
The hospital is well recognized and has been named a top 100 Heart hospital and top 100 hospitals nationally. The organization also has a nationally ranked children's hospital that has newborn and pediatric intensive care services. Sanford Medical Center is a level II trauma center that is supported by AirMed transport services that cover a three-state area. The services offered within the facility include:
• 3D Mammography
• Allergy & Immunology
• Behavioral Health
• Breast Health
• Dermatology & Cosmetic Services
• Diabetes & Endocrinology
• Ear, Nose & Throat
• Emergency Medicine
• Family Medicine
• Palliative care
• Laboratory and Pathology
Sanford Medical Center is a not-for-profit rural health facility. The facility does partner with the community to bring health and healing to the people living and working across its region. At the core of the facility is ensuring that healthcare benefits reach the communities…
To demonize the concept of universal healthcare with the word 'rationing' "buys into the myth that we don't have rationing of medical services now. But we do. It takes many different forms. It is commonplace for health insurance companies and HMOs to deny patients beneficial treatment. They find a variety of excuses for doing so, and may not openly admit it, but we all know that it happens. Medicare rations drugs by requiring co-payments that many patients can't afford. Emergency rooms ration care by making people wait so long in line that some just give up and go away" (Singer 2011).
The recent decimation of many retirement funds means that more and more members of the elderly are eligible for both Medicare and Medicaid. The elderly on fixed incomes often struggle to afford medications not currently covered within the provisions of Medicare because of the "doughnut hole" in prescription…
Kane, Robert, Rosalie Kane, Neva Kaye, Robert Mollica, Trish Riley, Paul Saucier, Kimberly
Irvin Snow & Louise Starr. (1996). Managed care.
Retrieved August 12, 2011 at http://aspe.hhs.gov/Progsys/Forum/basics.htm
Leonard. Sean. (2011). How to fix Medicare. Salon. Retrieved August 12, 2011 at http://www.salon.com/technology/how_the_world_works/2011/05/25/the_long_march_to_healthcare_reform/index.html
Safety net hospitals have traditionally provided medical services vital to public health. Unfortunately, the recent economic recession has dealt a hard blow to safety net hospitals, even to the point of forcing hospital closures. Fortunately, Health Care Reform has already positively impacted U.S. health care and will even revolutionize American health care in some respects.
The Effect of the Closure of Safety Net Hospitals on Public Health
Safety net hospitals, such as Grady Memorial Hospital, serve the public health through providing vital treatment of uninsured, underinsured, Medicaid, and Medicare patients, along with some privately insured patients (Dewan & Sack, 2008). In addition, some safety net hospitals are also teaching hospitals that train medical professionals who contribute considerably to public health. Unfortunately, economic pressures are forcing the closure of some safety net hospitals, resulting in the severe reduction of medical care in certain communities for the "poor and underserved" (Altman, Shactman, &…
Altman, S.H., Shactman, D., & Efrat, E. (2006, Jan/Feb). Could U.S. hospitals go the way of U.S. airlines? Retrieved September 1, 2012 from Proquest.com Web site: http://search.proquest.com/docview/204650663/138ED25BFA63A547161/5?accountid=28844
Amalberti, R., Auroy, Y., Berwick, D., & Barach, P. (2005, May 3). Five system barriers to achieving ultrasafe health care. Retrieved September 1, 2012 from Proquest.com Web site: http://search.proquest.com/docview/222267835/138ED3FE9A36E21E74A/6?accountid=28844
Dewan, S., & Sack, K. (2008, January 8). A safety-net hospital falls into financial crisis. Retrieved September 1, 2012 from Nytimes.com Web site: http://www.nytimes.com/2008/01/08/us/08grady.html?pagewanted=1&_r=1
Felland, L.E., Cunningham, P.J., Cohen, G.R., November, E.A., & Quinn, B.C. (2010, January). The economic recession: Early impacts on health care safety net providers. Retrieved September 1, 2012 from Rwjf.org Web site: http://www.rwjf.org/files/research/55109.pdf
This would likely have resulted in a long delay in raising suitable support to those health care professionals already at the disaster site.
Duties of the DMAT
The initial duties of the DMAT were to assist the nursing team at Charlotte egional Medical Centre as most nurses there had been on duty for around 40 hours. This was due to the problems which relief staff had in getting to the facility and also the problems which had been caused at the hospital due to the power failures and the structural damage that had been inflicted on the hospital (Cohen and Mulvaney). This initial aid that the DMAT provided was invaluable, as if they had not been so well prepared and arrived so early there would have been far greater pressure on the staff at the hospital, which would have greatly reduced the quality of care which the patients received.
By 6.30am the…
Cohen, Sharon S. And Karen Mulvaney. "Field observations: Disaster Medical Assistance Team response for Hurricane Charley, Punta Gorda, Florida, August 2004." Disaster Management and Response 3.1 (2005): 22-27.
Mace, Sharon E., Jaszmine T. Jones and Andrew I. Bern. "An analysis of Disaster Medical Assistance Team (DMAT) deployments in the United States." Prehospital Emergency Care 11 (2007): 30-35.
McEntire, David a. Disaster Response and Recovery: Strategies and Tactics for Resilience. Indianapolis: Wiley, 2007. 156-157.
South Florida Regional DMAT FL 5 / IMSuRT South. 2007. South Florida Regional DMAT FL5. 31 October 2007 http://www.fl5dmat.com/ .
Your supervisor has asked you to review current research on public sector customer satisfaction. Explain what Fountain (2001) means when she discusses the paradoxes of public sector satisfaction. What, if anything, should your supervisor learn from Fountain's analysis?
Fountain (2001) shows my supervisor how to achieve a more genuine, more ethical and, hence, possibly more enduring level of customer satisfaction, at the paradoxical cost of losing the ACSI rate in popularity.
Qualities of service can often become confounded one with the other. Fountain (2001) gives three instance of this. In the first, the quality of the actual service may become obscured by the intangible treatment that the customer may receive from service transaction or encounter. In other words, qualities such as cordiality, genuineness, friendship, and the reverse may result in client rating quality of service according to the intangible treatment received.
Secondly, consumers receive the end product through service delivery employees. It…
Curfews, military incursions, targeted killing, movement restrictions, arrests, terror acts, humiliation, poverty, and economic condition have affected every single person, right from infants to aged people. Volatility on a daily basis aggravates anxiety and stress - these unfortunate people cease to have any control over their lives (SAC, 2015; PCS Mental Health Department, 2003; Irwin & Scali, 2010).
The present situation in Syria is devastating, aggravated by memories of past conflicts and the ultimate loss of identity and land. Coping methods attack religious beliefs, cultural traditions, and community lifestyle vigorously. The most prominent impacts of relentless conflict include hopelessness; such situations have a lasting effect on people, their family, and the overall community. Discovering methods for overcoming the ordeal they have experienced is the lone means to a better future, for these people (SAC, 2015; Zimiles, 2009).
Epidemiology of the health/mental health issue
The collective effect of conflict elements deeply affects individual and…
Allotey, P., Verghis, S., Alvarez-Castillo, F., & Reidpath, D. D. (2012). Vulnerability, equity and universal coverage - a concept note. BMC Public Health, 12 (Suppl 1), 1-3. doi:10.1186/1471-2458-12-S1-S2
DeSavigny, D. and Adam, T. (2009). Systems thinking for health systems strengthening: Alliance for Health Policy and Systems Research. World Health Organization.
Irwin A, & Scali E. (2010). A conceptual framework for action on the social determinants of health. Social determinants of health discussion paper 2: Debates, policy & practice, case studies Geneva: World Health Organization.
PRCS Mental Health Department (2003).Capacity Building for PRCS Psychosocial Services: Vision and Framework -- A Concept Paper. Palestine Red Crescent Society
Management of Continuum of Care Services
As the new director appointed for the Medicare and Medicaid Services (CMS), I realize the climbing costs of payments of these two programs and have met with the other members to come up with a plan of that will help enforce the strategies and guidelines in the state of North Carolina that can help us follow a budget that will assist the overall national requirements for persistent care. In doing so fellow board members have met with me to look at the Medicare Modernization Act (MMA), Administration on Aging (AoA), and other parts of the medical services to help come up with an arrangement that will help us reduce costs in our particular area that will assist the national healthcare problems that we currently face.
After looking at the problems within our own area we have decided to enforce the guidelines of the current healthcare coverage…
Department of Health and Human Services, (n.d.). Administration on aging. Washington, DC: Retrieved from http://www.aoa.gov/aoaroot/about/Budget/DOCS/FY_2012_AoA_CJ_Feb_2011.pdf
Revering, S. (2007). Update on medicare part d. Informally published manuscript, Department of Health, Massachusetts university, Boston, Retrieved from http://docs.google.com/viewer?a=v&q=cache:vFwR3GhqkgkJ:www.mass.gov/Eeohhs2/docs/dmh/prescription_fact_sheet.ppt+medicare+modernization+act&hl=en&gl=us&pid=bl&srcid=ADGEESj-oSY8OF2PkNp5h6mbuap2CtLuhDndi5ccDFVvjGqHqGhGux-tRa0s5PrbP7CSCvtILHI8AE86mRKjnUnetKPMIgY98MGCNV_PE5PG4ZCS7robDOijjRgzUo_mPol6_0rmXtnE&sig=AHIEtbS4whuLInutr1XLxYchmbqxo8OIRw&pli=1
omen's Health -- Focused on prevention and care for breast health, mammography, etc.
Transplant Programs - Swedish is one of seven kidney transplant centers and one of just four liver transplant centers serving the entire Pacific Northwest. The Organ Transplant Program at Swedish is at the forefront of new advances in transplantation surgery, including pancreas transplants and transplants between unrelated living organ donors and recipients (Swedish Medical Center, 2011).
Service design, operational activities, strategic decisions- Swedish is nothing but on the move -- strategically and tactically. In October, 2011, Swedish opened a new full-care facility with a 550,000 square foot campus in the city of Issaquah, southeast of Seattle city proper. This new facility was designed to be an entirely new hospital experience. Some of the operational innovations include a new Childbirth Center with eight new Labor/Delivery/Recovery rooms that include sleeping areas for partners, iPod access and a hotel room service-style dining…
Arnold, E. (2007). Service-Dominant Logic and Resource Theory. Journal of the Academy of Marketing Sciences, 36(1), 21-24.
Crosby, J. (2011, November). Human Resource - Swedish Hospital.
Institute of Medicine. (2000). To Err is Human: Building a Safer Health System. Washington, DC: National Academy Press.
King, D. (2008). Designing the Digital Experience: How to Use Experience Design. Medford, NJ: Information Today Press.
Competencies of IOM
The Institute of Medicine is an American organization founded in 1972 with the aim of training health workers, unlike other medical organizations aimed at profit making. As a non-profit organization, IOM has made remarkable progress, starting from the programs offered to the quality of services and qualifications of health personnel. Unlike earlier years when the organization offered training in only primary levels of medicine, presently IOM offers secondary and tertiary postgraduate programs in medicine, public health, traditional medicine among others. Services like neurosurgery, urology, and Cardiothoracic are now available in almost all health facilities in the United States.
Because of the tertiary programs offered by IOM, health professions highly specialized in these areas offers quality medical services and medical care to the general public. The health sector has greatly improved, and the public receives quality medical services and medical care. IOM managed to accomplish this by putting in…
Edlin, M. (2013). IOM core competencies focus on collaborative care. Managed Healthcare Executive, ISSN 1533-9300,, Volume 23, Issue 12, p. 48-49
Golemboski, K., Otto, C.N. & Morris, S. (2013). Using performance tasks employing IOM patient safety competencies to introduce quality improvement processes in medical laboratory science education. Clinical laboratory science: journal of the American Society for Medical Technology, ISSN 0894-959X, 2013, Volume 26, Issue 4, p. 205-11
J Hosp Med. 5 Suppl 2:i-xv, 1-114
McNeal, G.J. (2013). Interprofessional education: an IOM imperative. The ABNF journal: official journal of the Association of Black Nursing Faculty in Higher Education, Inc., ISSN 1046-7041, 2013, Volume 24, Issue 3, p. 69-70
governmental or non-governmental agency that focuses on disaster recovery. To that end, the author of this report has chosen the Federal Emergency Management Agency (FEMA). FEMA's mission as stated on their website is "to support our citizens and first responders to ensure that as a nation we work together to build, sustain and improve our capability to prepare for, protect against, respond to, recover from and mitigate all hazards" (FEMA, 2015). As already stated, the focus of this brief treatise will be on the recovery aspects of FEMA's job. While FEMA has often been derided and been made the butt of many jokes, they serve a vital and needed role when it comes to disaster recovery.
When speaking of recovery, this would reference what happens more than a month after a disaster occurs rather than the immediate response upon the event happening or even the immediate aftermath. As an example,…
Dekle, J. L. (2005). A Florida County Locates Disaster Recovery
Centers. Interfaces, 35(2), 133-139.
EMS Market Characteristics. (2015). EHS 640 - Intro to High Performance EMS.
FEMA. (2015). About the Agency -- FEMA.gov. fema.gov. Retrieved 8 September 2015,
Internal rate of return is 72%.
Conversely, Proposal 2 operates at a $150,000 deficit for its first year of operation. Totals costs for the CT scan equipment are $1.1 million ($500,000 variable costs from $500 per patient and $600,000 fixed cost for insurance and equipment leases) while revenue for year one is only $950,000 (from per visit payments of $950 per patient). One thousand patients are expected in year one of operation. The initial cost of investment for Proposal 2 was $50,000 putting the total budget deficit for Proposal 2,-year 1 at $200,000. Total costs for year two are $1,350,000 while gross revenue reaches $1,425,000. This presents a positive cash flow of $75,000 however because of the loss of $200,000 in year one, net profits for year two are negative at $125,000 ($200,000 [year one net profit] - $75,000 [year two cash flow]).
Like Proposal 1, Proposal 2 becomes profitable over…
Fridson, Martin S., and Fernando Alvarez. Financial Statement Analysis: a Practitioner's Guide. New York: John Wiley & Sons, 2002. Print.
Friedlob, G. Thomas., and Franklin James Plewa. Understanding Return on Investment. New York: Wiley, 1996. Print.
Hofstrand, Don. "Understanding Cash Flow Analysis - File C3-14 December 2009." Iowa State University Extension. Web. 15 Mar. 2011.
Barnsteiner JH. Medication reconciliation: transfer of medication information across settings -- keeping it free from error. Am J Nurs. 2005;05(3 Suppl):3-6.
This article evaluates the need for proper medication reconciliation across various nursing settings. This article is important as emphasis is placed on error free reconciliation which is very important for proper client service and treatment.
Bullough, Vern L. and Bonnie Bullough. The Emergence of Modern Nursing (2nd ed. 972)
This reference emphasized modern nursing and many of the practices and advances of nursing over the years. This is important as it provides a historical perspective of medical reconciliation. A historical perspective is needed to better understand improvements that will need to be made in the future.
D'Antonio, Patricia. American Nursing: A History of Knowledge, Authority, and the Meaning of Work (200), 272pp
This reference provides further evidence into the history of medical reconciliation and recommendations on improvements that should be made to the process.
13. Rogers G, Alper E, Brunelle D, et al. Reconciling medications at admission: safe practice recommendations and implementation strategies. Jt Comm J Qual Saf. 2006;32:37-50
14. Snodgrass, Mary Ellen. Historical Encyclopedia of Nursing (2004), 354pp; from ancient times to the present
15. Sullivan C, Gleason KM, Rooney D, et al. Medication reconciliation in the acute care setting: opportunity and challenge for nursing. J Nurs Care Qual. 2005;20(2):95-98
Describe briefly your topic of interest (15 possible points):
According to the United States Department of Health and Human Services (2013), medical reconciliation is "the process of comparing a patient's medication orders to all of the medications that the patient has been taking. This reconciliation is done to avoid medication errors such as omissions, duplications, dosing errors, or drug interactions." The process of medical reconciliation falls within the rubric of electronic medical records, which enable medical reconciliation. Medical reconciliation saves lives, improves the efficiency of hospital administration and of the healthcare team, and is simply necessary for providing quality of care.
#1 Database (or collection) (30 possible points):
Title of source:
"Electronic Health ecord (HE)"
Location of source (UL): http://www.ihs.gov/ehr/index.cfm?module=medication_reconciliation
Owner or publisher:
Indian Health Service
The Indian Health Service (2013) offers an overview of what medical reconciliation is, and how it applies to both individual and community health. The research encompasses issues that pertain to minority communities.…
"Electronic Health Record (EHR)," (2013). Indian Health Service. Retrieved online: http://www.ihs.gov/ehr/index.cfm?module=medication_reconciliation
"Medical Reconciliation," (2013). Greater Baltimore Medical Center. Retrieved online: http://www.gbmc.org/body.cfm?id=617
United States Department of Health and Human Services (2013). Electronic health record (EHR). Retrieved online:
health information technology occupation and conduct a search of the Internet, consult professional
Thorough Job Details: Although there are not an abundance of qualifications that an individual must have to earn a position as a professional medical coder, there are several different avenues to pursue them. Candidates typically must have graduated high school or earned the equivalency of a high school diploma. Once they have completed this step, they can satisfy the general education requirements in a couple of different ways: either by earning an associate's degree or a postsecondary certification in health information technology or in a related field. Certificate programs typically last less than a year, whereas associate's degree programs are generally two years of full time study. The completion of these courses usually qualifies individuals to begin working within the field of medical records and health information technology as a medical coder. It is also permissible for…
Bureau of Labor Statistics (2014). Medical records and health information technicians. www.bls.gov. Retrieved from http://www.bls.gov/ooh/Healthcare/Medical-records-and-health-information-technicians.htm
Bureau of Labor Statistics. (2014). Medical and health services manager. www.bls.gov. Retrieved from http://www.bls.gov/ooh/management/medical-and-health-services-managers.htm
Tiffan, B.; (2014) The art of team leadership, American Journal of Health -- System Pharmacy, Vol. 7, Issue 10
Credibility -- Author Analysis
Bill Tiffan is a Principal with T2 Management Consultants which he and his wife co-founded in 2000. According to the company website, Tiffan "provides management consulting, team development, executive coaching and facilitation services to organizations that want to improve the effectiveness of individual leaders and executive teams" (T2, 2009). Tiffan previously spent 12 years with and international transition consulting firm where he was Regional Vice President of Sales. Bill also writes a bi-monthly column for the ACPE's professional journal; the focus of his column is executive career development. Tiffan also serves on the Board of Global Partners for Development. Tiffan recently wrote an article for the Medical industry espousing his beliefs concerning medical professionals as they pertain to team leadership, an area in which he has displayed a great…
T2 (2009) Principals, accessed at http://www.t2-consultants.com/sitepages/principals.htm, on October 12, 2014
Tiffan, B.; (2014) The art of team leadership, American Journal of Health -- System Pharmacy, Vol. 7, Issue 10, pp. 799 -- 801
Cross Cultural elations
Cultural influences perceptions about gender roles in a number of ways. The first is through socialization. Being in a culture one sees how gender roles are typically manifested in that culture, and one thus will tend to adopt similar views. The structure of the culture is therefore highly influential simply because being in a culture leads one to adopt the gender roles in that culture (no author, 2015).
The second method is through enforcement. People in a culture will learn gender roles when those roles are enforced. People in positions of authority (parents, teachers, etc.) will specifically enforce gender roles on children in a society in the sense that when somebody steps out of the norms for that society, there will typically be negative consequences. Similarly, there are usually positive consequences for people who follow gender norms in a society most closely. Enforcement is not only through leadership figures,…
No author (2015). Gender and sociology. Boundless.com. Retrieved November 1, 2015 from https://www.boundless.com/psychology/textbooks/boundless-psychology-textbook/gender-and-sexuality-15/gender-414/gender-and-sociology-296-12831/
Another collaborator with SFPC is the Switchboard of Miami Mission. Switchboard helps connect families and people in need with existing community resources; Switchboard also offers services where there were none in existence. For example during the aftermath of Hurricane Andrew -- a category 5 hurricane that took the lives of 65 people -- Switchboard received more than 1,500 calls per day. People wanted to know where they could get help, water, medical aid and more. Post-disaster systems of communication were set up by Switchboard that linked with over 40 other local nonprofits and with the Miami-Dade County Office of Emergency Management (www.switchboardmiami.org).
Also in collaboration with SFPC is the Alcoholics Anonymous organization, the Narcotics Anonymous organization, and About Sober, which specialized in drug rehabilitation programs. All the drug rehab programs and alcohol treatment centers in South Florida are linked in collaboration with www.sober.com. The About Sober group provides a "Recovery Coach"…
About Sober. (2010). Get Connected. Stay Connected. Retrieved February 9, 2010, from http://www.sober.com .
Dow, John W. (2010). From the Desk of the Executive Director. Retrieved February 8,
2010, from http://www.srpc.us/index.htm.
Florida Alcohol & Drug Abuse Association. (2010). About Us -- Mission Statement.
Federal Trade Commission ruled on charges of anti-trust leveled against the Wisconsin Chiropractic Association. The WCA and its executive director, Russell A. Leonard, had been charged with organizing a conspiracy among members of the WCA, which represent 90% of the chiropractors in Wisconsin, of conspiring to force health care providers to pay higher rates for chiropractic services than they had previously paid.
According to the proceeding records (FTC, 2003) and published statements by the FTC (FTC, 2000a), the plan began when the federal government as well as many insurance companies adopted new billing codes to cover chiropractic treatments. In addition, two other chiropractors, Michael T. erkley, D.C., and Mark A. Cassellius, D.C., settled with the FTC on similar charges (FTC, 2000a).
The final settlement included about 2,800 words of restrictions on the WCA and Leonard, some of them extending to the year 2020 (FTC, 2003).
The FTC alleged that the WCA held…
Brookings Institution. 2002. "The Effect of Antitrust Policy on Consumer Welfare: Assembling the Empirical Evidence." June. Accessed via the Internet 2/27/03. http://www.ftc.gov/be/seminardocs/antitrustpolicy-consumerwelfare.pdf
Federal Trade Commission (FTC). 2000. "Wisconsin Chiropractic Association and Its Director Agree to Settle FTC Charges of Price-Fixing." March 7. Accessed via the Internet 2/27/03. http://www.ftc.gov/opa/2000/03/wischiro.htm .
Federal Trade Commission (FTC). 2000. Docket No. C-3943 Decision and Order.May 18, 2000. Accessed via the Internet 2/27/03. http://www.ftc.gov/os/2000/05/wisconsin.do.htm
Federal Trade Commission (FTC). 2003. "HEARINGS ON7 HEALTH CARE and COMPETITION, LAW, AND POLICY." October 1. Accessed via the Internet 2/27/03. http://www.ftc.gov/ogc/healthcarehearings/031001ftctrans.pdf
Patient Centered Medical Homes (PCMH) are often confused as being actual "homes" for patients to be admitted in and given medical treatment and care. PCMH is actually a health care model based on which health care is provided to patients, under the supervision of physicians. The PCMH model of health care provides patients with continuous, comprehensive medical care, in order to increase the chances of achieving the goal of benefitting the patient with as much attention and medical care in order to maximize his/her health outcomes.
Over the years the PCMH model of health care has become widely adopted and preferred. This is because of the philosophy and approach that the model adopts in organizing and delivering the health care initiatives. The PCMH model is based upon delivering medical care and attention to patients with team-based health and medical experts that are focused strongly on the quality and the safety of…
109-432, P.L. (2006, December 20). TAX RELIEF AND HEALTH CARE ACT OF 2006. Public Law 109-432 (109th Congress) .
Backer, L.A. (2009). Building the Case for the Patient-Centered Medical Home. Family Practice Management 16 (1), 14-18.
De Geest, S., Moons, P., Callens, B., Gut, C., Lindpaintner, L., & Spirig, R. (2008). Introducing advanced practice nurses/nurse practitioners in health care systems: a framework for reflection and analysis. Swiss Medical Weekly (138), 621-628.
NASHP. (2013, April). Medical Home & Patient-Centered Care. Retrieved from The National Academy for State Health Policy: http://www.nashp.org/med-home-map
Improving Customer Service on a Medical Surgical Nursing Unit
Quality Improvment Project-Customer service on the nursing unit
The hospital medical-surgical nursing unit is usually referred to as the "catch-all" department for different types of patients. This is because it includes renal patients, cancer patients, cardiac and surgical patient. It also includes other patients who do not particularly fall into any of these specialized units. The medical-surgical nursing unit is a conglomeration of all kinds of adults with all sorts of health problems and thus the nurses in this unit need to be dynamic, quick to respond and are almost on their toes at all times. Patients in the medical-surgical nursing unit are likely to develop changes in their condition quite rapidly and therefore they become more unstable even though they may have been admitted in a stable condition. This is because most patients in the medical-surgical nursing unit have unpredictable conditions and…
Amba-Rao, S.C. (1994). Human Resource Management Practices in India: An Exploratory Study. Indian Journal of Industrial Relations, 30(2), 190-202.
Dirks, K.T., & Ferrin, D.L. (2002). Trust in leadership: Meta-analytic findings and implications for research and practice. Journal of Applied Psychology, 87(1), 611-628.
Glickman, S.W., Baggett, K.A., Krubert, C.G., Peterson, E.D., & Schulman, K.A. (2007). Promoting quality: the health-care organization from a management perspective. International Journal for Quality in Health Care, 19(6), 341-348. doi: 10.1093/intqhc/mzm047
Judge, T.A., & Piccolo, R.F. (2004). Transformational and transactional leadership: A meta-analytic test of their relative validity. Journal of Applied Psychology, 89(1), 755-768.
The determination of the suitable level of services provided during a patient's visit normally requires the identification of whether the patient is new or already established to the hospital. This is followed by the clinician's use of the presenting illness and clinical judgment as leading factors that help in identifying the extent of care services to be carried out based on the condition of the patient. In addition to this, there are key components and contributing factors that are used in the determination of the level of evaluation and management services provided to the specific patient.
Key Components and the Contributing Factors:
While a clinician can use the presenting illness and clinical judgment in evaluation and management of patients' services, there are key components and contributing factors that can also be utilized. Actually the documentation of evaluation and management services is usually based on these components ("Introduction and Definitions," n.d.).…
"A Guide to Evaluation & Management Coding and Documentation." (n.d.). ConnectiCare, Inc.
Retrieved February 16, 2012, from http://www.connecticare.com/provider/PDFs/CCIOvercodingGuideFINAL.pdf
"Evaluation and Management Services Guide." (2010, December). Medicare Learning Network.
Retrieved from Department of Health and Human Services -- Centers for Medicare & Medicaid Services website: https://www.cms.gov/MLNProducts/downloads/eval_mgmt_serv_guide-ICN006764.pdf
Patient Centered Medical Homes
In the 1960s, the medical home concept referred to as patient centered medical home was developed.In order to reform the healthcare in the U.S.; the patient centered medical homes are evolving as a centerpiece of efforts (Bates, 2010). Basically, PCMH can be defines as a primary care model that offers coordinated and comprehensive care to the patients in order to improve health outcomes. PCMH is also recognized by the National Committee for Quality Assurance (NCQA). Patient centered medical homes can be portrayed as a team of people working together in form of a community. The purpose is to improve the health as well as healing of the people in that community. In comparison with the primary care, PCMH is more responsive towards the needs of local patients.
PCMH offers a number of benefits including complementary nutrition as well as wellness counseling along with providing prevention education so as…
Aysola, J., E.J. Orav, and J.Z. Ayanian. 2011. "Neighborhood Characteristics Associated With Access To Patient-Centered Medical Homes For Children." Health Affairs no. 30 (11):2080-2089.
Bates, D.W., and A. Bitton. 2010. "The Future Of Health Information Technology In The Patient-Centered Medical Home." Health Affairs no. 29 (4):614-621.
Nutting, Paul A., William L. Miller, Benjamin F. Crabtree, Carlos Roberto Jaen, Elizabeth E. Stewart, and Kurt C. Stange. 2009. "Initial Lessons From the First National Demonstration Project on Practice Transformation to a Patient-Centered Medical Home." Ann Fam Med no. 7 (3):254-260.
Market growth in wheelchairs is favorable for a few reasons. The growth in the industry is concentrated in higher-priced segments, with 12-15% each. This means that the relevance of the standard wheelchair is declining, despite that segment remaining the highest volume wheelchair at around 208,000 units or 61.3% by volume and 31.4% of dollar sales. Projecting current growth rates out five years, the industry will looks as follows:
1998 Wheelchair Market
1998 unit share
1998 $ share
Standard wheelchairs are going to lose unit share and are going to decline significantly in dollar share as well. The other three categories are going to increase in importance, so it is important for firms to capture a share of these markets. ight now, the power market is not served by Sunrise, so the company is essentially competing for what will be 38-39% of the total market in five years.
These projections ignore the legal environment, in…
QuickMBA. (2010). Porter's five forces. QuickMBA. Retrieved February 22, 2012 from http://www.quickmba.com/strategy/porter.shtml
Blank, S. (2010). Here's why the first-mover advantage is extremely overrated. Business Insider. Retrieved February 22, 2012 from http://articles.businessinsider.com/2010-10-19/tech/30027432_1_market-bad-idea-failure-rate
McGahan, A. (1993). Sunrise Medical's wheelchair products. Harvard Business School 9-794-069
Nationmaster. (2012) Age distribution tables: United States. Retrieved February 22, 2012 from http://www.nationmaster.com/country/us/Age_distribution
Ethics Case Study: Medical Law and Ethics
Jerry McCall is Dr. William's office assistant. He has received professional training as both a medical assistant and an LPN. He is handling all of the phone calls at the office while the receptionist is at lunch. During this period of time, a patient calls and says he must have a prescription refill for Valium, an antidepressant medication, called in right away to his pharmacy, since he is leaving for the airport in thirty minutes. The patient notes that Dr. Williams is a personal friend and always gives him a small supply of Valium when he has to fly. No one except Jerry is in the office at this time.
Does Jerry's Medical Training Qualify Him to efill the Order?
While Jerry's medical training qualifies him to receive a prescription order and transcribe it accurately for other nurses or physicians to implement or transmit to a…
Lloyd, H. (2010). Workers' compensation: a brief history. Florida Department of Financial Services. Web. Retrieved from: http://www.myfloridacfo.com/wc/history.html on 1 November 2011.
Minnesota Board of Nursing. (2010). Nurses and prescribing. Web. Retrieved from:
http://www.state.mn.us/mn/externalDocs/Nursing/NURSES_AND_PRESCRIBING_090904125323_Prescribing%20FAQ2.pdf on 1 November 2011.
Nowicki, M. And Summers, J. (2004). Reducing your credibility liability. Healthcare Financial Management, 58.4: pp. 94-97. Web. Retrieved from: ProQuest Database.
Pal's Sudden Service is a quick service restaurant chain that seeks to compete in part through excellence in the service function. Part of the strategy involves delivering food very quickly to customers, with a minimum of errors. To achieve these goals, the company expends considerable energy on training its employees. This paper will outline some of the principles that I would use if I worked for Pal's in order to continue to eliminate errors and increase overall quality.
If I was in charge of training, I would utilize the same techniques to reduce errors that are found in production management. Those techniques, while typically developed for manufacturing enterprises, can be easily adapted to the service industry. Something like Six Sigma is a good approach because it focuses on statistical analysis to determine the root causes of errors (Smith, n.d.). A good starting point might be something like the 80/20 approach,…
MindTools. (2013). Kirkpatrick's four-level training evaluation model. MindTools.com. Retrieved September 25, 2013 from http://www.mindtools.com/pages/article/kirkpatrick.htm
No author. (1999). Simulation reduces medical errors. Rhode Island Hospital. Retrieved September 25, 2013 from http://www.rhodeislandhospital.org/services/simulation-center/medical-errors.html
Smith, K. (no date). Six Sigma for the service sector. Quality Digest. Retrieved September 25, 2013 from http://www.qualitydigest.com/may03/articles/01_article.shtml
The service provider should then be able to assess the specific needs of the elderly person and give advice about the best option for living facilities.
Becoming older and more frail often also means being the victim of not only increasing financial constraints, but also of various types of abuse. Elderly abuse is a concern that has increasingly come to the attention of authorities as an unfortunate by-product of an increasingly aging society. Abuse might be perpetrated by family members or professionals and could be the result of financial or emotional strain, work stress, or more severe conditions such as mental illness. The aging service provider has some particular duties and responsibilities when it comes to elder abuse.
One of these duties is reporting suspected cases of elder abuse. The Elder Abuse and Neglect Act (Illinois Department on Aging, 2012), for example, provides for the ability of any person to report…
Department of Health and Human Services. (2011). Minority Aging. Retrieved from: http://www.aoa.gov/AoARoot/Aging_Statistics/minority_aging/Index.aspx
Illinois Aging Services (2008). Retrieved from: http://illinoisagingservices.org/
Illinois Department on Aging (2012). Elder Abuse Prevention. Retrieved from: http://www.state.il.us/aging/1abuselegal/abuselegal-main.htm
Niles-Yokum, K. And Wagner, D.L. (2011). The Aging Networks. (7th Ed.). New York: Springer Publishing Company.
The transition coordinator is to take the responsibility in carrying out the stated tasks. Update the transition plan is very important. The transition coordinator will need to schedule the follow-up meeting for updating.
The above transition program provides the following benefits:
Enhanced children self-esteem and confidence
Improved children peer-group relations
Enhance greater efficiency among children
Greater efficiency and enjoyment in learning
Understanding the phases of early childhood education
Increase parent ability to communicate with educational personnel
Enhanced parent self-esteem regarding their communication skills
Positive outlook with schools
Enhanced teacher ability to meet individual children needs
Increase their efficiency in program planning and implementation
Wider pool of resources
Increase Professional support network
This paper develops transition service required to support an assessment plan. For the effectiveness of transition program, collaboration and effective communication has been identified as essential tool for the success transition program. Formation of appropriate personnel has also been revealed to be very essential for the transition program.…
Blessing, C. (2001).Infusing a Person Centered Approach Into Transition Planning for Students with Developmental Disabilities. CSW Program on Employment and Disability.Cornell University.
Margetts, K. (1999). Transistion to School: Looking Forward. Selected papers from the AECA National Conference Darwin July 14-17 1999.
McPartland, P. (2007). Implementing Ongoing Transition Plan for the IEP .Attainment Company Inc.
Ministry of Children and Family Development (2001).Transition planning for Youths with Special needs. Canada.
Essay 2: In what collegiate extracurriculars did you engage? (400 characters)
As Vice President of Phi Kappa Sigma, I co-managed the annual $30k budget, participated in 100+ hours of community service, volunteered for the Rutgers Dance Marathon, raised funds for the Embrace the Kids Foundation, and organized the annual Phi-Esta fundraiser for the Eric Legrand’s Foundation with several other fraternities. I also volunteered for the Leukemia Lymphoma Society.
Essay 3: Did you work for compensation during college during the year or the summer? (300 Word limit)
Yes, every summer I worked full-time. During the summers of my undergraduate career, I worked at Selco Associates, a distribution and warehousing company. There I coordinated with management personnel to provide high quality customer service. I also managed apparel and footwear inventory for major companies and assisted in opening new accounts. This experience helped me to develop communication, organization, and problem-solving skills that I expect to be…
Sociology -- Medical Dominance on the Profession of Nursing and How is the Profession of Nursing Challenging Medical Dominance in Australia
In the context of medical practice, the contemporary medical society is representing a change in the increasing issues of domination between medical professions. The focus of each practice's attention is on exploring its goals in providing integral contributions and impact to the framework of health care services. Each dimension of medical interest, specifically the doctors and nurses, are developing their respective paradigm and uniqueness to establish skills and authority in the field of health service.
This paper aims to do an informative research on medical dominance over the profession of nursing in Australia. As the industry of medicine progresses, the issue of domination among medical doctors and nurses in health care institutions are associated with competencies and authority over the other. The power and privileges of the profession is an aspect…
Andrews, I., Hale, A. (2000). The Division of Labour in Health Care Delivery.
Retrieved Sept 23, 2003, from Faculty of Health Sciences. The University of Sydney.
Web site: http://www2.fhs.usyd.edu.au/bach/1107/topic9.htm
Duffy, E. Evolving Role and Practice Issues: Nurse Practitioners in Australia.
Health Information esources/Services
Libraries have traditionally been safeguarded the fulfillment of goals of continuing education in their respective fields. It is felt to accord enhanced priority to the health science librarians while the continuing education experts enhance their knowledge of the learning process and the various elements that make the scope of the continuing education effective. eally, the role of health sciences libraries is enormous particularly in the sphere of the lifelong learning and Continuing Education. The concept of Continuing Education has been conveniently been divided by Gruppen as formal CE that concentrates on conventional programs concerning specific topics and aimed at particular audiences; and the informal CE that emphasizes on the learning that involves the anxiety of practitioners anxious of resolving the problems in their routine practice. (Messerle, 1990)
The role of health science libraries has been realized to be significant in both the categories of continuing education and alternatives…
Block, Karla J. (Summer, 1997) "Problem-based learning in medical education: Issues for health sciences libraries and librarians" Katharine Sharp Review. Graduate School of Library and Information Science, Dominican University/College of St. Catherine. No. 5. pp: 25-28
Braude, Robert. M; Wood, Samuel. J. (January, 1997) "On the origin of a species: evolution of health sciences librarianship" Bull Medical Library Association. Vol: 85; No: 1; pp: 116-121
Kronenfeld, Michael R. (January, 2005) "Trends in academic health sciences libraries and their emergence as the "knowledge nexus" for their academic health centers" Journal of Medical Library Association. Vol: 93; No: 1; pp: 32 -- 39.
Messerle, J. (April, 1990) "The changing continuing education role of health sciences libraries" Bull Medical Library Association. Vol: 78; No: 2; pp: 180 -- 187.
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 tomography scanners…
Bang, C. (2005). Digital Imaging Drives Health Care Design. Building Operation
Becker, S. (1994). Costs and Benefits of Picture Archiving and Communication Systems.
Journal of the American Medical Informatics Association, vol. 1, no. 5: 361-371.
Community/Organization of Interest: Health and medical services in Bella Vista, PA, a South Philadelphia neighborhood The cultural perspective Bella Vista, PA, a South Philadelphia neighborhood, is a largely Italian-American ethnic enclave dominated…Read Full Paper ❯
Health - Nursing
Emergency Medical Services System Act of 1973 helped to establish national standards for emergency medical systems, with broad implications for education and public health. The Act follows a…Read Full Paper ❯
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…Read Full Paper ❯
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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…Read Full Paper ❯
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Medical trauma triage management requires skillful curriculum development, which in turn depends on an assessment of needs and an anticipation of potential barriers to implementation. The initial needs assessment…Read Full Paper ❯
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Black Studies - Philosophy
Secondly, in my opinion, it is irrational and insensitive for the rich to continue spending billions of dollars on luxuries as millions across the world continue to suffer. For…Read Full Paper ❯
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…Read Full Paper ❯
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Medical Home Model and Health Disparity Nursing esearch Proposal The Impact of the Medical Home Model on Health Disparities The Impact of the Medical Home Model on Healthcare Disparity Medical homes are primary…Read Full Paper ❯
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In this case, that power dynamic was only exacerbated by the fact that the entire MSICU nursing team had never received training in management of the type of…Read Full Paper ❯
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Medical Nursing Medical l Nursing The United States has the largest number of professional nurses in the world totalled 3 millions approximately. Despite the available large number of professional nurses, there…Read Full Paper ❯
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Medical/Nursing Education Nurses are required to make many immediate decisions in their assigned duties. Unfortunately, in recent years, patient care has often been compromised as a nursing shortage crisis has…Read Full Paper ❯
elevance to Human Service Practice According to Australian Government - Office of the Privacy Commissioner (2007), the Australian human services confidentiality is a major principle defining the relationship between the…Read Full Paper ❯
For example, because different etiologies require corresponding therapeutic designs and mechanisms (Spector, 2000; Steefel, 2002), specific support group makeup must consider the need to develop different strategies and methodologies…Read Full Paper ❯
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Business - Management
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In the current era of managed care in medicine, physicians and other healthcare providers and institutions have been under tremendous pressure to reduce costs. In that regard, avoiding unnecessary…Read Full Paper ❯
The employees should be firmly committed to the firm, they are the face of a firm (also its eyes and ears). The staff focus should be involved in…Read Full Paper ❯
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According to the figures for 2000 and that is the latest that is available, their average earnings are $17,570 in a year. In this business the contracts are given…Read Full Paper ❯
ICD and CPT CodesICD and CPT codes are both used in medical billing and coding, but they serve different purposes. ICD codes are used to describe the diagnosis or…Read Full Paper ❯
Leading hange for Patient and Service Improvement Module about service quality: Service quality concept in the current literature The developed countries have given a significant importance to the service sector of…Read Full Paper ❯
This is particularly the case in sub-Saharan Africa where clinicians have often come to rely on signs and symptoms alone to make diagnoses." (Nicoll, Walraven, Kigadye, Klokke, 1995) The…Read Full Paper ❯
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To demonize the concept of universal healthcare with the word 'rationing' "buys into the myth that we don't have rationing of medical services now. But we do. It…Read Full Paper ❯
Safety net hospitals have traditionally provided medical services vital to public health. Unfortunately, the recent economic recession has dealt a hard blow to safety net hospitals, even to…Read Full Paper ❯
This would likely have resulted in a long delay in raising suitable support to those health care professionals already at the disaster site. Duties of the DMAT The initial duties…Read Full Paper ❯
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Management of Continuum of Care Services As the new director appointed for the Medicare and Medicaid Services (CMS), I realize the climbing costs of payments of these two programs and…Read Full Paper ❯
omen's Health -- Focused on prevention and care for breast health, mammography, etc. Transplant Programs - Swedish is one of seven kidney transplant centers and one of just four liver…Read Full Paper ❯
Competencies of IOM The Institute of Medicine is an American organization founded in 1972 with the aim of training health workers, unlike other medical organizations aimed at profit making.…Read Full Paper ❯
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Internal rate of return is 72%. Conversely, Proposal 2 operates at a $150,000 deficit for its first year of operation. Totals costs for the CT scan equipment are $1.1…Read Full Paper ❯
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Barnsteiner JH. Medication reconciliation: transfer of medication information across settings -- keeping it free from error. Am J Nurs. 2005;05(3 Suppl):3-6. This article evaluates the need for proper medication reconciliation…Read Full Paper ❯
Nursing Describe briefly your topic of interest (15 possible points): According to the United States Department of Health and Human Services (2013), medical reconciliation is "the process of comparing a patient's…Read Full Paper ❯
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Tiffan, B.; (2014) The art of team leadership, American Journal of Health -- System Pharmacy, Vol. 7, Issue 10 Credibility -- Author Analysis Bill Tiffan is a Principal with T2 Management…Read Full Paper ❯
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Cross Cultural elations Cultural influences perceptions about gender roles in a number of ways. The first is through socialization. Being in a culture one sees how gender roles are typically…Read Full Paper ❯
Sports - Drugs
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Federal Trade Commission ruled on charges of anti-trust leveled against the Wisconsin Chiropractic Association. The WCA and its executive director, Russell A. Leonard, had been charged with organizing…Read Full Paper ❯
Patient Centered Medical Homes (PCMH) are often confused as being actual "homes" for patients to be admitted in and given medical treatment and care. PCMH is actually a health…Read Full Paper ❯
Improving Customer Service on a Medical Surgical Nursing Unit Quality Improvment Project-Customer service on the nursing unit The hospital medical-surgical nursing unit is usually referred to as the "catch-all" department for…Read Full Paper ❯
Business - Management
Management Services: The determination of the suitable level of services provided during a patient's visit normally requires the identification of whether the patient is new or already established to…Read Full Paper ❯
Patient Centered Medical Homes In the 1960s, the medical home concept referred to as patient centered medical home was developed.In order to reform the healthcare in the U.S.; the patient…Read Full Paper ❯
Sunrise Medical Market growth in wheelchairs is favorable for a few reasons. The growth in the industry is concentrated in higher-priced segments, with 12-15% each. This means that the relevance…Read Full Paper ❯
Ethics Case Study: Medical Law and Ethics Jerry McCall is Dr. William's office assistant. He has received professional training as both a medical assistant and an LPN. He is handling…Read Full Paper ❯
Business - Management
Pal's Sudden Service is a quick service restaurant chain that seeks to compete in part through excellence in the service function. Part of the strategy involves delivering food very…Read Full Paper ❯
Death and Dying (general)
The service provider should then be able to assess the specific needs of the elderly person and give advice about the best option for living facilities. Becoming older and…Read Full Paper ❯
The transition coordinator is to take the responsibility in carrying out the stated tasks. Update the transition plan is very important. The transition coordinator will need to schedule…Read Full Paper ❯
Medical / Medicine
Essay 2: In what collegiate extracurriculars did you engage? (400 characters) As Vice President of Phi Kappa Sigma, I co-managed the annual $30k budget, participated in 100+ hours of community…Read Full Paper ❯
Health - Nursing
Sociology -- Medical Dominance on the Profession of Nursing and How is the Profession of Nursing Challenging Medical Dominance in Australia In the context of medical practice, the contemporary medical…Read Full Paper ❯
Health Information esources/Services Libraries have traditionally been safeguarded the fulfillment of goals of continuing education in their respective fields. It is felt to accord enhanced priority to the health…Read Full Paper ❯
Advances in Digital Medical Imaging Origin 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…Read Full Paper ❯