...Syllabus-MBA (Hospital Administration) PAPER – I: BASIC CONCEPT OF HEALTH -Code MHA 101 Concept of Health and Disease • Concept of health & disease and well being. • Natural history of disease and role of hospitals to offer various levels of care • Prevention aspect of diseases • Dynamics of disease transmission • Changing pattern of diseases • Concept of health indicators Preliminary Human anatomy and Physiology • Basic concepts of human anatomy • Basic concepts of human physiology Suggested Reading: Human Anatomy- Prof. Samar Mitra Human Anatomy- Prof. A. K. Dutta Text Book of Human Physiology- Dr. C. C. Chatterjee Common Pathological Conditions • Basic concepts of pathogenesis of common diseases • Basic concepts of interpretation of investigations reports Suggested Reading: Robbin’s Textbook of Pathology – Robbin, Cotran, Kumar Textbook of Microbiology – Ananantanarayan & Paniker Basic concepts of Pharmacology: Commonly used Medicine in a hospital, Narcotic drugs, use and abuse of drugs. Dispensing of medicine, Drugs store, drug stock / purchase of medicine, oxygen, I/V Fluid, Chemicals etc. Suggested Reading: Textbook of Pharmacology: Dr. K. D. Tripathi PAPER – 2: Hospital Based Healthcare & Its changing scenario-Code MHA 102 Overview of Hospital • Concept of Modern Hospital & Privatization in Health Sector • Public Sector Hospitals and Level of care / offered facilities ...
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...EXECUTIVE SUMMARY Trends come and go, and this is especially true in the healthcare industry where everything is currently constantly changing. It is always important to analyze pros and cons of business trends when deciding whether to implement them in an organization. While there are countless trends to consider, six in particular will be the topic of this discussion: Mergers and acquisitions, consumerism and the role of the patient, outsourcing, Lean Six Sigma, Medicaid Expansion, and Bring Your Own Device. In the ever-changing health care world, different business and finance trends come and go. In the midst of all the uncertainty, there is only one thing for certain and that is the goal of improving the bottom line. There are countless trends on the horizon for healthcare but there are six in particular that will be discussed: Mergers and acquisitions, consumerism and the role of the patient, outsourcing, Lean Six Sigma, Medicaid Expansion, and Bring Your Own Device. Careful consideration of the pros and cons of each trend can help determine whether implementing one or more of them is right for an organization. Mergers and acquisitions are expected to grow within the healthcare industry in the coming months and even years due to the Affordable Care Act. According to KPMG, 60 percent of the healthcare executives it recently polled said they plan to make more deals in 2013 than in 2012. Many of the deals are expected to be mid-market sized or smaller...
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...Executive Health Care Management William Alson MGT/521: MANAGEMENT September 13, 2010 Jerry Davis Executive Healthcare Management This is an exciting time for healthcare management. Healthcare is changing more rapidly than almost any other field. The field is changing in terms of how and where care is delivered, who is providing those services, and how that care is financed. The world as we know is changing incredibly fast. Because of the rising costs many hospitals have downsized utilizing more acute care centers. What really have happened to healthcare management are the institutions required talented people to manage the changes taking place. In their roles, healthcare executives have an opportunity to make significant contributions to improving the health of the communities their organizations serve. With growing diversity in the healthcare system, executives are needed in many settings, including but not limited to clinics, consulting firms, health insurance organizations, healthcare associations, hospitals, nursing homes, physician practices, mental health organizations, public health departments, rehabilitation centers, skilled nursing facilities, universities and research institutions. As we move into the 21st century an estimated 100,000 people will occupy health management positions at numerous organizational levels, from department head to chief executive officer. Requirements for senior-level positions in healthcare organizations are...
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...focus as nurses. As the demands increase, and with the changing health care system today, we are needing a more highly qualified, educated, and diverse nurse. We all want to live in optimal health and take the best care of our patient. Our role, as nurse’s deal with their physical, emotional, intellectual, and social aspects of the care of the patient. With the fast changing health care system, we are needing a more educated nursing staff and here are some facts on that. The baccalaureate nursing practice incorporates the roles of assessing, critical thinking, communicating, providing care, teaching and leading, as noted by the Grand Canyon University of Nursing Philosophy. The professional approach includes the values of autonomy, altruism, human dignity, integrity, and social justice with unconditional regard for people. Nursing practice includes health promotion, disease preventions, early detection of health deviations, prompt and adequate treatment of the human response to acute and chronic illness, and compassionate care for those experiencing death. The Future of Nursing is called to increase the number of baccalaureate-prepared nurses in the workforce to 80% by 2020. The expert committee charged with preparing the evidence-based recommendations saying “to the demands of an evolving health care system and meet the changing needs of patients, nurses must achieve higher levels of education.” The magnet hospitals are meeting these requirements already. Some of the...
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...http://www.startribune.com/jobs/healthcare/44984647.html?refer=y The Changing Role Of The Pharmacy Technician • Article by: Nancy Giguere , Star Tribune Sales and Marketing • Updated: May 25, 2009 - 5:44 PM • In a changing healthcare environment, the role of the pharmacist has evolved from primarily dispensing to monitoring and managing drug therapy in collaboration with physicians and other providers. As a result, pharmacy technicians are beginning to take on some of the technical aspects of pharmacy practice. This means that better educated, more qualified technicians will be needed in the future. • Basic Duties • Technicians help licensed pharmacists dispense medication to patients. They receive the prescription, enter it into the processing system, prepare and label the medication and - after the pharmacist signs off on it - ring up the sale. • Some technicians with special training mix intravenous medication. "We also handle insurance and patient's financial questions. This is a very challenging part of the job," says Randy Cleem, a certified pharmacy technician at the Park Nicollet Clinic - St. Louis Park (www.parknicollet.com). • New Responsibilities • Outside of Minnesota, tech-nicians are taking on additional responsibilities. In some hospital pharmacies, one technician now checks prescriptions filled by another - a function known as "tech-check-tech." • In other settings, technicians educate patients on the use of pillboxes and screen patients for pharmacist-run...
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...manager means always being, “between.” In other words, one’s concern about others of a kind is always likely to be shaped by one’s concerns about and working relationships with other stakeholders. Based on our textbook and course materials pick four (4) of the concerns of hospital administrators, identify the issues regarding each of the four, and then identify and discuss at least one challenge administrators are likely to encounter regarding the challenge of working with a combination of two interests. In today’s society hospital administrators (such as physicians, nurses, board members and accreditation organizations) face many challenges. Not only from their line of work that they have to do on an everyday basis but also from the public and other administrators they have to work with. Primary care physicians face a dizzying array of daunting challenges. For instance, today’s doctors cannot just practice medicine. I say that because of how things are looking now and seem to be headed in the future. Some issues they face are game-changing federal legislation, diminishing compensation, soaring financial and competitive pressures. They also have to manage people, manage knowledge about changing federal regulations and spend time consulting with accountants and other nonmedical professionals who help them function as much as entrepreneurs as doctors. It seems there are too many issues today which are making it increasingly difficult for many physicians to remain...
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... April 5, 2012 Nursing is as old as human society. The general goal of nursing has not changed over time. Compassionate care of sick people to provide comfort and assurance is the conclusion of any given nursing theory. Originally nursing was considered a service, but the constantly changing needs of society resulted in the evolution of the nursing practice into a modern profession. In 1860, the first organized nursing training started at the Nightingale Training School for nurses at St. Thomas Hospital in London. The first BSN program was established in the United States in 1909 at the University of Minnesota. World War II resulted in the demand and supply mismatch of well-trained nurses. Diploma programs gained popularity at this time. They usually consisted of 2 to 3 years of education within a hospital. In 1952, associate degrees in nursing at community and junior colleges replaced them, as hospitals were finding it difficult to fund these programs. All these programs make a student eligible to take the NCLEX-RN licensure exam but they differ in their ability to provide quality nursing care, leadership roles and patient education. BSN requires four years of a college level education to prepare nurse generalists (Creasia, 2011). They complete the same education as ADN programs and continue with in-depth exposure of humanities, physical and social sciences. Nursing research, public and community health are included in the core curriculum...
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...played an essential role in the delivery and management of care. To continue to play a pivotal role nursing must elevate its practice to meet the needs of an ever changing health care delivery system. Advances in nursing practice will aide in changing and making health care more affordable, safe and effective. This paper will discuss how nursing, as a profession, can rise to the occasion through elevation of education, primary care practice, and leadership as outlined in the Institute of Medicine (IOM) report: The Future of Nursing: Leading Change, Advancing Health. This paper will also discuss how the author will alter personal practice to meet the goals of the IOM report. Education Advancement The Need for Advancement Since its inauguration nursing education has progressed and reformed to meet the needs of the client and the health care delivery system of the time. Issues in health care have influenced the role of education in preparing nurses to deliver safe and effective care and advocate for their patients. Nursing shortages have prompted multiple levels of education for entry level nurses. There are three pathways that have existed for nurses to become an RN. The Bachelor of Science in nursing (BSN), the associate degree in nursing (ADN), and the diploma in nursing. There is also another undergraduate level of nursing for prospective nurses to pursue, the licensed practical/vocational diploma in nursing (LPN/LVN). The LPN/LVN play a crucial role in long term care and...
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...system, will create a greater demand not only for Registered Nurses with Bachelors Degrees, but furthermore for those RNs with advanced post-graduate degree education to be able to manage an ever changing and challenged healthcare landscape. Educational Preparation The purpose of this paper is to examine the differences between Diploma, Associates Degree, and Bachelors Degree prepared nurses who take the National Council of State Boards of Nursing’s (NCSBN’s) Nursing Licensure Exam for Registered Nurses (NCLEX-RN) exam. While all three types of nurses are authorized to take and pass the NCLEX board exams for licensure, not all RNs are equally prepared to handle and manage the complex and ever changing healthcare landscape and in particular regards to preparedness of practice of the professional nurse. Differences in Competencies Diminishing Diploma Programs Established in 1873, Massachusetts General Hospital initiated the very first formal nursing educational program in the United States (Friberg and Creasia 2011). Hospital based diploma programs were the dominant mode of entry to the nursing profession from their inception in the late 1800s through the middle 1900s with approximately 944 programs in the U.S. (Friberg, and Creasia). Maintaining diploma programs within hospitals became less...
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...designed to secure the services of prominent members of appropriate professions in the examination of policy matters relating to the health of the public. “The Institute acts to be an adviser to the federal government and, upon its own initiative, to identify issues of medical care, research, and education” (Institute of Medicine [IOM], 2010, p. 5) In October 2010, The IOM (Institute of Medicine) released the report, The Future of Nursing: Leading Change, Advancing Health. This report examines the changing roles of nursing in healthcare, changes in nursing education and the changing roles as nurses as leaders This report was the culmination of two years of research by the Robert Wood Johnson Foundation (RWJF) and focused on best nursing practices in the United States, as well as, anticipated changes in healthcare and the implication it will have on nursing. With changes in healthcare such as the Affordable Care Act of 2010 (ACA), nurses will be playing an ever increasing role in patient centered care as healthcare moves away from acute and specialty care, and focuses more on primary care. Today the top providers of primary care are physicians (287,000), nurse practitioners (83,000), and physician assistants (23,000) (Steinwald, 2008; HRSA, 2008). The demand for advanced practice registered nurses (APRN) is expected to increase dramatically to accommodate patients seeking primary care. The IOM suggests that to prepare for this increased demand for nurse practitioners “all...
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...Hospitals and Long-Term Care Facilities Hamza Abobaker DR / Jo-Rene Queensberry Health Service Organization February 7, .2012 Describe the differences between nonprofit and for-profit hospitals. The difference between nonprofit and for-profit hospitals is the bottom line. Nonprofit hospitals main goal is to produce the best quality of care for the patients while turning profits into more advanced equipment used within the hospital. The nonprofit hospitals have a higher standard in performance in treating common conditions where the for-profit hospitals are not as high. Nonprofit hospitals are hospitals that are controlled by the quality of care and is at a less out of pocket for their patients where the for-profit hospitals are more costly for their services and tend to cost more for the patients after insurance has paid their portion of the bill. For profit hospitals while they do care for the patients the hospitals usually generate higher cost of care to the patients and any profit is returned to investors instead of back into the hospital where more advances and services can be performed (Williams & Torrens, 2010). In today’s efforts to improve the quality of care for patients it has become necessary to sell off to for profit hospitals for some locations. Hospitals today that ran on nonprofit efforts are seeing a hardship on keeping up with new technology equipment and is left with the decision to sell off to a for profit investor to keep the hospital running...
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...key components are in place will lead us to a successful future. The Impact of the IOM Report on Nursing Education “Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression” (IOM p.163) The IOM is a report which has created a plan for the growth and future of nursing which focuses on higher education to ensure nursing stays proactive in its approach in the ever changing field of medicine. The evolvement of the health care system requires nurses to further their knowledge through advanced education. The education will need to focus on the level of nursing degrees and advanced certifications. For an example; if it was required that all nurses practice with a BSN it would “provide a more uniform foundation for the re-conceptualized roles for nurses” (Johnson, 2011, p.170) which will provide consistency of care, patient centered focus, and better outcomes. Requiring higher levels of education also encourages nurses to prepare for other roles in the field such as management, team leads,...
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...In World War Two, Australian women had similar roles. In most of the Second World War, nurses were the only females to serve outside of Australia in any capacity. These organisations included the Australian Army Medical Women's Service the Australian Army Nursing Service, and Voluntary Aid Detachments of the Red Cross. 5,000 Australian nurses served in a range of locations, including hospitals, troops ships, camps and temporary hospitals and on aeroplanes. They served in Mediterranean, The Middle East, Britain, Asia, the Pacific, and Australia. While nurses were kept away from the home front as much as possible , they were also caught up in the evacuation of Singapore ,and many died when the Japanese army force attacked the hospital ships. A nurse was killed in the first Japanese attack on Darwin. Some Nurses served on the front line but they mainly stayed behind....
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...2010 ISSN 1942-4604 © 2010 Public Relations Society of America Public Relations Management at the Lucile Packard Children's Hospital: A Case Study Erika H. Powelson, and Kenneth D. Plowman, Ph.D., APR The healthcare industry in the United States is changing at record speed, especially in California. California has seen the emergence of Health Maintenance Organizations (HMO's) and the drastic effects they have had on the hospital environment. These changes are occurring throughout the organization and affect everything from ordering of supplies to length of patient stay. It has also caused great changes in one particular area of the hospital—the public relations and marketing departments. The purpose of this case study was to explain communications management during a certain period of time to ensure no encroachment on the current state of public relations for the Community and Physician Relations Department (CPRD) at Lucile Salter Packard Children's hospital at Stanford (LPCH). The change in this department reflects the overall trend in healthcare marketing and the need for hospitals to promote themselves to stay profitable. The San Francisco Bay area is being hit particularly hard by all these changes and prediction that several hospitals may close in the near future. One goal of the CPRD is to educate the community about the hospital so they will use and pay for its services. Another goal is to encourage physicians to purchase phone triage services that bring...
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...How Society and Nurses Affect the Roles of Nursing Lisa A. Turner University of Alabama Birmingham Transitions into Professional Nursing Practice, NUR 474 How Society and Nurses Affect the Roles of Nursing Introduction A nurse has many roles and parts to play in the daily routine of caring for patients. By examining the different roles of a nurse; health promoter, care provider; learner and teacher, we will see how nursing has evolved and how the philosophy of nursing changes. How these roles tie into society and into the symbiotic relationship between society at large and the nursing profession. The shift of healthcare to prevention, education, and the ever changing world of medicine, along with the realization that a nurse’s job is specialized, has tremendously affected the beliefs and ideas of the profession. Based on our textbook, research, and my personal experiences I will explore and clarify my philosophy of nursing. The purpose of this paper is to examine the fact that nursing is an ever-changing profession which society’s ideas and beliefs will impact, whether by necessity or through evolution. Health Promoter and Care Provider Health promotion or prevention is the latest hot topic in the healthcare arena. According 2 to Prochaska, J. and DiClemente, C. (1992), the nursing strategies for health behavior change are Precontemplation, Contemplation, Preparation, Action and Maintenance touch on every different type of nurse and show a need for growth. While providing...
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