... A new medical clinic is opening up in your hometown and a mutual friend has recommended your services to the administrator of the clinic. You have received a letter asking you to provide information that would support their retaining your services rather than hiring employees for the same purposes. Assume that this letter may have gone out to other local firms as well. Working as a team, you will do the following two things: (a) After discussing and choosing a small business with your team, you will prepare a letter (in effect, an informal proposal) in response, offering your services to the clinic. (b) Follow up with an oral presentation before the administration of the clinic to discuss and further sell your services to them. On the date scheduled for the final presentation, each student will be responsible for evaluating one team, as assigned by the instructor, on their written and oral presentation. To help you prepare, a copy of the student team evaluation form has been provided. Additionally, students will evaluate the contribution of their fellow team members and themselves in developing the presentation. Evaluations will be taken into consideration in determining grades for the project. In preparing your written presentations, consider the following: • What business services will you choose to provide to the clinic? Billing, secretarial, computer, health, landscaping? • Who will present the letter to the clinic administrators? Who...
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...Puce Health Clinic Case Analysis Table of Contents Executive Summary……………………………………………………3 Objective of the Report ………………………………………………..3-4 4P’S and STP…………………………………………………………..4-6 Market Analysis………………………………………………………..6 Competitors Analysis ………………………………………………….7-8 SWOT Analysis………………………………………………………...9 Recommendations………………………………………………………10 Conclusion………………………………………………………………10 Appendix A……………………………………………………………...11 Income Statement………………………………………………………..11 Puce Memorial Hospital (PMH) is, an independent, not-for-profit, general hospital located on the southern periphery of a major western city. Being debt free and dependent on inner city residents, the board of trustees authorized PMH to expand operations by adding an ambulatory facility in the downtown area ten blocks north of the hospital. Being open for 11 months now, Puce Health Clinic (PHC) has seen success by becoming self sufficient, increasing cliental, reducing bad debts by 2 % and minimizing the increase in their expenses. Sherri Worth, Assistant Administrator of PMH, has recognized a potential threat that could hurt their facility. Medcenter, a possible competitor, has been proposing to develop their own facility overlapping in service areas with PHC. This threat has the potential to take a third of PHC’s northern portion of personal illness patients and also 40% of potential personal illness patients in this area will go to the new location. After speaking to her boss Roger Mahon...
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...Case report: Paediatric Orthopaedic Clinic 1- What is capacity utilization at every step in the process? What is the direct resource utilization? Using the data provided in the case, we are able to compile all data necessary to compute the capacity utilization at the clinic. Activity | # of Staff | Available time | Activity time | Number of Patients | Time needed | Utilization10 | | | /Staff | Total | N | F | N | F | N | F | Total | | 1. Front Desk | | | | | | | | | | | | a. Registration | 3 | 180 | 540 | 5 | 5 | 32 | 48 | 160 | 240 | 400 | 74 % | b. Verification | 3 | 255 | 765 | 9 | 4 | 32 | 48 | 288 | 192 | 480 | 63 % | 2. Radiology Department | | | | | | | | | | | | a. X-ray imaging | 6 | 240 | 9603 | 11 | 11 | 32 | 40.8 | 352 | 448.8 | 800.8 | 83 % | b. Development of X-rat | -1 | 240 | 9604 | 7 | 7 | 32 | 40.8 | 224 | 285.6 | 509.6 | 53%8 | c. Diagnostic reading and comments | 3 | 240 | 4805 | 5 | 5 | 32 | 40.8 | 160 | 204 | 364 | 76% | 3. Hand-off X-ray to Clinic | | | | | | | | | | | | a. Collection of X-ray | 3 | 2556 | 7657 | 2 | 2 | 32 | 40.8 | 64 | 81.6 | 145.6 | 19% 9 | b. Filing/exam room prep | 1 | 255 | 255 | 2 | 2 | 32 | 48 | 64 | 96 | 160 | 63% | 4. Examination Room | | | | | | | | | | | | a. Surgeon | 1 | 255 | 255 | 7 | 4 | 32 | 14.4 | 224 | 57.6 | 281.6 | 110% | b. Resident | 1(2)2 | 255 | 255 | - | 7 | - | 33.6 | - | 235.2 | 235.2 | 92% | c. Cast technician...
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...THE PRIMARY CARE CLINIC Your name here Professor’s name here School name here Date The Primary Care Clinic Patients in today’s busy world demand convenience which has lead to the rise of local centralized primary care facilities. The purpose of this paper is to look at forces that have influenced the development of the clinic, a mission statement, key performance indicators to measure effectiveness, decisions regarding clinic expansion, the role of the clinic in the community, and influences of public healthcare policy on outpatient clinics. Discuss the key political, economic, and social forces that may have influenced the development of the clinic. Politics can hamper development of private healthcare organizations by compromising quality, limiting accessibility or feasibility, or increasing the cost of healthcare through laws, regulations, policies, requirements of private practice, and monitoring of services (Griffith & White, 2007). The primary care clinic must balance the requirements and regulations of private practice while creating a market for quality healthcare in the community marketplace. The clinic model has advantages over other models in that it allows practitioners a level of economy in sharing their medical facilities, equipment and staff with others, minimizing overhead and allowing them to keep the rising cost of healthcare lower by sharing equity. Improved patient quality is...
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...causes down to spontaneous combustion caused by heat; a discarded cigarette or match; or contact with an extension cord light hung over a stack of films.[19] Philanthropist Samuel Mather formed a committee of 36 community leaders to help Cleveland Clinic reestablish itself in temporary quarters across the street.[19][21][22] Patient care services resumed five days later.[21] The 1921 building was completely renovated, and a new three-story clinic building, with a new main entrance, was added in 1931.[19] All debts were repaid by 1941.[23] Crile and Lower relinquished their administrative duties in 1941.[16] In 1942, Cleveland Clinic’s Naval Reserve Unit, which included George Crile, Jr., a physician and son of George Washington Crile, established a mobile hospital in New Zealand to treat the wounded from the Guadalcanal Campaign.[24] Growth of specialization[edit] Patient drop-off area, Miller Family Pavilion, 2015 In 1954, Cleveland Clinic formally adopted governance by a Board of Governors consisting of nine physicians elected by the physician staff. They work with the CEO and lay administrators to formulate and carry out policy, overseen by a board of directors and board of trustees.[23][25][n 1] Cleveland Clinic built new operating rooms in the early 1970s to accommodate the growth of cardiac surgery.[16] The Martha Holding Jennings Education Building opened in 1964, with an auditorium named for Dr. Bunts. A new hospital...
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...Outpatient Orthopedic Clinic Thomas R. Rohleder, PhD Division of Health Care Policy and Research Mayo Clinic 200 First Street SW Rochester, Minnesota 55905 tel: 507-538-1532 Email: rohleder@mayo.edu Peter Lewkonia, MD Faculty of Medicine University of Calgary Calgary, Alberta Diane Bischak, PhD Haskayne School of Business University of Calgary Calgary, Alberta Paul Duffy, MD Faculty of Medicine University of Calgary Calgary, Alberta Rosa Hendijani Haskayne School of Business University of Calgary Calgary, Alberta July 2011 Abstract We report on the use of discrete event simulation modeling to support process improvements at an orthopedic outpatient clinic. The clinic was effective in treating patients, but waiting time and congestion in the clinic created patient dissatisfaction and staff morale issues. The modeling helped to identify improvement alternatives including optimized staffing levels, better patient scheduling, and an emphasis on staff arriving promptly. Quantitative results from the modeling provided motivation to implement the improvements. Statistical analysis of data taken before and after the implementation indicate that waiting time measures were significantly improved and overall patient time in the clinic was reduced. Keywords: Outpatient Clinic, Discrete Event Simulation, Process Improvement, Patient Waiting I. Introduction Visiting hospital outpatient clinics is a very common way for patients to access health care. These clinics typically schedule...
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..... Mayo clinic MAYO CLINIC The Mayo Clinic was founded over 150 years ago. It has been a pioneer for group practice creation, community service, quality improvement initiatives, health informatics, and health care technology. Group Practice Creation Impacts Mayo Clinic's Growth Dr. William J. Mayo justified the concept of a group practice in a speech he delivered in 1910. He took the view that it would be foolish for a single practitioner to assume he or she had sufficient knowledge of medicine. He maintained that it is in the best interest of the patient to have practitioners join forces and coordinate care (Mayo Foundation for Medical Education and Research [MFMER], n.d.-a.) Patients realized the benefits of a team of medical experts, so patients travelled long distances for diagnosis and treatment. The Mayo Clinic website states that the "group practice concept that the Mayo family originated has influenced the structure and function of medical practice throughout the world" (MFMER, n.d.-b). According to the website, the Mayo Clinic has grown from three physicians (father and two sons) to over 55,000 staff at locations in the Midwest, Arizona, and Florida. The Mayo Clinic is most famous for its implementation of an "integrated, multi-specialty, group practice" (MFMER, n.d.-c). Mayo Clinic Community Service Reflects Mission and Values According to the Mayo Foundation for Medical Education and Research (n.d.), Mayo Clinic's mission is to "provide the best care...
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...Introduction Opening a free clinic is one of the most humanitarian ways of giving back to the community. The community particularly the low income citizens are searching for means to provide easy and affordable healthcare to. This has come as a result of employers reducing employee’s benefits due to a failing economy this in turn causing the cost of obtaining a medical insurance cover very expensive. Opening a free clinic may stand to achieve and benefit the community by providing these primary medical attention to the underprivileged in the community. The development of a free medical clinic solely depends on the support of the community at large. It takes a group of self -driven and compassionate individuals with a vision, aspiration and commitment to help the uninsured. Nevertheless, starting a clinic may not be simple as it takes numerous procedures that may include; sourcing supplies, legal arrangements, recruiting of volunteers, identifying viable funding raising mechanisms and identifying a reliable consultancy team that will help in accounting, insurance and legal matters. This however depends on whether the clinic will be individually owned or collaboration with organizations such as Volunteers in Health Care (VIH) and Volunteers in Medicine that assist societies to start free clinics. Economic status and its effect on health care: Low socioeconomic status (SES) has its links to low income. People with low income lack medical insurance covers, have poor quality...
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...What would make Mayo Clinic one of the most recognized hospitals in the nation? We will discuss the many reasons and what it takes to be so well recognized and the many benefits that Mayo Clinic has to offer. “The Mayo Clinic has not only been recognized by numerous agencies for its quality in health care, but it has been recognized more so than any other academic medical center in the nation.” (Kroker, 2013) In 2012, Mayo earned the No. 3 overall spot on the “best hospitals” list and ranked No. 1 in the nation in five areas- gynecology, diabetes and endocrinology, gastroenterology, nephrology, and pulmonology. History of Mayo Clinic William Worrall Mayo, who settled in Rochester, Minn. in 1863, is the founding father of what is now called the Mayo Clinic. Mayo Clinic was developed gradually from Dr. Mayo’s medical practice. His dedication became a family tradition and his two sons, Will and Charles joined his practice in 1883 and 1888. Later as they succeeded with their “pooled” knowledge and skills, patients discovered this advantage. They had developed a reputation for excellence in patient care. Doctors and students came from around the world to learn new techniques from the Mayo’s. Patients also came from around the world for treatment. Since 1919, the Mayo Clinic has spread largely to two additional cities including Jacksonville Fl., and Phoenix Arizona. The main campus in Rochester employs over 32,000 people. In addition, the Mayo Clinic operates multiple...
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... the Cleveland Clinic is ready to celebrate the opening of two buildings characterized as monuments to 21st-century thinking in health-care delivery. The Sydell and Arnold Miller Family Pavilion will be home to the Clinic's signature cardiovascular program and a new grand entrance at the corner of East 93rd and Euclid Avenue. Tucked behind Miller on the 166-acre campus is the Glickman Tower, the new 12-story headquarters of the Urological and Kidney Institute, which has bragging rights as the Clinic's largest surgery center and one of it fastest growing programs. Fronted by reflecting pools and rows of tulip trees that stretch to Chester Avenue, the glassy, C-shaped Miller Pavilion gives the Clinic a dramatic new look. But the buildings symbolize more than an investment in capacity and aesthetics. Tracy Boulian/The Plain DealerThe new Sydell and Arnold Miller Family Pavilion at the Cleveland Clinic. Patients first The Clinic promises the buildings represent a new era of patient care. The buzzword these days is "patient-centered care." It encompasses everything from moving doctors closer to hospitalized patients, to piped-in music and patient rooms that are described as "comfortable as a well-appointed hotel room." The emphasis on customer service coincides with a new era of patient expectations. It's also tied to growing demands for accountability of hospital performance. In a first-ever release of patient-satisfaction scores by Medicare, the Clinic this year scored...
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...Free Medical Clinic for those without Insurance Assignment 2.1: Informative Paper January 29, 2014 Free Medical Clinic for those without Insurance Assignment 2.1: Informative Paper In today’s world, healthcare availability is a major concern for many people. Whether it is due to income, specific health concerns or resources many people find themselves without the ability to seek treatment at a facility they can afford. To help communities with these issues, if resourced properly, a free or low cost clinic as an alternative can greatly benefit the community in addressing the economic and special needs of the patients. Healthcare in the United States has proven costly to patients. There options for treatment can be limited by their insurance, location, available of care and lifestyle. “Health care is a limited resource for which there is unlimited demand. In 2005 health care expenditures were 16% of GDP, with projected increases from $2 trillion in 2005 to $4 trillion in 2015. For the past forty years, demand for health care has risen each year without indication that the market for health care is satiated” (Crowe, 2010, p.455). Premiums for those with coverage has increased drastically over the years while what is being covered has decreased or has had increased copays and deductibles applied. “In 2007, the established system of payment for services and access to the health care system was impacted by an economic recession resulting in a loss of 5.1 million jobs...
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...Heroicism and Evolution in Thomas Eakins’ The Gross Clinic and The Agnew Clinic Both Thomas Eakins’ The Gross Clinic (1875) and The Agnew Clinic (1889) are realistic oil paintings which depict a medical doctor lecturing to students about surgery. The two paintings, through the use of color, lighting, and space, both portray the doctor heroically and give high regard to the field of medicine. However, the tone of the two portraits, along with the way Eakins decided to portray the scene, are inherently different. The Gross Clinic is darker and more chaotic, while The Agnew Clinic is lighter and calmer. These disparities in the two paintings highlight the shift in the era of medicine and the advancement of medical technology in the 14 year time period between the two paintings. In both The Gross Clinic and The Agnew Clinic, Eakins put the focal point of the painting on the presumed head doctor using space, shape, and color. In The Gross Clinic, one doctor stands slightly to the left of the centre, above the rest of the medical staff and in the forefront of the painting. Even though Eakins put all the medical staff on the same plane, this doctor is distinguished from the rest. While the other crouch down around the patient, he stands upright, an obvious sign of authority as he is physically towering above everyone else. The doctor’s head and wiry gray hair is illuminated from above by soft light, creating a halo effect around the doctor’s head. This gives the doctor an almost angelic...
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...ARTICLE Open Access Reduction of missed appointments at an urban primary care clinic: a randomised controlled study Noelle Junod Perron1*, Melissa Dominicé Dao1, Michel P Kossovsky1, Valerie Miserez1, Carmen Chuard1, Alexandra Calmy2, Jean-Michel Gaspoz1 Abstract Background: Missed appointments are known to interfere with appropriate care and to misspend medical and administrative resources. The aim of this study was to test the effectiveness of a sequential intervention reminding patients of their upcoming appointment and to identify the profile of patients missing their appointments. Methods: We conducted a randomised controlled study in an urban primary care clinic at the Geneva University Hospitals serving a majority of vulnerable patients. All patients booked in a primary care or HIV clinic at the Geneva University Hospitals were sent a reminder 48 hrs prior to their appointment according to the following sequential intervention: 1. Phone call (fixed or mobile) reminder; 2. If no phone response: a Short Message Service (SMS) reminder; 3. If no available mobile phone number: a postal reminder. The rate of missed appointment, the cost of the intervention, and the profile of patients missing their appointment were recorded. Results: 2123 patients were included: 1052 in the intervention group, 1071 in the control group. Only 61.7% patients had a mobile phone recorded at the clinic. The sequential intervention significantly reduced the rate of missed appointments: 11...
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...smile on the children’s faces while we worked with them to get them better or the clear look of thankfulness on the people who will never take what we provided them for granted. I would love to have the opportunity to provide physical therapy to similar areas of need, which I can successfully contribute to the program at MGH IHP. I have also had different experiences relating directly to the field that have all been quite diverse. My first experience in the field was as a patient of physical therapy after a traumatic shoulder injury the required two surgeries. From there I participated in an internship in a sports-heavy physical therapy clinic and after graduating college I got a job as a physical therapy aide in an outpatient clinic outside Boston where I have been for the past three years. Being at the clinic for an extended...
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...am managing, and overall analyze their position at the hospital. I need to be fully aware of their exact duties, and analyze in detail things about each position. The 2nd step I will need to do is look at the outpatient clinic position, and see exactly what is required for this clinic. Next I will need to make a decision on who will be the best candidate to fulfill this position based on the overall work requirements, and qualifications needed for this position. I need to make a decision that overall positively affects both the hospital, and new outpatient clinic. A1. The hospital in this scenario is located in a rural setting. The hospital has recently purchased a small outpatient clinic that is approximately 50 miles from the hospital. Currently about 20-30 patients are seen daily by one provider at the clinic. The hospital does have a contract with several different businesses to provide care for workers injured at work. So let’s analyze my current staff: * 3 coders who take care of the hospital coding (1 of these coders does the coding for the outpatient clinic attached directly to the hospital as well) * 1 front office employee- this employee answers phones, takes care of patient paperwork, filing, etc. * 1 employee at the outpatient clinic that handles billing, coding, front office duties, and is attending college as well to get her RHIT certification A2. a. Code look-up software: This is software that is put into place to help coders...
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