...hospital costs in inpatient surgical patients Michael E Stokes1*, Xin Ye2, Manan Shah3, Katie Mercaldi4, Matthew W Reynolds4, Marcia FT Rupnow2 and Jeffrey Hammond2 Abstract Background: Inadequate surgical hemostasis may lead to transfusion and/or other bleeding-related complications. This study examines the incidence and costs of bleeding-related complications and/or blood product transfusions occurring as a consequence of surgery in various inpatient surgical cohorts. Methods: A retrospective analysis was conducted using Premier’s Perspective™ hospital database. Patients who had an inpatient procedure within a specialty of interest (cardiac, vascular, non-cardiac thoracic, solid organ, general, reproductive organ, knee/hip replacement, or spinal surgery) during 2006-2007 were identified. For each specialty, the rate of bleeding-related complications (including bleeding event, intervention to control for bleeding, and blood product transfusions) was examined, and hospital costs and length of stay (LOS) were compared between surgeries with and without bleeding-related complications. Incremental costs and ratios of average total hospital costs for patients with bleeding-related complications vs. those without complications were estimated using ordinary least squares (OLS) regression, adjusting for demographics, hospital characteristics, and other baseline characteristics. Models using generalized estimating equations (GEE) were also used to measure the impact...
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...Mandatory Pre-op for Total Knee Replacement The decision to undergo elective knee surgery can be very stressful for many patients. It is important for patients to be well prepared. Total knee arthroplasty has increased by eighty-four percent from 1997 to 2009 (Fawzi, 2012, para. 1). By making the Pre-op Total knee Arthroplasty class mandatory patients and their family members will be more educated and prepared for surgery and recovery. During the class patients will be able to ask any questions they may have, learn how to better prepare for surgery and ways to prevent infection during their hospitalization. Physical therapist will also discuss exercises and pain management techniques. By using the John Hopkins evidence based practice model a change can be made in the pre-op process for all total knee replacement patients. Change Model Overview The John Hopkins Nursing Evidence-Based Practice Process is defined as a problem-solving approach to clinical decision-making within a health care organization (Dearholt, & Dang, 2012, p. 4). Nurses often use this model to facilitate change within their organization....
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...Definition of biometals A group of chemical elements that are needed in minute quantities for the proper growth, development, and physiology of an organism. The term Biometal refers to the role of metal ions in biology, biochemistry and medicine. The metals copper, zinc, iron and manganese are examples of metals that are essential for the normal functioning of the body. It is also a term used to describe a living machine. Definition of bioceramics An advanced ceramic used to create components suitable for use or replacement in the human body. Biocompatible or osteoinductive (stimulating bone growth) ceramic material, such as hydroxyapatite or some other type of calcium phosphate ceramic, used for reconstructive bone surgery and dental implants. Definition of biosemiconductor The biosemiconductor, together with the drift of charges, ions, and radicals, may be considered as a form of "bioplasma". Bioplasma may be subject to magnetohydrodynamic (MHD) control. The EM fields emitted by trained healers may be considered as coherent, resonant biomagnetic emissions by which a less coherent EM field of the patient is "tuned" to the specific frequency and phase, and through which homeostasis can be "aligned" to induce "healing". Definition of bioelectronics The application of electronic theories and techniques to the problems of biology. The use of biotechnology in electronic devices such as biosensors, molecular electronics, and neuronal interfaces; more speculatively, the use...
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... Simply put, access in the health care sector refers to the ability for a patient to receive the care and services required to maintain a healthy quality of life. Access to health care services continues to be a key issue for Canadians and health policy makers.1,2 Key issues exist in several dimensions of the health care process, including access to a specialist, non-emergency surgery and non-emergency diagnostic testing. More specifically, it is the significant amount of time one will spend waiting for their opportunity to receive these services that remains a concern. Among those who had waited for specialist visits, 29% reported unacceptable waits. This was also true for 17% of patients who were waiting for a non-emergency surgery and 20% for those waiting for diagnostic testing.3 Median waiting times for all specialized services remained relatively stable between 2003 and 2005 at 3 to 4 weeks, depending on the kind of care. Approximately 18% of individuals who visited a specialist indicated that waiting for the visit affected their life, compared with 11% and 12% for non-emergency surgery and diagnostic tests respectively.4 Despite several efforts made by government agencies, access still remains one of the foremost issues identified. Billions of dollars have been invested to solve this chronic issue, unfortunately several obstacles still remain impeding significant progress to solve accessibility issues in the Canadian health care system. Policy makers continue...
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...Product: Apollo hospital provides quality healthcare services with more than 53 branches across the country. Prominently Apollo is known best for heart problems and Knee and Hip replacement surgeries besides other major ailments. The specialities include – Heart, Orthopedics, Spine, Cancer Care, Gastroenterology, Neurosciences, Nephrology & Urology Critical Care. Price: The hospital is priced premium and it can afford to do the same because of its positioning and its assurance as well as the reliability on the brand of Apollo hospitals. Along with it, it also helps that there are so many locations and specialities in Apollo hospitals. Thus a patient is reassured of his well being. Place: Apollo Hospitals has around 8500 beds across 53 hospitals in India and overseas. It is located in 15 different places across India which include Ahmedabad, Aragonda, Bangalore, Bhubaneshwar, Bilaspur, Chennai, Delhi, Hyderabad, Kakinata, Kolkata, Madurai, Mauritius, Mysore Noida. Promotions: Apollo promotes itself through the Community Initiatives viz SACH – Save a Childs Heart CURE – Extends preventive as well as rehabilitative cancer treatment to the economically backward. SAHI – Society to Aid the Hearing Impaired DISHA – Distance Health care Advancement Project People: Currently engages more than 19,000 doctors, nurses, paramedics, clinical staff and management professionals to manage over 8500 beds across 53 hospitals in India and abroad. Along with this Apollo Hospitals...
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...Listed below is the detail regarding your Unit 3 Project grade: |Project Grading Criteria | |Grade |Content, Focus, Use of Text/Research |Analysis and Critical Thinking |Writing Style, Grammar, APA Format (when | | | | |assigned) | |% |50% of total points |30% of total points |20% of total points | |90-100% |Your score = 10 points |Your score = 6 points |Your Score = 4 points | | |Response successfully answers the |Response exhibits strong higher-order |Sentences are clear, concise, and direct; | | |assignment question(s); thoroughly uses|critical thinking and analysis (e.g., |tone is appropriate. Grammatical skills are | | |the text and other literature. |evaluation). |strong with almost no errors per page. | | | | |Correct use of APA format when assigned. | |80-89% |Response answers the assignment |Response generally exhibits higher-order|Sentences are generally clear...
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...PROJECT REPORT ON MEDICAL TOURISM WITH REFERENCE TO INDIA Origin and Evolution of Medical Tourism Medical tourism is actually thousands of years old. In ancient Greece, pilgrims and patients came from all over the Mediterranean to the sanctuary of the healing god, Asklepios, at Epidaurus. In Roman Britain, patients took the waters at a shrine at Bath, a practice that continued for 2,000 years. From the 18th century wealthy Europeans travelled to spas from Germany to the Nile. Since the early nineteenth century, when there were no restrictions on travel in Europe, people visited neighboring countries in order to improve their health. At first, mere traveling was considered to be a good therapy for mental and physical well-being. In the 21st century, relatively low-cost jet travel has taken the industry beyond the wealthy and desperate. Later, mostly wealthy people began traveling to tourist destinations like the Swiss lakes, the Alps and special tuberculosis sanatoriums, where professional and often specialized medical care was offered. In this century, however, medical tourism expanded to a much larger scale. Thailand, followed by India, Puerto-Rico, Argentina, Cuba and others quickly became the most popular destinations for medical tourists. Complicated surgeries and dental works, kidney dialysis, organ transplantation and sex changes, topped the list of the most popular procedures. It was estimated that in 2002, six hundred thousand medical tourists came to Bangkok and...
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...Accredited 450-bed multi-disciplinary super-specialty tertiary care hospital in Bangladesh, confidently providing comprehensive health care with the latest medical, surgical and diagnostic facilities. These services are provided by expert medical professionals, skilled nurses and technologists using state-of-the-art technology. The hospital started its operation on April 16, 2005 with a mission to provide high quality international standard healthcare which will meet the needs and exceed the expectations of the people of Bangladesh. It is an eleven-storied building built on four acres of land with 435,000 square feet floor space, which was constructed with assistance of renowned architecture company Smith Group, USA. The hospital is a joint project of Apollo Hospitals Enterprise Limited and STS Holdings Limited (STS Group). Apollo Hospitals Dhaka has all the characteristics of a world-class hospital with wide range of services and specialists, equipment’s and technology, ambience and service quality. The hospital is a showcase of synergy of medical technology and advances in IT through paperless medical records. The skilled nurses, technologists and administrators of Apollo Hospitals Dhaka, aided by state-of-the-art equipment’s, provide a congenial infrastructure for the medical professionals in providing healthcare of international standards. Since its inception to date, approximately 354,720 patients have registered with Apollo Hospitals Dhaka and over 1,157,039 patients have...
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...countries to obtain medical, dental or cosmetic care. Medical tourism is a new term but thousands of years old act. People have been traveling across the continents in search of cures for any imaginable illnesses and making therapeutic trips for health wellness. In ancient Greece, pilgrims and patients came from all over the Mediterranean to the sanctuary of the healing god, Asklepios at Epidaurus, and from the 18th century wealthy Europeans have been traveling to spas from Germany to the Nile. In recent years, medical tourism is becoming more popular with patients seeking treatment for health and well-being purposes abroad. Medical Tourism is also known as Medical Travel, Health Tourism, Surgical Tourism, Health Travel, Treatment Abroad, Surgeries Abroad, and Medical Outsourcing. Medical Tourism Concerns Though many are eager to be the right pieces in the puzzle, many are still struggling to get the right fit. There are a number of concerns and risk factors for patients getting treatment much less seeking them abroad. Some concerns for patients include a consistent quality of care, lack of extensive dialog between the patient and the doctor, lack of post-op follow up, cultural differences and difficulty in obtaining sufficient insurance coverage. In order to mitigate the risk, it’s essential that the patient works with well reputed facilitators. Medical Tourism Accreditation The qualifications of the doctors are important but as U.S. board certification requires specialist training...
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...medical care in collaboration with the tourism industry for patients needing surgical and other forms of specialized treatment. Medical or Health tourism has become a common form of vacationing, and covers a broad spectrum of medical services. It mixes leisure, fun and relaxation together with wellness and healthcare. The global health care industry is valued at $ 2.8 tn. The market for health tourism is estimated to be $67 bn, growing at a rate 20% per annum. It can be divided into three broad segments: 1. Surgeries like orthopedic surgery, heart by-pass surgery, cancer therapy, eye surgery, organ transplantation. 2. Plastic surgery or cosmetic surgery. 3. Health spas, weight loss exercise centers, hot springs and holistic treatment including wellness therapies. Different countries have become preferred destination in each of these segments for medical tourist. India is a preferred destination for heart, orthopedic, eye and neurosurgeries. Eye surgery kidney dialysis and organ transplantation are among the most common treatments sought by medical tourist in Thailand and according to the Health Ministry, in 2004 the country attracted 600,000 medical tourists, who generated 20 billion baht in revenue. As a result, Asia’s medical tourism industry could generate over US$4.4 billion a year by 2012, with India, Thailand, Singapore, Malaysia and South Korea the top destinations. Tourist arrivals from the United Arab Emirates (UAE) in Malaysia alone totalled 29,606...
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...Robotic Surgery Table of Contents Introduction 3 Historical Development of Robotics 4 Political and Legal Influences 6 Economic Considerations 8 Technology in Today’s Culture 10 Environmental Concerns 12 Moral and Ethical Implications 13 Psychological and Sociological Effects 17 Conclusion 18 References 20 Introduction Robotic surgery, or computer-assisted surgery, is the term used to describe the technology of using robotic systems to aid in surgical procedures. It was developed to help surgeons and medical health professionals overcome the human limitations of minimally-invasive surgery and enhance the abilities of the surgeons performing these procedures. It has many benefits to not only surgeons and medical facilities but for the patients as well. After years of development, training, and global awareness of the technology, medical manufacturers of the robots, surgeons, and medical professionals hope the technologies benefits will outweigh and overcome the environmental, financial, legal and ethical controversies. Dr. James McEwen, Dr. Brian Day and a team of engineering students, developed the very first surgical robot in 1983. It was used on March 12, 1984 for an orthopedic surgical procedure in Vancouver, Canada. Over sixty minimally invasive joint surgeries were performed in the first 12 months after the first successful surgery. After this, several other robotic devices were developed. A surgical scrub nurse was created...
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...2009 INDUSTRY ANALYSIS ON APOLLO HOSPITAL AN ASSIGNMENT ON CORPORATE STRATEGY SUBMITTED BY--- GROUP 2. G-02 SUDEEP SHAURYA SHORABH BHATTACAHRJEE GAGANDEEP SINGH VINAY KUMAR BHARDWAJ VIJAYVARGIA RAJOJYOTI BANIK SUBMITTED TO --- Prf. RAJESH VERMA 12/8/2009 Industry analysis of Apollo hospital Health care Industry in India In India, the Healthcare system is split into a public sector, a private sector and a wide network of informal healthcare providers operating together in a large and unregulated network. This irregularity has caused wide disparities in access, especially in regional and rural distribution of healthcare infrastructure. Currently, the Indian healthcare sector is valued at Rs.1, 360 (US $34) billion roughly 6 per cent of GDP. The healthcare business is projected to grow to over Rs.1, 600 (US $40) billion or 8.5 per cent of GDP by 2012, according to Price Waterhouse Coopers (PwC) report, 'Healthcare in India: Emerging market report 2007'. The Hospital Industry Some Facts • India‟s healthcare industry is currently worth Rs 73,000 crore which is roughly 4 percent of the GDP. The industry is expected to grow at the rate of 13 percent for the next six years which amounts to an addition of Rs 9,000 crores each year. • • • • • The national average of proportion of households in the middle and higher middle income group has The population to bed ratio in India is 1 bed per 1000, in relation to the WHO norm of 1 bed per 300. In India, there exists space for...
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...It is one of the only studies that compares techniques with side-by-side analysis. This gives greater accuracy and legitimacy of comparison than taking results from different studies and comparing them accordingly. The participants that took part in the study were any osteoarthritis patients that demonstrated pain symptoms particularly in the knee and hip. Four-hundred and forty patients were evaluated in this double-blind, randomized, four-arm, parallel-efficacy, multicenter equivalence drug trial that lasted twenty-four weeks. The primary efficacy variables measured were active body weight-bearing pain that was measured by a graphic analogue scale and a WOMAC pain and functional exertion “Likert” score measurements for the knee and hip areas of the body. Several patients were given the traditional Ayurvedic treatment while others were given the modern remedy of glucosamine and celecoxib, and the pain and functionality variables were measured over the twenty-four week period. The latter group served as the control. A statistical formula published by Jones et al. was used to calculate the sample...
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...Thailand a prime Medical Destination? History of modern medical services Medical and health services currently provided Present policy of medical tourism of Thailand Medical treatments that Thailand offer Additional services for your recover period Medical standards of Thailand Rules and regulations 4 4 5 5 6 7 10 12 14 15 19 23 25 Follow the doctor’s instructions pre-treatment strictly 26 While you are on your way Plan ahead Select health travel agent Summary 27 28 29 31 2 MEDICAL TOURISM IN THAIALND 3 Medical Tourism Medical tourism is a term that has risen from the rapid growth of international healthcare where people from all around the world are traveling to other countries to obtain general medical surgery, cosmetic plastic surgery and dental surgery at a fraction of the cost of healthcare in their home country. And, while abroad, if physical conditions permit, patients can experience the interesting cultural attractions their destination country offers. More and more people are seeking the expertise of medical tourism companies to travel abroad as an affordable, enjoyable, and safe alternative to having medical, dental, and cosmetic surgical procedures done in their home countries. What is Medical Tourism? Medical Tourism is the practice of travelling across the borders to obtain healthcare services in another country where medical expenses are relatively lower and the services sought are equivalent to or better than those available in one’s own country. The...
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...Running Head: TEAM B COURSE PROJECT Team B Course Project Final Draft April 20, 2013 Professor Aimee James DeVry University Abstract Robotic surgery is a described as when a surgeon uses robotic equipment to assist during a surgical procedure. The surgeon manipulates controls which send information to the robotic equipment, telling it what to do. This surgical technology can be used for a wide range of surgical procedures. There are multiple benefits from choosing this type of surgery, but can also cost more than laparoscopic. Robotic surgery has been discussed for over two decades. Over the last decade, it has increased in popularity and applicability. There are many economic concerns over the use of this technology such as the cost versus the applicable use. There are also concerns about the implications the use of this technology will have on the environment, as well as moral and ethical concerns. By providing background information and history of this technology, information on the use of this technology, economical, sociological, and psychological effects and concerns associated with this technology, and information on environmental implications and moral and ethical concerns of this technology, we hope to provide readers a basis to form an educated opinion on the applicability of remote and robotic surgery. Table of Contents Abstract (Jesse Edwards)…...……………………………………………….…………………….ii Introduction (Jesse Edwards)……………………………………………….……………………..1 ...
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