...actions plan for each of the Joint Commission Primary Focus Areas as part of Nightingale Community Hospital’s Re-Accreditation readiness program. While each of the Primary Focus Areas will be reviewed, this Executive Summary will cover Nightingale’s performance in the Infection Control PFA. Using the Surveillance Objections document created April 23rd and comparing that to data collected over the course of the year the following successes and areas to be improved are noted. Hand Hygiene, one of the four main areas for Infection Control as listed in the Joint Commissions Standards for Infection Control, is performing above the goal stated in the Surveillance Objectives documents. The goal stated is >90% and Nightingale is clocking at a hospital-wide 92% with even higher observed compliance scores for Physicians (94%) and Ancillary Providers (96%). While this success is to be applauded it should not generate a lack of attention to continuing compliance with all stated hand hygiene policies. Areas for improvement include reported infections in both the Central Line-Blood Stream Infection category and the Multi-Drug Resistant Organisms category. While performance in both of these areas generally improved over the course of the year, neither was able to hit their stated goals of...
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...Error Avoidance in Post Modern/Complex 1 Post Modern Magalene Johnson MHA601 Instructor Nicole Hatcher June 29, 2013 Error Avoidance in Post Modern/Complex 2 In this new emerging world that we live in today managing healthcare organizationshave been force to develop new ways to manage Healthcare organization from these change of healthcare organizations the postmodern complex adaptive system has evolved. Before the development of this theory healthcare organizations have been unable to manage healthcare in an efficient and productive manner. First managerial error according to Johnson (2010) “failing to account for employees’ ability to learn safe machine operation methods by experimenting on their own with ways to speed up production and thereby reduce the effect they are required to use. “(page 80). With this management expects the employees’ to follow step by step procedures to perform his job. The problem is that it puts limit on how the employee can to perform his job. It takes the view that management knows the most efficient way to perform the job. The solution this problem is allowing employees the freedom to develop new and more efficient ways to perform their jobs. The postmodern/Complex Adaptive System has the same mindset in that managers must develop strategies for taking advantage of this ongoing learning. Another way for employees to provide an efficient and ongoing learning process is by joining a communities of practices is as stated...
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...Early Childhood Patient: A Multidisciplinary Concept Analysis of Pain BLK, RN, BSN The University of Texas at Arlington College of Nursing In partial fulfillment of the requirements of N5327 Analysis of Theories in Nursing Xxxx, xx October 8, 2013 Procedural Pain Management for the Early Childhood Patient Children presenting to the emergency department are often subjected to painful and anxiety-producing procedures, both for diagnostic purposes and for treatment of symptoms. Historically, pediatric patients have not been afforded the same level of care as adults with regard to the management of procedural pain. Pain in the young child age group (1-7 years) has often been under-treated, resulting in increased fear of the healthcare setting and postponement of necessary immunizations and procedures by the patients and parents. Close examination of the concept of pain – specifically, procedural pain in the young child age group in the emergency department (ED) setting, is necessary for understanding how nursing practice may be improved in order to produce a more positive patient experience. A thoughtful review of current literature will provide insight into the concept of pediatric pain, permitting a detailed analysis. This analysis will assist in the formulation of theoretical and operational definitions of the concept for use in further study. Review of Literature A review of literature was conducted to compare and contrast views of the concept of pain across...
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...GENERAL HOSPITAL Alayna Hall Charles Wittenburg Leadership and Organizational Behavior 2/24/11 Discuss the conflict that is occurring at General Hospital. The conflict that is occurring at General Hospital is an intergroup conflict. The conflict is between the doctors using EKGs and upper hospital management. An intergroup conflict refers to opposition, disagreements, and disputes between groups or teams. The COO, Harding, decided to modernize the EKG system to computer read results. Once this decision was made, as a cost cutting measure, she sent a letter to the attending physician whose main responsibility was interpreting the EKG results manually. This decision was done without discussions with the medical staff. One source of this intergroup conflict is goal incompatibility. The main goal for Harding was to cut costs. The first thing she saw to cut was the doctor spending. While the main goal for the doctors are complete, correct healthcare. They relied heavily on the accurate EKG readings supplied by Dr. Boyer. Once the electronic readings were issued, there were many issues with incorrect diagnosis and faulty results. The hospital didn’t have any problems with this before with Dr. Boyer. Without testing the system first, these mistakes may cost the hospital more in the end if it results in patients filing lawsuits. Another source of the conflict is task interdependency. The doctors are there to provide accurate healthcare and to generate revenue for the hospital by...
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...The Influence of Health Informatics on Memorial Hermann Southwest Hospital Memorial Hermann system is the biggest nonprofit organization in Texas. Altogether, it serves the greater Houston area with 12 hospitals and has a large network of affiliated doctors. Located in the heart of southwest Houston, Memorial Hermann Southwest Hospital has been caring for families since 1977. A 568-bed facility, Memorial Hermann Southwest employs a team of highly well trained affiliated physicians and uses advanced technology to offer superlative care close to home. At the HVI, (Heart and Vascular Institute), physicians and patients benefit from technology at the primary edge and original cardiovascular programs. (Memorial Hermann Southwest, 2013). What impact did the rapid evolution of Asian immigration in Southwest Houston had on Memorial Hermann Southwest growth? Does Memorial Hermann mission statement value the community? How does Memorial Hermann health informatics technologies to impact its healthcare delivery and how does it use emerging trends in technology to support its initiatives? In August 2009 the Memorial Hermann Hospital System announced its plan to sell its Southwest Hospital to the Harris County Hospital District, which wanted to make the hospital its third general hospital (O'Hare, 2009). The majority of the medical staff and employees expressed strong dissatisfaction with the plan and manifested intents to resign if the sale took effect. On...
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...Benchmark - Research Critique Part 1 Meprina Joseph Grand Canyon University: NRS-433V 07/14/2016 Accidental falls account for 70% of all hospital accidents. The fall rate for inpatient hospitals varies from 1.4 to 17.9 falls per 1000 patient days (Vlahov, D., Myers, A.H., & al-Ibrahim, M.S. 1990). As healthcare providers, it’s our obligation to study and expand new ways to help keep our patients safe by maintaining a hazardless environment to help prevent inpatient incidents. The topic which is being critiqued is forecasting and evaluating fall danger in a critical inpatient rehab environment. This study analysis will scrutinize the revision and classify its problematic report, reason and study question, literature assessment, and the conceptual/ theoretic framework applied. Problematic Report There are many reasons behind the indications of patient falls, such as: drug use, age, psychological state, and decreased movement. Another indicator of patient falls includes diagnoses like brain damages, strokes, and other orthopedic situations, which have been proven to rise one’s risk to fall. With each environment being different from the next, the risk factors will then vary depending on the setting. Patients in critical therapy signify one of the utmost at risk inhabitants for falls during hospitalization. This may be due to a combination of factors including the primary goal of inpatient rehabilitation, which is to increase patient mobility with a population that...
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...If children aren’t steered into the right path towards an education and living a good, moral life, they can end up in association with gangs, hospitals, or even jail. In order to prevent these issues from occurring we can support these children and give them a backbone to rely on. Children and adults coping with Mental Health have many barriers to cross. For starters, Social stigma about Mental Health Illnesses can create a barrier between relationships, the ones previously formed, or the ones that have yet to. Social stigma is discriminatory behavior against certain individuals with mental health problems. Individuals that cope with social stigma’s consistently deal with commonly held beliefs that are incorrect such as: people with mental health issues are dangerous, self-inflicted mental health problems, or highly introverted. According to a study conducted about social stigma, “the...
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...Health Care Careers Diagram and Summary HCS/531 Health Care Careers Diagram and Summary Pharmacists play an important role in providing and supporting pharmaceutical care. Providing pharmaceutical care includes, but is not limited to, establishing patient relationships, obtaining medication history information, preventing, identifying and resolving medication related problems (MRP), dispensing medications, and educating and counseling patients and healthcare providers (japha, 2010). This paper highlights the pharmacist role in various services, the workforce roles within those services, and the impact pharmacists play in health care organizations. Role of a Pharmacist Pharmacists interpret prescriptions and dispense medications prescribed by a credentialed provider. In cases where patients receive multiple medications, an in-depth understanding of drug interactions is required. Pharmacists monitor the pharmacologic effects of medications for certain disease states including, but not limited to, diabetes, asthma, hypertension, seizures, hyperlipidemia, anticoagulation, and infectious diseases. The rapid, dramatic advances in medication therapy created a niche for pharmacy practitioners that specialize in specific treatment and care (rheumatology, 2013). Medication Therapy Management Pharmacists have a broad knowledge base to assess and respond to a patient's medication therapy needs, thereby contributing to the inter-professional management of patients...
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...changing every day. Many would say that are healthcare system is in complete turmoil. However, all health organizations need to be aware of the economics behind the scenes and what contributes to their losses and growth. Health care economists develop the policy that we operate by each day while providing efficient and effective care. The purpose of this paper is to discuss health economics and the importance in government involvement. Value of Understanding Health Economics Economics looks at the allocation of resources. As a health care manager, I will be able to make decisions based on data, the resources available to me, have a sense of costs, think about the value, and understand the operations within the organization. Managers need to understand their department costs and explain any variances that may arise. Many organizations will rely on economic assessments to assist in determining the need for programs in their area. These assessments align with the health policies. It is crucial for hospitals to understand these assessments when evaluating prevention programs, diagnostics, intervention programs (drugs and surgical procedures), organization of care and rehabilitation. (Husereau, et al., 2013) Another reason for understanding health policy is related to non-profit organizations. For these organizations, there are multiple goals for multiple managers. They operate under many regulations designed to prevent tax avoidance schemes. (Unknown, 2015) If a project fails...
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...the web. The ability to view information via phone computer and other mobile devices has become common practice in today’s society. Social interaction has migrated into the hospital setting. It is estimated 60% of healthcare consumers search the web for medical information, healthcare provider information and hospital selection ("Healthcare success," para. 6). 1. Chosen business and how they use the Internet. (http://www.barnabashealth.org/Newark-Beth-Israel-Medical-Center.aspx) Currently Newark Beth Israel Medical Center a 670 bed nonprofit hospital in New Jersey provides patient consumers access to such information via its web homepage. It provides patients with electronic access to; staff physicians biographies and contact information, clinical services which the facility provides such as cardiac intervention and surgery and hospital based patient health events. 2. Comparable business and how they use the Internet Emaro, L. A. (September 2012). Patient portals: express Lane on information highway. Journal of AHIMA , 83, 24-28. Retrieved from http://library.ahima.org/xpedio/groups/public/documents/ahima/bok1_049724.hcsp?dDocName=bok1_049724 Hospitals such as Cox health have advanced their social interaction via the net by creating a portal for their patients to access their individual healthcare information. The portal experiences significant patient and facility interaction commonly incurring 33,000 users who login to; check diagnostic test results,...
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...000 people sign up for the Affordable Care Act (ACA) (arisecitizens.org). This shows that there is a need for healthcare coverage within this state. However, with this increase in people inundating the system, there could be a possible rise in cost. Specifically, there could be a rise in Medicare. This program was signed into law on July 30, 1965 (SSA.gov). It is designed to take care of the elderly at 65 years and older, certain individuals who are disabled, and people who have kidney disease (CMS.gov). Even though this program is not income specific, it does help more low income people and individuals who have bad health issues and it is also a target for political battles (Tietelbaum & Wilensky, 2014).There are Republicans who are opposed to Obamacare and want to run Medicare their way. Then there are Democrats who want the program ran another way. They are in favor of Obamacare and see a positive outcome now and in the future. As for the public, the divide among politicians is equally the same amongst Americans. There are individuals who are in favor of Obamacare and there are others who are opposed to it. There are the hospitals and its doctors and staff who will be affected through the number of patients seen and Medicare payments, to name a couple. Overall, Obamacare gives consumers the power to regulate their own healthcare needs (hhs.gov). It allows healthcare beneficiaries...
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...acts of fairness, compassion, integrity, honor and responsibility. The key for business owners and executives is ensuring that all employees understand these ethics. One of the best ways to communicate organizational ethics is by training employees on company standards. While ethical behavior in medical practice has been demonstrated to be beneficial to patients and medical staffs, unethical behavior has caused significant injury to them. Performing ethical behavior in healthcare by, for example, preserving patient confidentiality, medical staffs should respect patients’ autonomy, abide by their obligation to reciprocate patients’ trust, and preserve public confidence in the staff-patient relationship in healthcare. In a long run, patients who trust their medical providers to safeguard their secrets are more likely to seek prompt care for stigmatized health conditions and to disclose sensitive information necessary for appropriate treatment and diagnosis (Chou-Kang, C. June, 2010). Nowhere Hospital conducts all business and establishes all contractual relationships within appropriate federal and state laws and regulations. Business is conducted using competitive bidding, fair billing, timely payment, prudent buying, and ethical conduct, including identification of existing and potential...
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...RN Info Systems in Healthcare Fall 2015 Telenursing: The Way of the Future for Nursing “The concept of Telehealth is not really new. When humans first began space exploration in the 1960s, astronauts’ health was monitored by transmitting physiologic parameters back to physicians on earth” (Stokowski, 2013). “Telehealth is the use of telecommunications technologies ad electronic information to exchange healthcare information and to provide and support service such as long distance clinical healthcare to clients” (Hebda &Czar, 2013). Telenursing is a new and exciting way of nursing that is innovative and shows the potential for growth in the ever-changing world of technology. Hebda & Czar defines Telenursing as the use of telecommunication and IT for the delivery of nursing services. An important role of the nurse is to completed the nursing process; assess, diagnosis, plan, implement and evaluate. In telenursing, a nurse conducts their patient centered care in the same way. As stated in Healthy People 2020, in addition, despite increased access to technology, other forms of communication are essential to ensuring that everyone, including non-Web users, is able to obtain, process, and understand health information to make good health decisions. Buy using telenursing, the nurse can assess and monitor the patient then advise and educate the patient and send the patient to the proper location such as the doctor’s office, clinic or hospital. This paper will...
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...Healthcare organizations face tremendous challenges in addressing efficiency, cost, quality, staffing shortages and mounting pressure to raise salaries. To bolster lagging morale and improve retention rates, management must empower staff and effectively leverage existing resources. Tools and techniques that support these imperatives are critical to the success of modern healthcare organizations. Many problems in healthcare involve processes that require analysis and improvement, but do not require detailed statistical study. Instead of appointing a task force that may meet for short periods of time over weeks or months, Work-out offers a one-day to two-day concentrated problem-solving effort. What Is Work-out? Work-out is a problem-solving approach that involves employees in process improvement and addresses communication gaps between management and employees. A Work-out takes place in three phases: planning, the session itself, and implementation of the action plan. It starts by identifying an issue complex enough to require more than a simple decision, but not so complex as to require detailed statistical analysis. Background information is gathered and participants are identified. Next, the Work-out itself takes place. Typically 6 to 12 individuals who do the work meet for one or two full days. The Work-out usually follows two or three cycles of idea generation and prioritization: identifying the details of the process under consideration, examining barriers and finally...
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...responsible for ensuring that companies ethically record measurements at regular business intervals, prepare and summarize economic information in accordance to ethical standards, accurately measure economic activity, and truthfully disclose information about economic activity. Corporate compliance, ethics, or fraud and abuse Medical fraud and abuse in the healthcare industry is a rampant occurrence that significantly impacts not only healthcare in America but also the entire economy. Fraud and abuse within the healthcare industry can account for approximately 15 percent of annual expenditures. This represents up to $170 billion annually being lost because of fraud and abuse in the healthcare industry. Although the federal government has consistently passed legislation to fight against healthcare fraud, and committed millions of dollars toward preventing the abuse of Medicare and Medicaid by hospitals, doctors, and other healthcare professionals, less than 5 percent of healthcare losses from healthcare fraud are recouped by the federal government. Therefore, over a $100 billion a year is lost and never recovered as a result of healthcare...
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