Premium Essay

Hospital Case Annotated

In:

Submitted By jsonhum
Words 5566
Pages 23
ID#110204
PUBLISHED ON
MAY 20, 2014

Emergency Department Congestion at Saintemarie
University Hospital
BY LAURENT HUBLET * , OMAR BESBES † , AND CARRI CHAN ‡

Introduction
In late 2009, Marc Dupont, CEO of Saintemarie University Hospital, had just ended an extremely tense phone conversation with the state secretary of health. The secretary was very concerned about the wait time in the hospital’s emergency department (ED). The recent coverage of these problems in the local press, which repeatedly echoed complaints of patients and their families, was making things worse:
It took them 18 hours to take care of my mother when she was admitted to the emergency department in the Saintemarie University Hospital —
Saintemarie Tribune (March 2009)
On September 8, Nancy (86 years old) had to wait eight hours in the ED with a broken leg before seeing a doctor — Saintemarie Tribune (September 2009)
Saintemarie was a midsize European city with a population of 512,000. A few private clinics in the area provided urgent care (i.e., treatment which does not require hospitalization), but were unable to handle acute emergencies. The hospital’s ED was the only emergency care unit available in the Saintemarie metropolitan area. The only alternative to it was a hospital located 50 miles away; patients had to be transferred there by helicopter, which happened rarely because such transfers were extremely expensive. Given its central role, Saintemarie
University Hospital was under the constant scrutiny of local and state officials.
ED congestion can have significant repercussions on a hospital’s ability to provide quality care for patients, many of whom require immediate attention. The secretary of health recognized that the long delays at the city’s primary ED were a substantial public health

Author affiliation
*
MBA ’12, Columbia Business School

Similar Documents

Premium Essay

Hipaa

...Failure to adhere to regulatory compliance can impact a litigation process, which in the case of Stevens vs, Hickman Community Hospital was prominent when the Tennessee Court of Appeals dismissed the case based on failure to comply with Tennessee’s Medical Malpractice Act and the Health Insurance Portability and Accountability Act of 1996. This paper will include an IRAC Brief that will explain the case in detail followed by a brief explanation of governmental principles of regulatory compliance requirements, a brief explanation of methods for managing the legal risks that arise from regulatory compliance issues, and how this case can be applied within a business managerial setting. IRAC Brief Christine Stevens a Tennessee woman filed a malpractice lawsuit against Hickman Community Hospital, the emergency room services and physicians who cared for her husband Mark Stevens, which subsequently resulted in his demise. The case however is being challenged as a result of failing to comply with regulatory requirements set forth in the Tennessee Medical Malpractice Act and the Health Insurance Portability and Accountability Act of 1996. Case In accordance with the Tennessee Medical Malpractice Act, on April 11, 2011, counsel for Mrs. Christine Stevens the spouse of Steven Stevens, formally notified Hickman Community Hospital and Dr. Whitaker of the impending malpractice allegations in their care and treatment of...

Words: 1649 - Pages: 7

Premium Essay

Annotated Outline

...Assessment number 4 annotated outline Michael Connelly Capella University Foundational skills business leaders MBA – FP6004 Gary Reinke November 7, 2015 Assessment number four: annotated outline Introduction: The Internet provides the population with instantaneous gratification by; providing access to a vast amount of information on any topic of choice and instant means of social interaction via 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...

Words: 1657 - Pages: 7

Premium Essay

Pa205- Unit 5

...Statutes Annotated; whether Mitchell committed actions which constituted misconduct under N.M. Stat. Ann.§ 59-9-5(b) (West 1953). Holding: Misconduct is not defined by the Unemployment Compensation Law within the New Mexico Statutes Annotated; however, the Wisconsin Supreme Court case Boynton Cab Co. v. Neubeck, 237 Wis. 249, 259-60, 296 N.W. 636, 640 (Wis.1941) formulated a definition which the Supreme Court of New Mexico adopted. This law states misconducted occurs with any of the following: disregards the standard of behavior, to show an intentional and substantial disregard of the employer’s interest, and disregard of the employer’s duties. Such actions as inefficiency, unsatisfactory conduct are not to be deemed as misconduct. (ld.) Analysis: With the definition of misconduct being adopted by the courts Mrs. Mitchell’s acts of name calling (terms such as birdbrain and “white” girl), improper attire (wearing non uniform pants), and insubordination (refusing job assignments and singing after being told to stop) on multiple occasions shows sufficient misconduct. The incidents as a whole show a consistent disregard for the center and Mrs. Mitchell’s co-workers. Decision: Therefore, as a result it is clear that Mrs. Mitchell committed various forms of misconduct over a three month period on her own accord with complete disregard by the requests of her employer to correct the mentioned actions. Analogizing / Distinguishing: This case and the case involving...

Words: 1748 - Pages: 7

Premium Essay

Annotatated Bibliography

...Annotated Bibliography Com/156 04/21/2013 Annotated Bibliography Adult Education. (2010). American College Of Preventive Medicine Online Retrieved http://www.acpm.org/?UseAbuseRxClinRef American College of Preventive Medicine This is a good overview website that has authors/doctors that are affiliated with the college who have done studies on the topic of Addictions to pain medications. The Doctors/Authors report on past and current patient history and documented cases and again from peoples real life stories for the past 10 years. The information that was used was documented from 2001 through 2010 from different patients with different signs and symptoms of the addictions and with different medications. I feel my source is credible because the site was not biased in any way. It had references, testimonies and documentations along with charts and graphs from different doctors as well as different patients in different states of the addiction on different medications. The source does not make any claims without evidence to support what is stated and I feel like this site reached out and touched me due to my own personal experience with an addiction to pain medication that led to a suicide attempt in June 2010. Rovero, April (2012) American Society of Addiction Medicine http://www.asam.org/advocacy/find-a-policy-statement/view-policy-statement/public-policy-statements/2012/01/26/measures-to-counteract-prescription-drug-diversion-misuse-and-addiction...

Words: 736 - Pages: 3

Premium Essay

Justin King Case Study

...roads of the State of Illinois. The statutes are set out in Illinois Vehicle Code Annotated, which are incorporated herein by reference and will be read by their entirety at the trial of this cause of action, said code sections being: Ill. Code Ann. 625 ILCS 5/ Ch. 6, Art. V. Sec. (6)(A)(1), “Commercial Motor Vehicle Operators”; Ill. Code Ann. ILCS 5/ Ch. 11, Art. II. “Obedience to and Effect of Traffic laws”; Ill. Code Ann. ILCS 5/ § 11-705 “Limitations on Overtaking on the Left”; Ill. Code Ann. ILCS 5/ § 11-709 (a)(b)(c) “Driving on Roadways Laned for...

Words: 917 - Pages: 4

Premium Essay

Annotated Reference List

...Annotated Reference List Grand Canyon University: UNV-504 July 31, 2013 Annotated Reference List Kaplan, G. (2012). Waste not: The management imperative for healthcare. Journal of Healthcare Management/American College of Healthcare Executives, 57(3), 160-166. Retrieved from http://ehis.ebscohost.com.library.gcu.edu:2048/eds/pdfviewer/pdfviewer? sid=69dc6d91-8f7f-4151-b276-c2d279bedc61%40sessionmgr11&vid=3&hid=3 Efficiency is key. Working smarter not harder is one way to be efficient. The author of this peer reviewed article, an expert in the field based on his education, title and position, discusses not only the truth about healthcare and its revenue and spending, but brings to light a new outside-of-the-box idea for reducing waste. As a future nurse and healthcare administrator, I found this article intriguing and unique. Even though this article grew out of a turnaround for one healthcare system, others nationwide would be wise to adopt and follow its discoveries. First, Dr. Kaplan and his board identified their current management procedures benefited themselves, employees, vendors, rather than their patients. To resolve this, his board adopted the production and management methods of Toyota, the leading carmaker, in identifying their target consumer, their patients, and ways to identify, reduce if not eliminate waste. Following in Taiichi Ohno’s footsteps, the father of the Toyota production method, Dr. Kaplan and his board focused on reducing and...

Words: 969 - Pages: 4

Free Essay

Annotated Bibliographies on Chf Readmissions

...Annotated Bibliographies Lisa Stevens Kaplan University Annotated Bibliographies Au, A., McAlister, F., Bakal, J., Ezekowitz, J., Kaul, P., & vanWalraven, C. (2012). Predicting the risk of unplanned readmission or death within 30 days of discharge after a heart failure hospitalization. American Heart Journal, 164(3). 365-372. Retrieved from: http://www.medscape.com/viewarticle/771215_print This article sought to find an appropriate model to predict the risk of unplanned heart failure readmissions. The primary outcome from chart reviews also included death of heart failure patients within 30 days of discharge. The study looked at Centers for Medicaid and Medicare Services (CMS) models and the LACE+ index, to mention two of many that looked at prediction ability. The LACE+ index is a model that looks at length of stay, acuity, the Charlson comorbidity score and age, to predict readmissions. They found that no one model was appropriate in predicting the 30-day readmission rates, although using a combination of the models was an improvement to that predictor. The authors are all physicians, PhDs, or have a Master’s degree- helping to establish credibility. The authors also make a statement as to the funding of the project and that they (the authors) were solely responsible for all data collection, design and submission approval writing for the project, also lending credibility to the study. The references used for this study were appropriate in age, of the 28; 13 were...

Words: 3254 - Pages: 14

Premium Essay

Hcs 533 Study Education on Your Terms/Hcs533Study.Com

...HCS 533 Week 1 Individual Assignment Definition Worksheet (2 Answer) FOR MORE CLASSES VISIT www.hcs533study.com This Tutorial contains 2 Answers for each Question HCS 533 Week 1 Definition Worksheet Definition of Terms The health care environment is constantly changing, new systems arise every day with terminology of their own to reflect the changes. As a health care professional, it is important for you to stay up-to-date with the terminology and its proper use. Define each term in the table below. There’s only one definition for each terminology. -------------------------------------------------------------------- HCS 533 Week 2 Individual Assignment Database Worksheet (2 Set) FOR MORE CLASSES VISIT www.hcs533study.com This Tutorial contains 2 Set of Answers (2 Paper) HCS 533 Week 2 Individual Assignment Database Worksheet Databases Worksheet Write a 50- to 150-word response to the following question. Be clear and concise, use complete sentences, and explain your answers using specific examples. Cite any outside sources. For additional information on how to properly cite your sources, check out the Reference and Citation Generator resource in the Center for Writing Excellence. 1. What is the difference between database types and capacities? 2. How do data inaccuracies affect patient care and reimbursement? 3. Review the databases below and explain the relationship between each of the databases and their impact on the medical records...

Words: 850 - Pages: 4

Premium Essay

Report

...CONCURRENCE OF CREDITS, definition. It implies possession by two or more creditors of equal right or privileges over the same property or all of the property of a debtor. PREFERENCE OF CREDIT, definition. It is the right held by a creditor to be preferred in the payment of his claim above other out of the debtor’s assets. NATURE AND EFFECT OF PREFERENCE 1. A preference is an exception to the general rule. For this reason, the law as to preferences is strictly construed. 2. Preference does not create an interest in property. It creates simply a right of one creditor to be paid first the proceeds of the sale of property as against another creditor. 3. The law does not give the creditor who has a preference a right to take the property or sell it as against another creditor. It is not a question who takes or sells, it is one of the application of the proceeds after the sale—of payment of the debt. 4. The right of preference is one which can be made only by being asserted and maintained. If the right claimed is not asserted or maintained, it is lost. 5. Where a creditor released his levy, leaving the property in possession of the debtor, thereby indicating that he did not intend to press his claim further as to that specific property, after that act, his claim to preference, if one had been asserted y him, could not exist because he had ceased to contest. WHEN RULE OF PREFERENCE APPLICABLE 1. Apply only...

Words: 4444 - Pages: 18

Premium Essay

Misc

...driven by David Namisch, who failed to stop at the light. The accident occurred on June 3, 2011, at 11:30 p.m. David lives in New York, was visiting his family in Michigan, and just prior to the accident had been out drinking with his brothers. Several witnesses saw the accident. One of the witnesses called the police. Sandra was not wearing her seat belt at the time of the accident, and she was thrown against the windshield, sustaining massive head injuries. When the police and ambulance arrived, they did not think that she would make it to the hospital alive, but she survived. She wants to claim damages of $500,000 for medical expenses, $65,000 for lost wages, and $55,000 for property damage to her Rolls Royce. The accident was reported in the local newspaper, complete with photographs. UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF MICHIGAN Sandra Nelson, Plaintiff, vs.David Namsich, Defendant. | )))))))))) | Case No.: ___________________________Complaint For Damages AndDemand For Jury Trial | JURISDICTIONAL ALLEGATIONS 1. That Plaintiff, Sandra Nelson, resides in the City of White Tower, County of White Tower, State of Michigan. 2. That Defendant, David Namisch, is a resident of the City of New York, County of New York, State of New York. 3. That...

Words: 784 - Pages: 4

Free Essay

Final Project Report

...Final Project Report for Media Tracking System Version 2.0 approved [pic] Table of Contents Table of Contents i Revision History iii Group Members iii 1. Final Project Summary i 1.1. Content Summary i 1.2. Lessons Learned ii 1.3. Learning Outcomes Summary ii 1.3.1 Communications iii 1.3.2 Critical Thinking v 1.3.3 Network Design v 1.3.4 Management Information Systems v 1.3.5 Systems Administration and Scripting vi 1.3.6 Security vi 1.3.7 Employability vi 2. Future directions vii 3. Annotated Bibliography viii 4. Appendix A: Vision and Scope viii 5. Appendix B: Status Report 1 15 6. Appendix D: Presentation Slides 27 7. Appendix E: Other Deliverables/Artifacts 27 Revision History |Name |Date |Reason For Changes |Version | |Kenneth Wright |07/01/2010 |Initial Draft |1.0 | |Kenneth Wright, et al |07/15/2010 |With contributions and edits from all team members, we |1.5 | | | |refined the document | | |Kenneth Wright, et al |07/23/2010 |Style, editing, additional information from all team |1.6 ...

Words: 3643 - Pages: 15

Premium Essay

Clinical System Trends

...Instructor Profession The Clinical Systems Training Instructor profession corresponds to NAICS 611519, Medical Technician Schools, under Other Technical and Trade Schools. This industry is engaged in the provision of technical courses that lead to job-specific certification. Notably, the key concepts and terms related to researching, describing, and discussing the top three trends in the provision of instruction to clinical systems trainers include privacy, confidentiality, data security, risk management, accessibility, and data backup. This is because the industry’s top trends involve threats to clinical systems and confidentiality in the sharing and accessibility of patient information. Annotated Reference List Briner, M., Kessler, O., Pfeiffer, Y., Wehner, T., & Manser, T. (2010). Assessing hospitals' clinical risk management: Development of a monitoring instrument. BMC Health Service Research, 10, 337. The article focuses on the role of clinical risk management (CRM) in enabling health care institutions to identify and manage risks that could threaten patient safety. In the study, the researchers developed an instrument to assist in risk identification, which was then distributed to different institution. The researchers concluded that the instrument was effective in monitoring critical areas that could threaten patient safety. Harrison, M. D., & Sujan, M.-A. (2008). Computer safety, reliability, and security. New York, NY: Springer Science & Business Media. The book was based...

Words: 667 - Pages: 3

Premium Essay

Annotated Bibliography

...Annotated Bibliography Pit bulls can be excellent family pets as long as their owners give them plenty of exercise, socialize them with people and other dogs, and give them obedience training. Gorant, J. (2010). The Lost Dogs. New York, New York: Penguin Group Inc. The author details what became of the fifty-one pit bulls that were rescued from Michael Vick’s house at 1915 Moonlight Road due to dog fighting. This case changed how dogs seized in dogfighting rings were evaluated. Before this case the dogs were never given the chance for rehabilitation, they was just euthanized. Twenty-two of the most aggressive dogs was sent to The Best Friends Animal Sanctuary. Only six remain in the sanctuary of the twenty-two. They have since been adopted. Of the fifty-one dogs a few could not be saved and were euthanized. All the rest of the dogs were either adopted, rescue dogs, therapy dogs, or remain at a sanctuary. This book is a secondary source as the writer retells the events that happened. I think this source is reliable because it explains the aspects of the case and what happened to the dogs. I think that it will be helpful to my final project because it details the steps needed to prove that fighting dogs can be saved, and are not vicious by nature. Holland, J. (2013). In defense of the pit bull. Retrieved from http://www.salon.com/2013/02/05/in_defense_of_the_pitbull_partner/ The article discusses how the media has turned pit bulls into monsters instead of the...

Words: 1028 - Pages: 5

Free Essay

Medicalization: Women vs. Men

...Amy Cianflone, 400003075, HLTH AGE 1AA3 Annotated Bibliography Research Question: How can we account for the fact that women’s bodies have been medicalized more so than men’s bodies? Martin, E. (2001). The Woman In Th2e Body: A Cultural Analysis of Reproduction. Beacon Press, 1(5), 4-21. * Main argument is that regardless the shape, size or ethnicity of a woman, they all generally remain the same physically and biologically, therefore can be defined as one unique population, women. * Interviews have been done with a wide-range of different women to analyze certain aspects of the female anatomy in terms of pre-reproduction and post; these women were asked about menstruation, birth, contraceptive methods, menopause, and so on. * Demonstrates how “she may well experience what is in effect as taboo on the development of her human capacities.” (p. 21). This demonstrates how the science behind medicalization can be harsh, impersonal and certainty objective towards the female body. Conrad, P. (2007). The Medicalization of Society: On the Transformation of Human Conditions into Treatable Disorders. The Johns Hopkins University Press, 2(1), 23-27 * Male medicalization is focused upon certain aspects such as andropause, baldness, and sexual performance such erectile dysfunction. Since the market of sexual enhancers such as Viagara (sildenafil citrate), medicalization has definitely taken charge. * Women have been the primary target in medicalization...

Words: 856 - Pages: 4

Premium Essay

Quarantine and Isolation

...States originally began at the local level in colonial times. The federal statutes came into existence at approximately the same time (1796). Later the federal statute was replaced by maritime quarantine inspection system (JAMA, 286/21/2711. downloaded 06/15/09). A far cry from the operations in place for quarantine and isolation in modern society, the institutions of the past, run by the local governments, consisted of, what was known as pest houses. People with contagious diseases were isolated in these institutions to prevent the spread of such diseases as, cholera, smallpox, typhoid, or yellow fever. Pest houses functioned mainly in seaport areas to prevent disease from entering the large cities. Contagious-disease and tuberculosis hospitals were to become the next means of infection control, and are the predecessors of the modern quarantine and isolation practices used today. Quarantine and Isolation are the most common public health strategies used to protect the general public by reducing and preventing the exposure, and spread of deadly, or infectious agents. Medical quarantine and isolation safeguards and prevention practices of today have evolved into strategic operations that are well planned, well designed, with a defined organizational structure that strives to meet the needs of public infection control. The federal, state and local governments each have their own authority, but sometimes these powers overlap and require cooperation, and coordination of efforts between...

Words: 1356 - Pages: 6