...You Decide Week 6 Little Falls Hospital Risk Management HSM 542 Health Rights and Responsibilities Purpose A risk management plan is created so as to support Little Falls Hospitals mission and vision statements as it pertains to the clinical risk of the hospital, patients, visitors, volunteers, and employee safety, and any possible operational, business, and property risks. Culture Principles The Patient Safety and Risk Management program will support Little Falls Hospitals philosophy; everyone is responsible for patient safety and risk management. It is essential to have participation and teamwork among providers, management, staff and volunteers. The Patient Safety and Risk Management program will be implemented with the coordination of multiple organizational and department functions and activities. Little Falls Hospital will support the introduction of a just culture with emphasis on evidence based best practices, learning from errors, and providing feedback instead of punishment and blame. In a just culture any unsafe conditions or hazards will be identified quickly, medical or patient care errors will be reported and analysed, open discussions of mistakes and suggestions for improvements are welcome with patient safety and risk management practices. Individuals will still be held accountable for compliance. When evaluation and investigation into errors reveals there has been reckless behaviour or there has been wilful violation of policies then disciplinary...
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...Week 5 You Decide Little Falls Hospital Risk Manageme June 7, 2013 HSM 542 Health Rights and Responsibilities Professor Julie Dennis Problem In the case of Lydia Bevin and Little Falls Hospital I have been asked by Felicia Larue, the hospital CEO, to give a briefing on the patients situation and alternative actions that could be taken by the hospital to ensure that the rights of the patient are preserved and the risks to the hospital are minimized (University, 2013). Summary and Recommendations Lydia Bevin is receiving support that is sustaining her life and has been receiving this support for over six-months after she was in an automobile accident. Lydia is paralyzed and unable to communicate due to the accident. It has not been confirmed whether Lydia is incapacitated, as she is unable to talk and can only nod her head. The hospital staff is not even sure that Lydia is capable of understanding information that will allow her to make health care decisions for herself. According to the New York Health Care Proxy Law, her husband has the “legal right to make decisions on behalf of his wife, since he is her legal guardian and surrogate decision maker” (New York State, ). Mr Bevin has asked that life sustaining support be withdrawn per his wife’s wishes. Lydia's mother does not support the decision to withdraw active treatment because she believes that Lydia has a chance of recovering. Lydia had prepared an advance directive but at this time the advance directive...
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...HSM542 Week 5: Malpractice, Tort Reform, Institutional Ethics – You Decide The board of directors at Little Falls Hospital has asked me to prepare a risk management plan that will help develop a culture of safety throughout the hospital. This Plan will provide guidelines and methods that will monitor administrative and clinical activities. These monitors will be used to reduce losses associated with employee or visitor injuries, or property loss or damage. The plan will use standards related to the 2010 national Patient Safety Goals. After a recent visit by the Joint Commission, the following issues were identified: • There is no specific plan on how Little Falls Hospital will address and achieve these goals. This has been handled on a department by department basis. • Recently, there has been a significant plaintiff settlement paid by the hospital's insurance carrier, which involved a patient death related to the incorrect medication being administered. • The costs of the hospital's professional liability insurance continue to escalate, and the policy is due to expire in 6 months. Little Falls Hospital has had the same health professional liability insurance policy for 10 years. • The hospital is facing financial constraints and does not have a significant amount of cash on hand to invest in new technologies. To address these issues, the risk management plan will provide a way for collaboration among departments with the organization. Key players from multiple...
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...KELLER GRADUATE SCHOOL OF MANAGEMENT OF DEVRY UNIVERSITY HEALTH SERVICES MANAGEMENT 542: HEALTH RIGHTS/RESPONSIBILITIES BY DR NELVA LEE HEALTH SERVICES MANAGEMENT 542: HEALTH RIGHTS/RESPONSIBILITIES BY DR NELVA LEE WEEK 5 - YOU DECIDE ASSIGNEMENT FEBRUARY 2015 The following facts have been brought to my attention as the new director of risk management at Little Falls Hospital: Lydia 45-year-old woman is a patient currently paralyzed and who only communicates through head nods since her car accident over six months ago. She is on life support with a ventilator for respiratory assistance and receives tube feedings. The hospital professionals are unsure if Lydia would be able to understand information regarding her health and making her own decisions. It is also reported that she has an advance directive, but no one has been able to secure a copy of the document. According to the Uniform Healthcare Decision Act, in absence of advance directive the family member who would be in priority to act as a surrogate is the patient spouse unless legally separated, and in this case Lydia’s four (4) years husband, Mr. Bevins would become her legal guardian. (National Conference of Commissioners on Uniform States Laws. 1994) The legal right to make the decisions about her health care on her behalf would be given to him. Mr. Bevins states that based on his different conversations with his wife about these type of issues, he knows that she would not...
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...bought to treatment facilities and when they leave they are healthier than when they came in. However, one problem threatens to change this. Pressure Ulcers, which form because of skin pressure reducing blood flow to an area of the body, have a habit of forming in patients with a variety of long-term problems as they are cared for in hospitals and nursing homes. The result of this is that in addition to whatever other problems a patient may have, the ulcer causes the skin and the tissue beneath the skin to die, and if the dead tissue is not quickly removed it can cause additional problems and pain for the patient. There are several factors that put one at risk of pressure ulcers, and these conditions are often difficult or impossible to treat. A typical pressure ulcer patient: suffers from mobility problems, is an older adult, has a spine or brain injury or disease such as multiple sclerosis, has a disease or condition that affect ones mental status, has fragile skin, has urinary incontinence or bowel incontinence or does not get enough nutrition. As most of these conditions are symptoms of old age or mental illness, these people will always be at risk of pressure ulcers, meaning the pressure ulcer prevention is there best chance of living comfortably. Pressure Ulcers can be treated but they are painful and if untreated they can result in death. They are also expensive to treat and lawsuits are common. Thus prevention is the priority for care providers for health and financial...
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...Week 1: Business Ethics and International Responsibility - Lecture | | Print This Page | Introduction to Ethics and International Law Introduction | Business Ethics | Social Responsibility | Ethical Dilemma Resolution Models | Video – Business Ethics: An Oxymoron? | Practice Quiz | | Introduction | | The E in Enron definitely did not stand for ethics, but Enron and its contemporaries like Arthur Andersen, Tyco, and WorldCom altered the lives of thousands of people and shaped new laws regulating business. All topics covered in this course, from product liability to civil rights, from intellectual property rights to antitrust and consumer protection, will all make the same point. My goal is not to instruct a basic business law course but rather to create a dialogue involving questions and issues that each of our respective businesses must navigate successfully if they are ultimately to maximize stakeholder value. We will do this during Week 1 by covering our two most important TCOs: A and I. These will be foundational for the term. As TCO A is our ethics TCO and TCO I is our international TCO, note that both of these TCOs will be important under and inside each of our topical TCOs (e.g., contracts, environmental law, employment law, etc.) | | Business Ethics | | As we move through the course, each learned TCO should remain in the back of your mind. We will build on them while learning the law. As you will find, most of the TCO A ethical strategies...
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...Research Workbook. Due Date: Week 10, Thursday May 13, 4pm Submission: Use the template provided in this workbook file. There are 16 questions. Type each answer into the space provided below the question. Attach a correctly completed assignment submission sheet and submit to FOSHE office (H block) by the due date and time. Objectives: The purpose of this assessment is for you to demonstrate your understanding of basic elements of the research process by applying concepts about the research process, and learning to read research articles. Instructions: How to answer the questions: You must answer each question using your own words. Do not use quotations as this demonstrates that you can find information but does not demonstrate that you understand a concept. Quoted material will not be counted in the answer that the marker is assigning marks to. Using resources to answer the questions: You are expected to use your prescribed textbook, other up to date research texts and journal articles about research methods and evidence based practice, as well as the 5 key research articles themselves (details below). It is not sufficient to transfer information from the set text (nor from other sources). Lecture notes are not an appropriate reference although they may lead you in the direction of an appropriate published source. Formatting the answers: You will see that there is a table box for you to enter your answer following each...
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...11 Project risk management Planning for the unknown Gee whiz, Bobby! What if these ropes break? Don’t worry, Sally! I took care of it with risk planning. You can swing away without a care in the world! Even the most carefully planned project can run into trouble. No matter how well you plan, your project can always run into unexpected problems. Team members get sick or quit, resources that you were depending on turn out to be unavailable—even the weather can throw you for a loop. So does that mean that you’re helpless against unknown problems? No! You can use risk planning to identify potential problems that could cause trouble for your project, analyze how likely they’ll be to occur, take action to prevent the risks you can avoid, and minimize the ones that you can’t. this is a new chapter 543 risks might occur What’s a risk? There are no guarantees on any project! Even the simplest activity can run into unexpected problems. Any time there’s anything that might occur on your project and change the outcome of a project activity, we call that a risk. A risk can be an event (like a fire), or it can be a condition (like an important part being unavailable). Either way, it’s something that may or may not happen... but if it does, then it will force you to change the way you and your team will work on the project. If your project requires that you stand on the edge of a cliff, then there’s a risk that you could fall. If it’s very windy out or the ground is...
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...CONTENTS Click on the up arrow to return here 1) INTRODUCTION 2) DEFINITIONS 3) ETHICAL THEORY 4) ETHICAL DECISION MAKING 5) NEGLIGENCE 6) CONSENT IN COMPETENT ADULTS 7) CONSENT IN CHILDREN 8) CONSENT IN INCOMPETENT ADULTS 9) CONSENT CONCERNING UNUSUAL IDEAS 10) ADVANCE DIRECTIVES 11) CONFIDENTIALITY 12) CONFIDENTIALITY AUDIT 13) EUTHANASIA 14) ABORTION 15) BIOTECHNOLOGY 16) SUGGESTED READING ONE – INTRODUCTION (Registrar) The importance of Ethical thinking in General Practice is becoming more and more apparent. It should not be thought that Ethics merely relates to the “Life and Death” issues in our Professional life – Abortion, Contraception, Euthanasia and the like. Ethical issues affect some part of almost every consultation, even if the ethical issue is something more mundane like obtaining adequate consent for an examination or respecting a patient’s dignity. Indeed, it could be argued that the Consultation skills that we foster so assiduously are actually Ethical skills – and that we need to know the patient’s “Ideas, Concerns and Expectations” in order to respect his Autonomy as well as in order to improve the outcome of the Consultation. In the 1998/99 academic year, I was appointed the deanery’s Medical Ethics fellow with a bursary from the MDU. I developed an approach to the teaching of GP ethics based on two half day sessions, which...
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...McGill University Fall 2014 McGill University Fall 2014 Individual Assignment: Job analysis M Pxxxx Student Number: XXXXXXX Employment ORGB 424 CHERIF ATALLAH Individual Assignment: Job analysis M Pxxx Student Number: Employment ORGB 424 CHERIF ATALLAH 08 Fall 08 Fall Contents: 1. Introduction……………………………………………………………. 3 2. Job Analysis………………………………………………………………4 3. Inventory of job duties and tasks………………………………..7 4. Analyzing the knowledge, skills and abilities.……………..11 5. Critical tasks……………………………………………………………..17 6. Selection plan……………………………………………………………19 7. Internal and external recruitment..…………………………….21 8. Critical dimensions #1……………………………………………….23 9. Critical dimensions #2……………………………………………….25 10.Conclusion………………………………………………………………...28 11. Appendix #1……………………………………………………………..29 12. References……………………………………………………………......30 Introduction The principle use of this assignment is to correlate the theories behind the staffing model and techniques. Before deciding the job requirements and specifications for hire, a manager must determine what are the tasks and duties necessary to accomplish the job efficiently. A job analysis must be done periodically due the introduction of new technologies; tasks will change and need to be adapted. Job Analysis There are three (3) key points that have to be taken into consideration when performing a job analysis. (Milkovich, Newman & al 156) 1. There...
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...The Hard Side of Change Management LEADERSHIP THE HARD SIDE OF CHANGE MANAGEMENT BY HAROLD L. SIRKIN, PERRY KEENAN, AND ALAN JACKSON FROM THE OCTOBER 2005 ISSUE 1 W $8.95 HEN FRENCH NOVELIST JEAN-BAPTISTE ALPHONSE KARR WROTE “PLUS ÇA CHANGE, PLUS C’EST LA MÊME CHOSE,” HE COULD HAVE BEEN PENNING AN EPIGRAM ABOUT CHANGE MANAGEMENT. FOR OVER THREE DECADES, ACADEMICS, MANAGERS, AND CONSULTANTS, REALIZING THAT TRANSFORMING ORGANIZATIONS IS DIFFICULT, HAVE DISSECTED THE SUBJECT. THEY’VE SUNG THE PRAISES OF LEADERS WHO COMMUNICATE VISION AND WALK THE TALK IN ORDER TO MAKE CHANGE EFFORTS SUCCEED. THEY’VE SANCTIFIED THE IMPORTANCE OF CHANGING ORGANIZATIONAL CULTURE AND EMPLOYEES’ ATTITUDES. THEY’VE TEASED OUT THE TENSIONS BETWEEN TOP-DOWN TRANSFORMATION EFFORTS AND PARTICIPATORY APPROACHES TO CHANGE. AND THEY’VE EXHORTED COMPANIES TO LAUNCH CAMPAIGNS THAT APPEAL TO PEOPLE’S HEARTS AND MINDS. STILL, STUDIES SHOW THAT IN MOST ORGANIZATIONS, TWO OUT OF THREE TRANSFORMATION INITIATIVES FAIL. THE MORE THINGS CHANGE, THE MORE THEY STAY THE SAME. MANAGING CHANGE IS TOUGH, BUT PART OF THE PROBLEM IS THAT THERE IS LITTLE AGREEMENT ON WHAT FACTORS MOST INFLUENCE TRANSFORMATION INITIATIVES. ASK FIVE EXECUTIVES TO NAME THE ONE FACTOR CRITICAL FOR THE SUCCESS OF THESE PROGRAMS, AND YOU’LL PROBABLY GET FIVE DIFFERENT ANSWERS. THAT’S BECAUSE EACH MANAGER LOOKS AT AN INITIATIVE FROM HIS OR HER VIEWPOINT AND, BASED ON PERSONAL EXPERIENCE...
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...Week 1: Business Ethics and International Responsibility - Lecture Introduction to Ethics and International Law Introduction | Business Ethics | Social Responsibility | Ethical Dilemma Resolution Models | Video – Business Ethics: An Oxymoron? | Practice Quiz | | Introduction | | The E in Enron definitely did not stand for ethics, but Enron and its contemporaries like Arthur Andersen, Tyco, and WorldCom altered the lives of thousands of people and shaped new laws regulating business. All topics covered in this course, from product liability to civil rights, from intellectual property rights to antitrust and consumer protection, will all make the same point. My goal is not to instruct a basic business law course but rather to create a dialogue involving questions and issues that each of our respective businesses must navigate successfully if they are ultimately to maximize stakeholder value. We will do this during Week 1 by covering our two most important TCOs: A and I. These will be foundational for the term. As TCO A is our ethics TCO and TCO I is our international TCO, note that both of these TCOs will be important under and inside each of our topical TCOs (e.g., contracts, environmental law, employment law, etc.) | | Business Ethics | | As we move through the course, each learned TCO should remain in the back of your mind. We will build on them while learning the law. As you will find, most of the TCO A ethical strategies include as a first question...
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...expert advice. Too Far Ahead of the IT Curve? by John P Glaser . • Reprint R0707A Peachtree Healthcare’s patchwork IT infrastructure is in critical condition. Should the CEO approve a shift to risky new technology or go with the time-tested monolithic system? HBR CASE STUDY Too Far Ahead of the IT Curve? by John P Glaser . COPYRIGHT © 2007 HARVARD BUSINESS SCHOOL PUBLISHING CORPORATION. ALL RIGHTS RESERVED. Freshly showered and cooling down after their squash game, Max Berndt drank iced tea with his board chairman, Paul Lefler. Max, a thoracic surgeon by training, was the CEO of Peachtree Healthcare. He’d occupied the post for nearly 12 years. In that time the company had grown—mainly by mergers—from a single teaching hospital into a regional network of 11 large and midsize institutions, supported by ancillary clinics, physician practices, trauma centers, rehabilitation facilities, and nursing homes. Together, these entities had nearly 4,000 employed and affiliated physicians, who annually treated a million patients from throughout Georgia and beyond. The patients ranged in age from newborn to nonagenarian; represented all races, ethnicities, lifestyles, and economic conditions; and manifested every imaginable injury and disease. Many of them, over the course of a year, would be seen at more than one Peach- tree Healthcare facility. Max’s marching orders were to ensure quality, consistency, and continuity of care across the entire network—and to deliver all...
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...Antiretroviral Therapy Guidelines for HIV-Infected Adults and Adolescents Including Post-exposure Prophylaxis May 2007 NACO Ministry of Health & Family Welfare Government of India Assessment and Management of HIV-Infected Person No Is HIV infection confirmed? Send to ICTC for confirmation of HIV status Yes Perform history taking and physical examination (see p 9 ) Evaluate for signs and symptoms of HIV infection or OIs and WHO clinical staging (see p 10) Provide appropriate investigations/treatment of OIs (see p 13 ) If pregnant, refer to PPTCT Screen for TB Screen for STI Identify need for: CTX prophylaxis (see p 16 ) ART (see p 18 ) No Pre ART care (see p 15 ) Yes Give patient education on treatment and adherence (see p 54 ) Arrange psychosocial, nutrition and community support (see p 56) Start ART, (see p 19 ) Arrange follow-up + monitoring (see p 25 ) Assess adherence every visit Provide positive prevention advice and condoms Provide patient information sheet on the ART regimen prescribed (see annex 7, 8) Antiretroviral Therapy Guidelines for HIV-Infected Adults and Adolescents Including Post-exposure Prophylaxis May 2007 NACO National AIDS Control organisation Ministry of Health and Family Welfare Government of India with support from CDC . Clinton Foundation . WHO TAble of T A b l e o f Acronyms and Abbreviations Introduction....... ..........................................................................................
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...„RECESSION HAS AFFECTED TOURISM INDUSTRY GLOBALLY. WHAT MEASURES CAN BE TAKEN BY UK HOTELS?‟ “CASE STUDY: MARRIOTT GROUP OF HOTEL‟S EFFORT TO ATTRACT MEDICAL TOURISTS” RAMAMOORTHY PANDIAN STUDENT ID: 09004669 DISSERTATION SUPERVISOR THOMAS REEVES SUBMITTED IN PART FULFILLMENT OF THE REQUIREMENT FOR THE DEGREE OF MASTER OF BUSINESS ADMINISTRATION UNIVERSITY OF WALES INSTITUTE, CARDIFF FEB 2010 1 ACKNOWLEDGEMENT First and foremost, I would like to thank my supervisor Thomas Reeves for his valuable professional advice and guidance as well as for rendering his kindness, endless patience and continuous encouragement towards my dissertation. I would like to thank interviewees in the Marriott Group of hotels and its branches, without which this study could not have been reached its conclusion. A handful of thanks to all the lecturers of my concern for their teaching, without them, I can‟t learn so much knowledge. This dissertation could not have been completed without continuous support, encouragement, and caring of all my friends and my family members. I would wish them many a thanks too. Finally, I would like to express my sincere appreciation to those who provided me with great support and encouragement during my studies in UK. Thanks again to all of them. 2 ABSTRACT The aim is to find out the most possible means that recession would affect the tourism industry globally and also to pay attention towards the various measures taken over...
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