...Comparative Summary In the United States, health care is delivered by a complex mixture of government, not-for-profit, and for-profit financial structures. These three financial structures coexist and compete with one another. The financial environment of an organization consists of three major components the financial managers, investors and financial markets. Health care services are provided in a regulatory environment that is both different and more comprehensive than that affecting almost any other industry. In order to fully utilize all financial resources it is important that managers understand the organizations financial structure. During this paper we will compare the financial environment of for-profit Hospital name, not-for-profit San Antonio community hospitals and the San Antonio Military Medical Center. We will also compare the financial structure, polices unique to each financial environment and their management practices. Finally we will explain why financial management is more difficult in health care compared to other organizations. Financial Structures The government financial structure makes up almost 25 percent of the health care organizations in the United States. These hospitals are divided into federal and public hospitals. The San Antonio Military Medical Center (SAMMC) is one of the federal hospitals in the United States. The San Antonio Military Medical Center is considered the Army’s most modernized health care organization. This organization...
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...governmental. The statistical data show approximately 60 percents of all hospitals are private not-for-profit hospitals, approximately 25 percents consisted of governmental hospitals, and approximately 15 percents are investor owned hospitals. Main difference between not-for-profit and for-profit hospitals are not-for-profit hospitals received numerous tax benefits such as tax exemption from federal, state, and local government income taxes because hospital serves as a charitable purpose and provide benefits to the community in general. The hospital sector in the United States includes three different types of ownership forms. Not-for-profit hospitals are the most common type but for-profit and government hospitals also play substantial roles. Arnold Palmer Hospital for Children is not-for-profit hospital dedicated to the providing a shelter of hope and healing to the children. According to Orlando Health (2011), “Arnold Palmer Hospital is a 158-bed pediatric hospital located in Orlando, Florida.” Orlando Health is dedicated to offering community services by providing high quality health care. Arnold Palmer Hospital for Children included about 158-bed pediatric hospital. Hospital Corporation of America is the largest investor owned hospital in the world. According to Hospital Corporation of America (2011), this leading provider of healthcare. services comprised of locally managed facilities included about 164 hospitals and 106 freestanding...
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...Dwight David Eisenhower Army Medical Center Brianna Brodbeck Introduction to Health Services and Information Systems Professor Vanda Crossley Date April, 17, 2014 Dwight David Eisenhower Army Medical Center, (DDEAMC), originally located on Camp Gordon in 1941. The original building was then consolidated with the new building in 1975. The vision of DDEAMC is to maintain a trained and ready healthcare force that seeks, thrives on, and embraces change while accomplishing the health care mission, utilizing outcomes to drive medical decisions. We will excel at providing the best medical care anywhere to the best our Nation has to offer; her Warriors and families. Their mission is “To provide World Class comprehensive and compassionate care to our Nation’s Warriors, their families, retirees and all other directed beneficiaries, while maintaining unit and personal readiness to meet the demands of our Nation. (US Army Medical Center, 2012). Location Dwight David Eisenhower Army Medical Center is located in Fort Gordon, Georgia. This facility is near Augusta, Georgia. There are four outlying clinics that are served by DDEAMC. The outlying clinics can be found in Miami, Florida, Puerto Rico, Atlanta, Georgia and Mississippi. Each of these locations are also on Army bases. Size of facility Dwight David Eisenhower Army Medical Center main campus measures 622,661 square feet. The outlying building occupies another 314,011 square feet on Fort Gordon. The main campus...
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...Hospital Corporation of America (HCA) Analysis CPT Christopher F. Drum, CPT Scott Stokoe, LTJG Ann-Marie Noad U.S. Army-Baylor University Graduate Program In Health Care Administration A paper submitted in partial fulfillment of the requirements for HCA 5325 Strategic Management of Health Care Organizations 12 December 2003 Executive Summary Hospital Corporation of America (HCA) is a well-established, international health care industry leader that provides patient services on two continents. Ranked number one in both sales and profit rankings, HCA continues to provide quality health care as it expands into new markets. HCA provides its primary services through a variety of venues. In addition to its patient care mission, HCA has joined with the Federal government to provide education and scholarship programs. A strategic assessment of HCA was conducted to examine its current business strategies. A strengths, weakness, threats, and opportunities (SWOT) analysis indicated that HCA’s internal strengths outweighed its weaknesses and the external threats outweighed the opportunities. HCA’s current mission and values statements are sufficient to support its success, but improvements can be made in each. Primary strategic emphasis is through an application of expansion and maintenance of scope adaptive strategies. Secondary efforts include a limited application of market entry and competitive strategies. Applying a threat, opportunity, weakness, and strength (TOWS)...
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...Abstract This paper provides an overall impression of the United Kingdom’s health service, inception of the National Health Service, challenges the NHS faces regarding financial sustainability, providing effective and efficient care, and the move towards more privatization . Comparisons are made between the National Health Service and heathcare in the United States across multiple sectors that include acute care settings, skilled nursing facilities, primary care providers and regualtions governing nursing practice and the challenges faced by both systems. Table of Contents Introduction 4 Background 4 Impression of the NHS 5 Mr. John Smith Director, Civil Eyes Research 7 Mr. Andrew Cheesbrough, CEO Orders of St. John Care Trust 8 Mr. Robert Creighton, Transition Director and Government Advisor on Public Health 9 Dr. Elizabeth Fellows-Smith. Senior Policy Advisor, Mental Health 10 Dr. Rodney Taylor, Former Medial Director NHS Hospital 12 Professor Simon de Lusignan, Primary Care 12 Mr. Bernell Bussue, Director of London Region,Royal College of Nursing 12 Mr. Paul Holdom, CEO The London Clinic 14 Professor Duncan Empy, Group Medical Director of BMI Healthcare 14 Shirley Kramer, Chief Executive Institute of Healthcare Management 16 Strengths and Weaknesses 16 Summary 17 References 19 Introduction Since its inception in 1948, the United Kingdom’s National Health Service (NHS) formed an ideology...
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...insurance related questions. The calls in our facility have increased due to the increasing number of patients merging into our facility and clinics. With the current struggle of budgeting and providing sufficient patient care, our department must implement new policies, procedures, and protocols in order to meet the growing demand. With a budget set for the current fiscal year, our department lacks the financial resources needed to hire additional staff, which makes the task even more difficult to address. The leaders from other facilities, corporations, and departments must come together and share options that work well for them and others that have failed in the past. Utilizing other industries will give our facility a greater view of the platform that it can move on. Throughout the next few months, it is upon the leadership and staff to accommodate to the changes and team structures that are unveiled to address the concerning and continued issue regarding patient care. In all aspects of healthcare, teamwork is essential to provide the care to all patients that should report to our facility. This is the same responsibility in a call center that assists and has direct patient interaction. Whether you are seeing a patient face to face, or on the telephone, the same principles are adhered to. Teams in healthcare provide valuable patient care with fewer mistakes than individuals on their own. This is even more important and respected when each member of the team knows their own...
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...these struggles. To conclude, I will analyze ways in which it contributed to an “ending of isolation” while assessing the challenges involved. Even today, women still face discrimination based on their gender. However, the role of women has changed significantly which has created a lasting and ongoing increase of women's rights. The woman’s role presents a historical significance from 1865 to today for many reasons. Prior to the Civil War, women were perceived as the weaker sex and were considered intellectually inferior to men. Their freedom was limited and they had fewer rights than men. Women were expected to marry, care for their home, cook, make clothing and raise their children. According to Manning, M. J. (2005), “Women were viewed as wives and mothers, whose economic rights were mainly to be supported by a male breadwinner and protected by the state from any harm to or interference in that role by employment”. They experienced a great deal of discrimination and were basically isolated from the public. They were not allowed to vote, speak publically, attend college, or own any type of property, and were denied any type of authority. It was a huge struggle for women to find their place in society. Eventually, women...
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...manifests itself in the care taken by the servant first to make sure that other people’s highest priority needs are being served. The best test, and the most difficult to administer, is this: Do those served grow as persons? Do they, while being served, become healthier, wiser, freer, more autonomous, more likely themselves to become servants? –Robert Greenleaf Practicing nursing at a Veterans Affairs hospital affords me an immersion in adult and geriatric nursing care. I am a veteran, committed to continuing to serve my former brothers and sisters in arms. Obtaining a Masters of Science in Nursing in the Adult/Geriatric Nurse Practitioner track will allow me to meet a dire need within the Veterans Affairs health system, while pursuing my dream of serving veterans in a primary care provider capacity. The Veterans Affairs health system serves adults, specifically geriatrics (as of 2011, less than one in twenty veterans were under the age of 30). The effects of poorly managed chronic illnesses in aging veterans are keenly visible within my practice in the intensive care unit, and on the hospital wards. I want to lend myself to helping veterans manage their health and decrease their need for hospital admissions. The Masters of Science in Nursing – Adult/Geriatric Nurse Practitioner track will provide me with the initial skills and knowledge necessary to build a practice of exemplary evidence based care, within the context of the limitations of those I care for and their resources...
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...Implications of Health Economic Concepts for Health Care Melissa James Strayer University Dr. Wanda Allen Health Economics – HSA 510 February 1, 2015 Assignment # 1 Implication of Health Economic Concepts for Health Care Assess the value of healthcare professionals and decision makers understanding the discipline of health economics. Healthcare is getting gradually complex around the world. The need for technological development, economic support, demographics changes and the study of diseases are shifting at a fast speed. There had been numerous labors in describing collective capabilities and values within the healthcare organizations. It is necessary for learning and training programs to be regulated based on the needs of the humanities they support. Therefore, the institutions that are designing and delivering those activities must take responsibility for the products they manufacture for the use of the society. Hence, Academic institutions that are in charge of educating healthcare professionals together with their various stakeholders must interact in collaboration to create actual and proficient strategies that will promote suitable culture in the healthcare systems. Current medical education process has its origins in the European institutions of higher learning that customarily cherished academic freedom, sovereignty and self-regulating exploration...
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...currently married to his wife of 71 years. He is retired from appliance sales and general maintenance. He has lived in Saint Charles, Missouri his entire life except for four years when he served in the United States Army during World War II. While he was in the Army he served in Germany, this was the only time Mr. Smith has been outside the United States. Source and Reliability Mr. Smith and his daughter Lynn are my source of information to complete my assessment. Lynn has been a nurse for 40 years and is his durable power of attorney, making any medical decisions. She cares for her parents daily by planning their evening meals and setting out their daily meds. Reason for Seeking Health Care Mr. Smith is seeking healthcare for follow up due to recent falls at home and increased weakness. He complained of weakness in his legs and states that his legs “give out”. He states that his weakness started a couple days prior to going to the hospital and gradually got worse. He was admitted for observation and test where run to determine a mild stroke. History Mr. Smith is in generally good health. He is 6 feet 1 inch and weighs 175 pounds. He is getting stronger and is feeling better after his stroke. He states that he has an allergy to Penicillin, which causes a rash. His daughter states that he is able to take Ancef without any reactions. He currently takes Aricept 10 mg daily, Digoxin 0.125mg daily, Synthroid 100mcg daily, Prevacid 40mg daily and Coumadin with the dose changing...
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...positive features of the 53218 community has prospective features such as its existing available clinics, multipurpose community centers, such as the Silver Spring Community Center, and numerous outreach programs through organizations including Growing Power and the Milwaukee Outreach Center. Unfortunately, it is still considered one of ten zip codes in the Milwaukee County designated in the “lower socioeconomic status” group as reported in the Milwaukee Health Report (Chen, et al., 2011). The lower SES group, including 53218, as a whole is at risk for (1) a growing rate of obesity related to a poor nutritional lifestyle, (2) a continually decreasing gynecological health among the female population between ages 12 and 19 related to a lack of enforced education and rising teen pregnancy-related issues, and (3) a consistently low level of neighborhood safety related to motor vehicle accidents and rising crime rates. Community Strengths The community of 53218 has three main areas of strength: (1) several available clinics, (2) an abundance of multipurpose community centers, and (3) numerous outreach programs. First, there are many medical and dental clinics within the 53218 community capable of providing different services. Hampton Dental Associates is one of the more prominent dental clinics in the community. The Lubsey Medical Center is a primary care and family practice clinic with a team that consists of a total of three...
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...the cities of Pearland, Manvel, Alvin, Angleton, Sweeny, Lake Jackson, and Freeport. Of these, Angleton is the county seat, but Pearland has the greatest population (City-data.com, 2015). As of 2012, Brazoria County contained a population of 77% urban and 23% rural (City-data.com, 2015). Of the residents of Brazoria County, 63% are between the ages of 18 and 64 (United States Census Bureau, 2010). The leading causes of death for the county are heart disease, cancer, motor vehicle accidents, diabetes, and suicide (Texas Department of State Health Services, 2013). According to the 2014 health rankings for the county, Brazoria was above the national benchmark in smoking, obesity, physical inactivity, excessive drinking, alcohol-impaired driving deaths, sexually transmitted diseaseas, and teen births (County Health Rankings & Roadmaps, 2015). The industry overview consists of health care and social assistance, educational services, retail trade, accommodation and food services, manufacturing, professional, scientific, and technical services, and public administration with health care and social assistance being the primary industry (City-data.com, 2015). Adult obesity grew in the county from 27% in 2013 to 29% in 2014 (County Health Rankings & Roadmaps, 2015). Also motor vehicle crash deaths in 2013 were 18 which is well above the national benchmark (County Health Rankings & Roadmaps, 2015). Assessment of Needs and Risks (6 Tools) Population Economic Status Assessment ...
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...1 Historical Development of Professional Nursing in the United States Jennifer Casavant Telford, PhD, APN-BC Arlene W. Keeling, PhD, RN, FAAN OBJECTIVES At the completion of this chapter, the reader will be able to: • Discuss the impact of Florence Nightingale's model and the American Civil War on mid to late–19th-century American nursing education. • Describe the transition of nursing education from the hospital to collegiate programs. • Discuss the role of nursing licensure in safeguarding the public and developing educational and clinical nursing standards. • Discuss the development of advanced clinical practice nursing from the 1960s through the present. PROFILE IN PRACTICE Laura J. Robinson Adult Primary Care Nurse Practitioner Student, University of Connecticut School of Nursing Nursing history is important to me because it has provided me with the opportunity to fulfill my goal to advance my career as a nurse practitioner, a role that was not existent less than half a century ago. Ambitious nurses before me had to establish themselves in a new career, gain recognition, and succeed in order for the position to be present today. One person whom I particularly admire and who helped pave the way is my grandmother, Olive Shea. Grandma Shea earned her RN diploma in 1944 after completing the 3-year certification program offered by Hartford Hospital in Hartford, Connecticut. After various nursing positions, she was employed by the University of Connecticut at the...
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...document did not discuss all of the required daily tasks the employee completes. The areas in red are the changes and additions to the original job description. Opening Date: August 31, 2011 Closing Date: September 09, 2011 Position: Lead Medical Supply Technician, GS-0622-06 Salary: $34,907 - $45,376 Annual Place of Work: BAMC, Department of Anesthesia & Operative Services, Fort Sam Houston, Texas Position Status: This is a Permanent position. -- Full Time Number of Vacancy: 01 Duties: Leads 2-3 civilian personnel in accomplishing the work of the unit. The primary responsibility is to oversee personnel workload and section work processes that promotes efficiency and compliance. Responsibilities include but are not limited to: • Must maintain, order, receive, and verify quantity, quality, and storage of the supplies for the Operating Room, Central Materiel Section, Post-Anesthesia Care Unit, and Anesthesia Service in the Department of Anesthesia and Operative Services. • Monitors price changes and conducts inventories within PYXIS and the Vascular Room. Establishes, revises, and cancels stock levels on items based on demand. • Projects reorder requirements based on demand supported stock levels, expiration dates, and thorough knowledge of area requirements. • Checks for shortages on items received, damage deterioration, and price change. • Initiate emergency supply orders for life or death situations. • Work with Logistics and Resource Management Division...
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...as the act of traveling to obtain medical care in another country or region of the same country where specialized or economical medical care is available complemented with wellbeing and recuperation of acceptable quality with the help of support system. The World Health Organization (WHO) defines medical tourism as tourism associated with travel to health spas or resort destinations where the primary purpose is to improve traveler’s physical wellbeing through a process comprising physical exercises and therapy, dietary control, and medical services relevant to health maintenance. India has become a destination of choice for patients from all hemispheres as the destination of choice for a wide range of medical services and surgical procedures. In addition to the tangible expertise of medical and nursing staff, allied health services staff, the intangible compassionate care of support services staff draws patients to tertiary care hospitals in India. Equally important is the lower cost of world class treatment at a fraction of what it costs in the Western or so-called developed countries. In addition, there is no waiting period for any of the major surgical interventional procedures in the corporate hospitals in India. There are several dynamic internal and external factors which hinder medical tourism in India. The future of medical tourism in India is exceptionally promising. There are abundant opportunities for corporate tertiary care hospitals to follow the example of hospitals...
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