...Economics of an Urgent Care Center in a Market of Emergency Departments One of the contributors to the rising cost of Healthcare can be attributed to the over use of emergency departments (EDs) for non-emergency needs. In the greater Capitol/First/Beacon Hill area there are three major hospitals (Virginia Mason, Harborview, and Swedish) with emergency rooms and no urgent care centers with the exception of Group Health which is restricted to Group Health insurance members. The question I asked myself is, “Why does Group Health have urgent care for their insurance plan members and the major hospitals in Seattle do not.” Urgent vs. Emergency Care A study by the CDC showed that approximately 70 % of emergency department visits can be treated in a typical primary care or urgent care setting and another study by National Center for Policy Analysis demonstrated that only 13% of patients that sought treatment in the emergency department were clinically appropriate. Reasons for non-emergency visits to the ED range from access issues to primary care providers (wait times, no primary care provider assigned, or no insurance) to a lack of knowledge that they could have been treated at an urgent care or primary care setting. There are good reasons to visit the emergency department: * Trauma due to an accident or assault | * A wound that will not stop bleeding | * Shortness of breath | * Vomiting blood | * Chest pain | * Sudden loss of consciousness...
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...Marketing Strategy Colleena Guy HCS/490 February 22, 2016 Jennifer Johnson Introduction In the changing world of health care, it is important for health care organizations to reach as much people as they can. The evolution of technology has it easier to market products and services to all kinds of people all over the world. There was a time where a person’s access to certain products and services was limited because the world was not so connected as it is now through various modes of communication such as television and the internet. Now that people have more options in health care it is important for upcoming healthcare facilities and organizations appeal to a broader audience. In order to reach more people successfully you have to establish a marketing plan. General Product Information Urgent care clinics are facilities that deliver care to the surrounding community when a person’s primary doctor may not be available to them or when they are suffering from a non-life threatening issue such as accidents and falls, sprains and strains, moderate back problems, breathing difficulties, bleeding/cuts, eye irritation and redness, fever or flu, vomiting, diarrhea or dehydration, and much more (Mount Sinai, 2016). The way we will market this urgent care clinic is by reaching each group represented in society individually. There are five generations represented in globally today and each generation communicates differently and responds differently to different marketing...
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...therapies are thoroughly evaluated before being released to the general public. Phase 1: Safety The primary goal of phase 1 studies is to evaluate the safety of the experimental treatment on a small sample of healthy volunteers, typically ranging from 20 to 100. Researchers want to know the maximum...
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...Transforming an Electrophysiology Practice To Impact Timeliness of Care Studies of the U.S. healthcare system have indicated that timely access to appropriate providers improves the delivery, quality, and outcomes of care. Conversely, delayed or limited access contributes to patient/provider frustration, poorly coordinated care, unnecessary emergency room visits, and potential increases in the burden and cost of disease. A recent high-profile crisis in health care focused on prolonged and unfair wait times at Veterans Health Administration (VHA) facilities that led to potentially preventable morbidity and mortality. In response to this, the Institute of Medicine (IOM) was commissioned by the VA to understand experiences and opportunities throughout the nation related to the scheduling of and access to health care. In a very recent publication from October 2015, the IOM summarized their findings and established that inappropriate scheduling practices are a systemic problem across the entire nation and called for an end to arbitrary scheduling standards, for more transparency, more accountability, and for more attention to be paid to the “corrosive culture” that led to the manipulation of data in the system (1). The report also concludes that opportunities exist to implement enhanced practices and strategies. Appropriate Access To Care Within 48 Hours has been identified as one of the top priorities of the Spectrum Health System. To measure access, Spectrum Health uses...
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...------------------------------------------------- San Bernardino County Introduction and Purpose Everyone has a specific preference when it comes to where they would like to live. Some enjoy a rural area that’s quiet and away from all of the commotion while others, like myself, enjoy an urban area that’s filled with people and everything is convenient. San Bernardino County is an urban area even though looking at a topography map, you would imagine it’s a rural area due to the large mountain and desert regions of the county. The county is the largest of the 58 counties in California and is approximately 20,052 sq. miles (City-Data, 2012). About 80% of the land is vacant, with 15% used by the military and the rest makes up the urban area where the vast population lives (San Bernardino County Community Indicators Report, 2014). The largest industries in the county are Trade, Transportation and Utilities, Government, Educational and Health Services, Manufacturing, and Construction. The unique thing about San Bernardino County is that it contains both a mountainous region and a desert region with quite a few regional and national parks. Residents are able to choose from a large amount of outdoor and recreational activities. There are many things to do in the county that ranges from camping and visiting historical sites to checking out different museums in the area. The purpose of this paper is to provide some background information on the county of San Bernardino including its...
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...status Poor outcomes Opportunities: With ACA, re-admissions can decrease, patient satisfaction can increase Reducing costs, shared savings programs with 3rd party insurers Expand service lines/ inpatient Increase in revenue and reimbursements InTouch Reduces cost for patient Improving community good-will Increased appeal for Physician recruitment Federal grants Local community support Market Position Statement: Lincoln County is secluded from any other hospitals in the areas around, especially from their major competition, Spokane. This is the only hospital in that area (Davenport) that has commenced the telemedicine program. Telemedicine is a program where they’ve a robot in the hospital, connecting the stroke care specialists...
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...Health Status and Health Care Services in Germany With Comparison to the United States Petra Stewart HSM 310 Tammy Cagle February 20, 2011 Health care Insurance is one of the most debated topics in the country today due to ever rising costs and the lack of coverage for the patient. The are halth plans in other countries which work for their population that the United States could take a look at to enquire if leaning towards their plans would be a step into the right direction for the United States. Germany for example has a well working social system and private insurance system that provides excellent care of their population. Germany is able to provide good health insurance to any citizen in the country from the moment they are born. The Insurance Company has a liaison in the hospital that will prepare all needed forms and paperwork to give to the mother the day after she gives birth to her child. The only thing “Mom” has to do is sign the paperwork and continue to rest. The hospital and the insurance company are taking care of the all the paperwork and fine print for the new mother. From this point forward, the newborn citizen can be treated like every other citizen in the country. Tests are being completed and immunizations are given as needed. When the new family goes home, there are no worries about outrageous hospital bills, and battles the insurance company over coverage. Health Insurance in Germany is part of the Social Security System and works closely...
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...Management of operations is critical to create and maintain competitive advantages utdallas.edu/~metin Manufacturing Cost 45% 3 Operations Management Operations management: The management of the efficient transformation of inputs into outputs to effectively satisfy customers. The active role of operations: – Inputs become Outputs after some Transformation (Process or Operation) – Food processing example: Inputs Energy, Raw vegetables Energy, Metal sheets Energy, Vegetables Energy, Water, Vegetables Energy, Cans, Boiled vegetables utdallas.edu/~metin Transformation Cleaning Cutting/Rolling/Welding Cutting/Chopping Cooking Placing Outputs Clean vegetables Cans Cut vegetables Boiled vegetables Can food 4 Operations in services: Health care Inputs Doctors, nurses Hospital Medical Supplies Equipment Laboratories Processes Examination Surgery Monitoring Medication Therapy Outputs Healthy patients SOM offers medical management MBA and Master of Science See http://som.utdallas.edu/amme/index.html. Question: What are Inputs, Processes and Outputs in education? Who is the customer? utdallas.edu/~metin 5 Operations are everywhere ! Operations Goods producing Examples Farming, mining, construction Storage/transportation Warehousing, trucking, mail, taxis, buses, hotels...
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...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 of bleeding-related complications on costs while accounting for the effects related to the clustering of patients receiving care from the same hospitals. Results: A total of...
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...Personality & Values Organizational Behavior By: Rajitha Fernando Personality • The sum total of ways in which an individual reacts to and interacts with others • Most often described in terms of measurable traits that a person exhibits, such as shy, aggressive, submissive, lazy, ambitious, loyal and timid. (Personality traits) 2 Jungian Personality Theory • Swiss psychiatrist Carl Jung • Jung proposed four main functions of consciousness: 1. Two perceiving functions: Sensation and Intuition 2. Two judging functions: Thinking and Feeling 2 • Each of the functions are expressed primarily in either an introverted or extraverted form • From Jung's original concepts, Briggs and Myers developed their own theory of psychological type, described below, on which the MBTI is based. 3 Myers-Briggs Type Indicator (MBTI) The Myers-Briggs Type Indicator (MBTI) assessment is a psychometric questionnaire designed to measure psychological preferences in how people perceive the world and make decisions. Dichotomies Extraversion (E) – (I) Introversion Sensing (S) – (N) Intuition Thinking (T) – (F) Feeling Judging (J) – (P) Perception 4 Myers-Briggs Type Indicator (MBTI) Extroversion versus introversion • Extroverted individuals are outgoing, sociable, and assertive. Introverts are quiet and shy Sensing versus intuition • Sensing types are practical and prefer routine and order. They focus on details. Intuitives rely on unconscious processes and...
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...Theory of Constraints The topic for my discussion on the Theory of Constraint is the team that handles rental properties for a real estate business. This includes homes as well as commercial properties for rent, from the perspective of the tenant and the landlord. The organization is a team of real estate agents that specialize in rental properties. The goal is to generate profitable revenue by ensuring the quota is met for lease contract agreements to go to settlement in the specified time. Throughput are the number of contracts for the lease of properties that have completed, settled, and funded. Inventory comprises of available rental properties that have been listed with the company, as well as landlords that are represented by agents of the company. Operating expenses include costs associated with the listing or showing of rental properties, such as open houses, advertising costs, and transportation of prospective tenants to the property. The bottleneck is the landlord’s approval and acceptance of the terms of the contract. This will be discussed in more detail in the five steps below. 1) Identify the system’s bottlenecks. Typically the landlord will want to maximize profit by listing the property for as much as possible. Regardless of the listing price being inline with the market area, or being overpriced, lease offers will often be less than the asking price. With lease offers from more than one prospective tenants require more time in their decision...
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...Dehra Van Kuiken, Myra Martz Huth ital signs (VS) are indicators of physiological functioning and include temperature, respiratory rate, fieart rate (pulse), and blood pressure (BP). Health care professionals measure VS to assess, monitor, evaluate, and document an individual's physiological status or change in condition (Royal College of Nursing, 2011). Depending on the individual's condition, VS are monitored and recorded routinely by policy, tradition, or expert opinion, whether needed or not (Evans, Hodgkinson, & Berry, 2001; Zeitz & McCutcheon, 2006). Five years ago, pédiatrie nurse leaders and evidencebased practice (EBP) experts from children's hospitals across the country voiced concerns about the frequency of VS at a National Summit for Pédiatrie and Adolescent EvidenceBased Practice (Melnyk et al., 2007). This summit resulted in our team formulating a clinical question, searching for the evidence, critically appraising the evidence, and formulating conclusions on normal parameters. Before the question on the frequency of ys could be addressed, two fundamental questions needed exploration, and thus, became the focus of our work. The questions are: • Among pédiatrie patient ages 1 through 5 years, what are "normal" VS parameters? • Among pédiatrie patient ages 1 through 5 years, what is a signifieant elinical change in VS? The purpose of this systematic review was to determine the best evidence for normative parameters for VS in healthy children 1 to 5 years of age and what...
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...Infectious Diseases: The Greatest Crisis of the world ____________ A Thesis Presented to The Division of The Arts and Sciences Voorhees College ____________ In Partial Fulfillment of the Requirements for the Degree Bachelor of Science ____________ Acknowledgements I am whole-heartily thankful to my Professors at Voorhees College for their tremendous effort in my maturilication through Voorhees College. Lastly I would like to acknowledge all of the people who had any hand in the completion of this thesis. CHAPTER 1: INTRODUCTION * What are infectious Diseases? * Types of infectious diseases * Worldwide distribution of infectious diseases * * CHAPTER 2: THE LEADING CAUSES OF DEATH IS THE WORLD * Top Countries * Top Diseases * CHAPTER 3: MOST DISEASES ARE PREVENTABLE * Why are statistics so high * Minorities prevalence, morbidity, and mortality * How to prevent yourself from being a statistic * Understanding the emotional burden brought upon families who suffer from infectious Diseases * * CHAPTER 4: TRANSMISSION OF DISEASE: COUNTRY TO COUNTRY * Thorough testing while entering and exiting countries * Childhood and adult Immunizations * * CHAPTER 5: FOOD BOURNE PATHOGES * How do they affect America...
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...Liljestrand, Götgången 12 27144 YSTAD, Sweden jerker@ystad.nu For women and children, especially those who are poor and disadvantaged, to benefit from primary health care, they need to access and use cost-effective interventions for maternal, newborn, and child health. The challenge facing weak health systems is how to deliver such packages. Experiences from countries such as Iran, Malaysia, Sri Lanka, and China, and from projects in countries like Tanzania and India, show that outcomes in maternal, newborn, and child health can be improved through integrated packages of cost-effective health-care interventions that are implemented incrementally in accordance with the capacity of health systems. Such packages should include community-based interventions that act in combination with social protection and intersectoral action in education, infrastructure, and poverty reduction. Interventions need to be planned and implemented at the district level, which requires strengthening of district planning and management skills. Furthermore, districts need to be supported by national strategies and policies, and, in the case of the least developed countries, also by international donors and other partners. If packages for maternal, newborn and child health care can be integrated within a gradually strengthened primary health-care system, continuity of care will be improved, including access to basic...
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...HIV/AIDS & HOMELESSNESS Recommendations for Clinical Practice and Public Policy Developed for The Bureau of Primary Health Care and The HIV/AIDS Bureau Health Resources and Services Administration by John Song, M.D., M.P.H., M.A.T. November 1999 Financial and other support for the development and distribution of this paper were provided by the Bureau of Primary Health Care and the HIV/AIDS Bureau, Health Resources Services Administration, United States Department of Health and Human Services, to the National Health Care for the Homeless Council, Inc., and its subsidiary, the Health Care for the Homeless Clinicians’ Network. The views presented in this paper are those of the author and do not necessarily represent those of the United States government or of the National Health Care for the Homeless Council. Nothing in this paper should be construed as providing authoritative guidelines for the practice of medicine or for treatment of medical conditions. This paper may be reproduced in whole or in part with appropriate recognition to the author, John Y. Song, MD, and the publisher, the Health Care for the Homeless Clinicians’ Network, National Health Care for the Homeless Council, Inc. Second Printing February, 2000 National Health Care for the Homeless Council Health Care for the Homeless Clinicians’ Network Post Office Box 60427 Nashville TN 37206-0427 Phone 615/226-2292 Fax 615/226-1656 council@nhchc.org or network@nhchc.org http://www.nhchc.org i PREFACE HIV/AIDS...
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