...Improving Emergency Department Throughput Time HCS/587 October 1, 2012 Improving Emergency Department Throughput Time Hospitals are experiencing patient congested emergency departments. At Baptist Memorial Hospital, the increase in patient volume and limited capacity contributes to long length of stays and patients leaving without being seen. As a result of overcrowded emergency rooms, patient length of stay becomes more important. Throughput times in the emergency department (ED) play a substantial role in patient and staff satisfaction. Length of stay in the ED is directly related to patient volume, patient acuity, lab turnaround times, and time to treatment, which is all connected to patient satisfaction. Long wait time contributes to patients leaving prior to a medical screening examination. Patients who leave without been screened is dangerous and sometimes deadly, thereby creating a liability for the hospital. Baptist Memorial Hospital has outgrown its current capacity creating overcrowding and delays. Hospital capacity is an organizational barrier faced by Baptist Memorial Hospital. Patient presentations over the past several years have increased substantially as well as an increase in hospital diversion and a decrease in overall patient satisfaction. The current ED operates out of 11 beds with one around the clock physician and a mid-level provider during peak times. Nurse to patient ratios are 4:1 with a dedicated charge nurse. The department also...
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...tangible property which cannot easily be converted into cash and which is usually held for a long period, including real estate, equipment, etc. (Finkler, Kovner, Jones, 2007). Capital assets and money used to purchase such items are treated differently than that of the operating budget. The operating budget is money being used and tangible at the time. Capital assets may cost money now, yet you may not profit from them until another period of time. The key to a good capital purchase knows the life of the product. This can help you choose whether a new product should be purchased or a refurbished product or if the product should be leased. Capital assets are usually equipment used to replace old equipment or new equipment in which studies have shown could improve the business. In healthcare the business is quality patient care. So in healthcare a capital purchase would be something in which improves quality patient care....
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...Case Study: Southern Baptist Hospital Southern Baptist Hospital (SBH) had long resisted the use of marketing, believing it was not an appropriate activity for a not-for-profit organization. By the mid-1980s, however, the erosion of its market share due to growing competition forced SBH to adopt an aggressive marketing strategy. Its primary initiative was a campaign of television advertisements aimed to reinforce for the general public the image of SBH as a high-quality institution. Because the organization was starting its marketing activities from scratch, ad production and airtime costs were expensive. The television commercials were professionally produced and received critical acclaim from the advertising community. Following the public’s repeated exposure to these advertisements, a hospital executive requested information about the impact of the advertisements. The idea to study the campaign’s impact had not been considered earlier, and a belated evaluation effort was mounted to determine the extent to which the campaign had achieved the desired effect. Much to the consternation of SBH administrators, the evaluation found that the ads had had virtually no impact on the public’s already high perception of the institution, and no improvement in patient volumes, revenues, or market share could be attributed to the campaign. SBH administrators, committed to an expensive initiative, rationalized that the campaign had not aired long enough to generate the desired effect and...
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...Running head: THE HEALING HOSPITAL The Healing Hospital Grand Canyon University Spirituality in Health Care HLT 310V The Healing Hospital A traditional hospital is an institution that is devoted to the delivery of comprehensive health care to patients, utilizing conventional medicine with the intent of diagnosing, treating, and curing disease through scientific evidence based procedures and interventions. Traditional medicine is focused on the biomedical science of addressing the disease and inadvertently not incorporating or connecting the psychological and spiritual aspects of the human experience with illness. Traditional medicine is dedicated to the innovation and advancement of eradicating disease and uses a scientific approach to address the disease; it values the objective more than the subjective, and it does not involve or address the emotional and spiritual needs of the individual. The healing approach encompasses the whole person, both body and mind, to optimize the best overall outcome (Geffen, 2004). The healing environment facilitates the healing process by integrating and utilizing conventional medicine, scientific technology, alternative and complimentary therapies, aesthetic surroundings, and caring health providers who believe in and practice the art of compassionate care to promote healing. The healing environment optimizes overall healing and patient experience (www.siib.org). A healing hospital is devoted to the delivery of integrated patient...
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...Case Study #2 Tulsa Memorial Hospital CPT Hoffman and MAJ Ochoa 1. Using the historical data as a guide, construct a pro forma (forecasted) profit and loss statement for the clinic’s average month for all of 2014 assuming the status quo. With no change in volume (utilization), is the clinic projected to make a profit? The below pro forma profit and loss statement states that the clinic is currently operating at a loss of $3,173 per month, considering that subtraction of fixed and variable costs. The contribution margin per month totals $48,138 or divided out equals to $35.67 per visit. The hospital is not sustaining itself at this point or even paying for its fixed costs. Pro Forma Average Month: | | | | | | | | Number of visits | | 1,350 | | | | | Net revenue | | | $54,888 | | | | | Salaries and wages | | $13,542 | Physicians fees | | 18,000 | Malpractice insurance | | 3,215 | Travel and education | | 602 | General insurance | | 843 | Subscriptions | | 0 | Electricity | | | 1,077 | Water | | | 139 | Equipment rental | | 105 | Building lease | | 12,500 | Other operating expenses | | 8,038 | Total operating expenses | | $58,061 | | | | | Net profit (loss) | | ($3,173) | | | | | Gross margin (%) | | -5.8% | Total Revenue | | $ 54,888.00 | Total variable costs (1350*5) | $ 6,750.00 | Total CM | | | $...
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...subject that provide a critical analysis of the Bowen theory. Thus, there is an illustration of the journal presented. Understanding the Topic Murray Bowen was an American Psychiatrist who studied and taught psychiatry as a professor in the Georgetown University. He was a bright fellow who designed and developed the initial prototype of the current Bowen system theory. However, he worked in conjunction with other professors and psychiatrist who assisted him in pioneering the theory. He began his interest while at the Menniger Clinic in Topeka, Kansa, where he was studying psychiatry in the period 1946 to 1954 (Murray, 2010). It was while at the place that he read various biology topics and aspects of evolution. Through this extensive study, the effect was a cause in the change of his perception of human functioning....
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...central value of nursing. As stated by Tutton, E., & Seers, K. (2003), An exploration of the concept of comfort, comfort is defined as a state, linked to outcomes such as ease, well-being and satisfaction. The steps used to perform this concept analysis on comfort come from the Walker and Avant’s steps of concept analysis. These steps are as follows: 1) select a concept; 2) determine the purposes of the analysis; 3) identify all uses of the concept; 4) define attributes; 5) identify a model case of the concept; 6) identify consequences of the concept; and 7) define empirical references of the concept (Walker & Avant, 2010). Each one of these steps will be discussed throughout this paper along with providing why comfort is necessary to providing comfort in different ways. Purpose of Concept Analysis Comfort is a meaningful need during a person’s life span that should be seen as an essential part of holistic nursing care. A concept analysis is recommended to provide a framework for studies to come. The aim of this concept analysis is to clarify what comfort is and explain the attributes that are utilized in nursing practice. “If your discipline is going to progress as a science, you must define your central terms precisely so you can understand each other and develop ways to conduct research...
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...Case Study Analysis: Tufts-NEMC Ellen Zane had her work cut out for her at Tufts-NEMC. The Tufts University affiliated teaching and research hospital had long been on the decline. It was mired in financial difficulty, was falling behind other teaching and research AMCs, and was not effectively serving its local community. Beginning on the day she accepted her position as CEO, Ellen Zane started on a path of reform. Upon learning that the hospital only had 10 months of cash on hand, she began brainstorming on how to make the hospital financially viable, starting by meeting payroll needs first. She discovered that Tufts-NEMC was being drastically underpaid and began looking for solutions to the problem of reimbursements. One of the more public actions she took was replacing seven members of the senior management team, sending a signal to her staff and hospital community at large that a major overhaul was underway. In an effort to gain approval, valuable feedback, and break down barriers with her staff, Ellen Zane successfully held town hall meetings with hospital staff. She even requested the input of patients on how Tufts-NEMC can improve its care. Retention was important to Ellen, retention of both employees, including physicians, and of patients. She went about restructuring hospital services and identifying areas for improvement. But there were also external problems, such as contract negotiations, network building, and the strengthening of the relationship with Tufts University...
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...In an attempt to meet the patient demand for compounding services within the Memphis metropolitan population, we will establish the Apothecary Compounding Center on the campus of Baptist Memorial Hospital. Our goal is to cater to patients in this area that need individualized medication regimens and want a close relationship with their pharmacist. As we develop our business, we want to focus on maximizing the safety and efficacy of our compounded products. We will utilize the Professional Compounding Centers of America, or PCCA, in order to help accomplish this goal. This organization offers many important benefits to compounding pharmacies in all stages of their development. Our employees will be trained by PCCA, which will hone their working knowledge of USP <797>, crucial guidelines that every compounding pharmacy must follow. In addition to training, PCCA will serve as our supplier, which will ensure quality products with which to compound. Furthermore, we will have access to numerous formulas that are specific to PCCA, which will greatly benefit our operation. The number of patients needing compounded prescriptions has risen in recent years, and we aim to capitalize on this growing demand. Our patient population will largely consist of patients from the clinics of Baptist, but we hope to expand our patient base to include anyone that could benefit from our unique approach to compounding; we are willing to expand our supply of compounded products as...
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...(Alzheimer’s association, 2013). This disease often goes unnoticed until the patient has reached a moderate to advanced stage because of the commonality of the indicators in early stages such as forgetfulness of where you put your car keys (Alzheimer’s association, 2013). Currently over five-million American’s have Alzheimer’s. This number will begin to increase as the baby boomers age and life expectancy is extended. The risk of getting Alzheimer’s only increases as we age with number of people doubling every 5-year interval beyond the age of 65 (Alzheimer’s association, 2013). Case Study Eaton, a 72 year old male patient, was found roaming downtown Denver with no recollection of how he got there. Paramedics brought him to the hospital for evaluation. The patient presents with progressive memory loss, confusion, agitation, and doesn’t know his last name. Identification in his wallet helped the hospital staff contact his wife. Upon the wife’s arrival, the patient seemed distant and unable to identify his wife Ethel. After multiple tests, the Care Team gave a Diagnosis of Moderate stage of Alzheimer’s (Diagnosis of Alzheimer's, 2013). Care Team Approach An initial evaluation left the ER physician with a diagnosis “undetermined”. She ordered a CBC blood draw (Complete Blood Count) to rule out the possibility of other causes for loss of memory and confusion. The physician also performed a clinical...
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...19 CASE The Case for Open Heart Surgery at Cabarrus Memorial Hospital Situation It was a clear, crisp October morning in Concord, North Carolina. The board of trustees of Cabarrus Memorial Hospital gathered in the windowless, walnut paneled boardroom for its monthly meet- ing (see Exhibit 19/1 for board members). Board chairman George Batte opened the meeting saying, “Because we do not have an open heart surgery program, patients needing open heart surgery or coronary angioplasty have to be transferred to another hospi- tal, causing inconvenience to the patient’s families and risks from delayed treatment. There are several questions we have to answer in addressing this issue. Should we add open heart surgery to the mix of cardiac services we offer? Does the hospital’s existing service area provide adequate patient volumes to support the program? What This case was written by Fred H. Campbell, The University of North Carolina at Charlotte, and Darise D. Caldwell, Executive Vice President and Chief Operating Officer, Northeast Medical Center. It is intended as a basis for classroom discussion rather than to illustrate either effective or ineffective handling of an administrative situation. Used with permission from Fred Campbell. 804 Exhibit 19/1: CMH Board of Trustees Mr. George A. Batte, Jr., Chairman (Retired Manufacturing Executive) Mr. L. D. Coltrane, III, Vice Chairman (Telephone Company President) Mr. Robert L. Wall (President, Cabarrus...
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...Michigan Columbus Credit Union Lisa Flanigan Courtney Johnson Mary Smith-Biles Todd Buchanan Madonna University MKT 6210 Table of Contents Introduction Page 3 Brand Building Page 8 The Numbers Page 11 Conclusion and Marketing Ideas Page 22 Bibliography Page 24 Introduction by Lisa Flanigan Credit Unions are not-for-profit financial institutions that are owned by all of its members. The focus of the credit union is to help its members save, borrow, and receive affordable financial services. One way is by offering higher interest rates on savings accounts which can be important to people in general but also to the young population who are just starting to save for college or some other long term item such as a car. Typically, credit unions charge lower fees compared to banks and provide credit at competitive rates. Like any other business, Credit Unions must have enough income/ assets to cover expenses related to running a business or risk the possibility of becoming insolvent. Lending money to members is a source of income for credit unions. When borrowers default on this lent money, this puts a credit union at risk and causes tougher rules on responsible lending. They are also known for providing service at the personal level by helping their members plan for the future. The first credit union was founded in southern Germany in the year 1864 by...
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...Gay Marriage debate Recently, gay marriage has become an issue of great concern all over the world. The question whether this marriage should be legalized has continued to raise heated-up debates in all social, religious and political arenas. The matter was has come into fresh discussion after the president of The United states of America passed a motion that allows gay marriage in the country. The following is an analysis of a debate that was held to discuss whether gay marriage should be legalized. Arguments supporting legalization of gay marriages If two people are in love, regardless of whether they are both male, both female, or of the opposite sex, it should be no one else’s business. The decision as to whether they are committing their lives to living together lies on them, and should not be jeopardized by the opinions, believes and feelings of others. They have a right to get married- if they so wish, as marriage is a personal decision, and one chooses the life he wants to live, as long as he/she does not compel others to follow that way, and as long as as the decision does not violate or endanger the rights of others (gaymarriage.procon.org). When same sex couples, such as gay couples, are denied the right to get into marriage, it sends the notion that it is acceptable to discriminate against gay people. It depicts such people as social and moral misfits, and thus exposes them to unfair treatment by the members of the society. As much as one may argue that the authorities...
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...[pic] Ten Successful Entrepreneurs profile in Bangladesh « on: August 05, 2012, 10:22:24 AM » 01: A.K Azad Born A.K Azad comes of a respectable Muslim family of Jhiltuli, Faridpur on December 31, 1959. His father’s name is Late Alhaj MA Aziz who was a respected personality among the people of Faridpur. Education This talented and self determined industrialist. Mr. Azad did his B.sc Honors in Applied Physics in 1983 from University of Dhaka. Early Career After completion his higher education Mr. Azad did not try to have any government job rather he engaged himself with business. Despite having many impediments as well as problems in his business Mr. Azad overcome it with courage and by applying his merit and perseverance he established a business hub namely ‘Ha-Meem Group of Companies’ and since inception he has been carrying out his responsibilities as its Managing Director. Meanwhile Ha-Meem Group of Companies has earned name and fame both at home and abroad. The uninterrupted continuation of this group is moving forward to the industrialization of the country and at the same time it has been contributing enormously in the economic growth of the country also. Mr. A.K Azad does not think the initiative of commerce and industry only based on profit; he considers it the best way for resolving the unemployment problems also. It seems to him if the private entrepreneurs are not coming forward to industrializations, the country might lag behind and the rate of unemployment...
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...SERVICE RECOVERY IN HEALTHCARE Customers’ satisfaction with a company can be profoundly impacted due to service failures and subsequent efforts of recovery. This is especially so in the healthcare industry where service recovery covers a vast range of complex issues and highly emotional patients (Berry and Bendapudi, 2007) whose level of tolerance is usually lower after a service failure (Matilla, 2004). Therefore, the need for service recovery strategies is very important. The purpose of this essay is to discuss the concept of service recovery, particularly in healthcare. This purpose will be achieved through utilising, exploring and analysing a wide range of literature written on the topics of service recovery and service recovery in healthcare. It will look at service recovery – its definitions and its dimensions, and it will discuss it as it is applied to healthcare. Finally, it will look at generational differences and their possible effects on service recovery. Failure often takes place when a customer’s experience and their expectations of a service are different. Maxham (2001) defined service failure as ‘any service related mishaps or problems – real and/or perceived – that occur during a customer’s experience with the firm’. It is believed that the single most important factor that leads to service failure lies within the nature of service itself, which creates endless possibilities for errors and consequently the need for service recovery. Smith and Bolton...
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