...LINCOLN COUNTY HOSPITAL HAWKEYE (Telemedicine program) Overall idea: We plan to propose that the hospital continue its quality initiatives and advertise to patients via low-cost options. We think the hospital could market telemedicine to in-home users, cardiac patients and a range of inpatients (expanding services offered to inpatients). Our assessment differs from others in that negotiating with payers (where possible) is also a consideration. 1. Background/Situation Assessment SWOT Analysis Strength: Strong partners (providence sacred heart) Physician alignment Competition is less First telemed program there 24 hours (ER, helipad) Low cost Funding from local club organizations Advanced technology (detailed monitoring) Weakness: Limited resources Community is small Unknown community reaction to new technology Single service line (cardio, one machine) Accurate assessment of internal buy-in? Threats: Competition can be there (other telemed program Valley or Deaconess or other national chains/organizations) Patient can lack confidence, as it’s new Policy critical access 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...
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...examining patient's medical history, analyzing patients, order and clarify diagnostic test, diagnose a patient’s injury or illness, provide treatment, placing back broken bones and immunize patients, teach patients and their families about illnesses and care, provide counseling for patients and their families, prescribe the correct medicine for patients, evaluate and document a patient’s progress on their charts, and educate on the latest treatments to ensure the quality of patient care. Physician Assistants work in offices of physicians, hospitals (state, local, private), outpatient care centers, government, and educational services (state, local, private). Work of a physician assistant can be overwhelming and stressful at times. Physician assistants are always doing something and always on their feet, making rounds and evaluating patients. During surgeries, physician assistants stand for an extended period of time. When working in hospitals, physician assistants will be on call to come at any time with little notice and that includes weekends and holidays....
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... conceptual thought in this area tends to be dominated by a single theoretical perspective. In this paper we describe and contrast three views of organizational politics (functionalist, interpretive and radical) according to their differing structures, processes and outcomes. Each view, or lens, directs attention to some aspects of politics and away from others, and each has strengths and weaknesses embedded in it. In order to assess whether multiple perspectives on politics can be fruitfully applied simultaneously, we describe and analyze a case of a hospital administration engaged in budgeting games and illusion making. The data for the case were collected using naturalistic inquiry and multiple methods including structured and unstructured interviews, review of documents, observation of meetings and casual interaction facilitated by frequent visits over a ten-month period. The case revolves around the hospital administrators' attempts to deal with what they termed a "disastrous deficit" and the most serious financial situation in the hospital's history. Strategies for dealing with the funding agency and board of directors included the management of meaning and communications about the term "deficit." The three perspectives on organizational politics highlight different dynamics in the case. The interpretive perspective on politics assumes that parties exert influence by constructing the meaning of what others experience. Focusing on a deeper structure of......
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...Lapointe & Rivard/Resistance to IT Implementation RESEARCH ARTICLE A MULTILEVEL MODEL OF RESISTANCE TO INFORMATION TECHNOLOGY IMPLEMENTATION1 By: Liette Lapointe Faculty of Management McGill University 1001 Sherbrooke Street West Montreal, Quebec H3A 1G5 Canada liette.lapointe@mcgill.ca Suzanne Rivard HEC Montreal 3000 Côte Ste-Catherine Road Montreal, Quebec H3T 2A7 Canada suzanne.rivard@hec.ca of the nature of the relationships between these components and (2) refine our understanding of the multilevel nature of the phenomenon. Using analytic induction, we examined data from three case studies of clinical information systems implementations in hospital settings, focusing on physicians’ resistance behaviors. The resulting mixeddeterminants model suggests that group resistance behaviors vary during implementation. When a system is introduced, users in a group will first assess it in terms of the interplay between its features and individual and/or organizational-level initial conditions. They then make projections about the consequences of its use. If expected consequences are threatening, resistance behaviors will result. During implementation, should some trigger occur to either modify or activate an initial condition involving the balance of power between the group and other user groups, it will also modify the object of resistance, from system to system significance. If the relevant initial conditions pertain to the power of the resisting group vis-à-vis the system...
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...Advancing Effective Communication, Cultural Competence, and Patient- and Family-Centered Care A Roadmap for Hospitals Quality Safety Equity A Roadmap for Hospitals Project Staff Amy Wilson-Stronks, M.P.P., Project Director, Health Disparities, Division of Quality Measurement and Research, The Joint Commission. Paul Schyve, M.D., Senior Vice President, The Joint Commission Christina L. Cordero, Ph.D., M.P.H., Associate Project Director, Division of Standards and Survey Methods, The Joint Commission Isa Rodriguez, Project Coordinator, Division of Quality Measurement and Research, The Joint Commission Mara Youdelman, J.D., L.L.M., Senior Attorney, National Health Law Program Project Advisors Maureen Carr, M.B.A., Project Director, Division of Standards and Survey Methods, The Joint Commission Amy Panagopoulos, R.N., M.B.A., Director, Division of Standards and Survey Methods, The Joint Commission Robert Wise, M.D., Vice President, Division of Standards and Survey Methods, The Joint Commission Joint Commission Mission The mission of The Joint Commission is to continuously improve health care for the public, in collaboration with other stakeholders, by evaluating health care organizations and inspiring them to excel in providing safe and effective care of the highest quality and value. The inclusion of an organization name, product, or service in a Joint Commission publication should not be construed as an endorsement of such organization, product, or services, nor is......
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...Sam Mirza CASE 9.2 Style of Case and Citation: Midler vs. Ford Motor Co. 849 f.2D 460 9th Cir. 1988 Court Rendering Final Decision: U.S. District Court Identification of Parties and Procedural Details: Ms. Midler (plaintiff), suit against Ford and Young & Rubicam for appropriation. The District Court entered judgment for Ford and Young & Rubicam, and Ms. Midler appealed. Discussion of the Facts: In 1985, Ford Motor Company and its advertising agency Young & Rubicam, Inc., advertised Ford Lincoln Mercury with series of 30 or 60 seconds TV commercials. Different popular songs of the 70s were used, and the agency tried to get the original singers to sing them. It failed to get the original singer, the agency used ‘sound-alike.’ Young & Rubicam requested that Ms. Midler sing the song, and she refused. Young & Rubicam hired a sound alike, instructing her to imitate Ms. Midler to the best of her ability. After the commercial aired, Ms. Midler and the sound alike were told by numerous people that it sounded exactly like her. Ms. Midler name and likeness were not used in the commercial, and Young & Rubicam had obtained permission from the copyright holder to use the song. Statement and Discussion of the legal Issues and Disputes: Ms. Midler pursued a common law claim against Young & Rubicam and Ford Motor Co., using her distinctive voice in an advertisement, which she had not authorized. She did not seek damages for use of the song, which would have......
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... sexual orientation, age, race, occupation, and location of residence (country, state, and region). Name: Abraham Lincoln Birthdate: October 16, 1980 Age: 16 years, 0 months Gender: Male Ethnicity: Caucasian Education: 9th grade Report Writer: Alex Washington Date of report: September 3, 2014 Location of patient: South California I. Chief Complaint/Presenting Problem Within this section, you will include the patient’s primary complaint verbatim to identify and describe the main source of his or her distress and/or concerns. If there is no verbatim complaint, include observable information to create an overall picture of the presenting problem. Typically, this section within a psychological report seeks to answer the following question (further elaboration within this section is encouraged where possible): Abraham Lincoln is a 16 year old, single, Caucasian, left handed male who has been admitted to an psychiatric hospital on a involuntary hold because he has become of danger to other and himself. On January 15, 1996 Lincoln threatened to kill himself with a knife after a heated argument which occurred with his father. After the argument the father found a couple of picture Lincoln...
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...Plastic surgery is common things among people nowadays. The cost incurred to do the surgery also not too expensive. Mostly we heard female are desired to do the plastic surgery but now men`s also desired to do the same thing. There are the reasons why people choose to have plastic surgery and the several risks involved. The first reason why people choose to have plastic surgery is low of self-confident. As we know, have many factors why people feel like that such as their body appearance, ugly faces, and so on. Even though they always do exercise and try to cut their eating, their bodies still same and not have any improvement. As Van Dusen (2008) pointed out in her introduction, they do not think they look as good as they feel before do plastic surgeon. Other than that, the reasons why people choose to have plastic surgery are to improve their looks appearances. Of course, for those people who are fat, will hope to be slim further on to easy build their level of self-confident. According to Van Dusen (2008), ‘spare tire’ are involves in the typical male demand. Furthermore, some other people choose plastic surgery because of want to be like their idol celebrities. Meanwhile, the first risk may occur to those who are choose to have plastic surgery is temporary numbness. As we can see, people who had doing the surgery was effects on their face are become too stretched. For instance, when their smile or laughing the skin in their face was became stretch. Some other......
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...Financial Statements Review Ashley Dunn HCS/405 November 14, 2013 Robert McDaniel Financial Statements Review The Patton-Fuller Community Hospital is a full-service, for-profit hospital with 600-beds. Since 1975, the hospital has made every effort to provide advanced patient care for both inpatient and outpatient treatment in Northwest valley. The Patton-Fuller Community Hospital is owned by a 14 person board, in which 12 are active physicians. Collectively, the board works on a budget that best aids the board and the hospital. The goal is to make a profit while providing patients with the best care around. This paper will discuss the summary of the financial statements issued for the Patton-Fuller Community Hospital in the years 2008-2009 (Patton-Fuller Community Hospital, 2009). The effect of revenue sources on financial reporting at the hospital will vary depending on the amount of revenue being generated and the specific source of the revenue. Revenue sources should be included in financial reporting for the hospital's records. (“Telemedicine”, 2013. According to the documents provided, it look as if the financial officer had over-estimated the list in payment remittances, making it seem as if they would be healthier than they actually are. When providing figures for accounts receivable in 2009 the financial officer projected the total at $59,787, with a net allowance for bad debt for the same time-period at $10,757 while the audited account shows......
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...Task 1(A) Global Marketplace Activity (A1) Being the largest hospital corporation in the world, with over 160 hospitals, 100 surgical clinics, and a never ending amount of specialty facilities, supplies are an essential component to the successful day to day operations. In the event that those supplies were not able to be delivered on time, the possibility of not being able to provide properly for our patients would be immense. And with the company receiving certain supplies from all over the world, it is very possible that due to measures beyond the hospital corporations control or the supplying company that delivery of supplies could be delayed due to inclement weather, natural or manmade disasters. This in turn could have a substantial impact to the quality of care provided and received. In addition, the hospital corporation is also a key component to several ongoing research projects for treatment, cures and vaccinations for various diseases and infections, all of which rely on the supplies provided by other research facilities or specialty supplies provided by specific supply companies who could be impacted by these potential disasters, which would debilitate and prolong the success of the research projects effected. Risk Source (A2) The source for the first risk identified would be nothing more than age and continual use. The boiler at the Disaster Recovery site is the original boiler for the building which is approximately 50 years old, and even though the...
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...Inventory Systems Summary QRB 501- Quantitative Reasoning for Business /MBAA0PUHA2 June 7, 2010 Inventory Systems Summary Inventory characterizes one of an organization’s largest operating cost and the maximum prospect for improving profits. With inventory systems, organizations are able to centralize control of inventory across today’s multi-channel environment. Each team member will describe his or her inventory systems with the advantages and disadvantage of each system. Description of Each Inventory System Sage Accpac Inventory System Crossroads is a 501(c) (3) nonprofit public benefit corporation that has served the Sacramento region since 1978 with specialized employment and placement services, and custom-tailored facility management solutions (Crossroads Diversified Services Inc., 2009). Crossroads consist of two divisions: Crossroads Employment Services concentrates on finding employment opportunities, responsible for governmental and commercial services. Crossroads use Sage Accpac for the organization inventory system. Sage Accpac provides the organization with a strong accounting and reporting potential with a flexible, yet affordable system. Sage Accpac inventory system that helps organization manages operational, accounting and customer relationships. The Sage system allows Crossroads accomplish more with few resources, allows Crossroads to grow quicker and saves the organization time and money. Sage manages IT cost, facilitates a secure system with......
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...Case #1: Brigham and Women’s/Faulkner Hospitals This case takes an in depth look into the evolving medical industry. Key aspects of this case focus on the benefits and drawbacks of a merger between large and community sized hospitals and the possible cost subsidizing that may occur and the impact the qualitative factors may play in such cases. Overview of Industry: Health Care costs began to rise while insurance reimbursements began to fall. This led to a larger amount of patients being treated on outpatient basis. This aided in temporarily curbing the costs associated with overnight patients. AMCs therefore focused on primary care as means of reducing operating costs. Thus a lot of emphasis was placed on cost control. Managed Care plans lead to capped fee for hospitals. As a result, BWH saw a drop in incoming patients. AMCs thus focused on primary care as means of reducing operating costs. Community doctors were reluctant to recommend AMC doctors, instead sent patients to less costly hospitals. The solution seemed to be pointing towards possible mergers. The mergers’ purpose was to achieve Economies of Scale and also get access to the patients and knowledge of community hospitals and fill the gap where the large hospitals lacked market penetration. OUTLINE OF BWH HOSPITAL: Largest hospital in New England. Often ranked as best in service. High end teaching hospital. Employs more than 12,000 people with 44,000 patients. Annual research budget of......
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...Working in the ward has made me to appreciate life the more and never to take anything for granted, during my placement I saw a lot of patients suffer from all kinds of illness that I never knew existed, some of them crying for pain killers because of their pains and some with stab/gunshot wound. I have also seen people die during my placement, for example, there was this incidence that happened on a night shift where a patient was admitted to the ward through accident and emergency department, the doctor asked for his vital signs to be checked hourly because of the nature of the patient’s illness and because the patient was staying in the bay that I was looking after that night, I was asked by the nurse I was working with to check the patients vital signs hourly and to report any changes to her. The patient was ok the first time I went to check on him but when I went there the second time I noticed that he was not breathing and his body was cold, I pressed the emergency buzzer and all the nurses came to the patient’ bedside and within five minutes I saw more than six medical doctors coming into the ward to check if they can resuscitate the patient and that was the first time I saw a patient die so suddenly and the crash trolley being used. The whole experiences of that night left me in shock because that was my first time of seeing someone...
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...Do X-rays Requested By Triage Nurses Decrease Waiting Times? Research in Health and Social Care Introduction: Since 1991 when the patient’s charter (Department of Health 1991) was introduced, Accident and Emergency (A&E) departments have been under pressure to see, treat and discharge patients within a certain time period. In 1991 75% of walking wounded who presented to the department had to be discharged within one hour. It was subsequently changed in 2004 when the government decided that 98% of all patients attending an A&E department should be in the department no longer than four hours (Department of Health 2004). And again in 2011 when the department of health introduced the clinical care indicators that relaxed the target to 95% seen, treated and discharged or admitted in 4 hours (Department of Health 2011). Triage nurses within the accident and emergency department are one of the first people to assess the patients who present with an injury or illness. The patient’s condition is assessed and their need for how quickly they require treatment is prioritised. Triage nurses are usually experienced A&E nurses who have many years A&E experience (Dolan et al 2007). Patients are then placed in queues to await assessment by a Doctor or Emergency Nurse Practitioner. Once seen they are then put in another queue to await x-ray if necessary before waiting again to see the doctor/ENP that will interpret their x-ray and decided on the best course of......
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...Liposuction? Liposuction may be performed on the abdomen, hips, thighs, calves, arms, buttocks, back, neck, or face. A liposuction procedure may include more than one area, for example, the abdomen, arms, and thighs all on the same day or various areas that you choose. Liposuction is also used to reduce breast size in men with large breasts (gynecomastia). Who performs a lipo? Liposuction surgeries are performed by plastic surgeons. Any licensed physician may perform liposuction but it is recommended that they have special training Where can you have a procedure done? The procedure may be performed in a doctor’s office, surgical center or hospital. Transition: But keep in Mind that it is important that it be performed in a clean environment. Emergencies may arise during any surgery and access to emergency medical equipment and/or a nearby hospital emergency room is important What to expect during Liposuction and after? During the procedure the physician will mark your body with a pen to indicate where the fat is to be removed. Then you will receive anesthesia which is medicine that prevents you from feeling pain. Once the anesthesia is working, the physician will make an incision in the area where the liposuction will be performed. A cannula which is a hollow tube will be inserted into the incision. The physician moves this cannula back and forth to suction out the fat....
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