...Capital project Capital project section two Executive summary There is an overuse of the hospital MRI machine at the facility. The MRI machine needs to be utilized for multiple specialties including emergencies, inpatients, gamma knife, orthopedics, sports medicine. The ultimate recommendation is to add an extremity MRI scanner to the facility to relieve some of the usage of the main MRI machine. Providing this relief benefits in many aspects. The addition will provide an opportunity to expand the sports medicine and orthopedics department. A premier department that is recognized as elite, but this is just one aspect of improvement. Other improvements include the inpatient length of stay. The inpatient length of stay is above benchmarks due in part to the waiting times of the main MRI machine. This increase in length of stay also affects patient satisfaction scores. Physicians have also expressed frustrations due to the waiting times of scans to be done for diagnostic purposes and have opted their office patients to utilize the MRI scans in other departments. Retention of physicians who bring in patients is an important factor to consider in the proposed expenditure. Retention of physicians’ means retention of admissions of whom are sent bu their respective physicians. There is also the potential for liability issues related to the wait times and potential delayed acute diagnosis of medical conditions due to the wait times. This is an opportunity to relieve some of those...
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... During this time, the lady was also referred to several other specialists, such a sports medicine doctor, chiropractor, physiologist, and a pain doctor. The sports medicine doctor tried cortisone shots that gave only mild relief. After 15 sessions from the chiropractor the lady was not feeling any better. The physiologist did not help whatsoever. The pain doctor tried steroid cortisone shot in the neck, result one day of relief (was supposed to be at least two weeks). The pain doctor did prescribe a heavy duty pain killer (Neurontin) and a tens unit. The Neurontin took only some of the edge off the pain; however, the doctor had to increase the dosage. Within six months the lady went from 1600 mg to 4800 mg. The doctor also had an MRI (magnetic resonance imaging) done to see if he could get a better idea of what could be...
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...Unit 6 Assignment – HS440-5 Explain the methodologies and processes used in preparing budgets for health care organizations. Before making any major capital investment decisions, such as the purchase of a new Magnetic Resonance Imaging (MRI), Electronic Health Record (EHR), or any major machine/system, the organization must create a business strategic plan that should contain their mission, values, and vision statements, and most importantly, their goals and objectives. Part of this strategic plan, would include the planning and budget process. The general planning process can and will assist an organization and or health system set themselves up for future success. It will be the budget procedure, or financial forecasts that will link...
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...virtopsy, whose positive aspects have been well acknowledged including enabling pathologists to detect bullet paths, hidden fractures and internal bleeding, which may be difficult to be detected in the conventional autopsy. MRI scans and CT scans outline the emboli, which are the air bubbles that get into the body via the wound and hinder or obstruct blood vessels. Scholars have noted that such evidence may escape as soon as pathologists cut open the organs or veins, thereby necessitating underwater autopsies, in order to see the air escaping (Oliver et al, 1999). Virtopsy scans ease the detection of inhaled or aspirated water, as well as blood in the lungs, which inform the pathologist that the individual was alive when he or she sustained the injuries or entered the water. On...
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...Drug Administration (FDA) has approved two types of medications — cholinesterase inhibitors (Aricept, Exelon, Razadyne) and memantine (Namenda) — to treat the cognitive symptoms (memory loss, confusion, and problems with thinking and reasoning) of Alzheimer's disease (Alzheimer's Association, 2018 ). The FDA has created a drug to treat some symptoms of dementia, but has not been cured yet. Some scientist have taken initiative to try to find cures. There have been different way people have tried to find dementia before it gets worse. CT or MRI scans can check for evidence of stroke or bleeding or tumor or hydrocephalus. PET scans can show patterns of brain activity and if the amyloid protein, a hallmark of Alzheimer's disease, has been deposited in the brain (Natural Medicines Comprehensive Database, 2016). The Mri while looking for evidence of stroke or bleeding or tumor which could affect the neurons in the brain cells would also be looking to see if there are some abnormal lobes. Simple blood tests can detect physical problems that can affect brain function, such as vitamin B-12 deficiency or an underactive thyroid gland. Sometimes the spinal fluid is examined for infection, inflammation or markers of some degenerative diseases (Press D, et al., 2016). Vitamin B12 deficiency in blood by blood drawn by doing this. A mental health professional can determine whether depression or another mental health condition is contributing to your symptoms (Press D, et al., 2016). When they...
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...Evaluation of MRI in diagnosing Osteoarthritis Clinical Presentation: A 65-year-old female presents to a primary care office with bilateral knee joint stiffness and pain that has been increasing for “some time.” She has a BMI of 30, and states the pain is worse upon movement, but becomes manageable with short rest. The patient states that the pain in her left knee is noticeably worse than her right knee. The patient is now retired but used worked at a bakery that required frequent bending and standing for long periods of time. Physical exam showed a lack of range of motion and revealed mild tenderness to palpation of knees. The patient denies pain upon palpation of surrounding tissue. The patient also denies any recent trauma or injury to her lower, but stated that she did tear her meniscus in her left knee about 15 years ago. PICO: In patients who have suspected knee osteoarthritis is an CT scan alone sufficient for diagnosis based on the specificity and sensitivity of the test....
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...Cognitive Psychology The field of psychology is made up of different branches and each branch gives a range of different ideas and theories toward the compound field of psychology. Cognitive psychology is one branch that focuses on how cognition directly affects human behavior. Primarily cognitive psychology tries to uncover the underlying mental processes that play a role on particular human behaviors. Cognitive psychology was created in distinction of behavioral psychology. Major human functions can be observed through theories from the cognitive branch of psychology. These things can range from language, problem solving skills, memory functioning, and perception. Cognitive psychologists have developed many theories over the years that have made major contributions to the general field of psychology. The Foundation of Cognitive Psychology Prior to cognitive psychology becoming a significant branch of the psychology field, behavioral psychology was the main branch within psychology. Cognitive psychology came about when psychologists began to have questions about the behavioral method to psychology. Several psychologists felt that the behavioral approach to psychology had many gaps when it came to basic human functions such as memory, language, and learning. Psychologists attempted to fill these gaps by comparing the human mind to a computer (Willingham, 2007). Psychologists and scientists who studied artificial intelligence considered that the human mind functioned similar...
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...said I had a systemic yeast infection, and put me on a Candida diet for months. Over the course of four months, I saw him 12 times. I was cracked, adjusted, lasered, chanted to, and given lots of vitamins and herbs. The treatments and the diet made no difference in my hearing or the ringing. I had a total of three acupuncture treatments over the course of three months, to clear up congestion and bought lots of herbal stuff. The acupuncturist poked me in the head, the hands, the face, and the feet. My congestion is less substantive, but it made no difference in my hearing or the ringing. The ENT told me I had some hearing loss (duh) and to come back in three or four months, possibly for an MRI to see if there was a tumor or something else going on. Three months later I called for the MRI and he again made me come in for a hearing test, which showed a little bit more loss, not much, and again...
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...and because, at least in the beginning, AD and other forms of dementia can resemble normal aging. Therefore additional steps are necessary to confirm or rule out a diagnosis of dementia. Physical examination A physical examination can help rule out treatable causes of dementia and identify signs of stroke or other disorders that can contribute to dementia. It can also identify signs of other illnesses, such as heart disease or kidney failure, that can overlap with dementia. If a patient is taking medications that may be causing or contributing to his or her symptoms, the doctor may suggest stopping or replacing some medications to see if the symptoms go away. Neurological evaluations Doctors will perform a neurological examination, looking at balance, sensory function, reflexes, and other functions, to identify signs of conditions - for example movement disorders or stroke - that may affect the patient's diagnosis or are treatable with drugs. Cognitive and neuropsychological tests Doctors use tests that measure memory, language skills, math skills, and other abilities related to mental functioning to help them diagnose a patient's condition accurately. For example, people with AD often show changes in so-called executive functions (such as problem-solving), memory, and the ability to perform once-automatic tasks. Doctors often use a...
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...important problem in the United States requiring attention because of the life-altering changes occurring a few months to a few years post-injury. Sometimes called the “silent killer”, TBI’s claim more than 52,000 lives per year with more than twice that number that are hospitalized or unreported (Faul, 2010). With its invisibility, initial diagnosis of a TBI is difficult and often overlooked. There is a broad spectrum of symptoms and disabilities, classified as either mild, moderate or severe. It can sometimes difficult diagnosing a TBI when physicians are treating other conditions in the Emergency Department. A mild TBI is classified as an altered state of conscious level with no mass/lesion visible on a CT or MRI. Moderate TBI’s are present with either a mass on a CT/MRI and/or the presence of neurological deficits, while the severity of severe TBI’s represents the existence of a coma and a lesion (Zollman, 2011). The bump, blow or jolt to the head may disrupt a child’s brain function. The blow may be considered open or closed based on whether the injury penetrates the skull and underlining meninges. For instance, the historic example of Phineas Gage had a large iron rod driven completely through his head and is classified as an open head injury. Compared to open head injuries, closed ones are more severe because of the increased intracranial pressure developed after a blow to the head. Early childhood is of relevance to study and understand because the number of TBI experienced...
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...it is cut in half, the gel inside remains intact; therefore, highly cohesive silicone gel implants will never leak. Monitoring Silicone Breast Implants While silicone breast implants are deemed safe, many times, the only way to know if one of these implants has ruptured is through regular monitoring. Silicone breast implants are monitored using magnetic resonance imaging (MRI). An MRI is not an X-ray; therefore, patients are not exposed to radiation. The FDA recommends that patients have an MRI performed three years after they have their breast augmentation in which their silicone breast implants were placed and then every other year, thereafter. -The Ideal Implant® After a decade of development and refinement, the Ideal Implant® was approved for clinical use in 2014. The Ideal Implant® is a structured implant that offers patients the best of both worlds: the natural look and feel of silicone as well as the convenience of saline. Since the Ideal Implant® is essentially a saline implant, if a leak should occur, it would become visibly evident; thus, eliminating the need for a patient to undergo biannual MRIs. The Ideal Implant® consists of four silicone shells (the inner, outer and two baffle shells) that are nestled together and two chambers (the inner lumen and outer lumen). The inner lumen and outer lumen are two separate chambers that hold the saline. This internal structure controls the movement of the sterile saltwater and provides support for the implant’s edges: By supporting...
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...Emad Hafiz Business Plan “Clarity Diagnostic Imaging Centers” 2267 West Medical Parkway Suite # 111 Chicago, IL 60610 Clarity Diagnostic Imaging Centers 2267 West Medical Parkway Suite # 111 Chicago, IL 60610 February 20th 2013 Dr. John Stockton 3329 Airfield Lane Miami, Florida 44342 Dear Dr. Stockton: My name is Emad Hafiz and I am the CEO of Clarity Diagnostic Imaging Centers (CDIC). From one physician to another I am confident that you too see the changes in demand in the last decade in diagnostic imaging services in outpatient and inpatient procedures. This demand is exceeding our supply of diagnostic imaging capabilities and the demand will only rise as more of the population is requiring medical attention than ever. I would like to personally extend an invitation to come in and visit our franchise model diagnostic medical imaging center that we have setup in Chicago, Illinois. This standard imaging center model is a very easy setup, with a guaranteed net income of approximately $150-200k depending on the geographical location and demand of the center. With initial startup investment costs as low as $300k (includes a onetime $100k franchising fee, royalty fee, setup fee and operations support) your investment is very well protected and return in seen within 2 years. Generating a stable income in the healthcare field, possibly close to your own practice and helping patients increase their quality of health...
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...Since 2015, Kylan Bautista has had to look adversity straight in the eye and learn to overcome the unthinkable. As a senior in high school it wasn’t the stress of passing final exams, picking where to go to school, or even just who to take to prom like most of us. No, the adversity Kylan had to face was a matter of life or death, when he discovered at the age of 17 that he was diagnosed with a brain tumor that ended up changing his life completely. Kylan being a very gifted athlete who played basketball, baseball, and football had his first seizure at baseball practice. A day that truly would change his life forever. When I’ve heard people describe this day to me the main word that comes to light is scary, frankly the word scary barely scratches...
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...Healthcare is a global known publicity traded company that is headquartered in the United Kingdom. GE Healthcare is among the top companies worldwide providing high-end medical equipment and service to hospitals and clinics. The organization I based my OCI paper on is a small section of GE Healthcare that is in charge of providing and servicing high-end medical equipment to the Chicago land area. This area is called the Heartland LCT (Local Customer Team), and it expands as far south as Kankakee IL, and as far north as Waukegan IL. The zone also extends from downtown Chicago to DeKalb IL and all in between. The vast majority of modalities that the LCT services are in the imaging department. The main systems are Magnetic Resonance Imaging (MRI), Computer Tomography (CT), Xray, Ultrasound, and Mammography. The LCT is broken up into teams so that each team services a specific modality in the wide area. Currently there are a total of about 65 field engineers that service these modalities. I am part of a group of 15 fiend engineers that service the MRI’s. I am in charge of several accounts that are located mainly in the west and north suburbs of Chicago. Although this has been a really effective way of servicing these systems in the past, lately we have been loosing some big accounts to the competition. One of the main reasons hospitals decide to go a different route is the way service calls are handled, and to cut down on costs. It seems that they are geared towards an...
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...company I found it very interesting that AVI gives back to their community which exceeds the expectations I was looking for in a company. B. Primary responsibilities include assisting and providing support to disciplines established within the HR department as well as executing their goals. 2. OH WOW! The Roger and Gloria Jones Children’s Center for Science and Technology A. I’ve selected this internship because the company sounds very promising, and by that I mean they seem like they are very successful as well as involved. B. Primary responsibilities include the review and entering of data that enables analysis to occur. Also to complete draft recommendations and assisting in finalizing those recommendations. 3. MRI Software A. Although this offer is located in Solon, Ohio, I’ve selected it because it seems like the company has a lot to offer. I think it would provide me with a great learning experience as well as letting me apply myself with professionals of all different levels. B. Primary responsibilities include contributing to key human resources and recruiting initiatives that include assisting with employee events such as new employee onboarding and developing college recruiting strategies. 4. Mahoning County Land Reutilization Corporation/Land Bank A. Although this internship does not have a specific concentration that they are looking for besides business, I believe that this would be a place that I could benefit from. I think out of all the...
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