...| California State University, Long Beach County Project: Plumas Brandon Gonzales ID#: 012658332 HCA 300 MW 9:30-10:45am 10/31/2014 Word Count: ~3,812 Abstract This paper will present an assessment and analysis of the health care information researched in Plumas County with addition to percentages and statistics gathered from registered sites and resources. This paper will also develop health resolutions and suggestions that are to be taken in to consideration with a resources profile and analysis. The research provided, focusing on the iron triangle made up of cost, access, and quality; will identify alarming health problems with increases and/or decreases to access and quality taken from legitimate sources and government data and surveys. The future consequences of these following problems, how Plumas County's health professionals plan to act on them, and recommendations to generate solutions will also be presented. A population research conducted in 2013, the "United States Census Bureau" estimated a total population of 18,859 residents in Plumas County making up .05% of California's total population estimated at 38,332,521. Since 2010, the county has shown a 6% decrease in total population losing more than a thousand people in the past 3 years. Plumas County contains a very small fraction of California's residents compared to larger counties in the state. A more precise breakdown of the research in population provided by the "U.S. Census Bureau"...
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... August 12, 2013 Carteret EMS as an Ideal Learning Organization Service delivery with any public service organization due to today’s economic downturn, current concerns, and budgetary considerations to help improve efficiency, but also can affect its capabilities as a learning organization. This is especially relevant in Carteret County, North Carolina and its office of Emergency Management in the application of pre-hospital emergency medical services or EMS to the citizens and visitors of this Atlantic Coast community. This is mandated by North Carolina General Statute G.S. 143-517, which mandates that “county governments are key players (Moore, p. 3)” and are responsible for local provision of pre-hospital emergency care. This includes personnel, equipment, financing, level of service and delivery, as well as maintaining a progressive learning environment. This reflection will take into consideration the most compelling characteristics; their observable behaviors and results; barriers and how they are overcome; as well as resulting and future strategies to overcome present and future barriers this organization will encounter, which leads me to my succinct thesis. This reflection will show that the Carteret County, North Carolina’s Emergency Medical Services is a progressive, professional, and effective learning organization that will advance well into the future to serve the citizens and visitors...
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...Quality Improvement Plan Part I- Consumerism HSC/588 Measuring Performance Standards September 9th, 2013 Debbie Simmons Quality Improvement Plan Part I- Consumerism Hospitals and other healthcare organizations in the United States are currently facing an irresistible pressure towards change. Numerous professionals in the business are projecting that “Multiple, intersecting pressures will drive the transformation of health care delivery and financing from volume-to value-based payments over the next decade” (American Hospital Association, 2013, para. 1). With the current regulatory and economic environments, hospitals are focusing most of their efforts on essential performance initiatives that are leading to success. In order to achieve success, organizations are placing focus on the establishment of quality improvement efforts. Evaluating hospital performance on any level requires an immense amount of knowledge and hard work. The goal of this paper is to create a plan for quality improvement for Kimball County Hospital (KCH) by identifying the difference between performance measurement and quality improvement, as well as key facts about the hospital, examine the role of consumers as well as quality indicators, and, explain stakeholder feedback and QI process. Quality Performance Measurement and Quality Improvement It is important to identify the difference between quality performance measure and quality improvement, as they are both useful in defining an improvement...
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...Indianapolis, Indiana is Dubois County, Indiana. Dubois County is comprised of the towns of Birdseye, Ferdinand, Holland, Huntingburg and Jasper. Of those towns, Jasper is the largest and is the county seat (Kelly School of Business, 2014). Over fifty-two percent of the population consists of adults ranging from 25-64 years of age (Kelly School of Business, 2014). The leading cause of mortality in this county is heart disease, cancer, suicide and injuries (Memorial Hospital and Health Care Center & Dubois County Health Department, 2011). According to the 2011 health rankings of the county, Dubois County was higher in the benchmark of poor health, adult obesity, adult smoking, excessive drinking, motor vehicle crash death rate and teen birth rate than the national benchmarks (Memorial Hospital and Health Care Center & Dubois County Health Department, 2011). Industry overview consists of manufacturing, transportation/warehousing, health care, and finance/insurance with manufacturing providing the majority of the jobs at an average wage per job of $54,000 in 2010(Memorial Hospital And Health Care Center & Dubois County Health Department, 2011). Obesity in the county grew to 28.9% in 2008 compared to 26.8% in 2006(Memorial Hospital and Health Care Center & Dubois County Health Department, 2011). Physical inactivity also increased in the two year span growing from 20.9% in 2006 to 24.5% in 2008(Memorial Hospital And Health Care Center & Dubois County Health Department, 2011). Summary...
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...KISII UNIVERSITY ELDORET CAMPUS FACULTY OF COMMERCE EVALUATING SERVICE CHARTERS AS AN EFFICIENCY STRATEGY ON EMPLOYEE PERFORMANCE AT WEBUYE SUB-COUNTY HOSPITAL TIMOTHY SHALO CBM12/10693/14 A Research Proposal Submitted in Partial Fulfillment of the Requirements of the Award of a Master’s Degree in Business Administration - Strategic Management option, at Kisii University, Eldoret Campus August 2015 DECLARATION Declaration by the Candidate This research proposal is my original work and has not been presented for a degree in any other university or institution. No part of this project may be reproduced without prior permission of the author and/or Kisii University. Signature: ___________________ Date___________________ Timothy Shalo CBM12/10693/14 Declaration by the Supervisors This proposal has been submitted for examination with our approval as University Supervisors Signature: __________________ Date_____________________ Dr. Osodo Lecturer, Faculty of Commerce, Kisii University. Signature: __________________ Date_____________________ Dr. Okello Lecturer, Faculty of Commerce, Kisii University. DEDICATION This research proposal is dedicated my family for the support and encouragement they gave me throughout the period of undertaking the proposal. ACKNOWLEDGMENT First, I wish to...
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...A N A S S E S S M E N T O F T H E SAFETY NET in Detroit, Michigan Urgent Matters The George Washington University Medical Center School of Public Health and Health Services Department of Health Policy Acknowledgments The Urgent Matters safety net assessment team would like to thank our community partner, the Voices of Detroit Initiative (VODI), for its help in identifying key safety net issues in Detroit and connecting us with stakeholders in the community. At VODI, Lucille Smith was instrumental in coordinating our site visits, interviews and focus groups and an essential resource through the course of the project. We would also like to thank Amani Younis for her help in facilitating two of our focus groups. The Voices of Detroit Initiative is a partnership between the leading health system providers in Detroit, federally qualified health centers and the Detroit Health Department. VODI focuses on bringing all segments of the community together to address the issues of access to cost-effective health care for the uninsured. We would also like to acknowledge William Schramm at the Henry Ford Health System for providing us with important information and resources regarding the emergency department at Henry Ford Hospital. The Urgent Matters team would also like to recognize the many individuals in the Detroit health care community who gave generously of their time and provided important and useful insights into the local safety net system. The...
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...Research Saint Paul, Minnesota Ela J. Rausch, M.P . .P Federal Reserve Bank of Minneapolis Minneapolis, Minnesota With support from the Robert Wood Johnson Foundation June 2013 Creating Healthy Communities Cross-sector partnerships are sparking widespread action to improve community health COATESVILLE , PA SEATTLE, WA Access to healthy foods Access to preventative care and healthy housing LOS ANGELES , CA Quality early child care and education CHICAGO, IL Data and evidence to build health into all policies and practices MIAMI , FL Opportunities for physical activity and healthy living health community development • community development finance • community planning • early child care/education • human services • housing Introduction “ Building a healthier America is feasible in years, not decades, if we collaborate and act on what is making a difference.” —Robert Wood Johnson Foundation In 2008, the Robert Wood Johnson Foundation convened a commission of nonpartisan leaders to identify opportunities to improve the health of all Americans by creating environments that protect and actively promote health. Their report, Beyond Health Care: New Directions to a Healthier America, included 10 recommendations for improving the health of our communities, several of which focused specifically on the health of children. Because of the large role that social and economic factors play in shaping the health of communities, the Commission issued...
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...its internal and external customers. Gwinnett Medical Center is one of many healthcare organizations that embraces change along with enhancing the quality of care their patients receive. The executive summary assessment will describe details of Gwinnett Medical Center, the risk, and quality management department policies, and how the risk and quality management determines the quality outcome for the goals the hospitals. Gwinnett Medical Center Gwinnett Medical Center (GMC), also known as Gwinnett Hospital System, Inc. (GHS), was established in the early 70s and is a not-for-profit health care network. The hospital is a 553-bed facility, which includes 464-inpatient and 89-skilled licensed nursing and long-term facility. Gwinnett Medical Center has two acute-care hospitals, and facilities in different cities and the metro Atlanta area. The facility in Lawrenceville, Georgia is recognized as a national leader in single incision laparoscopic surgery, advanced cardiovascular services and a Level II Trauma Center. The medical center in Duluth, Georgia has specialty services, such as the Center for Weight Management and the Diabetes & Nutrition Education Center, and has received national recognition for achieving clinical excellence. In addition, this...
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...Influencing Factors of Health Care Expenditure: Opportunities to Improve Canada’s Statistics [Authors Name] [Institutional Affiliation(s)] Author Note [Include any grant/funding information and a complete correspondence address.] Table of Contents Introduction………………………………………………………………………………2 Comparing Health System Performance…………………………………………………4 Sweden’s Healthcare Policy Framework………………………………………………...8 Canada’s Opportunities for Improvement………………………………………………..9 Conclusion……………………………………………………………………………….11 References……………………………………………………………………………….13 Influencing Factors of Health Care Expenditure: Opportunities to Improve Canada’s Statistics Globally, the number of variations that contribute to the government’s financial contribution to the health care system is great and ever changing. The amount of money spent on health expenditures varies as well, and is specific to each country. In countries with a high income, such as the United States and France, the per capita health expenditure averages over 3,000 USD, while in countries that are considered resource poor, such as Israel and Mexico, the average per capita amount is only 30 USD. (Ke, Saksena, & Holly, 2011). Wide variations in health expenditure are also specific to each country’s economic development. Less resourceful countries have been noted to only spend less than 3% of GDP on health, while other, more economically developed countries spend more than 12% of GDP on health. (Ke et al.,2011). The growth...
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...– Part I Kittitas Valley Community Hospital (KVCH) is a progressive, critical access hospital that provides exceptional health care to Kittitas County and surrounding areas. KVCH provides 24-hour emergency care and offers inpatient and outpatient hospital services. KVCH's emergency department is designated as a Level IV trauma service by the State of Washington Department of Health and is staffed 24-hours-a-day by an emergency physician (About KVCH, 2012). Over the course of this paper the types of care that KVCH focuses on, the organizations mission and their QI goals will be described as well as the role of consumers in the organizations QI process. Performance Measurement vs. Quality Improvement Processes According to the operations performance measurement program, “Performance measurement is the use of statistical evidence to determine progress toward specific defined organizational objectives. This includes both evidence of tangible fact, such as measurement of hospital acquired infections, and measurement of customer perception, such as would be accomplished through a customer satisfaction survey. In a service industry such as health care, the performance measurement process starts by defining precisely the services that the organization promises to provide, including the quality or level of service (e.g. timeliness, reliability, etc.) that is to be delivered” (Performance Measurement Fundamental, 2011). Quality improvement processes main goal is to improve and...
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...Arroyo Fresco Community Health Center Case Study Analysis Abstract Arroyo Fresco (AF) currently provides services through eleven clinics and four mobile service vans across western Arizona. The three counties that are served through AF provide high quality primary care and preventative services to demographic areas with diverse geography, culture, income, and other varying factors (“Arroyo Fresco,” 2006). The facility guides its decision making process for organizational strategies with the combination of FOCUS and SWOT analysis. This allows for a well-rounded check and balance system to manage and prepare for current and future strategies for short term and long term processes. The increase in financial demands, consumer expectations, partnerships and mergers, quality of care given, and health care reform restructuring have placed a lot of expectations on health care facilities (“Creating an ethical culture,” 2011). The organizational strategy proves to be an important structure in order to provide a clear definition on how AF can change over time in order to successfully deliver a strategy and action plan that will benefit the short term and long term projections within the company (“Executive Insight,” 2008). AF has an found areas to improve the job descriptions, relationships, and management processes (Miles, Snow, Meyer, and Coleman, 2013). The organization strives to establish a strategic set of goals that will monitor, advance, and demonstrate health care results...
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...applicability of the information, (5) assessing the actionability of the evidence, and (6) determining if the information is adequate (p. 325). As a facilitator for the use of evidence-based research in decision-making, the IDT assists decision-makers with estimating how operational and strategic decisions will have an effect on the organization. Evidence-based decision-making is not new to the health care industry. Clinicians have incorporated evidence-based research for years when making patient treatment determination. The use of evidence-based research for decision-making in other realms of healthcare is only logical. Case Study Example A manager of a Denton County, Texas, clinic that provides care to Medicaid clients has a department budget cut of 15%. A decision for eliminating or introducing clinical services to best address the healthcare needs of the Medicaid population is necessary. The decision should consider statewide health policy and a defined budget constraint. Framing...
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...Southwest Hospital Memorial Hermann system is the biggest nonprofit organization in Texas. Altogether, it serves the greater Houston area with 12 hospitals and has a large network of affiliated doctors. Located in the heart of southwest Houston, Memorial Hermann Southwest Hospital has been caring for families since 1977. A 568-bed facility, Memorial Hermann Southwest employs a team of highly well trained affiliated physicians and uses advanced technology to offer superlative care close to home. At the HVI, (Heart and Vascular Institute), physicians and patients benefit from technology at the primary edge and original cardiovascular programs. (Memorial Hermann Southwest, 2013). What impact did the rapid evolution of Asian immigration in Southwest Houston had on Memorial Hermann Southwest growth? Does Memorial Hermann mission statement value the community? How does Memorial Hermann health informatics technologies to impact its healthcare delivery and how does it use emerging trends in technology to support its initiatives? In August 2009 the Memorial Hermann Hospital System announced its plan to sell its Southwest Hospital to the Harris County Hospital District, which wanted to make the hospital its third general hospital (O'Hare, 2009). The majority of the medical staff and employees expressed strong dissatisfaction with the plan and manifested intents to resign if the sale took effect. On September 18, the day of the deadline, the county withdrew...
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...Tarrant County, the sixteenth most populous county in the United States, and the third most populous in Texas covers an area of 902 square miles, according to the U.S. Census Bureau. Tarrant County was named in Honor of General Edward H. Tarrant of the Republic of Texas militia. Tarrant County is home to The Dallas Cowboys, The Texas Rangers, and this is where I call home. There are many talking points to cover when discussing Tarrant County, however, the three most important ones, in my opinion, are Government, Education, and Transportation. Tarrant County is one of 254 counties created out of the Peters Colony, which was established in 1849 to serve as decentralized administrative divisions provided state services and collecting state taxes. As stated above Tarrant County was named after General Edward H. Tarrant, commander of militia forces of the Republic of Texas at the Battle of Village Creek in 1841. The Tarrant County Courthouse was completed in 1895 and took over 2 years to build. Tarrant County has a population of over 1.8 million people, more than 2,700 times larger than in 1850. Tarrant County is...
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...Community Assessment WGU Community Assessment Kitsap County is located in Western Washington on the Kitsap Peninsula. It is bordered by Jefferson County to the northwest, Mason County to the southwest, Pierce County to the south/southeast, King County to the east/southeast and Snohomish County to the east. Kitsap County is connected to the eastern shore of the Puget Sound via multiple Washington State Ferry routes. It is made up of multiple cities including Bremerton and Silverdale (central), Port Orchard (south), and Poulsbo (north). It also includes Bainbridge and Blake Islands. According to the United States Census Bureau its population as of 2010 was 251,133 with a total land area of 394.94 square miles, and 170 square miles of water. The population per square mile of land is approximately 635. Geographically the county has over 250 miles of saltwater shoreline, with multiple inlets and bays. (http://quickfacts.census.gov/qfd/states/53/53035.html) The United States Navy is the largest employer in the county with multiple bases or installations including the Puget Sound Naval Shipyard, Naval Base Kitsap (Naval Submarine Base Bangor) and the Naval Undersea Warfare Center Keyport. The Naval facilities compromise 35.7 % of the workforce totaling 50% of the wages. The total number of firms including private, farming and non-farming is greater than 20,000. The education breakdown of the county contains 93% high school graduates and 28.7% have a Bachelor’s degree...
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