...Describe the current nursing practice. An instrument specifically designed to aid health care workers evaluate the dangers of pressure sores that a patient faces is called the Braden Scale. After assessment, the victim is categorized depending on six aspects: capability of physical activity, hydration and nutrition status, capacity to alter position, the ability to respond after sensing discomfort related to pressure, shearing or exposure of the skin to friction during locomotion, and skin exposure to moisture. If the overall score is lower it means the risk of pressure sore is higher (Changing Practice, Changing Lives: 10 Landmark Nursing Research Studies, n.d). Prior to this Change, Skin assessment was based on non- formalized risk assessment which varies with each clinical practice. 2. Discuss why the current nursing practice needs to be changed Using non-formalized risk assessment in Predicting pressure ulcer resulted in non-uniformity and personal clinical judgement which varies from one person to another. Using Clinical judgement is more effective where the staffs are experienced and their experience assist in appropriate predictability, but with novice staff, the use of clinical judgment is inappropriate. In a multisite trial, Braden scale was tested by clinics bringing together skilled nursing facilities, Veterans Administration or VA medical centers and hospitals providing tertiary care. Of those who took part, none had experienced pressure sores earlier. Nurses evaluated...
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...ShiNesha Goodman HCS/531 May 20, 2013 Doris A. Chimera, RN, MA, MHA University of Phoenix Abstract The increase in online health information and services often challenges and streamlines the delivery of adequate patient care. In addition access to technology will affect the delivery of health care socially, economically, and ethically. As a consultant of StateServ Home Medical, the writer will present the importance of accurate delivery of a health information technology tool that will allow healthcare professionals Internet access to schedule the ordering and delivery of DME (durable medical equipment). This electronic ordering system will improve the hospice organization’s efficiency. The consultant’s description of StateServ Home Medical will reveal the program to significantly shift the telephone ordering process to Internet access. That leaves the hospice organization’s nursing staff with more time to mange patient care cases. In the ongoing evolution of adapt technologies, hospice organizations should factor integrated durable medical equipment ordering systems that will serve at enhancing patients’ level of care and lower delivery cost. This latest technology will also serve as a maintenance control function which results in complete and accurate billing procedures that will capture active supply use by patients. StateServe Home Medical network services will allow the hospice organization...
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...1. Executive Summary The present case concerns Aravind Eye hospital which is a privately owned hospital and provides free services to the poor and needy people. Dr.Venkataswamy who is the founder of the hospital wants to expand Aravind Eye hospital to all parts of India, Asia, Africa and rest of the world so that quality and free eye services can be provided to the poor and needy people who have curable blindness but can’t afford to pay for their treatment. Dr. V is interested in knowing how this expansion can be achieved through the franchisee model.The case writer has been hired as a consultant to advice Dr. V as to how to realize his dream. The statement ‘Once Aravind, always Aravind’, supported by the whole staff of AEH, reflects this mission and partly validates the business model of Aravind Eye Care System. This model aims to make eye care available to all, regardless of income. A sense of compassion and commitment, dedication to quality and cost control and strong leadership are key elements in the success of this innovative health care model. After examining the case we can observes that there are various problems which need to be looked at. These include ensuring that the model is self-sustainable and the franchisee is able to recover his cost of capital, to ensure that the main purpose of the hospital of providing free services to the poor and needy is not compromised, quality man power is available to ensure smooth functioning of the franchises and to address the...
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...Decreasing the Incidence of Non-Urgent Emergency Department Visits in Patients at PrimaryPlus Cynthia D. Schaefer MSN APRN, FNP-BC Maysville, Kentucky An Evidenced-Based DNP Project Report presented to Frontier Nursing University in partial fulfillment of the Degree: Doctor of Nursing Practice September 16th 2016 Dr. Jana Esden Committee Chair Name and Credentials of the chair None Committee Co-Chair (if applicable) Name and Credential of the co-chair Dr. Adit Ginde Content Expert Name and Credentials of the content expert Due in the Registrar’s Office for Graduation September 16th 2016 Decreasing the Incidence of Non-Urgent Emergency Department Visits in Patients at Primary Plus Cynthia D. Schaefer MSN APRN, FNP-BC Maysville, Kentucky Associates Degree in Nursing, Lincoln University, 1995 Bachelor’s Degree in Nursing, University of Missouri St. Louis, 1998 Master’s of Science in Nursing, Northern Kentucky University, 2008 An Evidenced-Based DNP Project Report presented to Frontier Nursing University in partial fulfillment of the Degree: Doctor of Nursing Practice September 16th 2016 Dr. Jana Esden Committee Chair Name and Credentials of the chair None Committee Co-Chair (if applicable) Name and Credential of the co-chair Dr. Adit Ginde Content Expert Name and Credentials of the content expert Due in the Registrar’s Office for Graduation September 16th 2016 Abstract Title: Decreasing the Incidence of Non-Urgent Emergency Department Visits in Patients...
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...Hygiene Practices in a Neonatal Intensive Care Unit: A Multimodal Intervention and Impact on Nosocomial Infection Barbara C.C. Lam, Josephine Lee and Y.L. Lau Pediatrics 2004;114;e565; originally published online October 18, 2004; DOI: 10.1542/peds.2004-1107 The online version of this article, along with updated information and services, is located on the World Wide Web at: http://pediatrics.aappublications.org/content/114/5/e565.full.html PEDIATRICS is the official journal of the American Academy of Pediatrics. A monthly publication, it has been published continuously since 1948. PEDIATRICS is owned, published, and trademarked by the American Academy of Pediatrics, 141 Northwest Point Boulevard, Elk Grove Village, Illinois, 60007. Copyright © 2004 by the American Academy of Pediatrics. All rights reserved. Print ISSN: 0031-4005. Online ISSN: 1098-4275. Downloaded from pediatrics.aappublications.org at University of Southern Queensland Library on August 5, 2014 Hand Hygiene Practices in a Neonatal Intensive Care Unit: A Multimodal Intervention and Impact on Nosocomial Infection Barbara C.C. Lam, MBBS, FRCP(Edin, Lond.), FRCPCH(UK), FHKCPaed; Josephine Lee, RN, MSN; and Y.L. Lau, MD (Hons), FRCP(Edin, Glasg. Lond.) FRCPCH(UK) ABSTRACT. Objective. Health care–associated infections persist as a major problem in most neonatal intensive care units. Hand hygiene has been singled out as the most important measure in preventing hospital-acquired infection. However, hand hygiene...
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...Contingency Plan Significance for Disaster Preparedness Tanya Vadnais Southern New Hampshire University Contingency Plan Significance for Disaster Preparedness We never know when disaster will strike in the healthcare profession, and therefore, disaster preparedness needs to be in the forefront of our minds. The most important part of disaster preparedness is planning in advance, and contingency plans are the most reliable way of accomplishing this. Contingency plans can be defined as “planning activities related to a site-specific threat that may occur at any time” (Vennema, 2007, p. 138). Different disaster planning and contingency plans will be needed depending on geographical location such as hurricanes in the southern region, earthquakes in the western region, and severe snow storms in the northern region. In the case study reviewed, a nurse who has just arrived for a 12 hours shift was concerned about the forecasted blizzard that was expected to bring two to three feet of snow in the next twelve to eighteen hours. Other nurses begin to get anxious and ask about contacting the nursing supervisor to seek strategies to ensure adequate staffing for patient care in the morning. Leadership within the healthcare facility should be cognoscente of the impending blizzard, and a contingency plan should be utilized to guarantee harm reduction during this internal/external disaster threat. Careful organization of contingency plans is necessary if those involved in a disaster are...
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...Decreasing the Incidence of Non-Urgent Emergency Department Visits in Patients at PrimaryPlus Cynthia D. Schaefer MSN APRN, FNP-BC Maysville, Kentucky An Evidenced-Based DNP Project Report presented to Frontier Nursing University in partial fulfillment of the Degree: Doctor of Nursing Practice September 16th 2016 Dr. Jana Esden Committee Chair Name and Credentials of the chair None Committee Co-Chair (if applicable) Name and Credential of the co-chair Dr. Adit Ginde Content Expert Name and Credentials of the content expert Due in the Registrar’s Office for Graduation September 16th 2016 Decreasing the Incidence of Non-Urgent Emergency Department Visits in Patients at Primary Plus Cynthia D. Schaefer MSN APRN, FNP-BC Maysville, Kentucky Associates Degree in Nursing, Lincoln University, 1995 Bachelor’s Degree in Nursing, University of Missouri St. Louis, 1998 Master’s of Science in Nursing, Northern Kentucky University, 2008 An Evidenced-Based DNP Project Report presented to Frontier Nursing University in partial fulfillment of the Degree: Doctor of Nursing Practice September 16th 2016 Dr. Jana Esden Committee Chair Name and Credentials of the chair None Committee Co-Chair (if applicable) Name and Credential of the co-chair Dr. Adit Ginde Content Expert Name and Credentials of the content expert Due in the Registrar’s Office for Graduation September 16th 2016 Abstract Title: Decreasing the Incidence of Non-Urgent Emergency Department Visits in Patients...
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...HEALTH CARE [Author Name] In the article “Health Care Study Calls Risk Pool Money Lacking” Kevin Sack discusses some of the issues of healthcare finance. He says that the new law of health care does not properly allocate money for 5.6-7 million Americans with medical conditions that are pre-existing and have high risk insurance pools. The insurance plans carried out by the Government are a stopgap until 2014 after which the insurers cannot deny from providing total medical coverage to people. But according to a study by a nonpartisan research group, the Center for Studying Health System Change, $5 billion will only cover 200,000 people in a year. As a result, there would be a huge number of people having serious medical problems but the amount allocated for health care won’t cover them. Also, prompted officials of the 20 states would decline to establish their own financial pools which would put the burden of the task to Washington. In these states, the officials and the Republicans fear the intense pressure that they will have to face in case they are short of money. High risk pools will be established in some of the states by July1. The existing pools charge high rates which make them unaffordable to many; the new pools should have standard charges. Even then we won’t know how many uninsured won’t be able to afford those standard rates. Another analysis in this week concludes the states should be satisfied with new amendment and expansion of law. The...
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...Part 1 Study of the Law in General Chapter 1 LEARNING OBJECTIVES After reading this chapter, the learner should be able to: 1. Differentiate between public and private law. 2. Compare and contrast contract and tort law. 3. Compose a scenario that illustrates the difference between the substantive and procedural aspects of criminal law. 4. Identify and explain the differences between various sources of law. 5. Describe the branches of government and their roles in creating, administering, and enforcing law. 6. Explain the process of how a bill becomes a law. 7. List and describe quasi-legal requirements to which health-care organizations are subject. KEY CONCEPTS Common law Conflict of laws Constitution Contract law Deeming authority Electronic case filing systems Felonies 2 Law Misdemeanors Ordinances Private law Procedural law Public law Res judicata Separation of powers Stare decisis Statutes Substantive law Tort law Words of authority Workings of the American Legal System INTRODUCTION As health care becomes more complex, the interplay between the law and health care increases. Government regulation of the health-care field continues almost without pause while lawsuits against health-care providers appear to increase. The interplay of these forces significantly affects the health information manager’s ability to manage patient-specific health information. Thus, the health information manager must possess a fundamental...
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...Change and Culture Case Study I Nikiah C. Roberson HCS/514 Monday September 24, 2012 Dr. Kinaro Change and Culture Case Study I Case Study Robbins Hospital has been competing with Smith Hospital for over a decade. Robbins offers both in and outpatient services including day surgery, wound care, and physical and occupational therapy. Robbins is one of the oldest hospitals in Savannah and is currently being updated with state-of-the-art technology. Smith is more modern, with technology such as telemedicine, PET scans, and the use of the electronic medical records program. Robbins has constantly honored itself on the great quality of care provided to its patients. Smith on the other hand, is known for giving the kind of care to patients that is not always of good quality. Over the last decade a merger took place between Robbins Hospital and Smith Hospital, joining Robbins who has a high quality of patient care with Smith who has modern technology. The newly named hospital will be called Robbins/Smith Hospital. The administrator who has been an administrator at Robbins for more than a decade will have the task of creating an organizational culture that will not only meet the needs of staff, but also provide quality patient care. The administrator at Smith Hospital has a duty to direct the group of employees as one in a way that forms a positive and comfortable work environment. The purpose must focus on the mission and goals of the newly merged facility, with...
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... The Difference Between BSN and ADN Practice Lauren DiMuro Southern Vermont College What is the difference between BSN practice and ADN practice? This is a question that every nursing student should ask and research as both BSN and ADN nurses can sit for the same NCLEX-RN exam. There are multiple answer to this question, however the short answer is that nurse with a BSN degree has more opportunities to work in a variety of health care settings that offer an extensive array of opportunities for professional growth. (Moore, 2009) BSN student learn skills at a higher level that are required for exceptional practice. (Huston 7) The difference between the ADN nurse and the BSN nurse is not limited to the opportunities allotted but spans out to the education. The BSN nurse completes a curriculum that has a different focus than that of the ADN curriculum. The BSN curriculum emphasizes evidence based practice, leadership, critical thinking, and public/community health. (Moore, 2009) As part of this curriculum you receive crucial training in key areas like communication, leadership, and critical thinking- enhanced knowledge that will become ever more valuable in the complex and changing future of health care delivery. (Simons, 2012) BSN nurses can be and are not limited to bedside nurses, educators, case managers, discharge planners, administrators, and work in public health, home...
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... Luz Hutchinson University of Phoenix HCS 320 Health Care Communication Strategies Professor Paul Wing March 22, 2011 Having been employed in an establishment such as that of a hospital, effective communication is definitely one of the very important aspects with regard to the care of the patients. As in any health care setting, an organization established to hospital care may stand in front of challenges when it come to communication for the reason that of gender and cultural differences, and in some cases the lack of ability to communicate effectively with the individuals obtaining service. Circumstances such as these may have an effect on how certain tasks are achieved within the organization, whether or not an individual want to continue using hospital services and how to a huge degree employees, patients, and family members interact together. Therefore, to comprehend various challenges facing this type of organization with accordance to communication we will address how gender and cultural differences does impact communication within an organization of a hospital, especially when it involves fellow coworkers, managers, patients, families, and caregivers along with improvements that can be made if any. Having work in an organization dedicated to hospital care one will come across both male and female employees dedicated to the care and health of the patients; however, one is also going to come across different...
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...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 a call for collaboration that emphasized...
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...If there are images in this attachment, they will not be displayed. Download the original attachment Page 1 IT and Health Submitted by Lekshmi P Roll no:09810036 MBA 1 ST year Department of Management Studies Indian Institute of Technology Roorkee Page 2 Department of Management Studies,IIT Roorkee Page 2 Abstract This paper tries to present the overview of ICT and the health sector and also tries to identify the key issue and questions in this field .It also mentions the challenges facing the development of ICT implementation in health programmes and activities, and identifies the emerging trends and technologies that will shape ICT tools in the health sector. This paper also tells about the E- health standards existing and the various barriers related to establishing uniform standards. The paper also talks about the New Public Sector Management .And throughout the paper we will discuss some specific cases which will show us exactly how the ICT is changing the face of the health sector in some countries . Page 3 Department of Management Studies,IIT Roorkee Page 3 Contents 1. Introduction ........................................................................................................................................4 2. ICTs and the health-related MDGs (Millennium Development Goals)...............................................5 3. Using ICTs in the Health sector..............................................................................
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...Institute for Development Studies A Study of Philippine Hospital Management Administrative Systems Fred Avestruz DISCUSSION PAPER SERIES NO. 95-16 The PIDS Discussion Paper Series constitutes studies that are preliminary and subject to further revisions. They are being circulated in a limited number of copies only for purposes of soliciting comments and suggestions for further refinements. The studies under the Series are unedited and unreviewed. The views and opinions expressed are those of the author(s) and do not necessarily reflect those of the Institute. Not for quotation without permission from the author(s) and the Institute. June 1995 For comments, suggestions or further inquiries please contact: The Research Information Staff, Philippine Institute for Development Studies 3rd Floor, NEDA sa Makati Building, 106 Amorsolo Street, Legaspi Village, Makati City, Philippines Tel Nos: 8924059 and 8935705; Fax No: 8939589; E-mail: publications@pidsnet.pids.gov.ph Or visit our website at http://www.pids.gov.ph A STUDY OF PHILIPPINE HOSPITAL MANAGEMENT AND ADMINISTRATIVE SYSTEMS PIDS Project No. DOH / 91-92 / 05 (Final Report) October 30, 1994 Fred S. Avestruz, MBA, Ph.D. Asian Institute of Management TABLE OF CONTENTS Chapter 1 Page INTRODUCTION ........................................................ 1 1.1 Objectives of the Study .................................................. 1 1.2 Conceptual Framework of Hospital Management .................
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