The Case for Open Heart Surgery at Cabarrus

In: Other Topics

Submitted By tcbrown
Words 1022
Pages 5
Running head: THE CASE FOR OPEN HEART SURGERY AT CABARRUS








The Case for Open Heart Surgery at Cabarrus Memorial Hospital
Terry Brown
Strayer University
Health Services Administration
HSA 599
Dr. Donna Leveque
November 17, 2012
Abstract
This report will discuss the ways an open heart surgical program does or does not comply with Cabarrus Memorial Hospital’s (CMH) mission. It will analyze whether or not CMH has the infrastructure and financial resources/leverage to add this program. This report will describe the competitive situation among other hospitals that will impact the hospital’s decision. This report will further describe the changes necessary in the service area to accommodate the cardiovascular surgery service.


Key Words: cardiovascular services/competition, mission, decision factors, financial considerations, changes





The Case for Open Heart Surgery at Cabarrus Memorial Hospital
Cabarrus Memorial Hospital (CMH) was dedicated to education. They were affiliated with Duke University Medical Center. This affiliation allowed for many specialists to practice at CMH. The goal at CMH was for everyone to have the best healthcare services. The issues now facing CMH were to address the opening of a new cardiovascular service program, in order to continue to provide this excellence in care.
Cardiovascular services/competition
The decision was in front of the board as to rather or not development of an open heart surgical program would benefit the needs of Cabarrus Memorial Hospital’s (CMH) patients. The hospital was currently transferring patients that required open heart surgery or coronary angioplasty to other hospital. These transfers were causing burden to their patients, families along with placing the patient at risk for delayed treatment.…...

Similar Documents

Surgery

... improves the application beyond Part I. Scores below 200 will hurt your application, 200220 is okay for middle tier programs; over 220 is a must for top tier programs. ***The Ideal Timeline *** For the General Surgery-Bound Medical Student By Shirin Towfigh, MD Year I, II Summer of Year I/II - Do well in your studies. Honors is preferred, but not as crucial as your clinical years. AOA is important. - Do a summer research project. Funding available at KSOM. Check out SSIG website and Student Clerkship website for list of research opportunities in the department. Basic science research is always preferred over clinical research. Most important is to actually present your research and publish it. The research subject is not so important. - Take USMLE Part I. Scores over 200 necessary for most good programs; over 220 for top tier programs. - Get Honors in as many clinical rotations as possible, including Surgery. - Let attendings and residents know you are interested in surgery. - Get involved in some clinical research projects. - Find a mentor. - Sign up for Thoracic/Foregut 4th year selective after February 1st. This is mandatory to get a Chairman’s letter. - Secure an appointment with Dr. Demeester to interview you for your letter or recommendation (323-442-5921). - Sign up for 4th year away rotation at a program in which you want to match. Most begin accepting applications around May. Something to think about… Many programs automatically offer you an interview as a...

Words: 1039 - Pages: 5

Open Your Heart and Mind to a New Community

... individuals in society has increased, the issues they face are continuously increasing as well; especially on college campuses where students go expecting to find a home away from home. As a developing professional, I believe that it is influential for institutions to acknowledge the issues of this matter that exist among college students and develop ways to help all students. The foundation for such an event to take place is through education and communication. After plenty of research and good observations, it would be nice if there was an Open Your Heart & Mind to a New Community program to help students, faculty, and staff learn more about the GLBT community as well. This program would be designed to not only educate the members of the institution about issues associated with GLBT students, but allow for structured environments where GLBT and straight members of the institution can come together to express themselves in hopes of forming an alliance. History of Gay Pride Gay Rights Movement was embedded in the so-called Stonewall riots. This was the first major attempt of gays to coordinate, themselves and to resist discrimination. In the summer of 1969, policemen in New York started to bombard unlicensed bars, resulting in closings of five gay bars with minor street disturbances. The Stonewall Inn, an unlicensed and Mafia-operated bar in Greenwich Village, was raided by nine policemen in the early mornings of June 28th 1969. As the policemen arrested and escorted......

Words: 6251 - Pages: 26

Heart Valve Surgery

.... • Don’t eat or drink anything after midnight, the night before surgery. During Your Surgery • Your surgeon will first gain access to your heart. To get to the heart, the surgeon usually makes an incision down the center of the chest. The breastbone (sternum) is then separated. (If your surgeon plans to reach your heart by a different means, he or she will discuss it with you.) • A heart-lung machine will oxygenate your blood so your heart and lungs can be still during the surgery. • The surgeon will either repair or replace the problem valve. If you have another heart problem, a second procedure may be done at the same time to take care of it, too. • After surgery is done, the breastbone is rejoined with wires. The incision is then closed. In many cases, the breastbone heals in 6–8 weeks. Three Ways to Treat Problem Valves Different problems call for different treatments. Your doctor will talk with you in advance about the treatment that is best for you. In some cases, though, the plan may need to change once surgery has begun. The three basic ways to treat valve problems during surgery are: • Repair of the valve: Whenever they can, surgeons prefer to repair a valve rather than replace it. The most common kind of repair involves sewing a ring around the entrance to a valve to improve its size or shape. Another involves cutting tissue to let leaflets open or close better. When repair isn’t possible, the valve will be replaced. • Replacement with a mechanical valve...

Words: 2220 - Pages: 9

Surgery

... available via clinical diagnostic methods. It is usually performed in patients with acute or unexplained abdominal pain, in patients who have sustained abdominal trauma, and occasionally for staging in patients with a malignancy. Once the underlying pathology has been determined, an exploratory laparotomy may continue as a therapeutic procedure; sometimes, it may serve as a means of confirming a diagnosis (as in the case of laparotomy and biopsy for intra-abdominal masses that are considered inoperable). These applications are distinct from laparotomy performed for specific treatment, in which the surgeon plans and executes a therapeutic procedure. Vikram, K. (2011). Exploratory laparotomy. Medscape. Retrieved November 17, 2012, from http://emedicine.medscape.com/article/1829835-overview SALPHINGO OOPHORECTOMY Unilateral salpingo-oophorectomy is the surgical removal of a fallopian tube and an ovary. If both sets of fallopian tubes and ovaries are removed, the procedure is called a bilateral salpingo-oophorectomy. This surgery is performed to treat ovarian or other gynecological cancers, or infections caused by pelvic inflammatory disease. Occasionally, removal of one or both ovaries may be done to treat endometriosis, a condition in which the lining of the uterus (the endometrium) grows outside of the uterus (usually on and around the pelvic organs). The procedure may also be performed if a woman has been diagnosed with an ectopic......

Words: 661 - Pages: 3

The Case for Open Heart Surgery at Cabarrus

...Running head: THE CASE FOR OPEN HEART SURGERY AT CABARRUS The Case for Open Heart Surgery at Cabarrus Memorial Hospital Terry Brown Strayer University Health Services Administration HSA 599 Dr. Donna Leveque November 17, 2012 Abstract This report will discuss the ways an open heart surgical program does or does not comply with Cabarrus Memorial Hospital’s (CMH) mission. It will analyze whether or not CMH has the infrastructure and financial resources/leverage to add this program. This report will describe the competitive situation among other hospitals that will impact the hospital’s decision. This report will further describe the changes necessary in the service area to accommodate the cardiovascular surgery service. Key Words: cardiovascular services/competition, mission, decision factors, financial considerations, changes The Case for Open Heart Surgery at Cabarrus Memorial Hospital Cabarrus Memorial Hospital (CMH) was dedicated to education. They were affiliated with Duke University Medical Center. This affiliation allowed for many specialists to practice at CMH. The goal at CMH was for everyone to have the best healthcare services. The issues now facing CMH were to address the opening of a new cardiovascular service program, in order to continue to provide this excellence in care. Cardiovascular services/competition The decision was in front...

Words: 1022 - Pages: 5

Open Heart Surgery

... they had received special training that allowed them to do so. Another nurse came in to administer the cleaning of the pig valve in saline and made sure all the equipment needed was used and carefully put back in place. The nurse by the doctors side was in charge of handing each piece of equipment to the doctor when needed, and Darla explained how the doctor was never require to say out loud what he needed because the nurse already knew. This is the standard for operations such as the aortic valve replacement, since each individual is required to know the ins and outs of the entire procedure. All of these safety measures taken are extremely important. Not only does the hospital want to make sure they are doing their absolute best to give the patient excellent service and care, it is also important for their hospital’s image and accreditation to perform all surgeries with care, efficiency and safety. What seemed like such a complex procedure to an outside observer, such as myself, was actually quite routine and standard within the hospital. All individuals who took part in the surgery were calm, collected and confident in their ability to perform the surgery. I believe during each individuals training, the hospital must have created training protocols and procedures to ensure that each and every single staff member present during a surgery understands not only their role but the role of others as well. In addition, there must have been multiple shadowing and training......

Words: 604 - Pages: 3

Open Heart Surgery Review

...Open Heart Surgery at Cabarrus Memorial Hospital Strategic Management for Healthcare Organizations EXECUTIVE SUMMARY This analysis serves as an evaluation of the current strategic plan being developed by Cabarrus Memorial Hospital. It will highlight the recommended strategies in three different categories that will aid a guide in effort to successfully implement the strategies to bring the organization to the forefront of its market. Outlined throughout the analysis is the organization’s history, the suggested Directional Strategies, the Expansion of Scope strategies, and the Implementation strategies along with other key elements that are necessary for the plan to be a success. It will provide an inside look at why new alternatives are not needed and the why the focus should be placed on the products and services already offered and the introduction of the new cardiac care unit to maintain its position in the healthcare market. The purpose is to initiate a strategic plan which makes recommendations to leadership based on the results of the study and to maintain an overall setting of patient and family satification. Key Issues The lack of open heart surgery program at Cabarrus Medical Center results in requiring patients who require open heart surgery or coronary angioplasty services to transfer to another hospital, delaying necessary treatment and causing anxiety and hassle to the patient and their family. Should the current mix of cardiac services...

Words: 1838 - Pages: 8

Heart Attack Case Study

... atrial or ventricular systole? It is possible that Aunt Leah’s atrioventricular valves might be leaking since that is the cause for the lub sound in the heart. That sloshy sound is heard during ventricular systole. Is the dub sound heard during atrial or ventricle diastole? The dub sound is heard during ventricular diastole. The cardiologist jokingly blamed Jake for Leah’s heart murmur because he tugs at her heart strings. What heart structures can be correlated to “heart strings?” Explain their functional significance. The heart structures that can be correlated to “heart strings” are the chordae tendinae. This structure is important because they bring the right ventricular walls closer together during contraction, pull the semilunar valves open to allow ventricular ejection, pull the atrioventricular valves open during atrial systole, and they prevent the backward flow of blood from the atrioventricular valves. 5. Aunt Leah calls to let your parents know that Jake is going to have heart surgery in the morning, but forgets to tell them what kind of surgery. Is he going to have bypass surgery, or open-heart valve surgery, or implantation of an artificial pacemaker? Explain the differences between the conditions that these procedures correct and how you know which one Uncle Jake is going to have. Bypass surgery is a procedure where doctors would take a vein or artery from another part of your body and use it to make a......

Words: 1165 - Pages: 5

First Heart Surgery in Chicago

... corresponding to this big event , which was the first heart operation, is a picture of doctor Daniel Hale Williams himself. I see him there, as very wise men, intelligent and with a good attitude. Doctor of the year, the men who as a first doctor , performed heart operation in the last century. That first operation which changed the whole thinking and gave a new hope to patients and all people, that heart problems can be fixed now. That event, started a new trend in the whole medical arena. This is the famous man, the doctor, sitting in his chair and deeply studding with that smart, concentration pose. This is the same men who is trying better understand anatomy and function of the human body and at the same time, he is the doctor who gives the most of his experiences to those people who need him. This is the same men who cared the most about his patients, no matter what color skin they were. Doctor who rescued their life, set people free from their illness and suffer. How many times, to be able to help, at the same time, he was risking their life. Men with patience, peace, confident in his work and big knowledge at that time. First of all, however, men who was not afraid to take a chance and start new evolution medical world in 1900’s. The first heart surgery went well and smoothly. First time in history, doctor was able to open human’s chest to reach for heart and be able to repair it. Was it easy? Perhaps scary or......

Words: 2229 - Pages: 9

Open Heart Surgery at Cabarrus Memorial Hospital

...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...

Words: 5471 - Pages: 22

Open Table Case Analysis

..., OpenTable’s clients are complaining that the service fees is too high. The declining growth has indicated that the current differentiation strategy could not maintain OpenTable’s growth in its core business in short run. The emerging problem is whether OpenTable should improve the current strategy or revise it into cost leadership strategy. EXTERNAL ANALYSIS The restaurant reservation industry’s structural characteristics influence OpenTable’s choice of strategies directly. The five forces of competition model can help OpenTable understand the industry profitability potential, to choose appropriate corporate- and business-level strategies. Intensity of Rivalry among Competitors By 2014, a variety of reservation services as well as other restaurant promotion services had begun to handle restaurant reservation. Most of the major players are using differentiation to compete. For example, Bookatable featured its service through an exclusive partnership with Michelin; Groupon focuses on “daily deal” deep discounts offering. Only a few players, like UReserv, apply cost leadership strategy to offer a standard feature of reservation services at a much lower price. While free Yelp Reservation service is not its core business, it may still intense the competition in the industry since Yelp has a huge volume of users. Based on the above fact, the level of competition would be moderate to high. Bargaining power of......

Words: 2178 - Pages: 9

Explain the Case for Open Heart Surgery at Cabarrus Memorial Hospital.Order Now

...LECTURER: STUDENT NAME: STUDENT ID: LEVEL: DATE OF SUBMISSION: Question two; Part A. Internal communication refers to all communications that take place between members of an organization and which occurs at all levels as well as all organizational units of the organization. Internal communication has a keen focus on the announcement of the management conclusions and packaging of all management thinking into messages for distribution on a wider scale to the “troops”, Quirke (2008). Internal communication can as well be simply defined as the sharing or exchange of information within an organization to enhance the success of the business and effective communications among all participants within the organization. Internal communications have also been called internal relations (Cutlip, Center & Broom, 2006) as well as internal public relations (Kennan & Hazleton, 2006; Kreps, 1989). Internal communication within an organization may occur through speech and other internal communication tools such as Instant Messaging, Forums, Blogs, Twitter, Social Networking, mail, telephone, fax, radio, paging, closed circuit television, computer networks and internet connections as well as via electronic mail. My analysis of the later will center on Oman Oil Company S.A.O.C. (OOC), a high profile company in the energy sector located in Sultan of Oman and which is wholly owned and managed by the Government. Key to my subject is the identification of the various types of...

Words: 1972 - Pages: 8

Case Study (Heart Failure)

...Case Study 1 Heart Failure M.G., a “frequent flier,” is admitted to the emergency department (ED) with a diagnosis of heart failure (HF). She was discharged from the hospital 10 days ago and comes in today stating, “I just had to come to the hospital today because I can't catch my breath and my legs are as big as tree trunks.” After further questioning, you learn she is strictly following the fluid and salt restriction ordered during her last hospital admission. She reports gaining 1 to 2 pounds every day since her discharge. 1. What error in teaching most likely occurred when M.G. was discharged 10 days ago? If M.G. is currently following her fluid and salt restriction strictly but is still exhibiting the symptoms of fluid overload in heart failure, there was most likely an error in regards to medication teaching. She would have been prescribed a diuretic to eliminate the fluid that what giving her shortness of breath, edema and weight gain but if not taken correctly or at all this would explain why M.G. is still having these manifestations. CASE STUDY PROGRESS During the admission interview, the nurse makes a list of the medications M.G. took at home. * Chart View Nursing Assessment: Medications Taken at Home Enalapril (Vasotec) 5 mg po bid Pioglitazone (Actos) 45 mg po every morning Furosemide (Lasix) 40mg/day po Potassium Chloride 20meq/day po 2. Which of these medications may have contributed to M.G.’s heart failure? Explain...

Words: 772 - Pages: 4

Surgery

...KAT VON D PLASTIC SURGERY-HAS THE YOUNG TATTOO ARTIST FOLLOWED CELEBRITY TREND? DESCRIPTION; Kat Von D plastic surgery is a speculation of her having improved certain parts of her body i.e. her breast, nose, face and lips. She has neither confirmed nor denied the rumors. Kat Von D, whose original name is Katherine Drachenberg, is a famous tattoo artist and television personality who rose to fame through the Miami ink television show. The speculations of Kat Von D plastic surgery started with posts of her before and after photos where comparing the two, she has some changes. Though she has not said anything about the surgeries publicly, the speculations are that she has gone under the aquiline surgeon’s knife for the following procedures; Rhinoplasty Commonly known as nose job. It’s one noticeable change among Kat Von D plastic surgery procedures. Her nose is more than before and the bridge is narrower than before. Lips augmentation. Kats lips are thicker, more plumb and fuller than they were. Looking at her older pics, her lips were not as thick as they appear currently and she looks confident enough nowadays even to apply nude lipstick instead of her deep red lipstick.is it just natural improvement on the gothic teen or a surgeon’s knife work? Breast augmentation Before the rumored Kat Von D plastic surgery, Kat was bigger than she is and she lost quite some weight but something about her ‘grew’ bigger and more attractive. Her breast. She might have enhanced her...

Words: 405 - Pages: 2

Open Heart Case at Cabbarrus

...Independent Case Analysis Paper: Open Heart at Cabarrus NAME College Abstract In this activity, I will analyze The Case for Open Heart Surgery at Cabarrus Memorial Hospital by using the tools and skills previously learned in my Health Science curriculum. I will provide a brief summary of the case, discuss the major problems, use two case analysis tools and provide a detailed report with a decision. Independent Case Analysis Case Summary The board of trustees at Cabarrus Memorial (CMH) gathered in October for its monthly meeting. The meeting opened by stating the fact that (CMH) did not have an open heart surgery program. The Chairman mentions the fact that a quick decision is needed since Dr. Christy needs to make a decision regarding where he will be working. Dr. Christy was previously a staff member that left CMH to complete a fellowship in cardiovascular surgery and wants to return to work at CMH after his fellowship is complete. Dr. Christy needs to make a decision by the first of January. Should CMH add the open heart surgery program? SWOT The SWOT tool has been utilized to help determine the strengths, weaknesses, opportunities and threats of opening a heart surgery program at CMH. The use of this tool has identified several strengths. One of the strengths includes the fact that CMH and Duke have an affiliation. CMH had several educational affiliation programs and extensive in-service and continuing education programs, including...

Words: 1296 - Pages: 6