Health Systems Administration - Improving Patient Safety
Medical errors are responsible for the deaths of an estimated 48,000-98,000 patients each year. Such errors are estimated to cost more than $5 million per year in a large teaching hospital, and preventable health care-related cost the economy from $17 to $29 billion each year. Most errors arise out of incorrect prescription and delivery of medication, surgical errors, diagnostic inaccuracies, and system failures (AHRQ 00P058, April 2000).
One of the major changes that must take place if health care organizations are to succeed in reducing errors is a concerted effort to establish a culture of accountability, trust, system improvement and continuous learning. Such an attitudinal change needs to take place both at the industry and individual organizational level: "President Clinton has proposed nationwide mandatory reporting of medical errors...accountable." (CNN.com, May 2000)
The benefits of reporting have already been proven: "New York State now achieves 97% survival…...
mlaWorks Cited
Altman, Lawrence K. "Getting to the Core of Mistakes in Medicine." The New York Times On The Web, February 29, 2000. URL:
http://www.nytimes.com/library/national/science/health/022900hth-doctors.html
Gaba, David M. "Anaesthesiology as a model for patient safety in health care." BMJ 2000;320:785-788 (18 March). bmj.com. URL:
Health System Management
State why this issue selected by the student.
In modern lifestyles, work stress is getting very common. Social life and work both have undergone drastic change in this new century. All the professions have been hit directly and even the physical health of the professionals has been affected badly because of it. With the health of the workers the health of the organization is also affected adversely (AACN, 2008).
On one side, where there is a heavy demand of life improving actions on the other side we see a demand of better customer services. It is an employee's duty to fulfill the demand of the customers, even if he is stressed, while doing so he must have a firm believe on the fact that customers are always correct (AACN, 2008).
There lies an indirect link between the hospital's high employer turnover rate during the residency program and the exhausted employees. In…...
mlaReferences
American Association of Colleges of Nursing. (2008, September). Fact Sheet: Nursing Shortage. Retrieved March 23, 2009, from AACN Web site: http://www.aacn.nche.edu/Media/FactSheets/NursingShortage.htm
Chulay, M. & Burns, S. (2010) AACN Essentials of Progressive Care Nursing. New York, NY: McGraw-Hill
Hodges, H.F., Keeley, A.C., & Troyan, P.J. (2008). Professional Resilience in Baccalaureate-Prepared Acute Care Nurses: First Steps. Nursing Education Perspectives, 80-89.
Kim, H.J., Shin, K.H. And Swanger, N. (2009). Burnout and engagement: A comparative analysis using the Big Five personality dimensions. International Journal of Hospitality Management 28, 96 -- 104
Healthcare System the purpose a health system support wellness prevent disease. What factors influence today's healthcare system? Describe U.S. Healthcare System context Patient Protection Affordable Healthcare Act.
Today's healthcare system is influenced by a large number of factors, a result of a complex environment and of several characteristics of the population. If one analyzes the utilization of healthcare services, this can increase or decrease depending on socio-economic status, physician supply, policy, risk behaviors and health status (Morreale, 1998). Many of these factors affect not only the utilization, but the nature of healthcare services, including their quality.
Muller (1986) pointed out that, from a socioeconomic perspective, education and income play an essential part. Individual with higher income and education tend to have lower degrees of disease and mortality. At the same time, however, this type of individuals have more visits to the doctor, appealing more often to healthcare services, although, most of…...
mlaBibliography
1. Muller, C. (1986). Review of twenty years of research on medical care utilization. Health Services Research.
2. Morreale, Mark. (1998). Fact Sheet: what factors can influence healthcare utilization? On the Internet at Las retrieved on November 4, 2013http://fhs.mcmaster.ca/nru/Working%20Papers%20&%20Fact%20Sheets/factsheets/Whatfactorscaninfluence.pdf.
(Luhby)
As a result, a variety of states such as Wisconsin and Ohio have passed legislation that will restrict the collective bargaining rights of public employee unions. At the same time, it is seeking to give administrators greater control over how to provide different services to communities (with the limited resources that they have available). According to James Shrek of the Heritage Institute, "The current legislation gives state and local officials more control over the costs of employing government workers. In many places, public officials have little leverage to lower these costs because they are set in union contracts. If benefits were removed from the collective bargaining process, states and localities could change them without having to negotiate with the unions, a process that can drag on for months or even years." (Luhby) This is significant, because it is showing how these kinds of changes will become more common in…...
mlaBibliography
"Casinos." Michigan in a Brief, 2002. Web. 15 May 2011.
"Collective Bargaining," Legal Dictionary, 2011. Web. 15 May 2011.
"Three American Cities on the Verge of Going Bankrupt." Retire Early, 2010. Web. 15 May 2011.
Luhby, Tami. "Unions Under Fire." CNN, 2011. Web. 15 May 2011.
U.S. Public Health System to better assess and defend against threats from bio-terrorism and infectious disease. This report discusses public health agencies that are "exemplary" in providing public health services in some way or another. That only thirteen were chosen out of seventy-three initially studied indicates how difficult it is to find exemplary public health protection against infectious disease and bio-terrorism threats. Data collection and surveillance are two areas that need improvement, especially in the field, as this report clearly notes.
This report contains information about thirteen agencies that offer the best of public health services. It shows what other agencies need to do to come up to a level of exemplary services, and how far some have to go to catch up. For example, the authors cite the "Citywatch" computer monitoring system for the Illinois Department of Health. They write, it is "A sophisticated computer-assisted emergency notification system that…...
mlaReferences
Tanielian, T. et al. (2005). Exemplary practices in public health preparedness. Retrieved 26 Oct. 2009 from the Rand.org Web site: http://www.rand.org/pubs/technical_reports/2005/RAND_TR239.pdf .
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Greenberg et al. sought to investigate whether the community-based model coupled with the implementation of service-line delivery of mental healthcare to local veterans would improve upon its previous numbers. Mental health services at 139 Department of Veterans Affairs Medical Centers (VAMCs) were studied over a 6-year period. Four areas of concern were measured: 1) the continuity of care veterans received for their mental health issues; 2) recidivism after discharge; 3) the community-based model as compared with the traditional inpatient hospital care model; and 4) the maintenance of proportionate funding being that the program is almost exclusively taxpayer-supported (Greenberg 1013). In other words, could a publicly-funded entity adequately take care of its patients' mental health issues just as well or even better than private, commercialized healthcare facilities?
Chapko et al.'s study found that the community-based models fared better at responding to geographically-specific areas and its veterans, producing more personalized care and thus…...
mlaWorks Cited
Chapko, Michael K., Steven J. Borowsky, John C. Fortney, Ashley N. Hedeen, Marsha Hoegle, Matthew L. Maciejewski, and Carol VanDeusen Lukas. "Evaluation of the Department of Veterans Affairs Community-Based Outpatient Clinics." Medical Care, Vol. 40, No. 7 (July 2002) pp. 555-60. Print.
Greenberg, Greg A., Robert A. Rosenheck, and Martin P. Charns. "From Profession-based Leadership to Service Line Management in the Veteran's Health Administration: Impact on Mental Health." Medical Care, Vol. 41, No. 9 (Sept. 2003), pp. 1013-23. Print.
Oliver, Adam. "The Veteran's Health Administration: An American Success Story?" The Milbank Quarterly, Vol. 85, No. 1 (2007), pp. 5-35. Print.
Post-Tender Negotiations
post-tender price negotiation for the UK National Health System
Post-tender Price Negotiations in the UK National Health System
Marsh (2007) defines post tender negotiation as, the negotiations that take place after receipt of formal tenders and prior allowing suppliers to submit the lowest acceptable tenders, with a view of obtaining a step up in price, delivery, or content in situations. This should not other potential suppliers at a disadvantage in the competitive bidding system. In addition, the negotiations should involve at least two suppliers offering the best submissions according to the outlined award criteria. Nevertheless, from an ethical point-of-view, bidders should not use post tender negotiations to disadvantage other bidders by distorting the existing competition. It should apply in moderation, especially where there is an opportunity to lower prices and progress other elements of the submissions.
Notably, the current legislation forbids post-tender price negotiations for the UK National Health System (NHS). The…...
mlaBibliography
Laja, S. (2011). North Bristol tenders for Frenchay social care redevelopment. The guardian [online] (accessed 29 December 2013)http://www.theguardian.com/healthcare-network/2011/oct/25/north-bristol-tenders-frenchay-social-care
Marsh, P.D.V. (2001). Contract negotiation handbook. Aldershot, Hants, England: Gower
Baystate Health, Inc.
Baystate Health is the largest health delivery system for Western Massachusetts, with three medical centers located in Springfield, Greenfield, and Ware (Deloitte & Touche, LLP, 2014). Baystate Medical Center (BMC), located in Springfield, is the largest with 715 beds. BMC is the only tertiary care/Level I trauma center for Western Massachusetts and the only neonatal and pediatric ICU for Western New England (Ernst & Young, LLP, 2013). BMC also serves as a teaching hospital for Tufts University Medical School.
The hospitals, clinics, nursing homes, and hospice centers are not-for-profit, tax-exempt organizations providing integrated health care to the region (Deloitte & Touche, LLP, 2014). Baystate Health, Inc. also includes two ambulance services that operate for profit. Baystate Health participates in the Health Safety Net, a state-mandated health insurer system, which provides health insurance coverage to almost all Massachusetts residents through a combination of public and subsidized private insurers. Under this…...
mlaReferences
Baystate Health. (2014). Quality. Baystate Health awards and rankings for quality and safety. Retrieved 22 May 2014 from http://baystatehealth.org/Baystate/Main+Nav/About+Us/Quality/Measuring+Quality+and+Safety/Quality+and+Safety+Awards+Received+by+Baystate+Health .
Deloitte & Touche, LLP. (2014). Baystate Health, Inc. And Subsidiaries. Consolidated financial statements as of and for the years ended September 30, 2013 and 2012, consolidating supplementary financial information as of and for the year ended September 30, 2013, and independent auditors' report. Retrieved 22 May 2014 from http://2012.bhannualreport.org/wp-content/uploads/2013/04/Baystate-FS-2012-AFS-only-Final.pdf .
Ernst & Young, LLP. (2013). Consolidated financial statements: Baystate Health, Inc. And subsidiaries years ended September 30, 2012 and 2011 with report of independent authors. Retrieved 22 May 2014 from
How Healthy Are We
There is a common notion that the United States has the best healthcare in the world. This notion has been fueled by the great facilities in the country’s healthcare system as compared to other countries. The United States has also increased expenditures and measures towards developing and integrating state-of-the-art equipment in the healthcare system. The combination of great facilities and latest medical equipment has contributed to the idea that the country has best healthcare in the world. However, the determination of whether the United States has the best healthcare worldwide requires consideration of factors beyond health facilities and equipment. Based on insights I’ve obtained from this course, some of the factors that should be considered when determining whether a country has the best healthcare worldwide include health equity, adequate personnel, scope and size of the health system, financing, and insurance.
After completing the videos and the Health Equity…...
Health System in the Czech epublic
WHO rankings of the Czech epublic in major health indices, i.e. life expectancy and infant mortality
According to statistical reports, life expectancy in the Czech epublic in 2012 was at 78.2 years. The OECD average is 80.2. The highest life expectancy was reported to be among the Japanese. Life expectancy in Japan was 83.2; which was the highest reported among the OECD nations. Iceland and Switzerland came in second and third respectively. The obesity rates among OECD countries including the Czech epublic have been reported to be on the increase; more so in the last decade. In particular, the rate has risen from 14% in 2000 to 21% in 2010. Although these figures remain significantly lower that the occurrence in the USA (which stood at 35.3% in 2012, the ever increasing incidence of obesity cases is an early warning of the occurrence of health problems…...
mlaReferences
HealthCzech s.r.o. (2016). The Healthcare System. Retrieved from Healthczech s.r.o: http://www.healthczech.com/why-czech-republic/the-healthcare-system/
Knoema. (2016). Czech Republic - Mortality - Infant mortality rate. Retrieved from Knoema: https://knoema.com/atlas/Czech-Republic/topics/Demographics/Mortality/Infant-mortality-rate
Lipari, R. (2012, December 10). What Can the U.S. Healthcare System Learn from the Czech Republic? Retrieved from The German Marshall Fund of the United States: http://www.gmfus.org/blog/2012/12/10/what-can-us-healthcare-system-learn-czech-republic
GEEN MOUNTAIN CAEGreen Mountain CareThe universal care in Vermant was to be enacted in form of a single-payer system which largely borrowed on a Health System eform design authored by the consultant. The health system reform design was a proposal by the consultant to provide three design options which are required by Act 128. The main aim of the said act was to create a healthcare system that would focus on wellness and prevention, control medical costs, and give Vermonters equal access to a benefits package that was standard. However, the said form of care had some prospects that made it not succeed in implementation. In 2014, Shumlin, who had been reelected, declared that the universal care was not going to be attained at that time given that it was likely to cause an economic shock that was too high for Vermant. This is more so the case given that…...
mlaReferencesKominski, G. F., Nonzee, N. J., & Sorensen, A. (2017). The Affordable Care Act\\\\\\\\\\\\\\\'s Impacts on Access to Insurance and Health Care for Low-Income Populations. Annual review of public health, 38, 489–505. J., Orgera, K. & Damico, A. (2020). Key Facts about the Uninsured Population. https://www.kff.org/uninsured/issue-brief/key-facts-about-the-uninsured-population/https://doi.org/10.1146/annurev-publhealth-031816-044555Tolbert,
CEO
Identification of innovative approaches to improving health system quality, controlling costs and maximizing access to care
Pursuant to your request, this memorandum describes a series of innovative ideas that can be used to meet improvement goals concerning cost, quality and access. A discussion concerning which innovation is the most critical to ensure the health system achieves its goals is followed by an analysis concerning which innovation will be the most difficult to achieve and why. Finally, a description concerning why the implementation of these innovative ideas will improve health system performance is followed by a summary of the research and important findings in the memorandum's conclusion.
Five innovative ideas that the health system could implement to meet improvement goals around cost, quality, and access
Five innovative ideas that our organization can use for these purposes are as follow:
A. Hospital Value-Based Purchasing (VBP) Program.
B. The Pioneer Accountable Care Organizations (ACO) Model.
C. Health Information Technologies…...
mlaReferences
Alfreds, S. T. & Tutty, M. (2009, Winter). Clinical health information technologies and the role of Medicaid. Health Care Financing Review, 28(2), 11-14.
Blum, J. (2011, November 10). Improving quality, lowering costs: The role of health care delivery system. U.S. Department of Health & Human Services. Retrieved from https://www.hhs.gov/asl/testify/2011/11/t20111110a.html.
Claiborne, A. B. & Hesse, J. R. (2009, October 1). Legal impediments to implementing value-based purchasing in healthcare. American Journal of Law & Medicine, 35(4), 442-445.
Fox, B. I. (2013, August). Health information technology: Are we aware and engaged? American Journal of Pharmaceutical Education, 77(6), 37.
Mentorship has emerged as one of the most important aspects towards enhancing staff retention in the healthcare environment. This paper examines the need for developing a mentor program for Northwell health system. Northwell health system is currently facing challenges with regards to staff retention, patient care delivery, and patient outcomes. The current situation at Northwell health system requires the establishment of a suitable program towards improving staff retention and ultimately enhancing patient outcomes. The paper provides a discussion of the current situation at the health system and how a mentor program could help improve patient outcomes and patient satisfaction. The evaluation of the need for the training program is carried out from a human resource perspective because of the link between mentorship and staff welfare and development.
Training Need at Northwell Health System
The modern healthcare environment is characterized by the increased need for nurse retention given the prevalence of nursing shortage.…...
mlaReferences
Hnatiuk, C.N. (2012, May 29). Mentoring Nurses Toward Success. Retrieved April 17, 2017, from https://www.amsn.org/sites/default/files/documents/professional-development/mentoring/AMSN-Mentoring-Minority-Nurses-Hnatiuk.pdf
Jones, S.J. (2016). Establishing a Nurse Mentor Program to Improve Nurse Satisfaction and Intent to Stay. Retrieved from Eastern Kentucky University website: http://encompass.eku.edu/cgi/viewcontent.cgi?article=1014&context=dnpcapstones
Leavitt, S. (2015, December 1). Nurses: What Can a Mentor Do for You? Retrieved from Wilkes University website: http://onlinenursing.wilkes.edu/nurses-mentor/
Nash, S. & Scammell, J. (2010, January 18). Skills to Ensure Success in Mentoring and other Workplace Learning Approaches. Retrieved April 17, 2017, from https://www.nursingtimes.net/roles/nurse-educators/skills-to-ensure-success-in-mentoring-and-other-workplace-learning-approaches/5010479.article
The company's board believed they could not find a replacement for Chaney by the date of his intended departure, and so the directors put the company up for sale. In March 1996, the New York-based investment banking firm Merrill Lynch was hired to generate interest in the company, and a suitable buyer was found, a New York-based private investment firm named Forstmann Little & Co. This company was headed by Theodore Forstmann, a leveraged buyout specialist. Forstmann's firm had more than $20 billion invested in 20 companies and made its living by acquiring companies and selling them for a profit. Forstmann Little acquired Community Health in 1996, and this was the firm's first purchase of a healthcare company. The firm paid $1 billion for Community Health, which at the time operated 38 hospitals in 18 states, and this change in ownership made Community Health a privately held company. In…...
mlaReferences
Adams, D. (1996, March 20). Buy materials management systems, or pray you can swim. Health Management Technology, 63-65.
Community Health Systems Inc. scales back on risk (2004, November 23). Ioma.com, retrieved May 30, 2007 at http://galenet.galegroup.com/servlet/BCRC?vrsn=157&locID=longbeach&ste=5&n=25&docNum=A131272544 .
Community Health may seek other deals (2001, February 2). Philadelphia Business Journal, v19 i51, 10.
Career opportunities (2007), retrieved May 29, 2007 at http://www.chs.net/career_openings/corporate.html .
Bacon County Hospital and Health System
In your opinion, how well developed are your organization's information security policies?
The organizations current information security policies are adequate. However, in order to remain effective, the organization must have a profound emphasis on innovation. Technology, particularly in regards to information security, is becoming more difficult to protect. Hackers and those with large capabilities are gaining more insights as to the methods to effectively target individual companies. In fact, many of America's large financial institutions fell victim to hacker attacks. These attacks, all coordinated in both time and geography, overloaded the institutions mainframes causing slower servicing time. Pundits were quick to indicate that the attacks were not at all sophisticated and only required a handful of individuals to conduct. However, the results interrupted the natural flow of business activity in some the world's largest and most protected financial institutions. Bacon County Hospital is no different in…...
mlaReferences:
1) Dhillon, Gurpreet (2007). Principles of Information Systems Security: text and cases. NY: John Wiley & Sons. ISBN 978-0-471-45056-6.
2) Layton, Timothy P. (2007). Information Security: Design, Implementation, Measurement, and Compliance. Boca Raton, FL: Auerbach publications. ISBN 978-0-8493-7087-8.
3) Peltier, Thomas R. (2001). Information Security Risk Analysis. Boca Raton, FL: Auerbach publications. ISBN 0-8493-0880-1.
In Zambia, there a number of different ways to access healthcare. However, we are struggling to answer what the five health care providers are in the country. There are more than five main hospitals or clinics in Zambia that provide healthcare, only two healthcare ministries, and various types of health workers including doctors, nurses, midwives, clinical officers, technicians, medical teaching staff, medical consulates, and medical licentiates. If we had to choose the five types of healthcare providers in Zambia, we would probably break them down into those five broad categories: health technicians, nurses, midwives, doctors, and clinical....
1. The impact of deinstitutionalization on mental health care access and quality
2. Examining the role of community-based treatment in reducing stigma around mental illness
3. The challenges of transitioning patients from institutional care to community-based services
4. The financial implications of deinstitutionalization on mental health care systems
5. Exploring the ethical considerations of deinstitutionalization and patient autonomy
6. The effectiveness of deinstitutionalization in promoting recovery and rehabilitation for individuals with mental illness
7. The potential risks and benefits of deinstitutionalization for vulnerable populations, such as the homeless or those with severe mental illness
8. The role of family support and....
1. The Role of Technology in Transforming Health Care Delivery
Discuss the latest technological advancements in health care, such as telemedicine, AI-powered diagnostics, and wearable health trackers.
Explore how technology can improve access to care, reduce costs, and personalize treatments.
Analyze the ethical implications of using technology in health care and the potential for data privacy and algorithmic bias.
2. Addressing Health Disparities through Policy Interventions
Identify the root causes of health disparities based on race, ethnicity, socioeconomic status, and geographic location.
Evaluate the effectiveness of existing policy interventions aimed at reducing disparities, such as Medicaid expansion and community health centers.
....
1. The Global Impact of Coronavirus (COVID-19) on Public Health and Wellbeing
2. Understanding the Devastating Effects of COVID-19 on Individuals' Physical and Mental Health
3. The Immediate and Long-term Health Consequences of the Coronavirus Pandemic
4. Examining the Social and Psychological Implications of COVID-19 on Individuals' Wellbeing
5. The Role of Healthcare Systems in Addressing the Health Needs of Those Affected by COVID-19
6. Coping Strategies for Maintaining Health and Wellbeing During the Pandemic
7. The Intersection of Public Health and Economic Wellbeing in the Wake of COVID-19
8. Addressing Health Disparities and Inequities Exposed by the Coronavirus Crisis
9. Assessing the Psychological Toll of COVID-19 on....
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