Analysis

The ability to schedule online and also have the ability to view records online significantly increased he patient satisfaction levels, judging from how much happier the families seemed to be to get into see the physicians. This same location had in years past been run with completely manually-driven systems and it was common to wait 90 minutes to see a doctor. That was painful and there was this continually re-looping video of Alaska travel videos one of the physicians brought back from vacation. It was an oppressive, boring environment that put internal efficiency at the center of focus for the clinic, not the patient. Now with the online scheduling system and the feedback on what has changed in a medical record, patients appear to be much more satisfied with the result. The staff is also seems to have a higher level of morale as they have much greater control over…...

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References

Navarro-Espigares, J., & Torres, E.. (2011). Efficiency and quality in health services: a crucial link. The Service Industries Journal, 31(3), 385.

Qu, X., Rardin, R., & Williams, J.. (2011). Single vs. hybrid time horizons for open access scheduling. Computers & Industrial Engineering, 60(1), 56.

Sibona, C., Walczak, S., Brickey, J., & Parthasarathy, M.. (2011). Patient perceptions of electronic medical records: physician satisfaction, portability, security and quality of care. International Journal of Healthcare Technology & Management, 12(1), 62.

hat emerges from these efforts are two essential understandings. First, in spite of whatever evidence may exist to the contrary, system building will continue apace in the hospital industry. hether the battlefield is risky is immaterial, for the battle is joined. Some individual hospitals may decide to remain solo or stay in modest-sized systems where problems are more manageable, at least until some future time when some of the cloud over the battlefield has dissipated. But for most, the name of the game is "go system" (Daugherty 649). The second understanding is the need to get under control the elements of change management that can reduce risk and maximize chances for success. Like surgeons dealing with high-risk surgery, we need to control as many factors as possible surrounding this operation if we are to increase chances for success. Current experience suggests that hospital chains are putting their first standardization efforts…...

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Works Cited

Arana GW, McCurdy L. Realigning the values of academic health centers: the role of innovative faculty management. Acad Med 70(12):1073-1078. 2005.

Bogdewic SP, Baxley EG, Jamison PK. Leadership and organizational skills in academic medicine. Fam Med 29(4):262-5. 1997.

Cohen JJ. Leadership for medicine's promising future. Acad Med 73(2):132-7. 2008.

Cohen LK. Women as leaders. Int Dent J. 46:558-64. 1996.

5) Celebrate the customer decision and ask for feedback- Many customers will be with us for the duration of their lives. Everyone will inevitably become sick and will need to make tough decisions in regards to their health. Whatever their decision, we must be there to help console or celebrate their success and triumph. The essence of good customer service is genuine appreciation, not flattery. The distinction between the two is profound (MAGIC selling, 2012, p.2).

In regards to compensation, employees will get paid depending on their performance relative to a scorecard barometer. This scorecard serves many purposes. It allows the employees to see how they stand in regards to company expectations. It also allows them to see how they are doing and identify an action play to help improve performance. Dekalb Medical Center is predicated on customer service. Therefore, I believe it prudent to incorporate compensation to the customer service…...

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References

1) Charles Maynard and Michael K. Chapko. Data Resources in the Department of Veterans Affairs Diabetes Care. May 2004. 27:b22-b26; doi:10.2337/diacare.27.suppl_2.B22

2) Journal of Clinical Epidemiology Volume 54, Issue 12, December 2001, Pages 1195-1203

3) Accuracy of the VA databases for diagnoses of knee replacement. Osteoarthritis and Cartilage, Volume 18, Issue 12, December 2010, Pages 1639-1642

4) Creating a sampling frame for population-based veteran research: Representativeness and overlap of VA and department of defense databases. Journal of Rehabilitation Research and Development Volume 47, Issue 8, June 2002 pp. 763-772

Questions1. What does the environment of Middleboro look like?According to the case study materials the environment of Middleboro is calm, tranquil and sanguine. As a much smaller town the overall population is very smalls as compared to many of the neighboring cities and jurisdictions. Due to its smaller size the overall town is much more collectivistic and familial in nature2. What specific problems or issues does the community face?As a smaller town, the community faces many of the more common issues with other cities which are related to taxation, budgets, and economic considerations. From a tax perspective, raising local taxes to fund promising but risky projects is a highly contentious subject. Household incomes in the areas are at or below the median household income for the nation. As a result, higher taxes would place a disproportionate amount of the burden on hard-working middle-class families. In addition, the community faces problems…...

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References

Allison, Robert J. A Short History of Boston. Beverly, Mass.: Commonwealth Editions, 2004. LC Call Number: F73.3 .A45 2004

Brown, Richard D. Massachusetts: A Bicentennial History. New York: Norton, 1978.

LC Call Number: F64 .B86

Clark, Judith Freeman. Massachusetts from Colony to Commonwealth: An Illustrated History. Northridge, Calif.: Windsor Publications, 1987.

Electronics Health ecords System at a ural, Mid Size Hospital
Human resources (H) managers at midsize hospitals in the Midwest are faced with some significant challenges in formulating optimal organizational strategies that reduce operational costs while maintaining high levels of patient care. One initiative that can help achieve these dual goals is the use of electronic health records or EHs. This paper provides a proposal for the implementation of an EH system within 3 months taking into account the current federal incentives for implementing EHs based on a budget of $75,000 to implement the project. A strategic plan model for implementing EHs in a midsize rural hospital, including the sequential steps that an H professional must take to implement the strategic plan is followed by a review of companies that provide EH systems to determine the optimal EH system for the rural hospital in question and the technology required for…...

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References

Certified EHR technology. (2016). Centers for Medicare and Medicaid Services. Retrieved from   / certification.html.https://www.cms.gov/regulations-and-guidance/legislation/ehrincentiveprograms 

EHR implementation lessons from the field. (2016). HealthITGov. Retrieved from / www.healthit.gov/providers-professionals/ehr-implementation-lessons-field.https:///

Health care professional EHR vendors. (2016). HealthITGov. Retrieved from healthit.gov/quickstats/pages/FIG-Vendors-of-EHRs-to-Participating-Professionals.php.http://dashboard.

Hernandez, S.R. & O'Connor, S.J. (2010). Strategic human resource management in health care. New York: Emerald Publishing Group.

Criminal Behavior by Health Care Provider While the U.S. federal government has established various programs to deal with abuse and fraud cases in the healthcare industry, healthcare facilities still experience such incidents. An example of a recent criminal act in a healthcare facility is a molestation case that occurred at Stanford Health Care. A man filed a lawsuit against this healthcare provider alleging that he was sexually abused at age 16 while under anesthesia in the hospital (Lee, 2016). The individual sued the hospital for negligence on claims that some of its workers did not report the incident and had knowledge that the abuser had a tendency of having inappropriate sexual contact. He also stated that leaders at the hospital created a toxic environment since some managers grouped together and protected each other while retaliating against those who reported their illegal acts.
This criminal act contravenes the federal government requirement for healthcare…...

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References

Herman Law. (n.d.). Hospitals: Do You Know Who is Caring for You? Retrieved September 12, 2017, from  

Lee, J. (2016, September 30). Stanford Health Care Sued for Negligence in Patient Molestation Case. The Mercury News. Retrieved September 12, 2017, from  http://www.mercurynews.com/2016/09/30/stanford-health-care-sued-for-negligence-in-patient-molestation-case/ 

U.S. Department of Health and Human Services. (2005, January 31). Compliance Program Guidance for Hospitals. Retrieved from Office of the Inspector General – U.S. Department of Health and Human Services website:  https://oig.hhs.gov/authorities/docs/cpghosp.pdf 

http://www.hermanlaw.com/practices/hospitals/ 

Nursing Informatics
The site used for this interview is a healthcare facility that offers a range of exposure to a nursing informatics investigation. The preceptor offered valuable insight into the role of the nurse informaticist at the site, and the concepts and standards utilized therein were readily demonstrable and manifested in terms of how they were implemented or oriented towards providing holistic care to patients and their families. The same was true of the use of telehealth, telemedicine and telenursing tools also available at the site. The facility used administrative software effectively to help oversee all the information needs of the staff, as well. This paper will discuss these points and provide details about what was observed during the investigation.

The Role of the Nurse Infomaticist According to the Interviewed Preceptor

The role of the nurse informaticist according to the interviewed preceptor is in overseeing all aspects of technology use among nurses at…...

Healthcare and evenue Cycles
When it comes to the revenue cycle and receivables management, a healthcare organization faces unique challenges. These challenges include the fact that many clients (patients) cannot afford the care they are there to receive because of the extremely high cost of healthcare. Thus, they are either covered completely by insurance, covered partially, covered by the state (Medicaid or Medicare), or are self-payers or indigent patients (cannot pay at all and rely on financial assistance from the organization). The facility cannot deny care to patients so must be able to balance providing quality care with the need to maintain a functioning, financially stable facility (the facility after all does have its own costs). For that reason, a healthcare facility must seek to prevent denials of claims while effecting a clear and apparent process of billing for patients. evenue cycle management must also be efficient so that billings do…...

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References

Fishbowl. (2013). 3 popular inventory management techniques -- business quick tips.

YouTube. Retrieved from  https://www.youtube.com/watch?v=2yEcJIgN16I 

RevCycle Intelligence. (2016). How the Affordable Care Act impacted healthcare revenue cycle. Retrieved from http://revcycleintelligence.com/news/how-the-affordable-care-act-impacted-healthcare-revenue-cycle

When this kind of attitude is common, it means that medical errors will decline and the quality of care that is being provided will increase. (rown, 1992, pp. 18 -- 23)
How will the effectiveness (success) of your plan be measured?

The best way to measure the effectiveness of the strategy is through the use of outside consultants. These are third party individuals who will come into the facility and pose as: customers or staff members. What they are doing is identifying any kind of structural weaknesses. They will then, report their findings to a committee that monitors these issues at the hospital. At which point, the consultants will provide specific recommendations about how these challenges will be continually addressed. This will ensure that hospital is able to respond to the needs of patients and staff members by: objectively looking at different challenges they are dealing with. Once this occurs, it…...

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Bibliography

Drug Errors Common in U.S. Hospitals. (2011). American Chiropractic. Retrieved from: http://www.americanchiropractic.net/medical_statistics/Drug%20Errors%20Common%20in%20U.pdf

Bardick, T. (2002). Role of External Management Consultants. Clinical Leadership, 16 (5), 281 -- 286.

Brown, M. (1992). Physicians and Management in Health Care. Gaithersburg, MD: Aspen Publishers.

Workarounds in Healthcare Facilities
Workarounds refer to the alternative methods "of accomplishing an activity when the usual system / process is not working well" (Pennsylvania Patient Safety Advisory, 2013). In as much as workarounds may temporarily solve existing problems, they also indicate inefficiencies and deficiencies in the current system. Workarounds may at times be effective and more convenient, compared to the system in existence, but a regular use of the same could endanger both the safety of patients and the facility's reputation. A workaround can, therefore, be termed as an at-risk behavior that does not yield concrete long-term solutions to existing problems. Therefore, "workarounds perceived as necessary by the user for patient care, efficiency or safety, may be beneficial, neutral, or dangerous for patients' safety" (Koppel, Wetterneck, Telles & Karsh, 2008, p. 1).

A description of Workarounds in a Selected Facility

Workarounds can take a variety of forms. For instance, I know of…...

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References

Flanagan, M.E., Saleem, J. J., Millitello, L.G., Russ, A.L. & Doebbeling, B.N. (2013). Paper- and Computer-Based Workarounds to Electronic Health Record Use at Three Benchmark Institutions. Journal of the American Medical Informatics Association, 20(e1): e59-66.

Intel (2013). Workarounds in Healthcare, a Risky Trend. Retrieved from  http://www.intel.com/content/www/us/en/healthcare-it/workarounds-in-healthcare-risky-trend.html 

Koppel, R., Wetterneck, T., Telles, J.L. & Karsh, B. (2008). Workarounds to Barcode Medication Administration Systems: Their Occurrences, Causes, and Threats to Patient Safety. Journal of the American Medical Informatics Association, 15(4), 408-423.

Merrill, M. (2009). Using Pen and Paper Workarounds Could Boost EMR Efficiency. Retrieved from  http://www.healthcareitnews.com/news/using-pen-and-paper-workarounds-could-boost-emr-efficiency

Leaders in Healthcare Facilities
THE CAUSE AND ITS REMEDIES

Lack of Leadership in Healthcare Facilities

When clinicians provide care, they necessarily assume leadership responsibilities (lumenthal et al., 2012). Existing evidence demonstrates that effective leadership produces the desired clinical outcomes. Yet only scattered residency programs teach and train residents on leadership. Many clinicians are thus poorly prepared to meet the leadership requirement of their daily tasks (lumenthal et al.).

Canada's national health care system urgently recommended drastic changes, which to this day, have hardly been implemented (Goldberg & Page, 2006). illions have been consistently spent yet patients continue to form long lines in waiting rooms to obtain treatment. Emergency rooms remained full and many still do not have primary physicians to turn to. The cause of the problem is not the lack of money but leadership. This report said that 70% of all the strategic initiatives and approved changes have not been worked on…...

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BIBLIOGRAPHY

Blumenthal, D.M. et al. (2012). Addressing the leadership gap in medicine" residents'

need for systematic leadership development training. Vol. 87 Issue 4, Academic

Medicine Journal: Association of American Medical Colleges. Retrieved on February

7, 2014 from  http://www.ncbi.nlm.nih.gov/pubmed/22361800

Provide sustained technical assistance (Expert Panel Meeting: Health Information Technology: Meeting Summary, 2003)

Evaluation of the process in rural and small communities includes: (1) scope of the project; (2) goals; (3) critical success factors; and (4) technical assistance." (Expert Panel Meeting: Health Information Technology: Meeting Summary, 2003) Community grants have been focused on the provision of 'personal digital assistant (PDA) systems in assisting with the decision support role. The initiative is stated to include: (1) development of toolkits; (2) leveraging known tools; (3) developing capacity; and (4) disseminating best practices. (Expert Panel Meeting: Health Information Technology: Meeting Summary, 2003)

Ormond, Wallin, and Goldenson report in the work entitled: "Supporting the Rural Health Care Safety Net" (2000) state: "The policy - and market-driven changes in the health care sector taking place across country are not confined to metropolitan areas. Rural communities are experiencing changes impelled by many of the same forces that are…...

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Bibliography

Healthcare and Healthcare Insurance Country Report: India (2004) Tata Consultancy Services and Microsoft. WebHealthCentre.com. 2004 August. Online available at http://download.microsoft.com/documents/customerevidence/7144_WebHealth_CS.doc

Expert Panel Meeting: Health Information Technology (2003) Agency for Healthcare Research and Quality (AHRQ) 23-24 July 2003. Online available at  http://www.ahrq.gov/data/hitmeet.htm 

Silberman, P. And Slifkin, R. (nd) Innovative Primary Case Management Programs Operating in Rural Communities: Case Studies of Three States. Working Paper No. 76 North Carolina Rural Health Research and Policy Analysis Program.

Ormond, Barbara a.; Wallin, Susan Wall; and Goldenson, Susan M. (2000) Supporting the Rural Health Care Net. 15 May 2000 Urban Institute

The US Health Care system: beliefs, Values and health The health care system is a wide area that spans over the medical aspect, the financial aspect, the ethical field, the management aspect, the political angle and the individual aspect of it where the personal beliefs, values and the health of an individual is looked into. This indicates that healthcare is wide in scope and each aspect is important in the well being of individual American.
In the study of this week, the most important and outstanding issue that came up is the fact that in a health care facility, people therein, both the patients, medics and the support staff go through a lot of challenges. These challenges are not restricted only to medical conditions but extend to the personal issues that affect the social life at the family level, at work, career wise, in the school and the community at large. Amazingly…...

Health Care
In the wake on new and very contentious health care reform, many firms have undergone extensive transformations. These transformations have been predicated on both cost control and quality management. In particular quality management has had a profound impact on the underlying business operations of many health care firms. For one, firms are now finding methods in which to enhance the overall patient experience while also mitigating potential loses due to negligent means. The focus on quality management has also made firms more efficient in regards to the overall delivery of service. In particular, my firm has done extensive work with reducing elderly accidents within the facility. This quality management initiative has not only reduced costs associated with accidents, but it also has enhanced the trust and patient experience of all stakeholders within the firm (Kelly, 2011).

Identify the milestone you chose in the history of quality improvement in the first…...

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References:

1) Draper, Elaine, Joseph LaDou, and Dan J. Tennenhouse. 2011. "Occupational Health Nursing and the Quest for Professional Authority," New Solutions 21, 47 -- 81

2) Kohn, L.T., Corrigan, J.M., & Donaldson, M.S. (Eds). (2000). To err is human: Building a safer health system. Washington, D.C.: National Academy Press.

3) Kelly, D.L. (2011). Applying quality management in healthcare: A systems approach (3rd ed.). Chicago, IL: Health Administration Press

4) Lucia, Patricia R.; Otto, Tammy E.; Palmier, Patrick A. (2009). "Chapter 1

The penalties for being out of compliance when OSHA comes knocking should be enough to motivate any healthcare facility to devise a plan to make sure that they are in compliance with OSHA's regulations. The startling thing is that it took an initiative like NEP to wake these facilities up and get them thinking about being compliant. Since they deal with people and their well being on an everyday basis, these are things that they should have been doing all along and not just because there is an increased probability of getting into trouble by OSHA.

eferences

Harris, S. (2012). OSHA in Health Care: Out of Sight & Out of Mind? etreived from http://ohsonline.com/articles/2012/04/01/osha-in-health-care.aspx

Healthcare workers. (2012). etrieved from http://www.cdc.gov/niosh/topics/healthcare/

New OSHA inspection initiative focuses on healthcare. (2011). etrieved from http://www.puresafety.com/public/workingwell/?p=1209#.UAa4aFJ6EM

Occupational Safety and Health Administration ("OSHA") Targets Nursing and esidential

Care Facilities. (2012). etrieved from http://www.hancocklaw.com/p/OSHA_Newsletter_212_May_H1768037.PDF

Prepare Your Facility for the National Emphasis Program (NEP). (2012).…...

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References

Harris, S. (2012). OSHA in Health Care: Out of Sight & Out of Mind? Retreived from  http://ohsonline.com/articles/2012/04/01/osha-in-health-care.aspx 

Healthcare workers. (2012). Retrieved from  http://www.cdc.gov/niosh/topics/healthcare/ 

New OSHA inspection initiative focuses on healthcare. (2011). Retrieved from  http://www.puresafety.com/public/workingwell/?p=1209#.UAa4aFJ6REM 

Occupational Safety and Health Administration ("OSHA") Targets Nursing and Residential

Race and class intersect in determining access to reproductive healthcare and rights in various ways.
1. Economic disparities: People from lower-income brackets often face financial barriers that limit their access to reproductive healthcare services such as contraception, fertility treatments, and abortion. This can prevent them from making reproductive choices that align with their goals and needs.
2. Structural racism: Communities of color, especially Black and Indigenous individuals, face systemic barriers that limit their access to quality reproductive healthcare. This can be due to racial bias among healthcare providers, lack of culturally competent care, and discriminatory practices in healthcare systems.
3.....

Healthcare facility placement plays a crucial role in determining the accessibility, quality, and affordability of healthcare services for individuals and communities. It involves the strategic allocation of healthcare resources such as hospitals, clinics, and other medical facilities to ensure that the needs of the population are met effectively. Balancing equity and efficiency in healthcare facility placement is essential for achieving optimal outcomes and improving health outcomes for all individuals, regardless of their socioeconomic status or geographical location.

Equity in healthcare facility placement refers to the fair distribution of resources to ensure that all individuals have equal access to healthcare services.....

In conclusion, achieving equity and efficiency in healthcare facility placement is a multifaceted endeavor that requires a comprehensive approach. Geographic, socioeconomic, and racial disparities must be addressed to ensure equitable access to quality healthcare for all. Strategic planning and resource allocation are crucial for optimizing facility placement and ensuring that underserved populations have the same opportunities for health and well-being as their more affluent counterparts.

As we navigate the future of healthcare, it is imperative that we prioritize equity and efficiency in facility placement. By adopting an evidence-based approach, engaging with community stakeholders, and implementing innovative solutions, we can create a....

1. The variability in pediatric nurse salaries directly impacts the quality of care and services provided to pediatric patients in healthcare settings.

2. Disparities in pediatric nurse salaries lead to potential job dissatisfaction, burnout, and high turnover rates, which can ultimately compromise patient safety and outcomes.

3. Lower salaries for pediatric nurses may contribute to a shortage of qualified professionals in the field, leading to increased workloads for existing staff and potential gaps in care provision.

4. Discrepancies in pediatric nurse salaries can result in unequal access to quality healthcare services for pediatric patients, depending on the healthcare facility they visit.

5. Variances in....