Health IT
The current hospital setting has only a basic information system in place, which performs many of the functions common to the most basic information systems in such areas as patient registration, certain aspects of patient billing, and medical records indexing and accessing (Kelker, 2010). Portions of other system administration functions are also included in the information system being used at the hospital, such as the logging and tracking of staff in leadership positions, however this is one of the only more "advanced" functions of the largely outdated information system. Many of the more specialized and sophisticated functions more recent information systems can include, such as ambulance tracking and communication, digital communication with the in-hospital pharmacy and with other departments such as radiology and laboratories, are not facilitated by the information system (Kelker, 2010). Some of these functions can be replaced by the internal email system for certain cases, but…...
mlaReferences
Haux, R. (2004). strategic information management in hospitals. New York: Springer.
Kelkar, S. (2010). Hospital information systems. New Delhi: PHI.
Vitera. (2012). Interfaced vs. integrated system. Accessed 6 March 2012.
A Hospital Based Practice Paradigm to Improve Patient Outcomes
Advanced practice nurses are well situated to assume leadership roles in improving patient outcomes through the development and implementation of evidence-based interventions that affect large patient populations (Curley & Vitale, 2011). All types of evidence-based interventions, however, are not necessarily appropriate or optimally effective in all circumstances, making the need for ongoing research an essential part of the process (Mateo & Foreman, 2013). Nevertheless, some interventions already have proven efficacy in a wide range of hospital settings, and it just makes good sense to draw on these in formulating new practice paradigms. The purpose of this paper is to describe a fall-prevention hospital based practice paradigm that can improve patient outcomes in virtually all inpatient settings.
Review and Discussion
With a growing percentage of the American population entering their elder years today, it is reasonable to suggest that a greater share of already scarce…...
Advance Information Management and the Application of Technology
In this modern age, the incorporation of information technology (IT) with the health care system is important. With the need of quality care within the industry, there is great significance in many institutions about the execution of electronic health record (EHs) and information support systems. The use of registries and IT support systems will enable the community hospital to monitor and track patients and improve patient safety and quality of care (Chin and Sakuda, 2012). The advantage of making use of computerized management systems is limited not only to reduced book-keeping and accounts for patients and physicians but is linked to continued access to reasonably priced healthcare, enhanced quality of care, prevention of medical blunders, reduction in health care expenses, improved administrative efficacies, and engagement of patients in their own health care (Chin and Sakuda, 2012).The following proposal will seek to investigate and…...
mlaReferences
Blavin, F., Ramos, C., Shah, A., Devers, K. (2013). Lessons from the Literature on Electronic Health Record Implementation. Urban Institute. Retrieved 16 October 2015 from: https://www.healthit.gov/sites/default/files/hit_lessons_learned_lit_review_final_08-01-2013.pdf
Chin, B. J., & Sakuda, C. M. (2012). Transforming and Improving Health Care through Meaningful Use of Health Information Technology. Hawai'i Journal of Medicine & Public Health, 71(4 Suppl 1), 50-55.
Health IT. (2013). Creating a Leadership Team for Successful EHR Implementation. The National Learning Consortium. Retrieved 16 October 2015 from: https://www.healthit.gov/providers-professionals/creating-leadership-team-successful-ehr-implementation
HealthIT. (2013). Capturing High Quality Electronic Health Records Data to Support Performance Improvement. Beacon: Health Information Technology.
Cultural Diversity
Healthcare providers deal with people and family during stressful and difficult situations. Professionals delivering palliative care must understand how culture and religious background affect this interaction. The provision of a favorable healing environment is possible via the understanding of culture and religion.
How cultural diversity affects the quality of services and health outcomes
egardless of the similarities, fundamental variations among people arise from nationality, culture, ethnicity, as well as from personal experience and family background. These variations affect the health behaviors and beliefs of both providers and patients have of each other. The provision of high-quality palliative care that is accessible, effective, affordable and requires medical care practitioners to exhibit an in-depth understanding of the socio-cultural backgrounds of a patient, their families, and the environments in which they live. Culturally competent palliative care facilitates clinical experiences with more favorable outcomes, support the possibility for an extremely rewarding patient experience, and increase…...
mlaReferences
Andrews, M.M., & Boyle, J.S. (2008). Transcultural concepts in nursing care. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.
Coward, H.G., & Ratanakul, P. (2009). A cross-cultural dialogue on health care ethics. Waterloo, Ont: Wilfrid Laurier University Press.
Daniels, R. (2014). Nursing fundamentals: Caring & clinical decision-making. Australia: Delmar Learning.
Srivastava, R. (2007). The healthcare professional's guide to clinical cultural competence. Toronto: Mosby Elsevier.
Reducing Falls on the Surgical Step Down Unit
Introduction
The problem of falls in acute care hospitals is one that continues to persist in spite of the existing literature available on this topic (Zhao et al., 2018). Hester, Tsai, Rettiganti and Mitchell (2016) note that inpatient falls account for the largest number of reported incidents in hospitals. One reason for the problem is that hospitals fail to implement proper and effective preventive strategies based on best practices (Melin, 2018). The purpose of this paper is to provide guidance on reducing the number of falls on the surgical step down unit by implementing evidence based fall precautions, effective communication, and education of the patient/family. The research question guiding this research paper is: What are the preventive strategies that can be put in place to reduce falls in a surgical step down unit? To answer that question, a literature review was conducted and a…...
mlaReferences
Fu, A.S., Gao, K.L., Tung, A.K., Tsang, W.W. & Kwan, M.M. (2015). Effectiveness of exergaming training in reducing risk and incidence of falls in frail older adults with a history of falls. Archives of physical medicine and rehabilitation, 96(12), 2096-2102.Growdon, M. E., Shorr, R. I., & Inouye, S. K. (2017). The tension between promoting mobility and preventing falls in the hospital. JAMA Internal Medicine, 177(6), 759-760.Hester, A. L., Tsai, P. F., Rettiganti, M., & Mitchell, A. (2016). Predicting injurious falls in the hospital setting: Implications for practice. American Journal of Nursing, 116, 24-31.Khalifa, M. (2019, July). Improving Patient Safety by Reducing Falls in Hospitals Among the Elderly: A Review of Successful Strategies. In ICIMTH (pp. 340-343).King, B., Pecanac, K., Krupp, A., Liebzeit, D., & Mahoney, J. (2018). Impact of fall prevention on nurses and care of fall risk patients. The Gerontologist, 58(2), 331-340.Lim, J., Cho, J.J., Kim, J., Kim, Y. & Yoon, B. (2017). Design of virtual reality training program for prevention of falling in the elderly: A pilot study on complex versus balance exercises. European Journal of Integrative Medicine, 15, 64-67.Melin, C. M. (2018). Reducing falls in the inpatient hospital setting. International journal of evidence-based healthcare, 16(1), 25-31.Titler, M. G., Conlon, P. C., Reynolds, M. A., Ripley, R., Tsodikov, A., Wilson, D. S., & Montie, M. (2016). The effect of translating research into practice intervention to promote use of evidence-based fall prevention interventions in hospitalized adults: A prospective pre-post implementation study in the U.S. Applied Nursing Research, 31, 52- 59. doi:10.1016/j.apnr.2015.12.004
Since they have experience, they would serve as a great source and wealth of information for her as well as a sounding board when she is frustrated about certain aspects of the job. There will also be greater opportunities to meet, converse with and work with people from a variety of backgrounds.
The new cardiologist would also fare well by working in a clinic right after training. The pace of a clinic may sometimes be slower than that of a hospital and the patients treated there are usually not in a state of emergency. This does not diminish the importance of any cardiologist choosing to work in a medical clinic over a hospital. This slower pace may give the new cardiologist ample time to get acclimated to the procedures that she will be performing. It will also give her a longer time to perfect her surgery skills. Because clinics are…...
The clinical trial team includes doctors, nurses, social workers, data entry technicians and other health care professionals (NWHRC 2005). They review a participant's health history and current medical intakes before the trial begins. They impart adequate information and instructions about the clinical trial, monitor each participant in the conduct of the trial and may contact the participant after the conduct of the trial.
Clinical trials or researches may also be open-label, placebo-controlled, double-blinded or randomized. They consist of four phases. Phase I establishes the maximum safe dosage; Phase II, its effectiveness; Phase III, its use on a broad population; and Phase IV, post-FDA insights on the effects of its long-term use (NWHRC).
From 1999 to 2000 alone, the Food and Drug Administration approved 73 new medications (NWHRC 2005). These included drugs for HIV, cancer, heart attack and Alzheimer's disease. As of 2000, Medicare covers many of the costs involved in participation in…...
mlaBibliography
Billings, P.R. (2002). Should reproductive cloning be made available to people who want their own biologic chidren - pro and con. 2 pages. International Medical News Group: Gale Group
Deneen, S. (2001). Designer people. 9 pages. E: the Environmental Magazine: Earth Action Network, Inc.
Frankel, S., et al. (2000). The limits to demand for health care. 10 pages. British Medical Journal: British Medical Association
Hollander, D. (2005). Abortion support slipping. 2 pages. Perspectives on Sexual and Reproductive Health: the Allen Guttmacher Institute
Setting Policies and Procedures
In every organization the Human esource Manager plays a very critical role.as the Human esource Manager there are several things that I will be expected to do. This paper will look at some of the tasks that are set before me.
The influence of the Joint Commission on basic functions of the HM
The Joint Commission is a non-profit organization in the United States that is charged with the duty of the accreditation of both healthcare organizations and programs within the United States. The main mission of the organization is to improve the healthcare of the public. They also collaborate with other stakeholders through the evaluation of health care organizations and strive to inspire them into excelling in the provision of effective and safe care which is of high quality and value. The joint commission has had a significant impact on the basic functions of HM. This is because…...
mlaReferences
Anderson, A.(2011). What Are Behavior-Based Measures by Performance Review? Retrieved August 10, 2013 from http://www.ehow.com/info_8588256_behavior-based-measures-performance-review.html
Authenticity Consulting, LLC. (2010). How to Address Employee Performance Problems.Retrieved August 10, 2013 from http://managementhelp.org/employeeperformance/problems.htm
Rotan, B.L.(2012).Guide to Designing Benefit packages for cooperatives. Retrieved August 10, 2013 from http://www.rurdev.usda.gov/rbs/pub/sr36.pdf
Clinical isk Management
Hospitals are one of the top listed high-risk places of work. Just like any high-risk workplaces, Clinical isk Management (CM) procedures are formulated to enable hospitals in identifying, containing, as well as manage work related risks such as injuries, which are bound within the facilities. Implementation of element contained in risk management procedures in any hospital setting should be effected in order to ensure for the safety of both patients and workers accommodated in the facility.
isk Management
isk management is highly prioritized in most high-risk organizations. Technological advances have been realized in modern medicine progressively resulting to more complex care and treatment processes. Despite the positive result of leveraging care opportunities, such advancements may result in adversities that might in turn affect patients and staff working in hospital environments. Since it is far from possible to eradicate such risks completely, clinical risk management procedures are there to enhance the…...
mlaReferences
Elizabeth, A. H and Betty, J.H. (1976). The American Journal of Nursing, Vol. 76, No. 6, pp. 924 -- 927: Lippincott Williams and Wilkins Publishers.
Stanbury, M. S and Anderson, H.A. (2000). Guidelines; Minimum and Comprehensive State-Based Activities in Occupational Safety and Health: DHHS (NIOSH) publication No. 95 -- 107.
Stanbury, M.J. And Goldoft, M. Use of OSHA Inspection Data for Fatal Occupational Injury Surveillance in New Jersey. Am J. Public Health 1990; 80: 200-202.
Tepper, A. (2000). Surveillance of Occupational Illnesses, Injuries, and Hazards in New Jersey. NJDOH.
JGH Profile
Privacy
The author of this report is asked to profile and otherwise answer questions regarding Canadian company JGH. A description of the services and structure will be offered and then the author will speak of the management theories and practices that the company engages in. How obvious and transparent these practices are will be discussed and whether or not it would be prudent and wise of JGH to continue that strategy. The climate of the organization will be summarized and critiqued as well as the diversity orientation of the firm. While JGH certainly has room for improvement, they are indeed doing many things quite well and they are certainly moving in the right direction.
Questions Answered
JGH stands for Jewish General Hospital, a research hospital based on Montreal, Quebec, Canada. They are a McGill University teaching hospital and their website is tailored to the mixed language disposition of Montreal and the larger…...
mlaReferences
Brimmer, K. (2012, August 30). Hospitals recognized for promoting overall diversity.
Healthcare Finance News. Retrieved March 30, 2014, from http://www.healthcarefinancenews.com/news/hospitals-recognized-promoting -overall-diversity
Hopkins. (2014, March 30). Diversity and Inclusion at Johns Hopkins. Diversity and Inclusion at Johns Hopkins. Retrieved March 30, 2014, from http://www.hopkinsmedicine.org/diversity/
JGH. (2014, March 30). Jewish General Hospital - Hopital general juif. Jewish General Hospital - Hopital general juif. Retrieved March 30, 2014, from http://www.jgh.ca/en/home
Piney Woods Hospital
Satisfaction is the pivotal problem for Piney Woods Hospital to address. Satisfaction across all stakeholders has a substantive impact on the other key challenges the hospital is facing. When customers are satisfied with the service and care they receive at hospital, they let others in the community know about it. When hospital employees are satisfied, they provide superior hospital services. When physicians are satisfied, they provide excellent medical care. It is an obvious and intractable cycle. Further, levels of satisfaction are indicators of other symptoms or successes regarding the operations of the hospital and its relationship to the community. This paper will focus on the challenges of increasing patient and employee satisfaction within the Emergency Department at Piney Woods Hospital.
The health care industry has in common with other service industries the pivotal importance of employee engagement on the customer-facing -- or patient-facing, as the case may be --…...
mlaReferences
Atkins, P.M., Marshall, B.S., and Javalgi, R.G. (1996), Happy employees lead to loyal patients, Journal of Health Care Marketing, 16, 4, 14-23.
Brown, C.L. (2002), A theory of the process of creating power in relationships, Nursing Administration Quarterly, 26, 2, 15-33.
Cunningham, P. (2011, May11). Nonurgent use of hospital emergency departments. Center for Studying Health System Change (HSC) [BEFORE THE U.S. SENATE Health, Education, Labor and Pensions Committee Subcommittee on Primary Health and Aging Hearing on ?Diverting Non-urgent Emergency Room Use: Can It Provide Better Care and Lower Costs?]. Retrieved http://hschange.org/CONTENT/1204/1204.pdf
Electronic Health Records Overview (2006, April). National Institutes of Health National Center for Research Resources.
Memorial Hospital," the hospital is privately owned and contains 600 beds for patients. It also offers a wide range of services like X-ray facilities, an intensive care unit, a cardiac care unit, an emegency room, a complete laboratory, and a psychiatric ward. The hospital has great services however, these services are offered in other healthcare facities and hospitals in the surrounding area. In order to prevent additional costs, the hospital avoided hiring specialists and providing specialized services as these additional services and medical practioners were costly. In order to provide quality of care, the hospital places an emphasis on personal attention provided by a ursing staff to each and every, singlel patient. Patient-oriented care is there way of attracting new patients and thus have been used as the subject matter for their ads on television and in newspapers. Janice is instructed to discover a way to measure quality of…...
mlaReferences
Buyukozkan, G., Cifcci, G., & Guleryuz, S. (2011). Strategic analysis of healthcare service quality using fuzzy AHP methodology. Expert Systems With Applications, 38(8), 9407-9424.
Dixon-Woods, M., McNicol, S., & Martin, G. (2012). Ten challenges in improving quality in healthcare: lessons from the Health Foundation's programme evaluations and relevant literature. BMJ Quality & Safety, 1.
Hasnain-Wynia, R., Baker, D., Nerenz, D., Feinglass, J., Beal, A., & Landrum, M. et al. (2007). Disparities in health care are driven by where minority patients seek care: examination of the hospital quality alliance measures. Archives Of Internal Medicine, 167(12), 1233 -- 1239.
Jha, A., Orav, E., Li, Z., & Epstein, A. (2007). The inverse relationship between mortality rates and performance in the Hospital Quality Alliance measures. Health Affairs, 26(4), 1104 -- 1110.
Memorial Hospital
Discuss some ways that a hospital might measure quality.
There are many ways that a hospital can measure quality. To some extent, the quality as rated by the end user is one of the critical success factors. However, as the case mentions, this may not tell the full story. It is possible for clients to be satisfied with the care they received even though they did not receive adequate care. Therefore the metrics to measure quality must obviously be multifaceted. Patient perceptions should be a key component, but other considerations such as industry averages and industry metrics should be considered.
hat are the potential costs of quality for Memorial Hospital? How could the value of a human life be included?
It is difficult to associate a financial value to the cost of a human life. Some estimates can put the value in the millions while others place the value at some trivial…...
mlaWorks Cited
Bennet, L., & Slavin, L. (2009, April 3). What Every Health Care Manager Needs to Know. Retrieved from Continous Quality Improvement: http://www.cwru.edu/med/epidbio/mphp439/CQI.htm
Malik, S. (2007, May 2). Creating Departmental Dashboards. Retrieved from Dashboard Insight: http://www.dashboardinsight.com/articles/digital-dashboards/building-dashboards/departmental-dashboards.aspx
Translational ResearchCurrent Nursing Practice in the Healthcare Setting Requiring ChangeThere are numerous areas within nursing that demand change in everyday healthcare practice. More often than not, irrespective of the healthcare setting, an inventive group is required to conduct research and facilitate change. I presently work as a clinical educator in my hospital. There are numerous practices that require change or upgrading. Subsequent to conducting a review and research analysis, my decision is to include bedside reporting, which is lacking within the hospital. Bedside report occurs between the outward-bound and inward-bound nurse alongside a patients bedside while conducting a shift change. The meeting is purposed to facilitate patient engagement in trade of real-time information during shift change. This provides both the inward-bound nurse and the patient the prospect to ask questions and authenticate significant information regarding the history of the patient and care plan prior to the outgoing nurse leaving (Rush,…...
Nursing Proposal -- Evidence-Based
The utilization of call lights particularly in hospital settings has recently been put under study as a function of various aspects of nursing including shortages, rounds and analyses of patient outcomes. The proper scheduling of nursing rounds may be essential to enhance the capability of nurses to tackle common or ordinary patient issues relative to more dire needs that have to be regarded as the primary/main target for the use of call lights by patients. Besides patients' general well-being and safety while hospitalized, nursing employees are also concerned with how satisfied the patients are. On a rather fundamental level, hospital settings that enable patients to experience peace of mind allow them to heal quicker than those that do not; these patients are highly likely to relay less stressful communications to those around them, and have a higher possibility of clearer perspectives that allow them to distinguish between…...
mlaReferences
American Nurses Association (ANA). (2006). Assuring patient safety: The employer's role in promoting healthy nursing work hours for registered nurses in all roles and settings. Retrieved from http://nursingworld.org/MainMenuCategories/ThePracticeofNursing/workplaceNurse
(AACN). The American Association of Critical-Care Nurses (2001, March 3). Mandatory Overtime. Retrieved from http://www.aacn.org/WD/Practice/Content/PublicPolicy/mandatoryovertime.pcms?menu=Practie
Bae, S. (2010).Mandatory overtime regulations and nurse overtime. Policy, Politics, & Nursing Practice, 11(2), 99-107.
Bae, S-H. (2013). Presence of nurse mandatory overtime regulations and nurse and patient outcomes. Nursing Economics, 31(2), 59-68. Retrieved from http://www.medscape.com/viewarticle/806796
Community-Acquired Pneumonia (CAP)
Community-acquired pneumonia (CAP) is an infection of the lungs that occurs outside of a hospital setting. It is a common and potentially serious infection, especially among the elderly, very young children, and people with underlying health conditions.
Risk Factors for Community-Acquired Pneumonia
Numerous risk factors have been identified that increase the likelihood of developing CAP. These risk factors can be broadly categorized into:
1. Host-Related Factors:
Age: The risk of CAP increases with age, particularly in individuals over 65 years old.
Underlying Medical Conditions: Certain medical conditions, such as chronic obstructive pulmonary disease (COPD), heart disease, diabetes, kidney disease, and immunosuppression,....
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