...Legal Article Paper-Ambulatory Surgery Centers Themelina Vallas HCS/430-Legal Issues in Health Care:Regulation and Compliance Due: 6/1/15 Teela Carmack Medical facilities called “ambulatory surgery centers”, are that provide same day surgeries for patients that rather do it this way versus going to an actual hospital. This facility is not considered a hospital and therefore does not provide any type of emergency care. In an ambulatory surgery center patients do not need admission, go home right after their procedure and do not stay overnight. Running a surgical center is no easy task, so knowing the laws and regulations are extremely important. There can be many legal issues involved so proper training and education are vital components for the staff and healthcare professionals within those types of facilities. There are many legal issues that mainly involve dealing with physician ownership, network waivers and Medicare cases. Physician ownership seems to be one of the most legally debatable issues having to do with ambulatory centers. This is due to a lot of new owners that come in and buy the business from old owners leaving it. Most owners have to be able to understand their contract with legal obligation for the concerning buyer when selling the center. Selling a surgery center can be difficult especially if it is due to a financial situation. All owners of a business like this must be optimistic about acquiring new business to increase financial compensation and...
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...Ambulatory Surgery Centers: A critical regulatory issue Ambulatory surgery centers are considered medical facilities that are specifically designed to give elective same-day surgeries to ease the high traffic at local hospitals. They do not offer emergency care in this type of facility because it is not considered a hospital. This type of facility means that a patient does not have to be admitted to a hospital and will go home after the procedure is finished. There are many legal issues regarding these types of facilities, and as you will read, they have to do with physician ownership, out of network waivers, and Medicare cases. It takes a lot of effort to run a surgical center and to find out what kind of legal issues can be involved with this type of center. One of the main sources of legal debates that are prevalent in ambulatory surgery centers is when new owners are trying to “buy-out” an owner that is leaving the business. A lot of centers grapple with the understanding of their present contracts concerning buying and with the legal obligation of selling the center for retail value. When a surgery center needs to sell because of finances, the ability to find someone who will give a fair market price can be difficult. Watching and assessing which new owners that will enhance the productivity of the center. Another great debate that involves physician ownership is the newly revised coverage rules and regulations which is a necessity for the early notice of physician...
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...Wound V.A.C. – KCI Protocol Emergency General Surgery Service Vanderbilt University Medical Center 10 / 2004 Contributors: Sarah Debelak, APRN-BC Amanda Estapa, APRN-BC Ashlee Piercey, APRN-BC Dr. Jose Diaz, Jr., M.D. STATEMENT OF PURPOSE: POLICY: Define process for implementation, application, and management of negative pressure therapy The Wound V.A.C. will be provided to patients based on physician order PROCEDURES: I. Indications for V.A.C. Therapy A. For patients who would benefit from sub atmospheric (negative) pressure therapy for promotion of wound healing B. For patients who would benefit from drainage and removal of infectious material or other fluids from wounds under the influence of continuous and/or intermittent sub atmospheric pressure C. Types of wounds indicated: 1. Chronic Wounds including Diabetic Ulcers/Pressure Ulcers 2. Acute / Traumatic 3. Subacute Wounds (non-healing surgical wounds) . 4. Dehisced Wounds 5. Partial-Thickness Burns 6. Flaps 7. Grafts Contraindications for V.A.C. Therapy A. Patients with: 1. Grossly Contaminated Wounds 2. Malignancy in the Wound 3. Untreated Osteomyelitis 4. Non-enteric and Unexplored Fistula 5. Necrotic Tissue with Eschar Present B. Do NOT place V.A.C. GranuFoam (Black sponge) over exposed blood vessels or organs. May use VersaFoam (White) or petroleum-based gauze over exposed blood vessels or organs at base of wound with overlaying GranuFoam. Obtaining Equipment and Supplies A. Order the Wound V.A.C. from Materials...
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...Health Care Providers and Products HCS/235 April 18.2016 Health Care Providers and Products A health care provider is any individual, institution, or agency that provides health services to health care consumers otherwise known as patients (http://medical-dictionary.thefreedictionary.com/Health+care+service+provider). Health care providers are vital because they are trained to provide health services to patients which help treat illnesses, diseases, broken bones, or any injuries or health issues in which they are trained to treat. One type of health care provider is preventive or public health and they provide treatment to prevent sickness and health issues or to prevent issues from becoming worse. Preventive services are measures that are performed in an effort to prevent an illness or injury. Common examples of preventative care are immunizations and yearly physicals. In fact, any screening test done in order to catch a disease early is considered a preventative service, such as routine Pap tests for women or prostate exams for men (http://health.howstuffworks.com/wellness/preventive-care/preventative-care.htm). Preventive health care services are so important that some are offered to patients at no cost. Since some of these preventative care options are offered for free to the public more people are taking advantage of the services offered and preventing health issues. The services that are often offered for free are flu shots, physicals, and dental checkups. Although...
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...death to ourselves. It motivates us to protect an injured area, and the abatement of that pain lets us know when it is safe to use that area of our body again (Doctor's Surgery Center). While pain is a crucial sensation, required for our survival, it’s no secret that in our day to day lives we want to avoid it at all cost. Pain doesn’t feel good. Therefore, if we can avoid it, we will. This desire to avoid pain makes pain control a very big business. Google the word “pain” and you will get a return of about 215 million websites. These websites offer a vast array of pain management options, including a variety of medications, surgeries, medical therapies, complementary therapies, alternative therapies, emotional therapies, products, tools, and more. Notice the next time you watch television or listen to the radio how many advertisements there are for these products. To get some idea of how much money is spent annually on pain control we will look at just a few of these pain management options. Acetaminophen is the pain relieving ingredient found in Tylenol as well as a few other prescription and over-the-counter medications. The sales of this drug in 2009 were 2.6 billion dollars (Aubuchon). More than 400,000 carpal tunnel surgeries are performed each year in the United States. The average cost of just the surgery itself for one of these is $8,185.24 (Sphere 10 Software). Receiving a once a week, thirty minute massage directed at relieving neck pain would cost you in the neighborhood...
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...Trinity Hospitals five year plan includes development of an orthopedic center, cardiovascular center and a cancer center. Task four asks for an assessment of the viability of one of these service lines. By assuming the role of the hospital CEO, I will evaluate the orthopedic center service line and present the findings to the board of directors for their approval. Demand for Orthopedic Service Line As identified in the Trinity Community Hospital’s Community Needs Assessment, the demand for orthopedic services in the area is expected to increase by 46% in the next five years. Inpatient joint and spine procedure are projected to increase by 30% and outpatient joint and spine procedures are expected to increase by 350%. Trinity Hospital’s fact sheet does state that there is no formal orthopedic service at the hospital but there is strong interest by local orthopedic groups in joining the hospital’s team. There are plans to build a new 15,000 square foot physical therapy/rehab center on or close to campus to support the new orthopedic service line. This is important as appropriate follow up can be offered to orthopedic patients. Trinity Hospital must rise to meet their competition. Tertiary Medical Center boasts a strong orthopedic program and a trauma center, while Regional Hospital also boasts strong orthopedic services. The hospitals five year plan calls for distinctive clinical programs and services in the areas of spine, total joint and hand services. Also, the plan...
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...are free standing ambulatory care organizations like surgical, medical/dental and diagnostic/therapeutic services in a variety of settings like, ambulatory surgery centers, military clinics, recovery care/short stay, sleep centers, teleradiology, telemedicine diagnostics, etc. Currently there are approximately 1,900 such organizations. In addition there is the Primary Care Home Medical Certification for Joint Commission accredited ambulatory care organizations. This certification focuses on care coordination, access to care, and how effectively a primary care clinician and interdisciplinary team work in partnership with the patient (and where applicable, their family). * Behavioral Healthcare Accreditation Program – This accreditation program began in 1975. Organizations providing services for people with developmental and intellectual disabilities, mental health and chemical dependency. Some of these organizations are: Addictions Center, Crisis Stabilization (24-hour acute care setting), Outdoor Behavioral Services, Outpatient Counseling and Therapeutic Schools (both day and 24- hour). Currently there are over 1,900 behavioral healthcare organizations. * Critical Access Hospital Accreditation Program – This accreditation program was introduced in 2001. Hospitals that have met the requirements stipulated by Center for Medicaid and Medicare Services (CMS) by having; by...
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...In the United States of America, there is development of Outpatient surgical care in recent years. The Ambulatory Surgical Centers have separated as specialized branches from major hospitals. In 1983, there were as many as 240 such specialized centers (Winter, 2003) and the number increased to 5,174 in 2008 (Medicare Payment Advisory Commission, 2009). The traditional hospital-based outpatient departments (HOPD’s) are facing challenges and competition from the specialized ambulatory surgical centers (ASC). A description of such development is seen by an example where the patient visits were 20.6 million per year in the year 1996 and it has increased to 31.5 million in the 2006. There is a rapid impact on increase in the number of...
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...The Physician Quality Reporting Systems (PQRS) are sponsored by Centers for Medicare and Medicaid Services (CMS). The goals of the PQRS are to improve quality of care by utilizing quality measures in a timely fashion about a patient’s medical care and their stay. By supplying this information, this information helps increase quality of care, ensuring that patients get the right care at the right time and keeping statistics on how an organization or provider are doing when it comes to the patient’s care. It is believed that by having better care in the beginning this will increase better health and ultimately lower costs in the end. Clinical measures include conditions that are commonly treated, i.e., diabetes and hypertension, statistics on where a patient is being treated, i.e., office, emergency room, surgical facility or urgent care. These statistics can be reported through the patient’s claim, a qualified registry or the electronic health record. At the clinic I work at, we utilize the electronic health record and chose to keep track of hypertension and diabetes in the first the clinic was open. In doing so, when we have a new patient who is seen, in order to get credit for the PQRS, we request the patient’s last Pap, blood pressure reading or hemoglobin A1c, treat the patient accordingly at their current visit and do follow-ups...
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...Beebe Medical Center HCS/514 04/08/2013 MEMORANDUM TO: Chief Executive Officer FROM: Team leader DATE: April 08, 2013 SUBJECT: Beebe Medical Center CC: Beebe Medical Centre was “founded in 1916 by two physician brothers, Drs. James Beebe and Richard C. Beebe (Beebe Medical Center, 2013)”, who wanted to bring modern medicine to a rural area. Originally named Beebe Hospital and possessing only three beds, it was the first private hospital in Delaware outside Wilmington. Beebe Medical Center is a 210-licensed-bed, not-for-profit seaside community hospital. In 2013, Beebe Medical Center Receive the Distinguished Hospital Award for Clinical Excellence. The Margaret H. School of Nursing at Beebe Medical Center is a diploma-nursing program created in 1921. Recent renovations to the School of Nursing will be able to accommodate twice as many students as previous years. The hospital has more than 50,000 annual emergency room visits, and physicians perform roughly 11,700 inpatient and outpatient surgeries every year. Beebe Medical Center has 195 licensed acute-care beds and several facilities, including a freestanding surgery center and cancer center. In addition, it began its open-heart surgery program in 2007 through a connected partnership with Christiana Care Health System in Wilmington. According to Beebe Medical Center (2013), “Beebe also operates the Beebe Health Campus on Route 24, Beebe Lab Express, Wound Care and Diabetes Management Services,...
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...chiropractic treatment to treat many spinal ailments. It may even prevent back surgery for people with herniated discs, sciatica and back pain. A spinal disc is the soft cushion that is located between each individual vertebra along the spine. The disc has a soft center and a harder outer covering. When there is a crack in the outer covering, a bit of the soft center can leak out. This may result in the nearby nerves being irritated which is very painful and may result in numbness in an arm or leg. If the disc is in the lower back, it could put pressure on the sciatic nerve causing pain and numbness in the lower back, buttocks and legs. Chiropractic doctors use a non-invasive, safe treatment called spinal decompression. This...
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...Abstract This report discusses ways the open heart surgery program complies with the hospital’s mission. It will also analyze whether or not CMH, now known as Carolinas Medical Center Northeast (CMC), has sufficient infrastructure and financial resources / leverage necessary to add the program. The competitive situation among other area hospitals that could impact the decision will be described. The change in the service area required for the cardiovascular surgery service will also be explained. Alternative strategies the Board should consider before making a final decision on the possible addition of the open heart program will be examined. Key Words: Cardiovascular, open heart surgery, coronary care Cannon Hospital opened its doors to Concord, NC on July 26, 1937 with forty-six beds, ten bassinets, eight doctors and two patients (Swayne, Duncan & Ginter, 2009). They have come a long way since then. According to Cimino Wilson, they are now known as CMC-North-East, and have handled 12,045 surgical procedures, employed more than 4,700 employees and admitted 22,388 patients in 2011. Since its inception, thanks to the philanthropy of Cannon A. Mills, they have been a contemporary, well-equipped facility. Their mission then and now is “absolute commitment to service and clinical excellence.” Ways the program complies with the hospital’s mission. It was the goal of Cannon A. Mills to provide his employees with the best possible health care (Swayne, Duncan &...
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...Effective Communication Julie Skahan HCS/325 April 18, 2011awn Sienkiewicz Effective Communication Most healthcare organizations are not considered boundaryless because they are linked to outside agencies but they are adapting many traits of this kind of organization. Organizations are changing from the standard vertical structure to a more horizontal form, where managers of each department are responsible for designing how their department will function. This includes maintaining a budget and assigning individual duties. Outside needs of the organization can be contracted for services from laundry to sterilizing bio-hazardous materials. No matter what the task is, effective communication is essential when sharing information between agencies and staff. Teams are utilized to complete the workload, and Information Technology can be utilized for the purpose of sharing patient information between outside agencies including hospitals, physicians’ offices, and community clinics (Lombardi & Schermerhorn, 2007). The theory behind a boundaryless organization is that employees with specialized skills can be given specific duties matching their skills to complete the task in a timely fashion. Tasks are divided up according to types, and can be completed according to specific due dates. This type of organization sparks imagination, superior work, and can be designed according to a specific need because the restraints of a bureaucratic system no longer...
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...as skilled nursing and rehab centers. Nursing care is typically provided for people who need long-term care or rehabilitation after surgery or are recovering from a more severe medical condition like a stroke. These communities provide all of the personal care and services of an assisted living with the addition of 24-hour nursing care. Regent Care Center Facts Funded 35 yrs ago A modern facility with 180 beds Joint commission accredited facility A for profit-non-sectarian, and private funded organization Client Population: mostly 65 and over Catchment area: Includes many residents of Bergen-Hudson-Passaic County. Also patients from Hackensack Medical Center Regent Care Mission Statement Regent Care Center’s mission is to provide the best possible quality of care and quality of life for our long-term residents and sub acute patients. We are also committed to improving quality of life for our staff and family members of our residents. All staff, through team work and the interdisciplinary process, will provide the highest quality service compassion and respect to residents and their family members. The staff of Regent Care Center fulfills its mission and produces a first-class facility by practicing the key concepts on a daily basis: C= Commitment to residents, families, self, and career L= Leadership – setting a good example A= Attitude – positive at all times S= Service – only the best S= Support through team work Regent Care Center is a team of health care professionals...
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...Regional Medical Center Lakenya Miller HCS 235 January 16, 2012 Maria Cabanillas Orangeburg Regional Medical Center has been serving the residents in Orangeburg County over thirty years. Over the years they have added more square footage, open the doors for new wings and job opportunities. Not only that it provided close services for the patients, they no longer had to make a seventy mile drive to have a specific service done, it was now done locally. With a great staff and some state of the art equipment this makes this hospital one the best in the area. They even have a website where you can find the many different service they offer on www.trmchealth.org. Besides emergency care, Orangeburg Regional Medical Center provides a large range of services to the community. They offer an admitting/outpatient wing that allow the service into one area allowing space for Same Day Surgery, which was needed to accommodate the increase in outpatient surgery. They offer some many other services like 15-bed psychiatric unit, pediatric unit, Cancer Center for cancer patients with chemotherapy and radiation therapy. They also offer Breast Health Center, Dialysis Access Institute, Radiology Department, Vascular Center, 20-bed Rehabilitation Unit, and Health Plex for outpatient rehabilitation and wellness, endoscopy, community outreach, EKG, neurology, nursing units, pharmacy, sleep lab, wound center, volunteer service, public relation, occupational therapy, joint center, and Biomedical...
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