...Case report: Paediatric Orthopaedic Clinic 1- What is capacity utilization at every step in the process? What is the direct resource utilization? Using the data provided in the case, we are able to compile all data necessary to compute the capacity utilization at the clinic. Activity | # of Staff | Available time | Activity time | Number of Patients | Time needed | Utilization10 | | | /Staff | Total | N | F | N | F | N | F | Total | | 1. Front Desk | | | | | | | | | | | | a. Registration | 3 | 180 | 540 | 5 | 5 | 32 | 48 | 160 | 240 | 400 | 74 % | b. Verification | 3 | 255 | 765 | 9 | 4 | 32 | 48 | 288 | 192 | 480 | 63 % | 2. Radiology Department | | | | | | | | | | | | a. X-ray imaging | 6 | 240 | 9603 | 11 | 11 | 32 | 40.8 | 352 | 448.8 | 800.8 | 83 % | b. Development of X-rat | -1 | 240 | 9604 | 7 | 7 | 32 | 40.8 | 224 | 285.6 | 509.6 | 53%8 | c. Diagnostic reading and comments | 3 | 240 | 4805 | 5 | 5 | 32 | 40.8 | 160 | 204 | 364 | 76% | 3. Hand-off X-ray to Clinic | | | | | | | | | | | | a. Collection of X-ray | 3 | 2556 | 7657 | 2 | 2 | 32 | 40.8 | 64 | 81.6 | 145.6 | 19% 9 | b. Filing/exam room prep | 1 | 255 | 255 | 2 | 2 | 32 | 48 | 64 | 96 | 160 | 63% | 4. Examination Room | | | | | | | | | | | | a. Surgeon | 1 | 255 | 255 | 7 | 4 | 32 | 14.4 | 224 | 57.6 | 281.6 | 110% | b. Resident | 1(2)2 | 255 | 255 | - | 7 | - | 33.6 | - | 235.2 | 235.2 | 92% | c. Cast technician...
Words: 9158 - Pages: 37
...uninsured. Nevertheless, starting a clinic may not be simple as it takes numerous procedures that may include; sourcing supplies, legal arrangements, recruiting of volunteers, identifying viable funding raising mechanisms and identifying a reliable consultancy team that will help in accounting, insurance and legal matters. This however depends on whether the clinic will be individually owned or collaboration with organizations such as Volunteers in Health Care (VIH) and Volunteers in Medicine that assist societies to start free clinics. Economic status and its effect on health care: Low socioeconomic status (SES) has its links to low income. People with low income lack medical insurance covers, have poor quality health care and seek health care less often or when they do it’s an emergency (Swartz, 1994). Taken together, current research suggests that, although numerous issues affect patient gratification of the healthcare system, SES is among the most significant factor simply because it commands a great deal of the health care system where people receive care. Research also shows that while...
Words: 1099 - Pages: 5
...Obligations and Responsibilities of Kachia Local Government and Areas where Kachia LGA has failed in fulfilling its obligations and responsibilities. Obligations and Responsibilities of Communities and Areas where Communities have failed in fulfilling their obligations and responsibilities Obligations and Responsibilities of Tulsi Chanrai Foundation and Areas where TCF has failed in fulfilling its obligations and responsibilities. • On Project Activities to meet Objectives Page 20 Organization of health services Staff disposition Range of services provided at health facility Ward Health System Project Map Major health problems Essential Drugs Exemptions and Deferments Referral programme. (including Ambulance Service) Essential Equipment Health...
Words: 6220 - Pages: 25
...Background Norway is a Nordic country in northern Europe with a population of 4.6 million (similar to South Carolina, Alabama, or the city of Philadelphia), a landmass of 324,220 km2 (about the size of New Mexico), and a population density of 13 people/km2 (ranks 213 out of 244 countries). Norway’s Gross National Product (GNP) per capita is $51,810 (rank #2, US with $41,440 ranks #4) and a GNP per capita based on global purchasing power parity (PPP) is $38,680 which ranks it third behind Luxembourg and the US (at $61,610 and $39,820 respectively)1. Using any number of measures Norway ranks as one of the richest countries in the world. Another factor is the amount of income that the oil industry generates for the government, which is not directly reflected in the above numbers. Norway is the world’s third largest exporter of oil (behind Saudi Arabia and Russia), the bulk of which is funneled back into the government. Norway’s unemployment rate is 2.8% which ranks it 5th lowest in the world (behind Qatar, Thailand, Singapore, and Vietnam)2, while the US unemployment rate is 9.1% (near the top of the major economic countries of the world. In 2001, the proportion of the population with a university education, among 30 to 39-year-olds, was 29% for men and 36% for women. In all, 57% of the population over the age of 16 had completed secondary education. In total, therefore, the enrolment level in secondary and tertiary education amounts to more than two-thirds of Norwegians...
Words: 1741 - Pages: 7
...Clinic Thomas R. Rohleder, PhD Division of Health Care Policy and Research Mayo Clinic 200 First Street SW Rochester, Minnesota 55905 tel: 507-538-1532 Email: rohleder@mayo.edu Peter Lewkonia, MD Faculty of Medicine University of Calgary Calgary, Alberta Diane Bischak, PhD Haskayne School of Business University of Calgary Calgary, Alberta Paul Duffy, MD Faculty of Medicine University of Calgary Calgary, Alberta Rosa Hendijani Haskayne School of Business University of Calgary Calgary, Alberta July 2011 Abstract We report on the use of discrete event simulation modeling to support process improvements at an orthopedic outpatient clinic. The clinic was effective in treating patients, but waiting time and congestion in the clinic created patient dissatisfaction and staff morale issues. The modeling helped to identify improvement alternatives including optimized staffing levels, better patient scheduling, and an emphasis on staff arriving promptly. Quantitative results from the modeling provided motivation to implement the improvements. Statistical analysis of data taken before and after the implementation indicate that waiting time measures were significantly improved and overall patient time in the clinic was reduced. Keywords: Outpatient Clinic, Discrete Event Simulation, Process Improvement, Patient Waiting I. Introduction Visiting hospital outpatient clinics is a very common way for patients to access health care. These clinics typically schedule appointments...
Words: 7497 - Pages: 30
...organizational design of the clinic. The Internal Forces and the External Forces Affecting the Organizational Design of the Clinic The external forces that act on the organization in this case, a group practice family medical clinic, exerted a greater effect on reshaping the organizational design of the practice than has been true of the internal forces that also drive changes in organizational design. The two most important external forces, when considered in relation to effects on organizational design, have been, in the opinion of this writer, (a) technological innovations that directly affect the acquisition, presentation, interpretation, access, and storage of patient-related information, and (b) the accountability movement in health care delivery in the United...
Words: 687 - Pages: 3
...to take place for the Gundersen Health System to become energy independent by the year 2014. Most healthcare organizations do not include the upper management in the process of business. This paper will discuss how to do a change of process to reach the goal of being energy independent, it will show how the change will be a Six Sigma Process. It will look at Capability Maturity Model (CMM). It will touch on Porter’s three – phase process. A current diagram and a change process diagram. The paper will also touch on goals to be placed into affect. It will state the tasks and measurements for the goal. Introduction to Gundersen Health System Gundersen Health Systems was first named Gundersen Lutheran Hospital and was founded in 1902 by the primary Doctor, Adolf Gundersen. It was renamed Gundersen Clinic and Lutheran Hospital, and in 1995 it was name Gundersen Lutheran Inc. It is now known as Gundersen Healthcare Systems. The system is made up of 24 Medical Clinics, 4 Worksite Clinics, 2 Express Care Clinics, 4 Podiatry Clinics, 8 Behavioral Health Clinics, 12 Eye Clinics/Institutes, 2 Sport Medicine Clinics, 4 Reproductive Clinics. It has 3 Affiliated Hospitals, and 4 Affiliated Nursing Homes. This healthcare system serves 19 counties in three states, (Minnesota, Wisconsin, and Iowa. (Fast Facts, 2013). The mission and vision statements go with the core values of Gundersen Health System. They are to be number one in patient...
Words: 1815 - Pages: 8
...risk of posttraumatic stress disorder (PTSD), depression, and alcohol abuse, but many previous studies were limited by samples that were not representative of the deployed military as a whole. This study presents an overview of these three mental health problems associated with deployment among Air Force, Army, Marine Corp, and Navy service members returning from deployment to Iraq and Afghanistan between January 2007 and March 2008. With postdeployment health data on over 50,000 service men and women, including diagnostic information, we were able to estimate prevalence of those who screened positive for risk of each disorder in self-report data at two time points, as well as prevalence of diagnoses received during health care encounters within the military health care system. The prevalence ranges of the three disorders were consistent with previous studies using similar measures, but service members in the Navy had higher rates of screening positive for all three disorders and higher prevalence of depression and PTSD diagnoses compared to the other branches. Further, PTSD risk was higher for service members returning from Afghanistan compared to Iraq, in contrast to previous findings. INTRODUCTION The m ental health burden on service m em bers returning from Iraq (O peration Iraqi Freedom [OIF]) and A fghanistan (O per ation Enduring Freedom [OEF]) is...
Words: 5819 - Pages: 24
...healthcare sectors to ensure that effective healthcare policies are being implemented. In the late 2010, IOM released a special report “The Future of Nursing: Leading change, Advancing health”. The report contains three messages related to nursing, which focus on the following sections: transforming practice, transforming education and transforming leadership. This paper focuses on the IOM report and how it impacts nursing education. This paper will also discuss the role of a nurse as a leader and their practice, particularly in primary care. Lastly, this paper will disclose how I would change my practice to meet the goals of the IOM report. Firstly, the IOM report also stated that it is crucial that a nurse must have training from an accredited institution system to so they can be ready contribute at their work (IOM, 2010). Educational standard has influence perceptions about nurses. Academics and professionals have hotly debated the minimum education needed by nurses for several decades. The IOM report also discuss and offer the reason why nurses having a higher level of education is a must; Nursing practice have expand greatly, they will now need knowledge of leadership skills, public health, health policy, evidence base practice etc. Based on the IOM report for changing nursing education system, the impact will upturn and increase the baccalaureate degree nurses, masters and doctorate graduation rate to eighty percent by 2020. It will inspire the nurses that obtain an AND to...
Words: 907 - Pages: 4
...R. Rohleder, PhD Division of Health Care Policy and Research Mayo Clinic 200 First Street SW Rochester, Minnesota 55905 tel: 507-538-1532 Email: rohleder@mayo.edu Peter Lewkonia, MD Faculty of Medicine University of Calgary Calgary, Alberta Diane Bischak, PhD Haskayne School of Business University of Calgary Calgary, Alberta Paul Duffy, MD Faculty of Medicine University of Calgary Calgary, Alberta Rosa Hendijani Haskayne School of Business University of Calgary Calgary, Alberta July 2011 Abstract We report on the use of discrete event simulation modeling to support process improvements at an orthopedic outpatient clinic. The clinic was effective in treating patients, but waiting time and congestion in the clinic created patient dissatisfaction and staff morale issues. The modeling helped to identify improvement alternatives including optimized staffing levels, better patient scheduling, and an emphasis on staff arriving promptly. Quantitative results from the modeling provided motivation to implement the improvements. Statistical analysis of data taken before and after the implementation indicate that waiting time measures were significantly improved and overall patient time in the clinic was reduced. Keywords: Outpatient Clinic, Discrete Event Simulation, Process Improvement, Patient Waiting I. Introduction Visiting hospital outpatient clinics is a very common way for patients to access health care. These clinics typically...
Words: 7497 - Pages: 30
...Health Care Access Options Nicole Manske HCS 490 April 25, 2016 Professor Green Health Care Access Options There are many health care centers throughout the community that offer many different health care needs for patients. Health care organizations are found in varies places throughout the community. You can find walk-in clinics, retail clinics in grocery stores, and no appointment physician offices. These different types of health care centers impact the variety of demographics throughout the community and within the health care community. These clinics effect different generations too. Also, when you know the targeted audience of the clinic based on demographics you will find a center that best suits your needs. Along with the audience, knowing that social media networking can have a large impact on consumer choice will also help determine the best suited health care center for your needs. The Changing Landscape of Health Care Systems Health care systems will forever change. The systems must change in order to stay relevant with what the community wants and needs. The system is working towards creating affordable center for everyone to receive the care and treatment they need while also keeping the treatment affordable (Department of Health and Human Services, 2015). There are various places health care is delivered. There are many walk-in clinics that all patients in need of immediate attention to receive the help they need. These walk-in clinics are convenient...
Words: 1273 - Pages: 6
...The Logic Model Process Situation: Annually, nearly five million patients in this country that are diagnosed with heart failure (HF) for the first time. The total cost of HF-related healthcare expenditures in the U.S. in 2010 was $39.2 billion, which places an enormous clinical and economic burden on the health care system. Overall objective: In a Filipino-American patients diagnosed with HF, would a culturally tailored ----------------------- Culturally Tailored & congruent Family Focused Educational Intervention (FFEI): participants: all HF patients in the clinical setting. & Filipino-Americans 1. Daily self-assessment 2. Medication management 3. Diet management Inputs PATIENT & FM demonstrates increased motivation related to HF management PATIENT decreased healthcare complications PATIENT Understand the HF pathophysiology (disease process) Outputs Activities Participation Family Member as defined by the patient (spouse, hild, siblings, significant other, relative, etc.) Outcomes Short Medium Long FM Understand the HF pathophysiology (disease process) Patient diagnosed with HF Primary Healthcare Provider/other members of the healthcare team PATIENT Know when to seek medical assistance by knowing the reportable signs and symptoms to the primary healthcare Researcher Monitor Healthcare utilization...
Words: 364 - Pages: 2
...The Future of Nursing: Leading Change, Advancing Health Charity Hathaway Grand Canyon University: NRS-430V July 1, 2013 The Future of Nursing: Leading Change, Advancing Health The world of nursing is constantly changing to meet the needs of health care in the United States. As it evolves, nurses are instrumental in this transformation process. According to the Institute of Medicine’s report on nursing’s future, nurses will play a critical role in providing quality care at a lower cost. As legislation is moving health care away from acute and specialty realms, there is a higher demand in primary care centered environments. (“Future of Nursing,” 2010). There is also a substantial aging population with the baby boomer generation that will need long term and palliative care. (“Future of Nursing,” 2010). According to three health care systems, Veterans Affairs (VA), Geisinger Health System and Kaiser Permanente, emphasis has been put on registered nurses and nurse practitioners to see if moving them into primary practice environments would assist in the delivery of their outcomes. The results from all three health systems showed impressive results with the end result being that of higher quality care and lower economic costs. (“Future of Nursing,” 2010). In order to achieve this outcome, patient to nurse ratios would need to be decreased to meet the demands needed by other disciplines to ensure that optimal care is being given to the patient. With a lower patient load, there...
Words: 1029 - Pages: 5
...Paper #2 [Rhetorical Analysis Assignment (1)] (4 full pp. double-spaced) Sicko Analysis In 2007 documentary Sicko Michael Moore addresses the issue of America’s health care system. This topic has been in continuous debate among our political leaders for many years now. Michael Moore believes America’s health system is morally corrupt which is unreasonable for being the wealthiest country in the world. In many instances throughout the film, he argues the fact that the American health care system is subject to fraudulent decisions, aiming towards governmental funds, rather than the rights of American citizens. Furthermore, he compares health care conditions from around the world, arguing that countries with this benefit are much better off than those that are not. This movie is an attempt to encourage middle class individuals to stand up for what Moore thinks of their Constitutional right, health care. In the movie Moore uses different techniques to support his argument that universal health care is better than government regulated health care. One of which was to interview individuals around the United States about their health insurance experiences. One of the most memorable stories came from a mother whose four-year-old daughter died because she was refused care at a hospital. The way Moore sets up this particular interview is unforgettable. As she begins telling her chilling account, the camera zooms into her face. When the camera zooms out, we see that behind her is...
Words: 1338 - Pages: 6
...Forecasting the Future Female Veteran Population and Their Increased Use of the VA Medical System - VPT2 Data-Driven Decision Making - C207 August 12th, 2015 Forecasting the Future Female Veteran Population and Their Increased Use of the VA Medical System The use of the Veterans Affairs medical care system has significantly increased over the last decade due to two recent wars and an aging Vietnam Veteran population. As females have been accepted in all roles into the military, their population within the military has progressively multiplied over the last three decades. Since females in general typically use healthcare at a higher rate than their male counterparts, it is necessary to ascertain if the female veteran population and their usage of the VA is trending in the direction of growth. Should the numbers be trending in a manner that shows significant growth, a further in-depth study would be indicated to determine future growth beyond the course of this analysis could provide. This trending information as well as future studies, should they be indicated, would assist VA management in determining future monetary and staffing budgets. Data Collection To evaluate the potential for growth within the female veteran population, data was collected online from: Veterans Affairs (VA) detailing veteran population statistics by state, age group, and gender; a Women’s Health Veteran’s Affairs Publication detailing the socio-demographic, utilization, and Costs of...
Words: 1157 - Pages: 5
