... Table of contents page Case Study: Peace Memorial Hospital: Downtown health Clinic …….………………. 3 Executive Summary …………………………………………………………………….. 3 Environmental Aspects …………………………………………………………….. 5 Demographics …………………………………………………………………….. 5 Politics …………………………………………………………………….. 7 Competition …………………………………………………………………….. 8 Marketing …………………………………………………………………………….. 9 Objectives …………………………………………………………………….. 9 Strategies …………………………………………………………………….. 10 Tactics …………………………………………………………………………….. 10 Four Ps …………………….…………………………………………….. 11 Product …………………………………………………………… 11 Price …………………………………………………………………… 11 Place …………………………………………………………………… 11 Promotion …………………………………………………………… 12 Marketing Information Systems ……………………………………………. 12 Conclusion …………………………………………………………………………….. 13 References …………………………………………………………………………….. 14 Marketing Audit Case Study: Peace Memorial Hospital: Downtown health Clinic Peace Memorial Hospital (PMH) is one of six independent, nonprofit, general...
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...Communication Style Case Study University of Phoenix HCS/350 Communication Style Case Study In communicating, “The words you choose and the way in which they are delivered to the delegate make the difference between a successful and a frustrating episode in delegation” (Hansten & Jackson, 2009). The three communication styles in the case studies are passive, aggressive, and assertive. An analysis of the first scenario reveals that Robin, RN, used aggressive communication while Rashad, the assistive staff used passive aggressive communication style. In order to accommodate therapeutic communication that would improve the outcome, the scenario would change as follows: Robin, RN sends out an announcement of a staff meeting to discuss roles, responsibilities and expectations of the assistive staff. Robin, RN opens the meeting by stating, “The purpose of the meeting is to review roles, responsibilities and expectations of our assistive staff, please take a copy of the job description so that I am circulating so that we can review together.” Rashad, Assistive personnel stated, “My role is to anticipate the needs of the patients for toileting and personal hygiene right?” Robin, RN, in a inquiring voice, restated, “Rashad, do I hear you asking if your role is just to anticipate the needs of the patients for toileting and personal hygiene?” Rashad, acknowledged “Yes, I need to know what else I may have to do.” Robin, RN, in a calm, but professional and...
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...Principles of Healthcare Reimbursement Anne B. Casto, RHIA, CCS Elizabeth Layman, PhD, RHIA, CCS, FAHIMA Copyright ©2006 by the American Health Information Management Association. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, photocopying, recording, or otherwise, without the prior written permission of the publisher. ISBN 1-58426-070-X AHIMA Product No. AB202006 Ken Zielske, Director of Publications Susan Hull, MPH, RHIA, CCS, CCS-P, Technical Reviewer Marcia Loellbach, MS, Project Editor Elizabeth Lund, Assistant Editor Melissa Ulbricht, Editorial/Production Coordinator All information contained within this book, including Web sites and regulatory information, was current and valid as of the date of publication. However, Web page addresses and the information on them may change or disappear at any time and for any number of reasons. The user is encouraged to perform his or her own general Web searches to locate any site addresses listed here that are no longer valid. AHIMA strives to recognize the value of people from every racial and ethnic background as well as all genders, age groups, and sexual orientations by building its membership and leadership resources to reflect the rich diversity of the American population. AHIMA encourages the celebration and promotion of human diversity through education, mentoring, recognition, leadership, and other programs. American...
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...In preparation for meetings or projects, there are various program planning models that can be used to assist decision makers depending on the goals of the program. These models have greatly helped leaders as the outcomes have benefited from careful planning. As decision-makers have gained great amounts of knowledge and experience, I have experience that collaboration within a group can be best effective when these factors are used. This allows different perspectives to be realized and produce a more professional product. Continuous quality improvement does not just happen, it has to be planned and managed using tools such as PDCA and DMAIC. If you want to be better than your competitors and to flourish as a business then you must ensure that business processes are continually improved (Liesener). In order to do this action plans need to be developed. For many employees, experienced or less experienced, the variety of problem-solving approaches for action plans can get confusing. But there are not so many differences between these approaches, as you could expect. All differences are depending only on the type of problem, which has to be solved. Various problem-solving approaches like PDCA and DMAIC can be sorted in the following categories (Liesener): 1. Is it a small, medium or large sized problem you want to solve and is the solution of the problem unknown? 2. Does your problem solving strategy follow a continuous improvement process or do you want solve a single...
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...Basically primary care consists of i) medical care (family physicians/primary care doctors); ii) district care (district nurses and midwives); and iii) social care (social workers). Medical care and district care together are primary health care (PHC). Social care is organized, managed and financed by local communities and since the beginning of the 90-ties is separated from health care. Social care tasks are focusing on support of inhabitants of local communities in case of poverty and are to prevent exclusion. Social care includes activities such as analyses of the local environment, the economical status of community members and making decisions on financing or co-financing of help measures requested by individuals. The social care budget is also playing a role in financing health services for the unemployed (from the central budget) and the homeless/uninsured (from the local community budget). From the central social care budget money flows to the National Health Fund (NFZ), which is the central insurance institution in Poland, and is further disseminated among the 16 regions of Poland in which branches of NFZ are located. From the local community budget, moneys are paid directly to selected health care units. Due to the yet unfinished implementation of family medicine, primary health care in Poland consists of two dimensions or care models: the old Semashko model with its group out-patient units and the family medicine model. Nowadays both dimensions have equal representation...
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...types of information are contained in the MPI? MPI-master patient index, sometimes called a master person index, link a patient’s medical record number with common identification data elements, for example: patient’s complete name, date of birth, gender, mother’s maiden name and social security number. Because most health care facilities house patient records according to a medical record number, the MP becomes the key to locating paper based records in the health information department file system. Thus, the MPI is retained permanently because it serves as the key to finding the patients record, it can be automated or manual. According to the American Health Information Management Association (AHIMA), some recommended core data elements for indexing and searching records include: * Internal patient Identification * Patient Name * DOB * DOB qualifier * Gender * Race * Ethnicity * Address * Alias/pervious name * SS# * Facility identification * Universal patient identifier (if available) * Account number * Admission date * Discharge date * Service type * Patient disposition 2. What are registers and indexes? Registers and registries contain information about a disease or event and are maintained by individual health care facilities, federal and state government agencies and private organizations. Case report form are submitted by health care facilities and providers to report data to sponsoring agencies...
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...Professional and roles for employer resources | Intended for consumers and professionals | Possible use | 1 | American lung associationhttp://www.breathing.orgAmerican association for cardiovascular and pulmonary rehabilitationhttp://www.aacvpr.orgThe national Jewish medical and research Centrehttp:www.national jewish.org | The purpose of above resources is to provide information to health care professional information on chronic pulmonary diseases, some treatment options and available links.Chronic obstructive pulmonary disease:Anatomy of the respiratory system consists of two parts: includes upper respiratory tract consists of nose, nasal cavity, sinuses and trachea.The lower respiratory tract consists of bronchi. Bronchioles and alveoli(neighbors, m, &tanehill,.,j 2006)Causes of chronic pulmonary disease:Long term exposure to lung irritants for example smoking, air pollution, chemical fumes, dust (U.S. Department of national lung and blood institute).Statics on COPD diseaseChronic pulmonary disease claims approximately 118, 171 people annually this number increased to 127,000 in 2005, recent studies indicate COPD could be the leading cause of death by the year 2020 in the Unites States of America( American lung association 2004). Men and women are 12-13 times likely to die from chronic pulmonary disease respectively (American lung association.)Diagnostic testingchest examinations using a stethoscope, listen to lungs sounds like a paper being rumbled. Bronchoscopy is a procedure...
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...solutions 5. Benefits of solving the problem 6. Business/technical approach 7. Business process changes 8. Technology or business practices used to augment the solution 9. Conclusions and overall recommendations 10. High-level implementation plan 11. Summary of project 12. References Abstract Purpose: New Mexico Heart Institute ( NMHI) has implemented a new electronic medical record system (EMR) to achieve meaningful use. Prior to this implementation, NMHI’s problems were numerous. It had a demanding ambulatory computing setting that caused clinical workflow inefficiencies, eroding physician satisfaction and straining IT resources. Printing was particularly difficult as the laptops could not differentiate when a clinician had moved from one clinic to another intelligently. In addition, slow keyboard-based authentication and login processes were creating more workflow blockages, frustrating caregivers, and increasing patient wait times. Methods: Aventura is context and location aware, a leading provider of awareness computing for the healthcare industry. New Mexico Heart Institute’s partnership with Aventura coincided with two mission-critical projects; this are the organization’s migration to a Virtual Desktop Infrastructure (VDI) leveraging VMware View™ and the planned upgrade of Allscripts EMR to achieve Meaningful Use. Aventura impacted NMHI clinicians dramatically with their integration. Results: NMHI are able to deliver a much more consistent...
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...nursing and rehabilitation facilities, all the way to large hospital systems. The quality of service provided in a facility doesn’t just affect the patients. Quality of service also affects the bottom line, or whether or not the hospital system is profitable. In order to better access the system’s current quality of service and to devise improvement plans I would need to explore issues that have significant effect on quality of care such as, patient satisfaction and retention, medical errors and patient risk, costs, profitability, and staffing. What information/data would you ask for to help analyze the problem? What are some of the areas that you would want to focus on to help improve the quality of the hospital? Suggest at least one solution to improving poor quality of care in a hospital system. To start out I would like to get a better understanding of the reasons behind low patient satisfaction ratings. This could be accomplished via analyzing any available patient satisfaction surveys and using this information to detect any obvious problem areas as well as any strengths. Using this information I would devise a more specialized and in-depth survey to be sent out to all patients who did the original survey and to a cross section of recent patients from each area of the hospital (ER, ambulatory care, laboratory and other outpatient services, etc). The results of these surveys would be used to further identify issues that need attention. I might...
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...Systems Leadership Barbara De Groot, RN November 14, 2014 Introduction Patient advocacy extends back to Florence Nightingale and remains relevant today. While Nightingale did not explicitly address advocacy in nursing, she did demonstrate advocacy in many ways (Selanders and Crane, 2012). Today advocacy extends beyond the individual patient to local and global populations, and nationally and globally to the nursing profession itself. The purpose of this paper is to describe this author’s role as a moral agent or advocate for a specific issue in this author’s work, and explain one or more negative outcomes that may result if this role is not fulfilled. This paper will also analyze the skills, dispositions, and strategies necessary to help this author fulfill this role, and explain this author’s motivation for taking a stand. Role as an Advocate Advocacy has been described in ethical and legal frameworks, and as a philosophical foundation for practice (Negarandeh et al., 2007). Malik (1997) states that “the core condition which demands advocacy action is the vulnerability of a patient, either personal vulnerability due to illness and/or the vulnerability to risks inherent in the institutional processes to which the patient is exposed in the health care system.” As a nurse discharge planner case manager, part of this author’s job is to identify potential barriers to patient care and safe discharge. As a nurse, this author also has the responsibility to speak...
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...Satisfaction with EPIC Integration and Patient Portals Improving Customer Loyalty and Satisfaction with EPIC Integration and Patient Portals Today’s wide-ranging medical practices often specialize in specific therapies and custom treatments for various diseases and ailments. Just like other marketing organizations, serving client needs in the digital age involves providing superior online customer service and patient portals for optimizing self-service actions and retrieving critical medical information. Providers of medical services face extreme challenges in making health records available to patients while guaranteeing the highest levels of security and privacy. EPIC EHR and EMR software can automate the safe sharing of medical and health records, but unless all patient records and data sources are integrated into the operating system, the software will fall short of its full potential to improve patient care, provide easy access to health records and...
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...T. Shih, K. Davis, S. Schoenbaum, A. Gauthier, R. Nuzum, and D. McCarthy, Organizing the U.S. Health Care Delivery System for High Performance (New York: The Commonwealth Fund Commission on a High Performance Health System, Aug. 2008). 2 Information about Kaiser Permanente was synthesized in part from a presentation by CEO George Halvorson to a Commonwealth Fund Commission on a High Performance Health Care System meeting in San Francisco, and from the Commission’s site visit to the Kaiser Permanente San Francisco Medical Center in March 2007. Additional information was obtained from presentations, telephone interviews, or e-mail communications with the individuals named in the acknowledgments; from information and documents available on the organization’s Web site (www.kp.org) and from regulatory filings; and from other presentations and publications cited below. 3 A summary of findings from all case studies in the series can be found in D. McCarthy and K. Mueller, Organizing for Higher Performance: Case Studies of Organized Delivery Systems. Series Overview, Findings, and Methods (New York: The Commonwealth Fund, 2009). 4 For examples, see A. C. Enthoven and L. A. Tollen, “Epilogue,” in Toward a 21st Century Health System, edited by A. C. Enthoven and L. A. Tollen (San Francisco: Jossey-Bass, 2004). 5 The Colorado region developed an EHR in collaboration with IBM Corporation that was fully functional by 1997. Physicians in the Northwest region...
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...System Infrastructure Issues 8 d. Risk of Liability and Patient Uncertainty 8 III. EHR Technology 9 a. EHR Benefits 10 b. EHR Types 11 c. EHRs Future Evolution 13 d. EHR Technology versus Handheld SMART devices 14 IV. Trends and Consequences 15 a. Aggressive Implementation 16 b. High Costs 16 c. Labor Investment 17 d. Opportunity Cost 17 e. Impact on Researchers, Policymaker and Educators 18 V. Final Opinion 19 VI. Bibliography 22 VII. Appendix I 28 VIII. Appendix II 31 I. Advantages of EHRs In an effort to reign in rising health care costs and increased health care disparity and inequality in the U.S., former president George W. Bush doubled the funding for Health Care Information Technology to 100 million in 2005 (The White House). It was part of a larger plan to utilize latest information technology to standardize patient and health records, which despite spending 1.6 trillion dollars, attributed to 98,000 medically related errors in 2004. The plan was part of his campaign promise and was reiterated in his January 20, 2004 State of the Union address when, President Bush remarked, “by computerizing health records, we can avoid dangerous medical mistakes, reduce costs, and improve care.” Considering that the federal government is “one of the largest buyers of healthcare - in Medicare, Medicaid, the Community Health Centers program, the Federal Health Benefits program, Veterans medical care, and programs in...
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...Reducing the risk of surgical site infection Joy Ibeh Walden University NURS 4001, Section 7, Research & Scholarship for Evidence-base practice September 7, 2014 Reducing the risk of surgical site infection A surgical site infection is a preventable event and also a national concern. There are numerous publication on national awareness and guidelines for infection prevention in different surgical settings. The benefit of providing information and acquiring knowledgeis to prevent patient mortality rate by following the national clinical guideline. Therefore the purpose of this paper is to discuss information from the the clinical practice guideline for preventing and reducing the risk of surgical site infection. Practice Setting Problem The Practice seting problem chosen for this assignment is reducing the risk of surgical site infection by using clinical practice guideline. Surgical site infections (SSI)is an infection patient acquired from hospital after surgery, It has a significant representation of healthcare associated infections. According to Center for Dieases Control and Prevention (CDC) SSI is defines as “ an infection that occurs after surgery in the part of the body where the surgery took place.” (Spruce, 2014). The author, Spruce (2014) addressed the mortality rate of surgical site infection and further noted that SSI is the second most prevalent healthcare associated infection that are estimated to be 40% to 60% preventable. Spruce reported that $28.4...
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...are the associate degree, diploma, and bachelor’s degree programs. Associate degree nurses (ADN) and diploma nurses make up the majority of nurses graduating today due to the timely and cost effective manner of obtaining their RN in approximately three years. The ADN comes out of a program adequately prepared to practice nursing safely and competently at the entry level position but they do not encompass further education and knowledge that higher degree nurses acquire. Baccalaureate prepared nurses (BSN) are prepared with similar training as the ADN and diploma nurse but they have much more extensive education and training. The BSN possesses a broader, well rounded perspective of nursing history and theory which will help them to excel at their role as an RN. While the ADN and diploma programs produce nurses that are fully capable of practicing at a basic level of nursing, the competencies of the BSN are more widespread and extensive, and therefore produce a nurse better prepared to take on the changes and challenges in an evolving healthcare system. Different Nursing Programs Continuing education for nurses has been offered since the practice was introduced many years ago. As is/was the case now and back then, enrollment in undergraduate and postgraduate programs remained lower than the AD and diploma programs. Some reasons why individuals have not pursued higher education are due to the financial and time demands. The AD programs allow for a more diverse student...
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