...health institution - hospitals or nursing homes, depends on its goals and objectives, itsstrategic location, soundness of its operations, and efficiency of its management systems. The administrator's effectiveness depends upon the efficiency with which he is able to achieve the goals and objectives. Some of the major factors determining the effectiveness of a health institution includes patient care management and patient satisfaction. Hospitals are very expensive to build and to operate. Administrators and professionals have to be extremely cost conscious. Effective computerised systems and procedures need to be implemented to ensure proper utilization of limited resources toward quality health care. It becomes even more important when an in-house medical facility is provided by an industry for it’s employees, as is the case for Tata Steel. Patient care management in Tata hospital has fully utilised the power of computers in Medicare, whereby network of integrated systems maintaining patient database for the hospital services in the areas of Pathology, Radiology, Medical Research, In-patient Admissions and Billing, Medical Stores & Pharmacy are operational. The implementation of the above modules have evolved user-friendly computerized systems which are loved and cared by all. Tata Main Hospital (commonly known as TMH) at Jamshedpur caters its services to the employees (around 60,000) of Tata Steel, their families, and dependent relations. It also extends it’s...
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...health care is an acute issue. In the developed world this is due to increases in costs and quality issues (Aptel and Pourjalali, 2001; Spear, 2005); Western Europe currently spends 9% of its GDP on health care, and, if the trend continues, will spend over 20% by the year 2050 (Drouin et al., 2008.) In the developing world on the other hand demand exceed capacity; it was estimated that in 1997 over 12 million people were blind in India from cataracts, while a further 3.8 million new cases are developed each year, and current capacity for surgery is far below this level (Thulasiraj et al., 1997.) Better health care operations are clearly required to deal with issues of ageing population, increased costs and unmet demand. One case that provides clues to such means is Aravind, the largest eye care provider in the world, with over 2.5 million operations performed and 20 million patients treated in the last thirty years. An Indian non-for-profit organization in which two thirds of the patients are treated for free, Aravind attends its goals by strict attention to cost optimization. THE STORY OF DR. V Dr. Govindappa Venkataswamy (known as Dr. V) retired at age 58 from a life in public health as an ophthalmologist in India. He then started, with his sister and brother in law, an 11...
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... i'rprant'u*""ii'i.' Ji,iv. r,. ll Key Words ffJil::Tffr r-diburar denrure, imptanr supporred Man- t. Indian Joumal of Dental Sciences. September 2013 lssue:3, Vol.:5 All rights are reserved wwwijds.in Indion Journol of Dentol Sciences E Modified Technique For Artificial Saliva Reservoirs In Maxillary Denture P ISSN NO. 0976{003 'Varun Kumar 'Amrinder Sjngh Tuti 'Leena Tomar uaorta Abstrac{ Xerostornia is a relalively common complaint lhalcan make the weanng of complete dentures very uncomfortable for affected individuals. to help overcohe this problem, a number ol techniques have been proposed for incorporating ,es"rvoi'.i, 5"i"".v dentures. These have had varying degrees ot siccess. This anicte orEseni"l'"1."?o"n patrent suflering trom Xerostomii wh-o was successfu y rreated w,ff, n"*lo,i-oii'u!".on ", " denlure " i;ntii;;! iri"irir,"",t" Key Words Artificial, Saliva, Maxillery Xe.ostomia Irtroduction Xcrosromia is the dryness ofmouth from tmotanrotootr ondehcel oerJ s & tmptantotogy. MaU'u.a,Uttar Pradesh, India Email...
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...Nursing (AACN), the national voice for baccalaureate and graduate nursing programs, believes that education has a significant impact on the knowledge and competencies of the nurse clinician, as it does for all health care providers. Nurses with Bachelor of Science in Nursing (BSN) degrees are well-prepared to meet the demands placed on today's nurse. BSN nurses are prized for their skills in critical thinking, leadership, case management, and health promotion, and for their ability to practice across a variety of inpatient and outpatient settings. Nurse executives, federal agencies, the military, leading nursing organizations, health care foundations, magnet hospitals, and minority nurse advocacy groups all recognize the unique value that baccalaureate-prepared nurses bring to the practice setting. AACN encourages employers to foster practice environments that embrace lifelong learning and offer incentives for registered nurses (RNs) seeking to advance their education to the baccalaureate and higher degree levels. We also encourage BSN graduates to seek out employers who value their level of education and distinct competencies. Different Approaches to Nursing...
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...Business research involves the systematic and objective process of gathering data and transforming it into useful information. The research process is not confined around a single universal methodology. Infact it differs from one research study to another depending on the purpose of the research, the industry/ sector of the client company concerned, the research method/ tools used etc. As the research process differs, researcher faces different problems and issues pertaining to the research at almost every stage of the research process. It is important to note that the research problems are more complicated in studies involving subjective issues such as customer satisfaction surveys because in such a study, the quality and effectiveness of the service/ product varies among different customers depending on the customer''s perceived value of the offering, their prefferences and varying needs and demands. One of the most common problem the researcher faces are budgetary constraints. This occurs in almost all the business researches regarless of the company sector, nature of the problem, the location where the study is conducted etc. However, budget constraints are higher when researches are conducted for SME (Small and medium enterprise) clients. Such clients have limited budget for such research activities as the company needs to ensure that the value generated by the research activity exceeds the cost involved in conducting the research. Depending on their project...
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...Lorie Gage Richards: Motor Recovery and Neural Reorganization After Stroke Thomas Pearl SUNY Downstate ALWAYS JUSTIFY YOUR PAPER ….AS IN THE ALIGNMENT … NOT LEFT Over 750,000 strokes occur annually in the United States alone. The majority of those suffering a stroke have ongoing reductions in contralateral arm and hand functions that interfere with accomplishing goal oriented activities and vocational needs (Richards, Stewart, Woodbury, Senesac, & Cauraugh, 2008a). Knowing the best methods to promote motor recovery in arm and hand functioning is therefore critical in stroke rehabilitation. Lori Gage Richards, (PhD, OTR/L) is an active researcher and educator seeking to uncover which therapies drive neural reorganization after a stroke, and what are the most effective strategies leading to improvements is UE function. Richards is currently Associate Professor and Chair of the Occupational Therapy Department at the University of Utah. She was recently appointed editor-in-chief of the American Journal of Occupational Therapy and serves as Chair of the Nursing and Rehabilitation Committee-Stroke Council, of the American Heart Association. Additionally at the American Heart Association, she is a member of both the Leadership Council - Stroke Council and the Stroke Rehabilitation and Recovery Committee - Stroke Council. Her current professional affiliations include the American Occupational Therapy Association (AOTA), Society for Neuroscience, and the American Congress...
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...Theory of Constraints The topic for my discussion on the Theory of Constraint is the team that handles rental properties for a real estate business. This includes homes as well as commercial properties for rent, from the perspective of the tenant and the landlord. The organization is a team of real estate agents that specialize in rental properties. The goal is to generate profitable revenue by ensuring the quota is met for lease contract agreements to go to settlement in the specified time. Throughput are the number of contracts for the lease of properties that have completed, settled, and funded. Inventory comprises of available rental properties that have been listed with the company, as well as landlords that are represented by agents of the company. Operating expenses include costs associated with the listing or showing of rental properties, such as open houses, advertising costs, and transportation of prospective tenants to the property. The bottleneck is the landlord’s approval and acceptance of the terms of the contract. This will be discussed in more detail in the five steps below. 1) Identify the system’s bottlenecks. Typically the landlord will want to maximize profit by listing the property for as much as possible. Regardless of the listing price being inline with the market area, or being overpriced, lease offers will often be less than the asking price. With lease offers from more than one prospective tenants require more time in their decision...
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...managing conflicts and different difficult situations. Implementation is as much important as the regulations in health care. Professional communication is required for conflict resolution particularly in the health care industry. In most of the cases, the teamwork expects a solution to any kind of issues in the healthcare organization. An open communication makes the entire communication between the team members transparent in actions so that there will be no scope to create conflicts. The conflicts create the issue, not between the employee but also the patients and the healthcare workers (Ndubisi, 2012). Often it happens that the patients came to stay in the hospital might have to interact with different health co-workers like health care experts,...
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...Obesity is a rising problem in U.S and millions of people are affected by it each day and it can be caused by many things. If you are obese people don’t realize how it affects your health and how sick it can really make you and that’s why we need programs to get people educated on what they can do to keep themselves healthy from getting sick. Children are on the rise of being obese and they are the number one group that is being affected. If the child is over weight we need to teach the parents as well how to eat right and exercise wit h your kids so that they wont be obese and at the same time you can be a roel model because if they see there parents then they will do what there parents are doing as well. The parents play a big role because they rely on them to guide them and tell them what to do and if you don’t do that then that could be a reason they could be obese as well. Obesity Obesity is on the rise and it went up 1.1% and two point four million people have been added to ranking in just the past two years. About seventy two million adults are now obese in the U.S and climing. (Doheny, 2005-2010). The CDC uses a surevye known as the Behavioral Risk Factor Surveillance System (BRFSS) it is used to update the specific obesisty rate in each state nationally as well. BRFSS is a surevey dine over the phone in each state to get the accurate information they need from people. (Doheny, 2005-2010). The survey indicated that not one state met the Healthy People 2010 target of...
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...1/22/07 3:37 PM Page i RP OS T ElletFM.qxp THE DO N OT C OP YO CASE STUDY HANDBOOK 1/22/07 3:37 PM Page ii DO N OT C OP YO RP OS T ElletFM.qxp 1/22/07 3:37 PM Page iii RP OS T ElletFM.qxp YO THE OP CASE STUDY HANDBOOK How to Read, Discuss, and OT C Write Persuasively About Cases DO N William Ellet Harvard Business School Press Boston, Massachusetts 1/22/07 3:37 PM Page iv RP OS T ElletFM.qxp Copyright 2007 William Ellet YO All rights reserved Printed in the United States of America 11 10 09 08 07 5 4 3 2 1 OP No part of this publication may be reproduced, stored in or introduced into a retrieval system, or transmitted, in any form, or by any means (electronic, mechanical, photocopying, recording, or otherwise), without the prior permission of the publisher. Requests for permission should be directed to permissions@hbsp.harvard.edu, or mailed to Permissions, Harvard Business School Publishing, 60 Harvard Way, Boston, Massachusetts 02163. The copyright on each case in this book unless otherwise noted is held by the President and Fellows of Harvard College and they are published herein by express permission. Permission requests to use individual Harvard copyrighted cases should be directed to permissions@hbsp.harvard.edu, or mailed to the Permissions Editor, Harvard Business School Publishing, 60 Harvard Way, Boston, MA 02163. OT C Case material of the Harvard Graduate School of Business Administration is made possible by the...
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...THE ON OT C OP YO CASE STUDY HANDBOOK RP OS T ON OP YO RP OT C OS T THE ON OT C Write Persuasively About Cases OP CASE STUDY HANDBOOK How to Read, Discuss, and William Ellet Harvard Business School Press Boston, Massachusetts YO RP OS T Copyright 2007 William Ellet All rights reserved Printed in the United States of America 11 10 09 08 07 5 4 3 2 1 No part of this publication may be reproduced, stored in or introduced into a retrieval system, or transmitted, in any form, or by any means (electronic, mechanical, photocopying, recording, or otherwise), without the prior permission of the publisher. Requests for permission should be directed to permissions@hbsp.harvard.edu, or mailed to Permissions, Harvard Business School Publishing, 60 Harvard Way, Boston, Massachusetts 02163. The copyright on each case in this book unless otherwise noted is held by the President and Fellows of Harvard College and they are published herein by express permission. Permission requests to use individual Harvard copyrighted cases should be directed to permissions@hbsp.harvard.edu, or mailed to the Permissions Editor, Harvard Business School Publishing, 60 Harvard Way, Boston, MA 02163. ON OT C Case material of the Harvard Graduate School of Business Administration is made possible by the cooperation of business firms and other organizations which may wish to remain anonymous by having names, quantities, and other...
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...analysis has been made on the existing Hospital Management System. It is tried that the entire Hospital could be managed by within the system and users feel easy and comfortable to use the system. The system keeps a record of the patient, doctor and other staffs of the hospital management. The software also enables to update, delete the record and also provides the search facility. The system keeps information related to the persons who are willing to donate blood during emergency. 2. Objectives of Hospital Management System Main target is to provide reliable and efficient service to the members/nonmembers of the hospital who visited the hospital in search of it. 1. Patient registration. 2. Emergency Service. 3. Records Information about Hospital. 4. Blood Bank Maintenance. 5. Blood and Organ Donor Maintenance. 6. Doctor Consult. 7. Consultancy Record. 8. Staff Record Managements. 9. Patient Bill. 10. Staff Payroll. 3. Overview of the Existing System To automate manual Hospital Management System we have to focus on present manual system. Present system has some drawbacks, which gives manual inputs and there is a lot of transaction, even patient has to stand on queue for a long for registration which is not done efficiently. Similarly, there is no search option of...
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...Introduction The nursing students working on 5E, the psychiatric unit at the University of Virginia, identified patient safety as a clinical problem related to inadequate staffing. Previous research revealed that 63% of the staff on this unit identified that inadequate staffing greatly affected patient safety. In order to research this issue further, the nursing students developed a follow-up survey that would help to identify the aspects of patient safety that are most affected. By understanding which aspects of patient safety create an issue on this unit, the group will develop an intervention with increasing safety as the expected outcome. Safety on this unit is difficult to measure because the unit does not face the same problems that staff encounter on Medical Surgical Units. One way to measure safety on 5E is to review the number of patient falls. Data was obtained that revealed in November of 2012, 5E reported the most falls of any unit in the hospital. Other safety markers are difficult to identify and are not regularly measured. During a typical day shift, the staff on the unit consists of four registered nurses (RNs), two patient care assistants (PCAs), one house unit coordinator (HUC), and two therapists, either occupational (OT) or recreational (RT). Twenty-three beds are available on 5E and at the time of the survey, twenty patients were currently...
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...physician’s decision to admit a patient for elective surgery following clinical assessment and secondly the date of hospital admission1The 2005 edition of the Fraser Institute Report on Hospital Waiting Lists in Canada indicates that wait times for plastic surgery are the second lengthiest of all specialties2The objective of our study was to study the relation between various types of patients admitted in the department of plastic and re-constructive surgery at Sher-i- Kashmir Institute of Medical Sciences,J&K and their respective waiting times.The study was conducted for a period of one year from 1st October 2013 to 30th September 2014.It was a prospective observational study carried out on the patients admitted in the ward of plastic and re-constructive surgery. The study was done based on the interviews from relevant informants, study of records .Out of the total of 2238 patients admitted 495 cases were that of RTA(road traffic accidents), 162 bear mauls, 135cleft palate, 117 cleft lip,99 tin cut injuries,90 PBC(Post burn contracture) hand,72 cases of...
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...needed or not (Evans, Hodgkinson, & Berry, 2001; Zeitz & McCutcheon, 2006). Five years ago, pédiatrie nurse leaders and evidencebased practice (EBP) experts from children's hospitals across the country voiced concerns about the frequency of VS at a National Summit for Pédiatrie and Adolescent EvidenceBased Practice (Melnyk et al., 2007). This summit resulted in our team formulating a clinical question, searching for the evidence, critically appraising the evidence, and formulating conclusions on normal parameters. Before the question on the frequency of ys could be addressed, two fundamental questions needed exploration, and thus, became the focus of our work. The questions are: • Among pédiatrie patient ages 1 through 5 years, what are "normal" VS parameters? • Among pédiatrie patient ages 1 through 5 years, what is a signifieant elinical change in VS? The purpose of this systematic review was to determine the best evidence for normative parameters for VS in healthy children 1 to 5 years of age and what constituted a clinically significant change in VS in hospitalized, but otherwise healthy, children. Debra Van Kuiken, PhD, RN, is an Assistant Professor, Xavier University, Cincinnati, OH. Myra...
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