...CASE STUDY Denison Specialty Hospital Denison Specialty Hospital is planning its master budget for the coming year. The budget will include operating, capital, cash, and flexible budgets. The hospital is noted for its three fine programs: Oncology (cancer), Cardia (heart), and Rhinoplasty (nose jobs). Part I. Section A The managers at Denison have been busy working. They have reviewed past records, considered changes in competition, the general economy, and overall medical trends. Using past changes and anticipated rates of medical inflation, they have also made a first attempt at setting their prices. Based on a thorough review and discussion of these data, they have projected that next year will have 240 patients. They expect 120 oncology patients, 80 cardiac patients, and 40 rhinoplasty patients. The charge, or list price, for Oncology patients will average $50,000. Cardiac patients will be charged an average of $40,000, and rhinoplasty, $25,000 per patient. However, those charges often are not the actual amount ultimately received. The amount the hospital receives depends on whether patients pay their own hospital bills or have health care insurance. Assume that private insurance companies pay the full charge or list price. However, Medicare and Medicaid have announced rates they will pay for the coming year as follows: Oncology patients $40,000, Cardiac patients, $30,000, Rhinoplasty $10,000. Self-pay patients are supposed to pay the full charge, but generally...
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...CASE STUDY Denison Specialty Hospital Denison Specialty Hospital is planning its master budget for the coming year. The budget will include operating, capital, cash, and flexible budgets. The hospital is noted for its three fine programs: Oncology (cancer), Cardia (heart), and Rhinoplasty (nose jobs). Part I. Section A The managers at Denison have been busy working. They have reviewed past records, considered changes in competition, the general economy, and overall medical trends. Using past changes and anticipated rates of medical inflation, they have also made a first attempt at setting their prices. Based on a thorough review and discussion of these data, they have projected that next year will have 240 patients. They expect 120 oncology patients, 80 cardiac patients, and 40 rhinoplasty patients. The charge, or list price, for Oncology patients will average $50,000. Cardiac patients will be charged an average of $40,000, and rhinoplasty, $25,000 per patient. However, those charges often are not the actual amount ultimately received. The amount the hospital receives depends on whether patients pay their own hospital bills or have health care insurance. Assume that private insurance companies pay the full charge or list price. However, Medicare and Medicaid have announced rates they will pay for the coming year as follows: Oncology patients $40,000, Cardiac patients, $30,000, Rhinoplasty $10,000. Self-pay patients are supposed to pay the full charge, but generally...
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...“Nursing Future” Education Impact on Nursing Practice Grand Canyon University: NURS-430V 6/4/2016 “Nursing Future” Education Impact on Nursing Practice The Institute on Medicine (IOM) released a document in 2010 entitled: “The Future of Nursing: Leading Change, Advancing Health.” The group that arranged this report were made up of professionals who recommended and helped shape legislation and health care policy (“Professional Accountability,” 2011). The document guided health care improvement by advancement of the nursing profession as the number of insured Americans rose to over 32 million in 2010 (IOM, 2011). This report has resulted in “The Future of Nursing: Campaign for Action,” whose purpose is to put into effect the proposals started by “The Future of Nursing: Leading Change, Advancing Health” report (Future of Nursing Campaign for Action, n.d.). The goal of most healthcare organizations is to improve nursing practice by hiring more educated nurses, as stated in the IOM’s report. This paper will discuss the impact of the IOM’s report about advancing nurse education and the role of leadership. IOM’s Report Impact on Nursing Education “Nurses should achieve high levels of education and training through an improved education system that promotes seamless academic progression” (IOM, 2011). The IOM report discusses the effect of having a baccalaureate or higher degree in nursing, and its correlation to positive patient experiences. The American Association of Colleges...
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...Journal of Advanced Nursing, 1999, 30(6), 1432±1440 Issues and innovations in nursing education Evaluation of an innovative curriculum: nursing education in the next century 1 Senior Lecturer, Faculty of Welfare and Health Studies, University of Haifa Hasida Ben-Zur PhD Dana Yagil PhD Lecturer, Faculty of Welfare and Health Studies, University of Haifa and Ada Spitzer RN PhD Senior Lecturer and Head of Nursing Department, Faculty of Welfare and Health Studies, University of Haifa, Haifa, Israel Accepted for publication 22 March 1999 BEN-ZUR H., YAGIL D. & SPITZER A. (1999) BEN-ZUR Journal of Advanced Nursing 30(6), 1432±1440 Evaluation of an innovative curriculum: nursing education in the next century The present research focused on an interim evaluation of a new nursing curriculum made by ®rst- and second-year undergraduates. Study 1 examined the assessments made by 90 students of the new, actual programme of their studies, as well as an ideal one, on 21 bipolar criteria re¯ecting the developing changes in health care practices and higher educational processes in western society. The results of study 1 indicated that students perceived the actual programme as compatible with health care changes, but lacking in terms of the learning process. Study 2 investigated the same assessments among 105 registered nurses who evaluated the traditional nursing programme under which they were trained as well as an ideal one. The results of study 2 showed that registered...
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...for life style, patient is a High School Student at the current time, and lives at home with parents, there is a concern regarding her health, regarding asthma, bronchitis at this time. Patient is unemployed, but is covered under parents insurance BCBS. Source and Reliability of Informant: Patient is a poor historian, but patients mother is present at the time and is a good historian for patient. Past Use of Health Care System and Health Seeking Behaviors: There is a previous use of Health Care System for hospitilation, mother states that the patient does not usually have any health seeking behaviors. Present Health or History of Present Illness: Patient during the past 3 days has developed a progressive cough with mild production of green phlegm, and nasal congestion, that has not been relieve with OTC medication, patient states that today she felt very hot, and mother arrived after work and checked oral temperature and it was 100.0 F, Mother states that child has progressively declined and today she has decided to bring her in to be evaluated. Past Health History General Health: (Patient’s own words) “I usually feel ok and like to do things”. Allergies: (include food and medication...
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... Student Name: Leigh Hinson | Date: 10/19/2015 | Biographical Data | Patient/Client Initials: ECN | Phone No: 910-654-1107 | Address: 6893 Princess Ann Rd. Evergreen NC 28438 | Birth Date:7-20-1999 | Age: 16 | Sex:F | Birthplace: Whiteville, NC | Marital Status:Single | Race/Ethnic Origin: White | Occupation: Cashier | Employer: Food Lion | Financial Status: (Income adequate for lifestyle and/or health concerns. Is there a source of health insurance? Employment disability?) She is a full time high school student. She works a part time job as a cashier at a local Food Lion. Her parents and grandparents help her financially. She receives health insurance from her parents. | Source and Reliability of Informant: Patient is very reliable and dependable. | Past Use of Health Care System and Health Seeking Behaviors: None | Present Health or History of Present Illness: Constipation | Past Health History | General Health: (Patient’s own words)Patient states she is in overall good health. | Allergies: (include food and medication allergies) Strawberries | Reaction: Hives | Current Medications:None | Last Exam Date: 4/2015 | Immunizations: All immunizations are up to date. | Childhood Illnesses: None | Serious or Chronic Illnesses: None | Past Health Screening (see “Well Young Adult Behavior Health Assessment History Screening” below) When she was 5 years old she had tubes placed in her ears due...
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...Associate-degree versus Baccalaureate-degree Nursing Benjamin Botengan Grand Canyon University Professional Dynamics NRS 430V Professor Luci Hanus May 30, 2015 Associate-degree versus Baccalaureate-degree Nursing In the dynamic world of health care, change is always in demand. To keep up with this, there seems to be direct correlation with quality care and a nursing workforce equipped with the proper educational levels. Higher level of nursing education, better patient outcomes. Numerous research teams have proven that there are lower mortality rates, fewer medication errors, and positive outcomes associated with nurses who at least have their Baccalaureate-degree in Nursing. This fact has been the soul of a more highly qualified nursing workforce. A baccalaureate prepared nurse is the baseline in this quest. The numbers prove this fact as shown in recent studies. * One study shows lowered odds of patient mortality by 10.9% from a 10% increase in the proportion of baccalaureate prepared nurses. Furthermore, an increase in the nursing workforce to 80% BSN resulted in lower readmission rates and shortened lengths of stay and therefore more savings (Yakusheva, Lindrooth, & Weiss, 2014). http://journals.lww.com/lww-medicalcare/pages/default.aspx. BSN nurses understand culture and society in relation to nursing. They are able to visualize future health trends as well as the present health requirements of the patient and of society. (Rosseter, 2010) * This is also...
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... Nursing Diagnoses: Based on this health history and health screening, identify three nursing diagnoses that would be applicable for this client as well as your rationale for your selection of each nursing diagnosis. Include: One “actual” nursing diagnosis with rationale for choice of this diagnosis. One wellness nursing diagnosis with rationale for choice of this diagnosis. One “risk for” nursing diagnosis based on the health screening with rationale for choice of this diagnosis. © 2011. Grand Canyon University. All Rights Reserved. Student Name: Beth Chiappara Date: October 16, 2014 Biographical Data Patient/Client Initials: AR Phone No: 951 244-6197 Address: 23055 Canyon Lake CA 92587 Birth Date: 02/14/89 Age: 25 Sex: Female Birthplace: Anaheim CA Marital Status: Married Race/Ethnic Origin: Caucasian Occupation: Financial Analyst Employer: University of California Riverside Financial Status: (Income adequate for lifestyle and/or health concerns. Is there a source of health insurance? Employment disability?) Income is enough. As can be since there always seems like there can be more! We can pay our bills and do some fun things. We have good insurance from my employer. Source and Reliability of Informant: AR Good historian Past Use of Health...
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...argument Over the past 28 years, I worked in the health care profession as a Registered Nurse. Just within the past three years, given the opportunity to run a Surgical Services Department for a large hospital organization my responsibilities include oversight/management of 50 employees between Pre-Admission Testing (PAT), Same Day Surgery (SDS). Gastroenterology Clinic (GI), Pain Center, five Operating Rooms (ORs) and a Post Anesthesia Care Unit (PACU). Currently we do an average case volume of 14,000 cases per year generating revenue of between 10-15 million dollars for the hospital. To learn and develop into a better leader, I have decided to complete my Master’s of Business Administration degree. In this paper, I will argue that online learning is the most practical, efficient, beneficial course to pursue a degree., The MBA degree will provide me the skills necessary to successful development our department to weather the challenging health care market of the future. My goal to achieve an MBA may seem a unique process to follow, especially because I am a registered nurse. Many of my colleagues have suggested obtaining a MS in Nursing. The evolution of the health care industry is ever changing to a pay for performance environment (Molpus, 2011). The future of Nursing Leadership requires not only the ability to manage patient care but also to develop strategies for managing the business aspect in the perioperative environment (Minich-Pourshadi, 2010, p. 6). Over the past...
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...NURSING CASE STUDY TYPE 2 DIABETES MELLITUS WITH NEUROPATHY, CAP, NEUROGENIC BLADDER I. HEALTH HISTORY A. DEMOGRAPHIC DATA 1. Client’s name or initial (optional): J. L. 2. Gender: Female 3. Age, Birthdate and Birthplace: 81 years old 10/20/1932 San Clemente, Tarlac 4. Marital Status: Widowed 5. Race and Nationality: Filipino 6. Religion: Catholic 7. Address, Tel No., E-mail address: Blk. 31 Lot 42 Ph D Windward Hills Subd, Burol, City of Dasmarinas 8. Educational Background / Other Significant Framing 9. Occupation 10. Usual Source of Medical Care B. SOURCE AND RELIABILITY OF INFORMATION The patient is awake and responsive. Information was gathered through the patient and the other information not known by the patient came from her daughter. Other information came from the patient’s chart. C. REASONS FOR SEEKING CARE OR CHIEF COMPLAINTS 1. “Masakit yung pag-ihi ko” 2. “Namamaga yung puson ko” D. HISTORY OF PRESENT ILLNESS/ OR PRESENT HEALTH The history of present illness started the night prior to consultation, when the patient tried to void but she experienced difficulty. No CVA tenderness, flank pain, fever, nausea and vomiting noted. Throughout the night she experienced anuria and gradually her hypogastric area began to distend causing pain 7 out of 10 in intensity- this condition continued...
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...The Impact of the Aging Population on the Health Workforce in the United States: Summary of Key Findings March 2006 This study was funded by the National Center for Health Workforce Analysis Bureau of Health Professions Health Resources and Services Administration Prepared by Center for Health Workforce Studies School of Public Health, University at Albany 7 University Place Rensselaer, NY 12144-3458 Impact of the Aging Population on the Health Workforce in the United States The expected growth of the older adult population1 in the U.S. over the next 50 years will have an unprecedented impact on the U.S. health care system, especially in terms of supply of and demand for health care workers. The supply of health care workers may decrease as they age and large numbers retire and/or reduce their working hours. At the same time, older adults consume a disproportionately large share of American health care services, so demand for health services will grow. The aging of the population will also affect the nature of the skills and services the health care workforce must be equipped to provide, and the settings in which this care is provided. The so-called “baby boom” generation (people born between 1946 and 1964) is already having an effect on the health care system and it is expected to grow as the century progresses. The number of Americans age 65 and older (35 million in 2000) will rise by more than 19 million to 54 million by 2020. From 2000 to 2050, the number of...
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...Running head: FAMILY HEALTH NURSING Family Health Nursing University of Phoenix NUR 464: Concepts of Family Nursing Theory Janet Gradle June 2004 Family Health Nursing Family health has been an important aspect for nurses. Initially, families have contact with the nurse regarding their health care needs. The nurse’s role is work in collaboration with families to assist, provide education, and promote healthy relationships for each individual and their family members. However, over the past century the family structure and household have changed drastically due to a great difference in social, economic, and cultural diversity. Families today are multifaceted and unique. However, “families serve as the basic social unit of society” (Stanhope & Lancaster, 2004, p.563). Family health is ever-changing in today’s culture. It is essential that healthcare providers strive to encourage goals and values, promote lifelong education, as well as teach and assist in guiding the family through the stressors of society. The Family Is an Important Focus for Nurses Nurses play a key role in assisting and promoting the health care needs of individuals and families as a whole. To develop a health care plan for the family, the nurse must determine which clients are apart of the family and include them in the planning process Once all members of the family are participating the nurse can identify all the health care concerns of the family...
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...The Nursing Shortage The history of nurses in our textbook, “Policy and Politics for Nurses and Other Health Professionals”, seems to suggest a deficit in nursing staff since the early 1900’s (Nickitas, Middaugh & Aries, 2016). As healthcare has transformed from the late 1800’s to the 2010’s, nursing has had to alter its practice to remain relevant and current with each era. This paper will share insight into the potential causes of the current nursing shortage, offer awareness of how nurses are preparing themselves to work in this setting and suggest methods through legislation to alleviate safety concern produced by limited staffing. Events Leading to the Nursing Shortage Current predictions by the American Healthcare Association (2009)...
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...The Benefits of Technology in Nursing and Healthcare Abstract This paper explores nursing informatics and technology in the emergency department of a local level 1 trauma center. The references cited provide discussion and statistics on several types of nursing informatics utilized today by this facility, including benefits and shortcomings. Personal experience from the author are also incorporated as he witnessed first hand the nursing informatics and technology “explosion” and how this facility incorporated this technology into their daily nursing care over the past 15 years. In 1995 I acquired a job as a nurse’s aid at the hospital I am currently employed. At the time, they were just introducing computers at the nurse’s stations. It was used primarily for their first generation of Computer-Assisted Physician Order Entry (CAPOE). With exception to limited order entry, all the documentation was still placed on paper charting. Difficulties I encountered first hand included tracking down the chart while other staff members had possession of it. It made charting in a timely fashion almost impossible, and I often found myself charting late entries. Today I am a Certified Emergency Nurse in the Emergency Department of LVHN. In the grand scheme of things, 15 years is relatively a short time, yet the advances in technology I have been witness to are sometimes overwhelming. “Informatics is a field that’s evolving every day, and there’s much to learn” (Abbott...
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...the role of the Registered nurse change over the next ten years?” The nursing profession has a long history of being undervalued and has faced many challenges in regards to professional status, wages and working conditions. These challenges have been fairly constant and all the while, nurses have been fighting to enhance nursing skills and roles, while also maintaining the core nursing values. This research aims to identify the future of the registered nurse and how this may be expected to change over the next ten years; in order to do this it will explore the past history of nursing, their working conditions, challenges and achievements. Following this brief historical overview , a detailed view of modern day nursing will be the key focus of the paper, with particular relation to the latest professional battle of the 2012 Enterprise bargaining agreement and the Australian government’s planned policies for Australian nurses and what this means for their future. Nursing began in the homes of families as an intuitive and untaught way of caring for sick family members, with the role being given to women based on their care experience and observation. Throughout the dark and middle ages (500 AD to 1400 AD) this ‘care’ later developed a religious aspect, and nursing became an expression of Christianity and seen as ‘acts of mercy’ (D’antonio 2007). This ‘care’ aspect of practice still exists strongly in modern nursing today. However, the nursing reputation took a turn for the...
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