...EDMONDSON CHRISTINE HARRIS-VAN KEUREN ELIOT SHERMAN Cleveland Clinic Dr. Delos “Toby” Cosgrove, cardiothoracic surgeon and president and CEO of Cleveland Clinic, emerged from the operating room on a January afternoon in 1996 having just changed the way he, and subsequently the world, approached heart surgery. A trip to Stanford University Medical School had convinced him it was possible to operate on the valves of the heart through a three-inch incision instead of the nearly foot long incision that was standard practice before splitting the patient’s breastbone with a saw to reach the heart.1 After refining the technique in the lab, he had successfully performed the first such operation. Eight months later, Cosgrove performed two of these surgeries back-to-back, broadcasting his work live via satellite to 4,000 surgeons in 40 cities around the world. The Cleveland Clinic’s broadcasting capabilities facilitated this demonstration of the substantial benefits of his minimally invasive method of heart surgery, which reduced the risk of infection and involved less bleeding, pain, and trauma, significantly reduced the amount of time needed for recovery, and could be used in about three quarters of the heart valve surgeries performed in the United States.2 So compelling was this exhibition that within a year use of the technique had “exploded” throughout the medical community.3 Such innovation had been the lifeblood of Cleveland Clinic since its founding in 1921. Even as he continued early...
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...Effective Communications Paper HCS/325 February 16, 2015 Effective Communications Paper It is extremely important for health care employees to communicate effectively in order for the health care organization to run smoothly. Employees need to be able to communicate with each other, including those outside of the facility, those in different health care fields, consultants, social workers, and anyone else who may be involved in a patient’s care. “Core team members include physicians, nurses (registers nurses [RNs] and licensed practical nurses [LPNs]), and when present in a unit, social workers, psychologists, and pharmacists. Therapists (occupational, recreational), dieticians, and chaplains participate on CFTs on a more selective basis.” (Alexander, et al., 2005) I believe that a good communications method is cross-functional teams (CFTs) because they are able to address specific organizational needs, such as service excellence, environmental sustainability and green initiatives, and clinical services marketing. (Buchbinder, 2012) The cross-functional team’s method best describes the organization that I had previously worked at, which was a large hospital system, The Cleveland Clinic Foundation. I think that the CFTs method best described it because the hospital strongly believed in having teams working together to satisfy patients and correct any negative comments that were portrayed from the patients about the hospital. “CFTs can help health providers effectively...
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...extrinsic reward of employee-of-the month recognition? Week 7-Applied Research Paper Holly GM591 Leadership and Organizational Behavior Abstract I. Overview of Organization The Cleveland Clinic Foundation often referred to as CCF, is a well-known “non-profit academic medical center that integrates clinical and hospital with research and education” (CCF, 2011, p. 1). CCF is also considered as the leading world class care hospital that is located right here in Cleveland, Ohio. It comes as no surprise that they are consistently voted in as the best hospital, always ranking at the top of the charts with the number one spot in patient care and service in the world. They are also continuously recognized for their excellent service by their patients and organizations that recognize excellence in comparison with other hospitals. My familiarization and experience with the Clinic has enabled me to view and compare its reward systems from both as a volunteer, an employee’s perspective; and now as an observer. My first association with the Clinic began in 1999 as a student volunteer from the John Hay High School Thematics program; who currently still partners with CCF having almost been ten years later. I have not only put in time with volunteering throughout my high school years from 1999 through 2002 in various departments of the Cleveland Clinic, but had the most amazing opportunity to be offered a position as...
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...Professional Presence and Influence Melissa A. Cummings Western Governor’s University Abstract This paper examines my personal professional presence and how my personality influences both my personal and professional life. It will examine how I can use mindfulness and self-awareness to improve my professional practice with co-workers and patients and how I can bring mindfulness into my own life. Professional Presence and Influence Professional Presence Larry Dossey discusses three eras medicine in his book, Reinventing Medicine. Era I is a time period which began in the 1860’s and focused on the physical body as the reason for illness. The body was treated with surgical procedures and drugs. Era II focused on the body also, but it was realized that emotions and feelings could influence the body’s functions. The third Era, Era III says that “the mind is not confined to the body, that the mind is boundless and unlimited” (Dossey, n.d.). Era I equates to a purely “physical body” model of health and healing. This model does not view the person as a whole, but rather the ailment independent of the person. If a person had an intestinal disorder, medications may be prescribed, but there may be no discussion as to how the disorder came to be. In this era, we would not look at the patient’s nutrition or life situations which may have precipitated their illness. Era III, the modern era of health and healing, looks at the patient as a whole person. If this patient sought...
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...University MSN 6012 Unit 8: Designing Health Promotion Programs September, 2015 Abstract Concerns about addressing the nutritional health of Cleveland’s impoverished children continue to plague the Cleveland community. According to the U.S. Census Bureau in 2013, Cleveland has the third largest child poverty rate among the top cities in the United States ("Hunger Facts," 2013). Insufficient resources to provide adequate food and lack of proper nutritional education for these children has a dramatic effect on the health and well-being for this vulnerable group. Not only does poverty have a direct relationship to negative child outcomes, but nutritional intake and education, as well. This article will focus on a theory-based health care promotion plan that will address the poor, school-age children living in Cleveland. Strategies will be identified in promoting nutritional education to improve healthy eating for these children in an attempt to improve the health and wellness for this vulnerable group. Guidelines for quality monitoring, evaluating, and adaptations of this health promotion plan will also be discussed so that it can be used across various health care settings. Implementing a health promotion plan that incorporates appropriate theory, research-based interventions, evaluative measures, and quality improvement metrics is pivotal if the health care professional is to be successful in supporting desired healthy behaviors for all populations. Enhancing...
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...business enterprises for the betterment of society. Edmondson joined the Harvard faculty in 1996. Her research examines leadership influences on learning, collaboration and innovation in teams and organizations, reported in over 60 articles published in academic journals, management periodicals, and books. In 2003, the Academy of Management's Organizational Behavior Division selected Professor Edmondson for the Cummings Award for outstanding achievement in early mid-career, and in 2000 selected her article, "Psychological safety and learning behavior in work teams," for its annual award for the best published paper in the field. Her article (with Anita Tucker), "Why Hospitals Don't Learn from Failures: Organizational and Psychological Dynamics That Inhibit System Change" received the 2004 Accenture Award for a significant contribution to management practice. Professor Edmondson teaches MBA and Executive Education courses in leadership, team decision making, and organizational learning, and a doctoral course in field research methods. She has served on 21 doctoral committees and is the author of twenty HBS teaching cases, including leadership cases on The Cleveland Clinic, General Motors Powertrain, Prudential Financial, Simmons Mattress Company, YUM brands, IDEO product design, and NASA's failed Columbia mission. Before her academic career, Edmondson was Director of Research at Pecos River Learning Centers, where she worked closely...
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...Phobias and Addictions Chantel Billingsley PSY/300 May 30, 2014 Brian Hawkins Abstract This paper provides a broad overview of phobias and addictions. The difference between classical conditioning and how it relates to phobias will be dicussed, as well as operant conditioning and how it develops into addictions. Distinguishing between classical and operant conditioning, will show the differences between the two. I will cover what extinction means and how it is achieved in both types of conditioning. "Phobia" means "morbid fear" in greek (What is Phobia, 2014). Fear is a natural response to a genuine danger. Phobias are the emotional and physical reactions to feared objects or situations; this fear becomes irrational and excessive. Feelings of horror, panic and terror may occur. Reactions become automatic and uncontrollable, taking over a person's thoughts and sometimes causing physical symptoms. These symptoms can include rapid heartbeat, shortness of breath, trembling and overwhelming desire to avoid the feared object or situation. There are three major categories of phobias. First category called specific phobias focuses on certain objects, animals, people and situations. Some of the most recognized phobias fall under this category; the fear of heights (acrophobia), the fear of spiders (arachnophobia) and the fear of enclosed spaces(claustrophobia). The second major category is the fear of open spaces (agoraphobia). Most individual...
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...Psychology: Research and Practice 2009, Vol. 40, No. 6, 550 –556 © 2009 American Psychological Association 0735-7028/09/$12.00 DOI: 10.1037/a0016853 Electronic Medical Records: Confidentiality Issues in the Time of HIPAA Margaret M. Richards Cleveland Clinic Children’s Hospital With the application of the Health Insurance Portability and Accountability Act (HIPAA) in the medical community, new issues arise for psychologists in keeping documented records of patient visits. Confidentiality limits have broadened, making use of the electronic medical record more complicated for the psychologist practitioner, particularly when serving as part of a multidisciplinary team. As the electronic medical record (EMR) has become more prevalent in multiple settings, various researchers have examined the effectiveness of this record keeping system, with a focus on improving patient outcomes. The risks and benefits of implementing an EMR will be discussed, focusing on specific considerations for psychologists in regard to confidentiality and interdisciplinary collaboration. Keywords: Health Insurance Portability and Accountability Act (HIPAA), electronic medical record (EMR), confidentiality How much information is appropriate to place in an electronic medical record (EMR), especially when that record is accessible to professionals throughout an organization (i.e., a hospital setting)? This question has become an important topic of discussion and research as EMRs become...
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...American Healthcare Systems-Research Paper-6th Dec 2013 Medical Tourism By: Mrudula Mynampaty and Swathi Damacherla Introduction “Medical tourism” is the term commonly used to describe people traveling outside their home country avail medical services at lower costs1. Medical tourism is fundamentally different from the traditional model of international medical travel where patients generally journey from less developed nations to major medical centers in highly developed countries for medical treatment that is unavailable in their own communities 2. History The concept of medical tourism has been very pervasive all through the history. The first recorded case of medical tourism describes Greek pilgrims who traveled from the Mediterranean Sea to Epidaurus, a small territory in the Sardonic Gulf. It was said that this small territory was the sanctuary of Asclepius, known as the healing god. Since the 1500s India has enjoyed a rich history of providing yoga instruction as well as Ayurveda healing to patients from around the world. In the 18th and 19th centuries, Europeans and Americans flocked to health spas and sanitariums, sometimes in remote places, in the hope that they would obtain relief from their disabling conditions, such as tuberculosis, gout, bronchitis, or liver diseases 3. What led to Medical Tourism today? The market size for medical tourism is USD 24-40 billion, based on approximately eight million cross-border patients worldwide spending an average of USD 3,000-5...
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...As drug industry’s influence over research grows, so does the potential for bias The inside track on Washington politics. Be the first to know about new stories from PowerPost. Sign up to follow, and we’ll e-mail you free updates as they’re published. You’ll receive free e-mail news updates each time a new story is published. You’re all set! Sign up Steven Nissen, a heart specialist at The Cleveland Clinic, has linked pharmaceutical drugs such as Vioxx and Avandia with high cardiovascular risks in patients. (Dustin Franz/FOR THE WASHINGTON POST) By Peter Whoriskey November 24, 2012 For drugmaker GlaxoSmithKline, the 17-page article in the New England Journal of Medicine represented a coup. The 2006 report described a trial that compared three diabetes drugs and concluded that Avandia, the company’s new drug, performed best. “We now have clear evidence from a large international study that the initial use of [Avandia] is more effective than standard therapies,” a senior vice president of GlaxoSmithKline, Lawson Macartney, said in a news release. What only careful readers of the article would have gleaned is the extent of the financial connections between the drugmaker and the research. The trial had been funded by GlaxoSmithKline, and each of the 11 authors had received money from the company. Four were employees and held company stock. The other seven were academic experts who had received grants or consultant fees from the firm. Whether these ties altered...
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...that would bring clarity to and direct the nursing profession on their parts and conversions that nursing is going to face. In this essay the IOM report that was completed by the Robert Wood Johnson Foundation (RWJF) on the future of nursing will be explored. There will be discussion of the four nursing initiatives as well as the influence that the IOM report has on the nursing workforce in the near feature. The Future of Nursing Campaign for Action and rationale of state based action coalitions will be discussed as well as their intentions. IOM Report Summary The IOM and the RWJF instigated a study that would define the ideal approach in which nurses would be able to make positive impression on the health of the over-all public. This research began in 2008 and lasted two years; while compiling the necessary statistics to complete the report that was then released in 2010. The IOM report on the future of nursing shown emphasizes on four key components. McNeal stated in the IOM report that the first component that is important to the future of nursing is that nurses should practice to the full extent of their education and training (2012). The second component that McNeal believed to be important is that all nurses should attain higher levels of education and training through an enhanced educational system that encourages continuous academic progression (2012). The third component on McNeal’s list was that nurses...
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...Health Care Provider and Faith Diversity: First Draft Shelly Morrow Grand Canyon University Spirituality in Health Care HLT-310V August 30, 2014 Abstract BACKGROUND: To care for a patient in a holistic manner requires one to be able to adapt to the diversity of faiths encountered as well as providing spiritual support as per the patient’s faith. OBJECTIVES: This paper aims at exploring three less well-known faiths and compare the philosophy of providing health care from the perspective of those faiths. The philosophies of the Amish, Jehovah’s Witnesses, and the Christian Science faiths will be compared as well as reviewing how these faiths compare to that of the other diverse Christian faiths and that of this writer’s personal beliefs. CONCLUSION/RELEVANCE TO NURSING CARE: It is found that if a health care provider is spiritually sound and open to providing that holistic care to a patient of any faith, one will find that this meets the needs of those patients with beliefs different than that of the health care provider. Health Care Provider and Faith Diversity: First Draft In order to administer the highest degree of holistic care to patients, health care providers need to have an understanding of the many different faiths and cultures encountered on a day to day basis. A survey of churches and religions has shown that there are 19 major world religions with 34,000 separate Christian groups recognized throughout the world. There are varying definitions...
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...A. R. K Baker ENG 102 4 May 2012 Microorganisms at Work This topic is about how microorganisms continue to live in hospital rooms even after the rooms have been cleaned. The organisms that concern me are the multi resistant ones. It starts with a patient who is in isolation because of one of these bacteria’s and then discharged from the hospital after they are well. If these organisms are on the bedside table or the handrails the patient is already cured so it will not affect them. What about the patient coming in the room next? It is left to the housekeepers to clean the room well enough to prevent the spread of these infections. These infections that are spread from one patient to another are called nosocomial infections. They are hospital acquired bacteria’s. I came to this topic after my daughter had this exact thing happen to her. She is a brittle diabetic and at one point required a lot of hospital visits. After one of these visits she started to develop a boil. This in turn caused her blood sugar to go up and we ended up back in the hospital. Thinking the boil was a spider bite we were surprised to find out it was methicillin-resistant Staphylococcus aureus (MRSA). They explained that it was a nosocomial infection that was probably acquired on our last hospital visit. When asked how she got it they said it was multi resistant and was passed from something she came in contact with that another patient would have touched. This is a problem that has been on the...
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...individuals filing of a dishonest health care claim in order to turn it into a profit. Abuse; however, is harder for the investigator to identify and establish if the act was committed knowingly, willfully, and intentionally. Healthcare industry is one of the fastest growing sectors of the US economy; almost 10% of the US’s national GDP is consumed by the health care industry. According to Forbes’s report, the US National Healthcare expenditure of 2012 was nearly $3 Trillion. According to the National Healthcare Anti-Fraud Association, nearly $60 Billion is lost to healthcare fraud each year. The healthcare industry is an enormous market; therefore, making it easier for healthcare providers to take advantage of the American population. This paper will focus on why fraud and abuse occurs, different types of fraud, example cases of fraud and abuse, impact to present day healthcare industry, and potential solutions to fixing and preventing fraud and abuse from occurring. According to Hawaii Medical Service Association (HMSA), “Health care fraud occurs when a person or business intentionally misrepresents facts to receive reimbursement for health care services or supplies. It is a criminal offense under state and federal laws and can result in hefty fines, loss of health care coverage, and/or criminal penalties, including jail time.” For an example,...
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...species serving as themajor source of today's tobacco products. Extensive study shows it to have a number of complex andsometimes unpredictable effects on the brain andt he body. As any smoker can tell you, nicotine is a remarkably addictive drug; only aboutsevenpercent who try to quit smoking on their own last at least one year. Nicotine is amongthe mostheavily used addictive drugs in the country, in spite of the long-known facts regardingsmoking'spotential to cause lung cancer and many other health problems. b. Psychological Disturbance Many smoke as a way to cope with stress, according to the Cleveland Clinic website. Psychologically speaking, this may be true to some extent since nicotine can temporarily alter moods and make feelings of frustration, anger and anxiety seem less severe.However, while the mind might feel some temporary stress relief, the Cleveland Clinic points out that the body is experiencing the exact opposite. This is because nicotine causes blood pressure and heart rate to rise, tenses muscles, constricts blood vessels, and reduces the amount of oxygen that can get to the brain. In short, these...
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